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MSWA Bulletin Magazine Winter 2017

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BULLETIN<br />

THE OFFICIAL MAGAZINE OF <strong>MSWA</strong> mswa.org.au<br />

WINTER <strong>2017</strong><br />

PROTECT YOURSELF AGAINST THE FLU<br />

THE RESILIENCE FORMULA<br />

NEWLY DIAGNOSED MEET AND GREET<br />

COMING TO GRIPS WITH MS


<strong>MSWA</strong>’S MAGAZINE FOR PEOPLE LIVING WITH MS<br />

NURSING Our MS nurses are usually the first point of contact after the neurologist’s<br />

diagnosis of MS. We’re committed to providing holistic supports; providing a greater<br />

understanding of what to expect.<br />

Lou Hatter, Manager: 9365 4809 or Community Nurse: 9365 4888<br />

WILSON CENTRE<br />

29 Parkhill Way (08) 9365 4888<br />

Fax (08) 9451 4453<br />

Freecall 1800 287 367<br />

See Health Team Dept contacts on this page<br />

PHYSIOTHERAPY Our team aims to provide treatment interventions to develop and<br />

maintain mobility and function. Our Physiotherapists are experts in movement and function,<br />

and work in partnership with you to attain the highest possible level of independence.<br />

Dave Hathorn, Manager: 9365 4837 or Physiotherapy Department: 9365 4834<br />

MEMBER SERVICES<br />

DIRECTORY<br />

GENERAL MANAGER – MEMBER SERVICES<br />

Sue Shapland: 9365 4840<br />

INDIVIDUAL OPTIONS<br />

Manager Community<br />

Care Programs 9365 4851<br />

NDIS TEAM 1800 287 367<br />

OUTREACH GROUPS<br />

Wilson Outreach (Mon-Thurs): 9365 4830<br />

Beechboro Lodge (Mon, Fri): 9377 7800<br />

Southside Outreach (Fri): 9592 9202<br />

Bunbury Outreach (Wed): 9791 2472<br />

Albany Outreach (Fri): 9841 6657<br />

BUNBURY OFFICE<br />

1 Mason Street, Davenport 6454 2800<br />

BUSSELTON OFFICE<br />

1/21 Cammilleri Street 9754 2320<br />

MARGARET DOODY RESPITE HOUSE<br />

Manager, Chris Rush: 9385 9574<br />

FERN RIVER ACCOMMODATION<br />

Manager, Liz Stewart: 9356 2747<br />

HAMILTON HILL ACCOMMODATION<br />

Manager, Jayne O’Sullivan: 9331 5780<br />

TREENDALE GARDENS RESPITE &<br />

ACCOMMODATION<br />

Manager, Linda Kidd: 9725 9209<br />

CONTACT US<br />

If you would like to comment<br />

on anything you read in this<br />

<strong>Bulletin</strong> please email<br />

bulletin@mswa.org.au<br />

or write to<br />

<strong>MSWA</strong>, Locked Bag 2,<br />

Bentley DC WA 6983<br />

The <strong>Bulletin</strong> can also be viewed at<br />

mswa.org.au/bulletin<br />

EDITORIAL COMMITTEE<br />

Greg Brotherson (Editor), Marcus Stafford (CEO),<br />

David Bugden, Sue Shapland, Ros Harman,<br />

Libby Cassidy, Sandra Wallace, Narelle Taylor,<br />

Leonie Wellington, Sarah Lorrimar, and Dawn Burke.<br />

The Editor welcomes unsolicited submissions.<br />

All articles are subject to a reviewing process.<br />

The views expressed are those of the Authors<br />

and do not necessarily reflect the view of the<br />

Society’s staff, advisors, Directors or officers.<br />

OCCUPATIONAL THERAPY Occupational Therapists enable Members, and Clients,<br />

to continue their work and other interests for as long as possible through advice, aids<br />

and equipment.<br />

Rosemarie Dravnieks, Manager: 9365 4804 or OT Department: 9365 4888<br />

SPEECH PATHOLOGY Our Speech Pathologists provide support by assessing,<br />

diagnosing and creating individualised treatment programs for Members who experience<br />

swallowing and/or communication difficulties. We equip Members with information and<br />

strategies to promote better communication and safe swallowing.<br />

Jamaica Grantis, Speech Pathologist: 6454 3140<br />

COUNSELLING Talking with a Counsellor creates a safe, respectful and confidential<br />

environment for you and those close to you to explore options, create change or<br />

gain understanding about your life. Attending counselling with our tertiary qualified<br />

practitioners enables opportunity for personal growth and exploration in a nonjudgemental<br />

environment. To make an appointment please call:<br />

Lisa Papas, Manager: 9365 4836 or Main Counselling line: 9365 4811<br />

SOCIAL WELFARE Social Welfare Officers assist people living with MS and their<br />

families to access services and supports to remain living independently at home.<br />

They specialise in case management, advocacy and sourcing funding options.<br />

They provide information on benefits and entitlements through Centrelink and other<br />

government departments.<br />

Irene Gallagher, Senior Social Welfare Officer: 9365 4835<br />

INDIVIDUAL OPTIONS We provide long-term and time limited in-home supports<br />

including assistance with personal care for people with MS, to help them remain in their<br />

homes. Care and supports are provided through a combination of funding from the<br />

Disability Services Commission (DSC) and our own fundraising efforts. We manage both<br />

DSC and NDIS individually funded care packages.<br />

Contact us on 9365 4851 for more information.<br />

THE NDIS TEAM We provide a convenient and fast one stop shop to enable you to<br />

easily transition to the NDIS as it becomes available in your area. We help you determine<br />

whether you are eligible for assistance under the NDIS; we guide you through the<br />

application process and then we help you develop a comprehensive NDIS plan to<br />

maximize your entitlements. We support people with all neurological conditions.<br />

Mark Douglas, NDIS Operations Manager: 9365 4824<br />

CAMPS & RECREATION <strong>MSWA</strong> provides separate recreation camps for Members,<br />

carers, and families, primarily funded by Lotterywest, and for a nominal cost to participants.<br />

These camps provide a break from daily routines, and strengthen friendships and<br />

support networks.<br />

Coordinator for Camps & Recreation: 9365 4843<br />

2 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


Letter from the <strong>MSWA</strong> President<br />

GEORGE PAMPACOS<br />

It is with great sadness I advise that after 15 years as CEO,<br />

Marcus Stafford has decided to resign from <strong>MSWA</strong>.<br />

Although this may come as a surprise to many, to ensure<br />

preparedness and continuity, Marcus flagged his plans to the<br />

Board and members of management some time ago.<br />

In the time that Marcus has been at the management helm,<br />

<strong>MSWA</strong> has gone from strength to strength. This year <strong>MSWA</strong><br />

will post record revenues, record levels of Member and<br />

Client services and a record contribution to research. Our<br />

foundations for a successful future have never been stronger.<br />

Marcus also spearheaded the rescue and turnaround of the<br />

MS Society of South Australia and the Northern Territory.<br />

Although incredibly sorry to see Marcus go, I respect and<br />

understand his wish to pursue some of his other career<br />

interests, including management consulting, public speaking<br />

and Board directorships. I am confident his experience and<br />

leadership will allow him to make a broader, positive difference<br />

to Western Australia’s business and social community.<br />

It is critical <strong>MSWA</strong> doesn’t lose momentum and Marcus has<br />

confirmed that he will remain as CEO until his successor<br />

is appointed and an appropriate handover period has<br />

taken place. Timings are always difficult to forecast with<br />

senior roles, but it is likely Marcus will continue as CEO for<br />

most, if not all of <strong>2017</strong>, so there will be plenty of time for a<br />

proper farewell.<br />

Regards,<br />

George Pampacos<br />

<strong>MSWA</strong> President<br />

Inside | <strong>Winter</strong> <strong>2017</strong><br />

Letter from the <strong>MSWA</strong> President 3<br />

Letter from the Editor 4<br />

From the desk of the CEO 5<br />

A message from the General Manager<br />

– Member Services 6<br />

Marcus honoured with Order of Australia 7<br />

Our Core Values 7<br />

Round-up of research and other items of interest 8-9<br />

The NDIS continues to benefit more people in WA 10<br />

An overview of the Annual Member Survey – 2016 11<br />

Did you know that MS may affect your<br />

thinking and memory? 12<br />

The resilience formula 13<br />

It’s worth the effort 14-15<br />

Newly Diagnosed Meet and Greet 15<br />

Occupational therapy in persistent pain care 16<br />

Protect yourself against the flu 17<br />

That’s Life with Narelle 18<br />

Meet Ms Carer 19<br />

The present 19<br />

Auld Acquaintance, Not Forgot 20<br />

Mindfulness Meditation 21<br />

<strong>MSWA</strong> Volunteering News 22-23<br />

Coming to grips with MS 24<br />

South West regional round up 25<br />

Albany Outreach News 26<br />

Wilson Outreach news 26<br />

Geraldton Trip 27<br />

Northam morning tea 27<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 3


Letter from the Editor<br />

DR GREG BROTHERSON<br />

Welcome to the winter edition of your <strong>Bulletin</strong> and greetings<br />

from <strong>MSWA</strong>’s Treendale Gardens Respite in Bunbury where<br />

I’m currently a guest while my wife takes a well-earned<br />

break. I must say that the country looks dry and hopefully by<br />

the time this <strong>Bulletin</strong> reaches you the rain will have arrived<br />

and seeding will be underway. When asked about the need for<br />

rain one farmer told me, “We are a hopeful, hardy lot.” Now<br />

that’s something people with multiple sclerosis (MS) know all<br />

about - hope for the future.<br />

You will have read the letter from the President of <strong>MSWA</strong>,<br />

George Pampacos, notifying you of the resignation of <strong>MSWA</strong>’s<br />

CEO Marcus Stafford, after 15 years at the helm. I must say<br />

the news left me rather drained as it did with many other<br />

people I’ve spoken with. Fifteen years is a long time to be<br />

associated with such a pleasant, talented person with a<br />

seemingly endless appetite for work. People with MS have<br />

much to thank him for, and of course it is only natural that<br />

such a popular person who left his mark wherever he went<br />

will be missed by each and every one of us.<br />

In this issue of your <strong>Bulletin</strong>, Sue Shapland provides us with<br />

some insight as to what it has been like to be a senior manager<br />

and member of Marcus’ management team. Sue also talks<br />

about the roll out of the National Disability Insurance Scheme<br />

(NDIS), with all its benefits and challenges. Of particular<br />

interest to the 676 Members who are 65 years of age and<br />

older is that the aged care sector will have their revamped<br />

model commencing this year.<br />

Looking into the future, Nigel Carey, NDIS Business Manager,<br />

tells us about all the benefits the NDIS is bringing to the lives<br />

of people with MS and other neurological conditions who are<br />

Members and Clients of <strong>MSWA</strong>. Nigel discusses the rollout<br />

of the scheme and how you can get in touch with the <strong>MSWA</strong><br />

NDIS team. These experts are always available to advise you<br />

on the benefits you are entitled to and to help you develop<br />

plans which maximise the services you can receive.<br />

Sue Shapland brings you the latest research round-up and<br />

the exciting news that Ocrelizumab (Ocrevus), the first drug<br />

to show some promise for people with progressive MS, has<br />

received FDA approval in the U.S. We hope that approval of<br />

the drug will follow quickly here in Australia and be made<br />

available on the PBS.<br />

Counsellor Simon Rolph offers three solutions to any<br />

problematic situation no matter what it is. This is called the<br />

resilience formula. Sarah Lorrimar, Peer Support and Health<br />

Education Coordinator, tells us about mindfulness meditation<br />

to help clear our minds and become more aware of ourselves<br />

and our environment.<br />

In combination with mindfulness, Ian Cheok, <strong>MSWA</strong><br />

Occupational Therapist (OT), discusses how OT’s can help<br />

people cope with and manage their pain. An OT may be able<br />

to help you navigate the system and find the right resource<br />

to help you.<br />

Sue Shapland also brings you an overview of the results of the<br />

recent Member Survey. A big thank you also goes out to the<br />

783 Members who took the time to complete this survey. This<br />

is a significant contribution, and a great help in the planning<br />

of future services to the Membership. Your suggestions are<br />

also appreciated.<br />

Dawn Burke gives us the latest on volunteering focussing on<br />

National Volunteers Week and a delicious luncheon that was<br />

organised for our volunteers. This luncheon is <strong>MSWA</strong>’s way of<br />

acknowledging the efforts of our volunteers and the time they<br />

give to us, and to let them know how appreciated and valued<br />

they all are to all Members and <strong>MSWA</strong> staff.<br />

You will find our usual look at MS from different perspectives<br />

by Ros, Narelle and Dr Ong. We also have two biographical<br />

stories from Members, which are always welcome, and<br />

something really special and rather different from the<br />

perspective of a carer.<br />

Finally, there is some Outreach news, where you are<br />

always welcome. Stay warm, safe and from the team of<br />

writers who bring you this issue of your <strong>Bulletin</strong>, we look<br />

forward to you enjoying what we have for you.<br />

4 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


From the desk of the CEO<br />

MARCUS STAFFORD<br />

I remember it like it was yesterday ... but it wasn’t! It was, in<br />

fact, a little over 15 years ago that I sat down to write my very<br />

first article for the <strong>Bulletin</strong>.<br />

For a range of reasons, I found it tricky to write. To start with,<br />

I knew nothing! But I was aware that many were looking at<br />

their new CEO with a degree of expectation. The Board has<br />

hired this guy; let’s see what he has to say.<br />

The Multiple Sclerosis Society of Western Australia, as it<br />

was known then, had a rich and worthy history. It was a<br />

fine organisation, full of fine people. My job was to take us<br />

forward. Trouble was that I didn’t know where!<br />

My first article talked of exciting futures and a commitment<br />

to people with MS. As I write this <strong>Bulletin</strong> article, cognisant of<br />

the fact that it will be one of my last, those words ring as true<br />

today as they did then.<br />

After 15 years of leading this organisation, it is time for me to<br />

do some other things in my career. It is time for me to pass<br />

the baton to some lucky soul who will have that same feeling<br />

of honour that I have experienced. Without knowing who that<br />

person will be, I can only wish them every success and hope<br />

that they will enjoy the journey as much as I have.<br />

It has been a real pleasure, brimming with immense pride<br />

and satisfaction to watch our organisation grow year on year<br />

to the leader it is today. We always came from a good place,<br />

which makes the CEO’s job so much easier. ‘Back then’, I<br />

would look at our $5 million in revenue and 170 staff and<br />

dream about where I hoped we could be. It’s a good feeling to<br />

hang up my <strong>MSWA</strong> spurs, on a record breaking year, with an<br />

annual revenue of over $50 million and 700 staff. 700 staff<br />

who are doing amazing work to help people with MS and<br />

other neurological conditions. We’ve never been stronger and<br />

our future will be both safe and sparkling.<br />

Gracious CEO’s talk about ‘the great team effort’ because<br />

they’ve read in the CEO handbook that is the thing to do! Some<br />

mean it; some don’t! I really mean it. And I mean - really!<br />

In my time, I have been privileged to work with a Board of<br />

Directors that has shown the wisdom of knowing when to go<br />

conservative and when to support a more ambitious stance.<br />

A Board that has represented all stakeholders and people at<br />

all stages of MS.<br />

I have worked with the very best senior managers who have<br />

deployed commercial acumen, whilst never forgetting the<br />

people who we are here to serve. How lucky am I to have<br />

worked with them for just about all my 15 years? I applaud<br />

their loyalty!<br />

Long after I have become a distant memory of ‘that bloke who<br />

used to work here’, the broader team of Board, management,<br />

staff, Members and volunteers will continue to write us into<br />

the record books. I am totally confident that, until the cure<br />

is found, that broader team effort will lead to the ongoing<br />

improvement in the lives of people with MS and other<br />

neurological conditions.<br />

In many respects, this <strong>Bulletin</strong> article is somewhat premature!<br />

I’m going on to do things like management consulting, key<br />

note speaking and will be sitting on a couple of Boards, so<br />

there is no deadline attached to my resignation. I just feel that<br />

it’s the right time. In fact, to ensure that <strong>MSWA</strong>’s momentum<br />

isn’t lost, I’ll be your CEO until the budget year is formally<br />

closed out, my successor is found and we have worked<br />

through the handover process. That will be most, if not all of<br />

<strong>2017</strong>. Plenty of time to say proper goodbyes.<br />

When I sat down to write that first <strong>Bulletin</strong> article, all<br />

those years ago, my wildest dreams never imagined over<br />

15 satisfying years working in the best organisation in<br />

Western Australia. Neither did I expect to be the author<br />

of 60 articles in the <strong>Bulletin</strong>!<br />

Thank you for having me!<br />

Do you want to receive the <strong>Bulletin</strong> online?<br />

Want monthly information updates?<br />

Register your email address today to start receiving our<br />

monthly Vitality e-newsletter and the <strong>Bulletin</strong> magazine online.<br />

Just email donna.hill@mswa.org.au or call 9365 4869<br />

and let us know your current email address.<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 5


A message from the General Manager –<br />

Member Services<br />

SUE SHAPLAND RN, BN<br />

“When you can’t change the direction of the wind – adjust your sails,”<br />

H. Jackson Brown, Jr.<br />

I think this quote has relevance in many ways. People<br />

living with MS I am sure can relate to having to make some<br />

adjustments of their sails throughout their individual journey;<br />

some people probably more times than others.<br />

As you are aware, the winds of change continue to blow<br />

across the disability sector, with the roll out of the National<br />

Disability Insurance Scheme (NDIS) with all its benefits and<br />

challenges, and with the aged care sector commencing their<br />

revamped model this year.<br />

The NDIS in WA continues to roll out, although we are still<br />

unclear on the new Government’s review of the previous<br />

decision. Whilst increasingly we hear of challenges and issues<br />

with the NDIS in the Eastern States mainly due to the sheer<br />

volume and timeframes involved.<br />

Then of course there are the internal <strong>MSWA</strong> changes that<br />

have been recently announced which include the imminent<br />

retirement of Dave Bugden, General Manager of Brand,<br />

Marketing and Sales, and the resignation of Marcus, our<br />

CEO. These departures are huge for most of us at <strong>MSWA</strong> –<br />

Members, staff and volunteers included – as both have played<br />

pivotal roles in steering <strong>MSWA</strong> into the successful position we<br />

proudly hold today.<br />

For over 15 years now, Dave Bugden has been vital to our<br />

success in fundraising and raising our brand awareness.<br />

The Funds raised have allowed Member Services to continue<br />

to grow programs, staffing and build numerous facilities<br />

including Treendale Gardens, Hamilton Hill and the Bunbury<br />

Community and Health Services Hub. I would personally like<br />

to thank Dave for his hard work and untiring support of all<br />

things <strong>MSWA</strong>; enjoy your well-earned retirement!<br />

As for Marcus, where do I start? I was very fortunate to<br />

be recruited by Marcus in 2003 and feel privileged to have<br />

worked with him, and our Senior Management team, over the<br />

past 14 and a half years. <strong>MSWA</strong> today is almost a world away<br />

from when we started thanks to his commitment, business<br />

acumen, dedication and vision. Our success, and the very<br />

solid position in which he will leave us, has been as a result of<br />

hard work and innovation, the support of an excellent Board<br />

and our greatest asset – our staff and volunteers! We will all<br />

miss Marcus but thank him for his undying commitment over<br />

the past 15 years and wish him well on his future endeavours.<br />

We have recently had another MS treatment approved under<br />

the PBS, Zinbryta, and eagerly await approval for Ocrelizumab<br />

which is also the first product to have also shown promise for<br />

people with progressive MS.<br />

There are several positive changes imminent with our<br />

proposed re-location of the Wangara office to a larger, more<br />

suitable premises in Joondalup. We will also be seeking new<br />

premises in Armadale, Mandurah and Busselton to be more<br />

accessible for Members and NDIS Clients in those areas. Our<br />

Butler services hub and high support accommodation complex<br />

will also commence construction later this year. <strong>MSWA</strong> is<br />

very fortunate to be able to fund such expansions and bring<br />

services closer to home for our Members and Clients.<br />

Once again, we will be allocating a record amount of funds<br />

to MS Research this year. We will bring you updates on the<br />

allocation of the funds and outcomes from research already<br />

funded by <strong>MSWA</strong>.<br />

The Member Services team continues to grow and add new<br />

programs and MS resources for our Members. For example,<br />

we now have massage in several new regional areas including<br />

Geraldton, Northam, Manjimup and Margaret River.<br />

Our annual MS Awareness Week Members’ Forum was<br />

held on June 2 this year and I’ll provide an overview of the<br />

presentations in our next <strong>Bulletin</strong>.<br />

Please don’t forget our Member Services team is here<br />

to help you. Whether it’s for information on the latest<br />

treatments or lifestyle advice, research updates or<br />

a service you require please don’t hesitate to make<br />

contact. We are a phone call away and can be reached on<br />

08 9365 4888 or email us at get-in-touch@mswa.org.au<br />

Want to access research articles?<br />

Here are the places you can access up to date research<br />

articles relating to multiple sclerosis:<br />

• Vitality – Our monthly research focussed e-newsletter<br />

• Our website – https://mswa.org.au/news/latest-news<br />

• Right here as part of your Member magazine <strong>Bulletin</strong>.<br />

It includes great research articles and information every quarter.<br />

Just email communications@mswa.org.au if you would like any further information.<br />

6 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


Marcus honoured with Order of Australia<br />

It was incredible to learn of our very own CEO, Marcus<br />

Stafford, being honoured with a Member of the Order of<br />

Australia in the General Division last month.<br />

In recognition of his significant services to people with a<br />

disability, and to community health, through support for those<br />

affected by multiple sclerosis, Mr Stafford has been awarded<br />

a Member of the Order of Australia in the General Division.<br />

Marcus started in his role as our leader over 15 years ago, and<br />

since then has turned <strong>MSWA</strong> into one of the most successful<br />

not-for-profit organisations in Western Australia.<br />

Our President, George Pampacos had this to say on learning<br />

of the Award, “Due to his amazing work Marcus has improved<br />

the lives of people living with MS and other neurological<br />

conditions not only in WA but nationwide. He has always had<br />

a long-term vision about where he wanted <strong>MSWA</strong> to be and<br />

most importantly how it could be achieved. He is a natural<br />

leader who has been able to rally and inspire the team at<br />

<strong>MSWA</strong> to achieve incredible things. There’s no doubt the<br />

organisation is as successful as it is because of his guidance.”<br />

Jayne O’Sullivan, the manager<br />

of <strong>MSWA</strong>’s Hamilton Hill high<br />

support accommodation facility<br />

said Marcus’s management style,<br />

compassion and drive filtered<br />

throughout the organisation.<br />

“Most of us base the way we work<br />

on what we see. The culture of<br />

<strong>MSWA</strong> is formed from what we see<br />

at the top. Care, compassion and hard work. We just want to<br />

do what’s best for our Members to make their lives better and<br />

that comes from Marcus,” said Jayne.<br />

“I’ve been at <strong>MSWA</strong> for 20 years and the organisation has<br />

come along in leaps and bounds since Marcus became<br />

CEO. In terms of the services being offered and funding for<br />

research, it just gets bigger and better every year.”<br />

Marcus, from everyone at <strong>MSWA</strong> we congratulate you on<br />

this very richly deserved recognition.<br />

In everything we do at <strong>MSWA</strong>, our Staff, Volunteers<br />

and Board proudly demonstrate our Core Values.<br />

OUR CORE VALUES<br />

We are proud to be part of <strong>MSWA</strong>.<br />

As a team, these are the values we strive for.<br />

PROFESSIONALISM<br />

We commit to fostering an environment<br />

of professionalism and excellence by:<br />

• Encouraging innovation<br />

• Supporting continuous improvement<br />

and professional development<br />

• Setting the highest standards<br />

in all that we do<br />

SERVICE<br />

We commit to providing the<br />

best possible service by:<br />

• Acting in a responsive and timely manner<br />

• Understanding, enabling and empowering others<br />

• Promoting awareness and shared<br />

knowledge, both internally and externally<br />

TEAMWORK<br />

We commit to working<br />

together as a team by:<br />

• Encouraging a unified<br />

approach to our shared goal<br />

• Communicating openly and honestly<br />

• Recognising the value of<br />

each other’s contribution<br />

RESPECT<br />

We commit to respecting<br />

and valuing one another by:<br />

• Encouraging and empowering each<br />

other to reach our full potential<br />

• Always maintaining our integrity and ethics<br />

• Honouring our commitments and promises<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 7


ROUND-UP OF RESEARCH<br />

AND OTHER ITEMS OF INTEREST<br />

SUE SHAPLAND RN, BN<br />

From the UK MS Trust site:<br />

Tracking daily fatigue fluctuations in multiple sclerosis:<br />

ecological momentary assessment provides unique insights<br />

Powell DJ 1,2 , Liossi C 3 , Schlotz W 3,4 , Moss-Morris R 3,5 .<br />

Studies investigating the prevalence, cause, and consequence<br />

of MS related fatigue use single measures that imply<br />

symptom-stability over time; not gaining information about if,<br />

when, and why severity fluctuates.<br />

This study sought to examine the extent of moment-to-moment<br />

and day-to-day variability in fatigue in relapsing-remitting<br />

MS (RRMS) and healthy individuals, and identify daily life<br />

determinants of fluctuations.<br />

Seventy six participants (38 RRMS and 38 controls) provided<br />

real-time self-reports six times daily. 1,661 reports were<br />

analysed measuring fatigue severity, stressors, mood, and<br />

physical exertion, and daily self-reports of sleep quality. Fatigue<br />

fluctuations were evident in both groups; however, fatigue was<br />

highest in RRMS, typically peaking in late-afternoon.<br />

Many of the factors in daily life that influence fatigue were<br />

similar for both people with and without MS, but physical<br />

activity seemed to have a greater effect on people with<br />

MS, and a poor night’s sleep had a greater effect on people<br />

without MS.<br />

The researchers concluded that a better understanding of<br />

the changing levels of fatigue experienced by each person<br />

provides opportunities to develop personalised strategies for<br />

managing fatigue.<br />

When can you safely stop taking disease modifying drugs?<br />

There is very little evidence to suggest<br />

who can safely stop taking disease<br />

modifying drugs (DMDs). An American<br />

study has compared the experiences<br />

of people who stopped taking DMDs -<br />

those advised to stop and those who<br />

chose to stop.<br />

The first group consisted of 77 people with secondary<br />

progressive MS with no clinical or MRI signs of MS activity for<br />

at least two years. They had been advised to stop treatment<br />

(advised group). The second group consisted of 17 people<br />

with RRMS who chose to stop taking their treatment (chose<br />

group). People in both groups were assessed at the time of<br />

stopping DMDs and monitored for recurrence of MS activity<br />

(relapse or MRI lesions) for at least one year after.<br />

Twelve per cent of those in the advised to stop group and<br />

59% of those in chose to stop group had recurrence of MS<br />

activity, within two years of stopping treatment.<br />

The investigator reported that it may be safe to stop DMDs<br />

in older people (70 years or older) who have been free of<br />

MS activity for at least two years, although monitoring for<br />

recurrence of MS activity is warranted.<br />

However, younger people with relapsing-remitting MS<br />

choosing to stop their DMD have a 60% likelihood of further<br />

MS activity, underlining the importance of continuing with<br />

treatment for this group.<br />

Promising results from long term studies of stem cell transplants<br />

Two recently published studies reported data on levels of<br />

disability in people with MS five years after receiving stem<br />

cell transplants.<br />

In one study, researchers sought data from 25 centres which<br />

had used a range of stem cell treatment methods to treat<br />

people with either relapsing or progressive MS between<br />

January 1995 and December 2006. They reported that five<br />

years after treatment, just under half of the 281 people for<br />

whom data was available had not experienced an increase in<br />

their disability.<br />

A second study reported long-term results of stem cell therapy<br />

in 24 people with highly active RRMS. After five years, about<br />

two thirds continued to show no relapses, no progression and<br />

no new lesions.<br />

Both studies acknowledged that to fully assess the risks<br />

and benefits of stem cell treatments and understand where<br />

they fit into current MS treatment options, we really need<br />

evidence from controlled, randomised clinical trials directly<br />

comparing stem cell treatments against other treatments in<br />

both relapsing-remitting and progressive MS.<br />

Read more at:<br />

mswa.org.au/researchupdate<br />

8 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


From the International Progressive MS Alliance site:<br />

Ocrelizumab (Ocrevus)<br />

The first disease modifying therapy for primary progressive<br />

MS, Ocrelizumab, has received FDA approval in the U.S.<br />

Prof. Alan Thompson, Chair of the Alliance’s Scientific<br />

Steering Committee and Dean of University College London<br />

Faculty of Brain Sciences said, “One cannot underestimate the<br />

importance and impact of the very first treatment for primary<br />

progressive MS. This is the crucial first step in finding ever<br />

more effective treatments for everyone with progressive MS.”<br />

From the newly revamped MS Research Australia (MSRA) site:<br />

Re-purposing for progressive MS - a new trial on Simvastatin<br />

A large-scale phase 3 trial will soon begin in the UK. The trial<br />

will investigate whether the commonly used and inexpensive<br />

cholesterol-lowering drug Simvastatin, could potentially<br />

become a treatment for Secondary Progressive MS. This is<br />

a global collaboration costing more than A$10.4 million, with<br />

over 1,000 people with MS around the world involved.<br />

Can cognitive therapy treat depression?<br />

People with MS are more likely to suffer from depression than<br />

the general community, especially when newly diagnosed. Whilst<br />

there are a number of psychological treatments available, only a<br />

few are designed specifically for depression in people with MS.<br />

Researchers at the University of Melbourne are conducting<br />

a trial directly comparing two different therapies, a cognitive<br />

behavioural therapy, which is a talk therapy that helps<br />

individuals learn skills about thinking and behaviour, and a<br />

supportive listening therapy, which is another type of talk<br />

therapy that involves talking about your problems.<br />

The community knowledge gap about MS<br />

People with MS commonly report that the general public don’t<br />

understand their disease. A recent survey of 1,000 people,<br />

commissioned by MSRA has shown that:<br />

• Whilst approximately 7.3 million Australians know someone<br />

with MS, only half of all Australians actually know what MS is.<br />

• Four in ten of those knowing someone with MS were unable<br />

to describe what the disease is.<br />

• More than 50% didn’t realise MS is predominantly diagnosed<br />

in young adults (average age of diagnosis being 30)<br />

• They weren’t aware that MS largely affects women.<br />

• They have the perception that all people affected by MS<br />

could not remain employed.<br />

These results reaffirm what the MS community already<br />

knows; greater awareness is desperately needed.<br />

From the National MS Society<br />

Study finds links between risk of MS in<br />

children and low vitamin D and obesity<br />

New research, partly funded by the<br />

National MS Society, found that being<br />

overweight and having low blood<br />

levels of vitamin D increased the risk<br />

for children to develop pediatric onset MS.<br />

The study examined blood samples from 569 non-Hispanic<br />

whites with MS from pediatric MS centers around the U.S. and<br />

Sweden, and matched them with 16,251 people without MS.<br />

The report states that approximately 5% of people with MS<br />

experience symptoms before the age of 18. Whilst there is<br />

strong evidence of the relationship between low vitamin D<br />

levels and increased risk of adult MS, few studies have looked<br />

at whether this applies in pediatric MS.<br />

Scientists from several institutions used genetic risk scores<br />

(GRS), based on DNA information, to confirm these links.<br />

These results add to the growing evidence of genetic and<br />

environmental factors in the risk of developing pediatriconset<br />

MS. Knowing that both low vitamin D levels and obesity<br />

are risk factors has potential implications for preventing MS<br />

in children and adults.<br />

From News Medical Life Science’s web site:<br />

Skimpy sleep followed by ‘catch<br />

up’ tied to worse cognition in<br />

young adults<br />

Baylor University researchers<br />

have found that skimping on<br />

sleep, followed by ‘catch-up’<br />

days with long snoozes, is<br />

linked to worse cognition – both<br />

in attention and creativity – in<br />

young adults, particularly, those tackling major projects.<br />

The study, involving interior design students, also challenges<br />

a common myth that “the best design ideas only come in<br />

the middle of the night”, as researchers found the opposite.<br />

“Consistent habits are at least as important as total length of<br />

sleep,” study co-author Michael Scullin, Ph.D said.<br />

The National Sleep Foundation recommends that young adults<br />

have seven to nine hours of sleep each day.<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 9


THE NDIS CONTINUES TO<br />

BENEFIT MORE PEOPLE IN WA<br />

NIGEL CAREY, NDIS BUSINESS MANAGER<br />

The NDIS continues to grow rapidly and attract new<br />

participants across all of the WA trial site areas.<br />

The full list of the trial sites is as follows:<br />

• Lower South West<br />

• Cockburn and Kwinana<br />

• Armadale, Serpentine - Jarrahdale and Murray<br />

• City of Swan, Kalamunda and Mundaring<br />

• Bayswater, Bassendean, Toodyay, Chittering, Northam<br />

and York<br />

These sites were joined on July 1 by the new WA NDIS areas of<br />

Mandurah and Rockingham. We will be contacting all <strong>MSWA</strong><br />

Members, living in these two areas, to discuss the benefits of<br />

the scheme and guide them through the application process<br />

if they are interested.<br />

In the interim, do contact our friendly NDIS team at <strong>MSWA</strong> if<br />

you have any immediate questions about the NDIS, eligibility<br />

or what it can offer. This is particularly relevant if you are<br />

nearing the age of 65 as this is the ‘cut off age’ for you to be<br />

eligible to enrol.<br />

We are also holding a series of NDIS information sessions,<br />

which started in June, in both Mandurah and Rockingham.<br />

Details on upcoming information sessions can be found on<br />

our website – mswa.org.au<br />

It should be noted that there will be no further expansion of<br />

the NDIS in <strong>2017</strong> after Mandurah and Rockingham. The next<br />

trial sites will commence in July 2018 in the following areas:<br />

• Fremantle, Melville, South Perth<br />

• Goldfields Esperance<br />

• Joondalup, Wanneroo<br />

We are often asked to provide actual examples of how the<br />

NDIS can help you.<br />

The following examples illustrate how comprehensive the<br />

NDIS can be in helping people to more fully participate in<br />

everyday life.<br />

1) Maintaining your independence in the home<br />

The NDIS funding actively supports people to continue to live<br />

in their own homes.<br />

Did you know <strong>MSWA</strong> provides a wide range of personal care<br />

services such as helping with dressing and taking a shower?<br />

We also help with preparing meals, shopping and cleaning<br />

homes. <strong>MSWA</strong> also ensures Clients remain safe and mobile<br />

by installing ramps and rails throughout the house all of which<br />

can be funded through your plan.<br />

2) Keeping in touch with your family and community<br />

We have Members and Clients who may feel rather isolated<br />

and wish to participate more fully in the community. The NDIS<br />

helps fund transport to and from community events, children’s<br />

sporting events and social occasions. The NDIS also provides<br />

physiotherapy to increase mobility and counselling and<br />

speech therapy to increase social confidence.<br />

3) Maintaining employment<br />

The NDIS supports people who want to remain in employment<br />

once they have been diagnosed with a neurological condition.<br />

For example, you may run your own business but fatigue<br />

issues may be affecting your ability to effectively manage<br />

both your work and home life. The NDIS can provide funding<br />

that will allow you to manage your fatigue and cognitive<br />

issues, including occupational therapy assessments of your<br />

work place and transport to work on days you can’t drive.<br />

Our <strong>MSWA</strong> NDIS team is always available to advise you<br />

on the benefits you are entitled to and to help you develop<br />

plans which maximise the services you can receive. Our<br />

key objective is to deliver a very smooth and easy customer<br />

journey for our Members and Clients.<br />

To this end we have recently added a new Client Relationship<br />

Coordinator, Annabel Vasquez, to our team to further enhance<br />

our customer service.<br />

Please contact any of the following <strong>MSWA</strong> NDIS team<br />

members for more information on the NDIS:<br />

Christine Richards: Client Relationship Coordinator<br />

Email:<br />

christine.richards@mswa.org.au<br />

Phone: 9365 4867<br />

Pranjal Pawar: Client Relationship Coordinator<br />

Email:<br />

pranjal.pawar@mswa.org.au<br />

Phone: 9365 4810<br />

Annabel Vasquez: Client Relationship Coordinator<br />

Email:<br />

annabel.vasquez@mswa.org.au<br />

Phone: 9365 4806<br />

Finally, your chance to win a $100 shopping voucher!<br />

All you need to do is answer the following three questions:<br />

• Which two new NDIS areas started on July 1?<br />

• Name three services that <strong>MSWA</strong> provides under the NDIS.<br />

• Name one of the people you can contact at <strong>MSWA</strong> to learn<br />

more about the NDIS.<br />

Email your answers to nigel.carey@mswa.org.au now<br />

with ‘<strong>Bulletin</strong> Quiz’ in the subject header.<br />

However, be quick! Only the first three correct responses<br />

will win a $100 shopping voucher!<br />

10 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


AN OVERVIEW OF THE ANNUAL<br />

MEMBER SURVEY – 2016<br />

SUE SHAPLAND RN, BN<br />

Firstly, I would sincerely like to thank the 783 Members<br />

who responded to our annual survey! This survey is an<br />

important feedback mechanism for determining satisfaction<br />

levels and unmet needs, whilst also providing an insight into<br />

demographics such as age and location.<br />

Survey Responses by Age Group<br />

800<br />

600<br />

400<br />

393<br />

624<br />

How much does your MS affect you?<br />

612<br />

215<br />

523<br />

225<br />

172 196<br />

173 153<br />

200<br />

97<br />

3 30 34<br />

47<br />

0<br />

18-24 25-34 35-44 45-54 55-64 65-74 75Yrs<br />

+<br />

2016 responses by age Ages of Members on MSWIMS<br />

• 80% of respondents were female and 20% male<br />

• 73% live in the metro area<br />

• 95% told us they read the <strong>Bulletin</strong>!<br />

30%<br />

32%<br />

9%<br />

30%<br />

Not at all<br />

A little<br />

More than a little,<br />

but not a lot<br />

A lot<br />

Do you currently use any mobility aids?<br />

44% responded yes 56% responded no<br />

Are you always treated with care and respect<br />

when you contact <strong>MSWA</strong> staff?<br />

99.55% responded yes 0.45% responded no<br />

Overall how would you rate our services? 727 responses<br />

97.4% said satisfied or very satisfied<br />

2.6% said dissatisfied or very dissatisfied<br />

Do you know about the NDIS? 738 responded<br />

76.4% responded yes 24% responded no<br />

How likely are you to recommend <strong>MSWA</strong> as a service<br />

provider to others?<br />

Likely / very likely 96.6%<br />

Unlikely / very unlikely 3.4%<br />

Whilst we received some great feedback and congratulations<br />

on our services, we also received many useful comments<br />

regarding gaps in services and also letting us know that<br />

we don’t always get it right. This helps us to reflect and<br />

encourages us to always strive for improvement.<br />

Top 10 reported MS symptoms/problems experienced.<br />

Fatigue 82% 605<br />

Heat intolerance 72% 537<br />

Balance 67% 497<br />

Weak legs 58% 427<br />

Muscle weakness 56% 415<br />

Numbness 46% 343<br />

Pins and needles 44% 326<br />

Incontinence; bladder/bowel 43% 316<br />

Muscle spasms 42% 308<br />

Muscle stiffness 42% 308<br />

Some comments from Members<br />

“A comforting and helpful environment that is a pleasure to<br />

be part of.”<br />

“Fortunately, I can manage my symptoms at present so do<br />

not require assistance. Very satisfied with support that is<br />

available should I need it.”<br />

“For me <strong>MSWA</strong> plays an important role in my life by giving<br />

me peace of mind in knowing work is being done to find<br />

a cure for MS, and that if my condition progresses in the<br />

meantime I will have support services at the ready.”<br />

“I am happy to know that if the time comes, the service is<br />

available when I will be in need. Thank you.”<br />

“For Members in full time employment, it would be useful<br />

to have more seminars/services available outside working<br />

hours. This would truly support people with MS who are<br />

working. Thanks for all the services and support.”<br />

“I am happy with what you provide. I am not as bad as a<br />

lot of people. If and when I get worse I will call on your<br />

assistance. Thank you.”<br />

“I find there is little to no support outside the Metro areas.<br />

Also having very mild/little disability there will be even less<br />

under NDIS.”<br />

“I used to live down South where there wasn’t support, now<br />

after moving to Rockingham I’ve got all the support I need.”<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 11


DID YOU KNOW THAT MS<br />

MAY AFFECT YOUR<br />

THINKING AND MEMORY?<br />

<strong>MSWA</strong> OTs with the postcards.<br />

Some people living with MS may experience some form<br />

of change in their cognitive function. However generally<br />

these changes are often mild and can be referred to as a<br />

hidden symptom.<br />

Only a small percentage of people with MS will experience<br />

a significant impact on their thinking abilities. Maintaining a<br />

healthy lifestyle, accessing support and adopting practical<br />

strategies can help to manage these changes.<br />

Common symptoms of cognitive changes include being easily<br />

distracted, taking longer to respond to a question, forgetting<br />

names or planned tasks, difficulty following a conversation,<br />

difficulty multi-tasking and being unable to think quickly.<br />

Some cognitive changes are temporary whilst others may be<br />

more permanent.<br />

It is important to identify any changes to your cognition<br />

when the issue arises and to seek the appropriate support to<br />

manage these changes. MS experienced health professionals<br />

such as neurologists, MS nurses and <strong>MSWA</strong> Occupational<br />

Therapists can provide advice and practical information to<br />

help reduce the impact of changes to your cognition.<br />

The following strategies can be undertaken by you, and your<br />

friends and family, to help with everyday tasks!<br />

For the person with MS<br />

• Be organised, have a place for everything.<br />

• Use a note book, or your smart phone, to write lists.<br />

• Have a calendar for you and your family.<br />

• Let your support people know about your thinking changes<br />

or challenges.<br />

• Use alarms on your smart phone when cooking or for your<br />

medication prompts.<br />

For friends and family<br />

• Discuss one topic at a time.<br />

• Allow time for the person to respond.<br />

• Make sure you have their attention.<br />

• Put things back where they belong.<br />

• Add your appointments to the family calendar.<br />

It’s not just brain lesions that can cause cognitive changes.<br />

Lack of sleep, fatigue, stress and some medications, for<br />

example, can all impact on thinking.<br />

Developing a healthy lifestyle which incorporates the following<br />

brain health tips can be helpful:<br />

Get regular sleep<br />

Sleep helps restore the brain by flushing out toxins that build<br />

up during waking hours. Sleep is also helpful for storing our<br />

memories. A good goal is to aim for seven to eight hours sleep<br />

per night.<br />

Keep active<br />

Whatever is good for your heart is good for your brain! Physical<br />

activity increases blood flow to the brain which helps with<br />

growth of brain cells.<br />

Challenge your brain<br />

Your brain is a muscle, it needs exercise too! Challenging<br />

the brain helps strengthen and build new brain cells. Learn<br />

something new every day, pick up a book, take up a hobby or<br />

research something you’re interested in.<br />

Rest and relax<br />

Fatigue can affect the way we think. When we are more alert,<br />

we are more able to manage our day to day lives. Regular rest<br />

and relaxation can help you achieve a clearer mind.<br />

Socialise<br />

Social activities that involve mental and physical stimulation,<br />

like singing or team sports, benefit our brain health. Catch<br />

up with family or friends, or get to know your neighbours to<br />

stimulate your brain!<br />

Eat well<br />

A balanced diet helps our brains function properly. Enjoy a<br />

variety of foods and cut back on saturated fats. Follow the<br />

Australian Dietary Guidelines or liaise with your GP or dietitian.<br />

<strong>MSWA</strong> has developed a series of postcards which feature<br />

information on cognition and brain health. If you would<br />

like a copy or for any other queries, please contact the<br />

<strong>MSWA</strong> Occupational Therapy or <strong>MSWA</strong> Nursing team<br />

on 9365 4888.<br />

References: MS Australia<br />

12 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


THE RESILIENCE<br />

FORMULA<br />

SIMON ROLPH, <strong>MSWA</strong> COUNSELLOR<br />

When people come to counselling, a common request I hear<br />

is, “Just tell me, what should I do?” Counsellors cannot<br />

directly answer this question. Lives are complex, we are all<br />

unique individuals and it is impossible to offer a one size fits<br />

all solution to everyone. Counselling is not a mathematical<br />

formula; people are not numbers.<br />

Having said that, there is one formula that I regularly use<br />

with the people I work with, that offers three solutions to any<br />

problematic situation no matter what it is. It’s called - the<br />

resilience formula.<br />

Option One – Leave<br />

Whenever we are in a problematic situation, the first option<br />

is to leave.<br />

For example:<br />

• If in an unhappy relationship, leave the relationship.<br />

• If in an unsatisfying job, find a different job.<br />

• If living in an area with undesirable employment/social/<br />

weather options, move to a more desirable area.<br />

There is no guarantee that the consequence of leaving will be<br />

an improvement, but based on the information available, you<br />

need to decide if there is a greater chance of improving your<br />

life if you do leave. However, leaving isn’t always an option.<br />

There are times when the reality of our situation prevents<br />

us from leaving. This might be due to financial reasons,<br />

emotional reasons or even physical restrictions. If leaving is<br />

not possible there are still two more options available.<br />

Option Two – Stay and change what can be changed.<br />

Accept what can’t be changed. Live by our values.<br />

If we can’t leave, we stay. But staying in a problematic situation<br />

doesn’t mean we passively accept the situation. We identify<br />

what we have control over and try and influence change to<br />

improve our lives as much as possible. Even if changes are<br />

small, they can still lead us towards a more purposeful and<br />

fulfilling life.<br />

There will always be aspects of our lives that we cannot<br />

change. Other people, the weather, a chronic diagnosis such<br />

as multiple sclerosis. As much as we want other people to<br />

be different, as much as we wish the weather to be hotter/<br />

colder/wetter/dryer (select personal preference), as much as<br />

we wish we didn’t have to live with a chronic diagnosis, some<br />

things are unchangeable. So, we accept certain realities, offer<br />

ourselves compassion in the face of these painful realities,<br />

continue to change what can be changed and be guided by<br />

our values to live a meaningful and vital life.<br />

Option Three – Stay, give up and do things that make<br />

life worse.<br />

We have all done option three. We have all stayed in a<br />

relationship too long, a job too long, lost any hope for change<br />

and made the situation worse through our own behaviour.<br />

Whilst many of us do not actively chose option three (some<br />

do), through a sense of hopelessness we can all give up at<br />

times and fall into self-defeating patterns of behaviour that<br />

contribute to our own suffering.<br />

If we are aware of these options, this knowledge prevents<br />

us from passively falling into option three. We can still<br />

actively choose option three but it then becomes a choice<br />

with the opportunity to also choose alternative options. Whilst<br />

counselling cannot offer precise one size fits all solutions,<br />

it can raise awareness and with it choice of options and<br />

actions available.<br />

The World Health Organisation have, with the aid of Russ<br />

Harris, introduced the resilience formula to refugee camps<br />

throughout the world. For many people living in such camps,<br />

the option of leaving is just not possible, but options two<br />

or three are still available. People can be trapped in the<br />

most awful conditions sometimes for their entire lives. It<br />

is still possible though to initiate positive change, accept<br />

what cannot be changed and live by values of how to treat<br />

others, how to treat ourselves and live as meaningful a life<br />

as possible despite all the restrictions faced and the painful<br />

realities of day to day life. The alternative is option three. This<br />

is the choice we all have.<br />

If you would like to discuss any of the topics found<br />

in this article with a counsellor, you can contact<br />

the <strong>MSWA</strong> Counselling team on 9365 4811 to organise<br />

an appointment.<br />

Further reading: The Reality Slap by Russ Harris<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 13


IT’S WORTH<br />

THE EFFORT<br />

JENNIFER FOWLER<br />

For 23 years I was a primary school teacher, dedicated and<br />

devoted to my career. I loved my children and a significant<br />

number of them remain in contact with me to this day which<br />

indicates that many of them also loved me.<br />

I contracted polio early in my childhood years and have lived<br />

with disability in various forms for most of my life but largely<br />

thanks to the support of my mother, I was able to do almost<br />

everything I set out to do including teacher training. Being<br />

different can sometimes be a challenge in itself, but we are<br />

all different in some way - that’s what makes us individual,<br />

interesting and loveable.<br />

During 1989 and 1990 I began to experience fatigue in a new<br />

kind of way. Believing it to be part of post-polio syndrome,<br />

I fought against it with all the reserve I had. My emotional<br />

well-being was a little shaky and I put that down to the fact<br />

that my precious mother had died of cancer in 1988 at age<br />

65. Coping with that was not my strong point. Then, at the<br />

end of March in 1991, I had a cold. Simple enough really but<br />

because I thought it might get worse and cause me to have<br />

to take days off from school, I took myself off to my GP for a<br />

quick fix. While I was with the GP I said to her that the vision<br />

in my left eye was a bit fuzzy and asked her to check it out.<br />

She peered into it, as they do, frowned, as they do, and said<br />

she wanted me to see a specialist - that day. She made the<br />

appointment. My sister took me to see Dr Tim Day.<br />

I was admitted to hospital that day and went through numerous<br />

tests. At the end of the week I had an MRI scan. Dr Day (how I<br />

miss him) came to my room (on April Fool’s day!) at St John’s,<br />

sat on my bed and told me the results of all the tests pointed<br />

in one direction and that was that I had multiple sclerosis. I<br />

didn’t know much about MS and treated his diagnosis with<br />

some flippancy wanting to know when I would get better and<br />

when could I go back to school.<br />

I had some serious learning to do. By this time I had no vision<br />

at all in my left eye and fatigue was a major problem. I had<br />

begun to spasm at the most inconvenient times and I lost<br />

control of my waterworks. Emotionally, I was a wreck.<br />

At home I lived alone in the house of my dreams in the hills<br />

on the east side of Perth. I had all that I needed and was<br />

very happy. But my house was up on stumps and not at all<br />

wheelchair friendly. Guess what I had to do first. Yes, I sold my<br />

house in favour of a flat one down in the flats. I persevered in<br />

my teaching but in a tandem arrangement in which I worked<br />

four days and my partner worked one day. Then, my full time<br />

teaching days were over.<br />

Depression set in big time. I was finished. I was scrap heap<br />

material. I was of no further use. I stayed that way, allowing<br />

everyone to do everything for me until September of that year.<br />

Then one day a colleague of mine visited me to deliver an<br />

Education Department publication which he thought may<br />

be of interest to me. It proved to be the catalyst of a huge<br />

turn around in my attitude. There was a small advertisement<br />

in the publication giving notice of a Master of Education<br />

Degree course offered at summer school in the University<br />

of Tasmania. I had a Diploma of Teaching and a Bachelor of<br />

Education so was qualified to apply for this course which I<br />

did. I was accepted and for the next three summers I went<br />

to Tassie and studied like crazy. The fourth year I went over<br />

to graduate as a Master of Education. Oh, what a feeling. My<br />

sister and her husband came over to share the occasion with<br />

me and there was much celebration. I thought this would lead<br />

me into further gainful employment.<br />

It didn’t.<br />

My MS was still pretty angry and before long, I slipped back<br />

into my own little pity party. By now I had lost the ability to<br />

swallow properly and I had several bouts of being unable<br />

to speak. I was no longer allowed to drive and did not have<br />

permission to do relief teaching.<br />

In 1998 I decided that I could, despite everything being against<br />

me, drive again and teach again. The red tape abounded and<br />

most of my friends thought I was setting myself up for failure.<br />

It’s a long story, but by the end of the year I was driving again<br />

and had written permission to do relief teaching in State<br />

Government schools. Life began again. But it was slow. I was<br />

not getting enough work and there is a wide gulf financially<br />

between teaching and living on a pension.<br />

14 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


So, in 1999 with a courage that was not really my own, I<br />

enrolled in the Bachelor of Social Science Course at Edith<br />

Cowan University believing that if I couldn’t get a job in<br />

education, I could get one in some aspect of human service.<br />

On 21 April, 2002, I graduated and was awarded the degree<br />

of Bachelor in Social Science. It had been a long haul.<br />

I had a heart attack in August of 2001 followed by triple bypass<br />

surgery in October. Having been discharged from that operation<br />

I had three weeks to do three major assignments and complete<br />

two major exams. That’s where the support network really came<br />

into play. I was one very sick chick and one friend in particular<br />

plastered the walls of my house with notes and I just sat and<br />

studied those notes for many hours each day. Thanks Liz. The<br />

exams came and went and I was not at all confident. I was back<br />

in hospital when friend Liz rang and told me the results were<br />

online and I had passed! The joy was immeasurable.<br />

For 11 years I had a job and I felt like a real person again.<br />

I worked for a specialised tutoring company on a part time<br />

basis and it gave me more pleasure than I can describe. One<br />

day I will get a job in some human service capacity and I know<br />

I will have deserved it and I know I will do it well. I have proved<br />

to myself that if something is worth fighting for it is worth<br />

fighting hard for. I wanted this degree and I was going to get it<br />

in my own time frame no matter what. It has been truly worth<br />

the effort. It has been truly worth the stress. I have forged<br />

some lifelong friendships with people who value me for who I<br />

am and not because I have MS.<br />

My final word is to people who have MS who may feel<br />

that life is passing them by. Don’t let it. There is so much<br />

one can do and every achievement, no matter how big<br />

or small, gives so much pleasure. Don’t allow yourself to<br />

have everything done for you. If you can do some things<br />

for yourself then do them - don’t just sit there and let the<br />

world pass you by. The world is full of opportunities for<br />

everyone. Go for it.<br />

NEWLY DIAGNOSED MEET AND GREET<br />

SARAH LORRIMAR, <strong>MSWA</strong> PEER SUPPORT AND HEALTH EDUCATION COORDINATOR<br />

Recently, the Newly Diagnosed Meet and Greet made a<br />

welcome return. Our newly diagnosed Members were invited<br />

to bring their friends and family for an informal opportunity<br />

to meet with others in a similar situation. The group had a<br />

wonderful turn out, with 18 people in attendance as well<br />

as four <strong>MSWA</strong> staff including, Social Welfare Manager Lisa<br />

Papas, Counsellor Cherry Chapman, Community Access<br />

Nurse Rosie Hunt and myself.<br />

The focus of the meet and greet was to create a safe place<br />

for Members and their support persons, to listen to and<br />

share experiences of their new lives with MS. The group<br />

also provided a place to seek support from those with a lived<br />

understanding and <strong>MSWA</strong> staff.<br />

Feedback from attendees reported that the group was a way<br />

for them to gain new information about MS, listen to other’s<br />

experiences and to participate in the support system.<br />

Our peer volunteer, Tom Lerner was in attendance to share<br />

his personal story of being diagnosed with MS and his journey<br />

so far. Tom spoke about how he has maintained his wellbeing<br />

and a positive outlook on life with MS over the years.<br />

With very positive feedback from the group, we hope to hold<br />

another meet and greet soon.<br />

Some feedback included:<br />

“The evening exceeded my expectations, I learned more about<br />

my partner and MS.”<br />

“This was beyond my expectations! Definitely worthwhile.”<br />

“A nice and relaxed environment. The meeting exceeded my<br />

expectations.”<br />

If you are interested in attending or would like to<br />

provide any feedback, please phone Sarah Lorrimar on<br />

9365 4858 or email Sarah.Lorrimar@mswa.org.au<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 15


OCCUPATIONAL THERAPY<br />

IN PERSISTENT PAIN CARE<br />

IAN CHEOK, <strong>MSWA</strong> OCCUPATIONAL THERAPIST<br />

If you suffer from persistent pain, you are enduring more<br />

than your fair share of obstacles. In addition to continual<br />

discomfort, you may also experience a lot of frustration.<br />

Persistent pain takes a major toll on your ability to do the<br />

things that are important to you daily, such as cooking a<br />

meal, having a shower, looking after your family, going to<br />

work and going out with your friends. Left unaddressed, it<br />

can cause you to lose your independence, leaving you little or<br />

no alternative but to rely on others to do the things you used<br />

to be able to do on your own.<br />

Medical researchers now understand that various elements<br />

are simultaneously at play in someone with persistent pain.<br />

These elements can be physical (e.g. your body, issues in<br />

your tissues, infection, inflammation), mental (e.g. beliefs,<br />

fears, worries, anxieties) and environmental (e.g. heat/cold,<br />

pressure, chemical exposure, pathogens). Researchers have<br />

even discovered that our social and cultural environment can<br />

affect how we experience and cope with pain. Pain is complex,<br />

and to manage it successfully, we will have to understand its<br />

many elements.<br />

Occupational therapy is the use of purposeful activities<br />

to help people improve their function and independence.<br />

Occupational Therapists (OTs) are qualified health professionals<br />

who help people achieve good health and wellbeing using<br />

specific activities. OTs have a detailed understanding of the<br />

interrelationship between the complex systems of the human<br />

body and the external environment. This is helpful when<br />

dealing with persistent pain.<br />

OTs can help people cope with and manage their pain, so<br />

they can continue to carry out the activities most important<br />

to them. For instance, some activities can stimulate pain,<br />

especially if they require more effort or range of motion than<br />

you have available. OTs can help to find strategies to make the<br />

activity less taxing, or find ways to modify the environment<br />

to make the activity more doable. As OTs are very familiar<br />

with all kinds of adaptive devices, they may suggest a device<br />

that will make the activity easier. Sometimes it’s also a<br />

question of breaking down the activity into manageable bits,<br />

with rest breaks in between, that will allow the activity to be<br />

accomplished without triggering pain.<br />

When you have persistent pain, you often experience a great<br />

deal of fatigue because of constantly tolerating the pain,<br />

difficulty sleeping, or being less active. OTs can suggest ways<br />

of structuring your day to manage fatigue. Alternatively, they<br />

may be able to suggest sleeping positions that will allow you<br />

to get a better night’s rest. In addition, an OT may also be<br />

able to help you find the right activities in your community<br />

that meets your needs to overcome fatigue and feel more<br />

refreshed. Helping you engage in such activities is also a<br />

wonderful way to make sure your family and friends can<br />

participate along with you.<br />

Persistent pain also causes stress, which can affect your<br />

emotional and mental wellbeing. OTs can show clients how to<br />

redirect their pain so that it interferes less in their daily lives.<br />

They may achieve this by teaching relaxation and visualisation<br />

activities that will make it easier for you to cope with the<br />

feelings of loss, anger and other emotional challenges of<br />

dealing with pain every day.<br />

Finally, there is still a lot of stigma associated with having<br />

persistent pain. It’s an invisible disability and, as such, the<br />

public may have difficulty understanding and empathising.<br />

OTs pride themselves on their role as advocates. As such,<br />

OTs usually have good knowledge of community resources as<br />

well as an understanding of the way the healthcare system<br />

works. An OT may be able to help you navigate the system<br />

and find the right resource to help you. If you have a question<br />

about how to get more support, you can talk to an OT to get<br />

some clever ideas.<br />

In addition to the <strong>MSWA</strong> Occupational Therapy team, the<br />

<strong>MSWA</strong> Counselling team also offer mindfulness meditation<br />

workshops which can assist some people with managing<br />

persistent pain.<br />

If you are interested in finding out more about this<br />

service please contact the <strong>MSWA</strong> Occupational Therapy<br />

team on 9365 4854.<br />

16 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


PROTECT YOURSELF<br />

AGAINST THE FLU<br />

Protect yourselves and others<br />

An annual flu vaccination is recommended as the first step<br />

in protection against the flu. It reduces the chances of both<br />

catching and transmitting the flu. This is especially important<br />

for those at risk of complications arising from influenza and<br />

those in close contact with at risk people.<br />

Influenza, also known as the flu, is highly contagious and<br />

spread through coughing or sneezing virus droplets into the<br />

air. Others then breathe them in and become infected. It’s<br />

important to remember that touching contaminated surfaces<br />

(including hands) and then touching your mouth, nose or eyes<br />

can also lead to infection.<br />

You can minimise the spread of the virus during flu season<br />

by practicing good household and personal hygiene, avoiding<br />

close contact with others if you or they are ill, and covering<br />

your mouth and nose when coughing or sneezing.<br />

The bad news<br />

• Flu viruses can survive an hour or more in enclosed<br />

environments, meaning contaminated respiratory secretions,<br />

can be picked up even without someone coughing or<br />

sneezing near us.<br />

• Even before we show symptoms, we can be shedding the<br />

flu viruses; infecting others around us.<br />

• Flu viruses are characterised by constant evolution; this<br />

means they can pose a new threat every year.<br />

The good news – you can protect yourself and others<br />

through good cough and sneeze etiquette including:<br />

• turning away from others;<br />

• covering your mouth and nose with a tissue or your sleeve;<br />

• using tissues rather than a hankie;<br />

• disposing of used tissues in the nearest bin; and<br />

• washing your hands or using alcohol hand rub as soon as<br />

possible afterwards.<br />

Hand washing is the single most effective way of killing<br />

the flu virus and limits the spread of the flu and other<br />

respiratory infections.<br />

Always wash your hands with soap and water or alcoholbased<br />

product (gels, rinses, foams) that don’t require water:<br />

• after coughing, sneezing or blowing your nose;<br />

• after being in contact with someone who has a cold or flu;<br />

• before touching your eyes, nose or mouth; and<br />

• before preparing food and eating.<br />

Stop the spread in your house<br />

Flu viruses can survive for more than eight hours on hard<br />

surfaces; you should regularly clean frequently touched<br />

surfaces such as door handles and benches.<br />

Flu viruses can be inactivated and removed with normal<br />

household detergents. Keep personal items such as towels,<br />

bedding and toothbrushes separate. Don’t share cutlery and<br />

crockery, food or drinks.<br />

Is it the flu or a cold?<br />

Colds affect the nose, throat and upper airways, and common<br />

symptoms include coughing, fever, sore throat, sneezing,<br />

blocked or runny nose and general congestion. They are<br />

caused by about 200 different viruses and there is no vaccine<br />

for a cold.<br />

Symptoms of a cold tend to be mild to moderately severe.<br />

The flu is a viral infection affecting your nose, throat and<br />

sometimes your lungs. Typical symptoms of flu include fever,<br />

sore throat and muscle aches.<br />

Both colds and flu can also lead to complications, such as<br />

pneumonia, which can sometimes lead to death.<br />

Check out the healthdirect website for more information:<br />

healthdirect.gov.au/cold-or-flu-infographic<br />

If you are feeling concerned about any symptoms<br />

of a cold or flu then see your doctor or call an<br />

after hours doctor.<br />

If you would like to speak to a registered nurse, call<br />

healthdirect on 1800 022 222, available 24 hours a day,<br />

seven days a week.<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 17


THAT’S LIFE<br />

WITH NARELLE<br />

NARELLE TAYLOR<br />

It has been 25 years almost to the day since I went to a<br />

seminar for the newly diagnosed at <strong>MSWA</strong> in Wilson. To me<br />

at the time, it could have just as easily been for the newly<br />

condemned. I went anyway, with my family.<br />

I was deep in denial so everything they told us seemed so<br />

horrific. I recall my late husband Greg got up in the middle of<br />

it and went to the races. I don’t blame him.<br />

When Dr Alan Kermode addressed a large group of us, he<br />

focussed on what the research had established so far. He was<br />

kind without giving false hope. He spoke about the dedicated<br />

work towards finding a cure.<br />

I remember he said some research had found MS is more<br />

common in areas farthest from the equator, such as in<br />

Scotland, but virtually unheard of among the Inuit of the Arctic.<br />

How often an Eskimo encounters a neurologist, I wondered.<br />

Next, the people around me began to ask questions and share<br />

anecdotes. Some of their stories were very moving and all<br />

of them were sad. The indignity of the disabilities that MS<br />

inflicts seemed to be a theme. I wanted to say something<br />

positive so I stood (I could then), and told the seminar I did not<br />

care how my disability appeared to others.<br />

“I still have things to do,” I said. “I will keep doing them, even<br />

if I have to drag my back legs.”<br />

Everyone laughed and so did I. But I was actually serious, and<br />

I still am.<br />

I have had MS for such a long time now. I no longer wait around<br />

for a miracle cure and instead get on with this business of<br />

living my life. On and on. As John Lennon once sang, “Life is<br />

what happens to you when you are busy making other plans”.<br />

As it turns out, I have literally had to drag my legs sometimes,<br />

most recently when I was stranded on my bed. It was just<br />

on dawn and my powerchair was parked on the other side of<br />

the bedroom. It was an especially busy time of the day at the<br />

aged care facility where I live, and the conversation I already<br />

had with my shower lady told me she considered it far too<br />

early for me to get up.<br />

I did not agree. After she left the room, I slid down the side<br />

of my bed like a teenager escaping to a party without their<br />

parents’ knowledge. I did my best impression of an SAS<br />

soldier to pull myself across the carpet on my belly towards<br />

my mobility device. I impressed myself. When I reached my<br />

powerchair, I spent a good 40 minutes climbing up to sit on<br />

it. Part way through this massive effort, I was grateful for<br />

physiotherapy. I don’t suggest it was pretty though.<br />

Triumphantly positioned in my powerchair, I moved my hand<br />

to the throttle and smiled. Thunder Road. I drove into the<br />

common area and looked smug. I think we’ve all got stories<br />

like this.<br />

All of us with MS are getting on with it every day. A decade<br />

after I had been dealt what Greg used to so succinctly call<br />

“the s…t cards” of MS, I went to another seminar for the<br />

newly diagnosed, this time as a speaker. The people I saw<br />

reminded me what a shock it all had been. A young woman<br />

came up to me after I gave my “keep going” speech and said<br />

she was relieved. She told me, “I figure that’s the way to do<br />

it.”<br />

Here I am getting on with it, and pragmatic about some of<br />

the collateral damage. Last week I shattered a floor-to-ceiling<br />

window with the footplate of my powerchair. I was unharmed,<br />

and since MS made me do it, I was also not to blame. I did<br />

feel bad but these things can happen when you need a 200kg<br />

machine to move around a room.<br />

The footplate has form. Last year it reduced a ceramic toilet<br />

to a pile of shards. I also felt bad about this. Fortunately, the<br />

staff at my aged care facility believe that my independence<br />

is worth more than a Caroma toilet bowl or a sheet of glass.<br />

They also get on with it and call a tradie.<br />

18 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


MEET<br />

Ms CARER<br />

Meet Ms Carer, a fit and active lady enjoying her retirement<br />

years with a beloved partner. But, alas, her marriage is<br />

somewhat of a triangular affair with the third party being MS.<br />

Recently this interloper (MS) has not been content with playing<br />

second fiddle and is trying to dominate the relationship.<br />

Consequently Ms Carer feels overloaded with the work and<br />

effort needed to maintain a loving and elegant lifestyle with<br />

her partner of 40 years.<br />

Ms Carer is reeling over the loss of free time with so much of<br />

her day and night taken up with the tedious and often hard<br />

tasks of caring. The greater emphasis now placed on her role<br />

as carer also dulls her usually positive outlook and lessens<br />

the time and energy for feelings of love and friendship. Her<br />

rose coloured glasses are cracked and cloudy but true to<br />

her personality she keeps them nearby, hoping they can<br />

be repaired. And she also copes by making a practical<br />

assessment of immediate needs and devises a plan of action.<br />

Ms Carer is just waiting to let her hair down but for now she<br />

has it tied up underneath her sponge hat, a hat so useful for<br />

absorbing burdens and soaking up tears. The hat carries her<br />

busy bee moniker and a useful bell now that she feels like she<br />

is at everybody’s beck and call. Always enjoying fashion, Ms<br />

Carer still tries to dress nicely with practical but stylish black<br />

slacks and a colourful top.<br />

Her amethyst necklace is worn because traditionally it was<br />

thought to heal and keep the owner cool headed and it holds<br />

other symbolic meanings dear to Ms Carer.<br />

An added vest with useful pockets holds her dreams and<br />

interests close to her heart as she does the more mundane<br />

chores but more about the vest later.<br />

Ms Carer is weighted down with her red bag chock full of<br />

MS carer paraphernalia: a notebook full of medical notes,<br />

prescription refills, various medications, printed instructions<br />

from the chemist, a water bottle to ensure her spouse drinks<br />

his two litres daily, tools to fix wheelchairs, catheter supplies,<br />

cleaning products and a rock or two to signify the weight of<br />

responsibility and workload – this is adjustable. Her arms and<br />

hands seem to have grown oversize to cope with her load.<br />

Ms Carer’s vest is worn in anticipation of the interests close<br />

to her heart which seem to be a bit forgotten in the recent<br />

workload of care. The busy bee pocket holds a sewing<br />

machine for her much loved hobby time. The flower pocket<br />

reminds her of her love of beauty and her childhood love of<br />

picking every flower she saw! There is a pocket for love, the<br />

attached key opens her heart. The star pocket looks empty<br />

but it is full of pride at being a star at coping and managing<br />

life’s dramas.<br />

Ms Carer keeps checking her well-worn rose coloured<br />

glasses because one day, just maybe, she will look<br />

through them and detect a silver lining.<br />

THE PRESENT<br />

DR ANDREW E. ONG<br />

Each of us has a bank which credits our account every<br />

morning. However, if we do not draw or utilise this account<br />

the credit cannot be either carried forward or accumulated,<br />

but is lost forever.<br />

This bank is called time. Each day we are credited with a<br />

day’s worth of 86,400 seconds, but none can be carried over<br />

to the next day. If we waste a second, it is lost forever. We<br />

must therefore invest this time as best we can in maintaining<br />

our health, happiness, peace of mind, and in trying to make<br />

the world a better place to live in. This is the value of time, but<br />

how do we spend it?<br />

Time is the most valuable gift we have been given, but the<br />

least appreciated until it is brought suddenly to our notice.<br />

A student who has failed an exam all of a sudden knows the<br />

value of a year wasted. Mothers of premature babies know<br />

the value of a month. Politicians know the value of a week.<br />

Lovers in a private romantic rendezvous know the value of<br />

an hour. Miss a bus or train and you will know the value of<br />

a minute. Witness an accident and you will realise the value<br />

of a second. Perhaps ask an athlete about the value of a<br />

millisecond?<br />

Therefore, treasure every moment that you have to<br />

spend. Ensure that a second spent counts for something,<br />

for time, it is well said, “waits for no person”. Share a<br />

moment with a friend, a lover or someone special.<br />

Yesterday is history, tomorrow is a mystery, but today is<br />

a special gift. That is why it is called ‘The Present’.<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 19


AULD ACQUAINTANCE,<br />

NOT FORGOT<br />

ROS HARMAN<br />

I first bumped into Helen when I was seven months pregnant.<br />

She was pregnant too, and we struck up a friendship<br />

immediately, comparing notes about stretch marks and<br />

morning sickness and other baby paraphernalia. This was<br />

1991 and everything was exciting and new for me, as it was<br />

my first (and only) pregnancy. It was Helen’s fourth, so she<br />

had lots more experience in the natal arena.<br />

We remained friends for a number of years. Our children played<br />

together and Helen and I played together too, taking a break<br />

from parenting duties occasionally to go clothes shopping or<br />

see a film. I went to my first ever opera with Helen as she<br />

was a passionate fan. MS was playing havoc in my life in<br />

those years, like some nasty practical joker launching sudden<br />

surprise attacks on me, with frequent and irregular relapses,<br />

which usually left me unable to walk, and then gradual<br />

remissions. Helen was a good friend to me, helping out with<br />

my child and keeping me company throughout it all.<br />

About four years into our friendship, Helen’s father was<br />

diagnosed with Huntington’s Disease, a neurological condition<br />

that affects movement, thinking and emotion. It is a genetic<br />

condition so if your parent has it, you have a 50% chance of<br />

inheriting it. There is no cure for Huntington’s Disease and<br />

limited treatment. After genetic testing, Helen discovered that<br />

she had the gene and from then on knew that sometime in<br />

the next decade or two she would begin to have symptoms.<br />

I lost contact with Helen after a few years when I moved house<br />

to a distant suburb. I don’t know why I let the relationship<br />

lapse – I was busy I suppose, and I let the little effort<br />

required loom larger than it really was. Years passed, and I<br />

often thought of her. I wondered how she was coping, and<br />

how her family were dealing with Huntington’s, which must<br />

surely have manifested itself by now. Then one day recently,<br />

I discovered her on a social media site and we renewed our<br />

contact. She and her husband had moved and now live only<br />

10 minutes away from me, and I was invited for afternoon tea.<br />

Meeting Helen again after so long was both lovely and sad.<br />

She greeted me with a big hug and it felt great to be with her<br />

again, but it was impossible to ignore the insidious effect of the<br />

monster in her life. Her speech was affected, though I could<br />

still understand her, and she made constant, uncontrollable<br />

jerky movements with her arms and legs. Nevertheless, she<br />

was still the same person that had been my friend before, and<br />

we spent a wonderful couple of hours together sharing news<br />

of the children and of our lives.<br />

<strong>MSWA</strong> has for some years supported a handful of people with<br />

conditions other than multiple sclerosis, but with the coming<br />

of the NDIS has officially placed itself to offer services to<br />

many neurological conditions. Meeting Helen again really put<br />

a face to what that will mean. I feel so grateful that <strong>MSWA</strong> has<br />

been there for me over the 29 years that I have lived with MS.<br />

Having a neurological condition is no bowl of cherries and<br />

there is no magic bullet for Huntington’s Disease or for MS.<br />

There is help available though that makes life easier. I am<br />

so glad that I could offer Helen some information about the<br />

support that <strong>MSWA</strong> will be able to give her in the next few<br />

years, and I know that it will really make a difference for<br />

Helen and her family.<br />

I am so glad that we are friends again.<br />

20 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


MINDFULNESS<br />

MEDITATION<br />

SARAH LORRIMAR,<br />

<strong>MSWA</strong> PEER SUPPORT AND HEALTH EDUCATION COORDINATOR<br />

What is mindfulness?<br />

We spend so much time thinking about things from the past,<br />

or worrying about what may happen in the future that we<br />

often forget to appreciate the present moment. Mindfulness is<br />

a practice which involves consciously bringing awareness to<br />

our current experience. In mindfulness meditation, the aim is<br />

not to change or control our thoughts and feelings but instead<br />

observe them without judgment.<br />

Being mindful allows us to be aware of our surroundings, pay<br />

attention to what we’re doing and the things around us. How<br />

many times have you walked into a room and forgotten why<br />

you were there? Or checked your watch only to look back up<br />

and forget the time? These are some examples of when we are<br />

being mindless. When we are not being mindful, it’s difficult<br />

for us to move away from the automatic and unhelpful ways<br />

of thinking and responding that we’ve been conditioned to.<br />

Mindfulness helps us separate ourselves from our reactions,<br />

allowing us to have a more conscious awareness of how we<br />

feel and what is around us.<br />

Why practice mindfulness?<br />

Practicing mindfulness helps us clear our minds so we can<br />

become more aware of ourselves and our environment. By<br />

slowing down our thoughts, we can better understand how<br />

we feel and consequently this can help us manage things<br />

such as illness.<br />

Mindfulness is useful for a variety of reasons and has been<br />

known to reduce stress, improve self-awareness as well<br />

as enhance emotional intelligence. When we are not being<br />

mindful, our vulnerability to stress and poor mental health is<br />

increased. Mindfulness provides us with perspective, reducing<br />

any tendencies to overthink and act with an emotional charge.<br />

If we focus on present sensations and disengage from habitual<br />

thoughts, then automatically we relax and can be brought out<br />

of moments of stress and anxiety.<br />

Mindfulness gives us an opportunity to understand and be<br />

aware of our autopilot reaction, so that we can alter and<br />

improve the way we think and feel about our lives.<br />

Other benefits of mindfulness include:<br />

• Being present<br />

• Safe exploration of unpleasant thoughts<br />

• Becoming aware of what you’re avoiding<br />

• Being more connected to self and others<br />

• Being less reactive to unpleasant experiences<br />

• More calmness and peacefulness<br />

• Understanding that everything changes<br />

(e.g. thoughts and feelings)<br />

• Developing self-compassion<br />

Anyone can practice mindfulness and it’s available to us in<br />

every moment. Although it seems like a simple concept, it is<br />

not necessarily easy. For many of us, we have spent our lives<br />

learning to shift our focus away from how we presently feel.<br />

Mindfulness is a skill which takes time and practice.<br />

Where can I practice mindfulness?<br />

Our <strong>MSWA</strong> Counsellors run mindfulness meditation workshops<br />

throughout the year. These workshops are for both beginners<br />

and those wishing to deepen their practice. The sessions<br />

include guided meditations and provide attendees with skills<br />

for relaxation and mindfulness. Our classes aim to empower<br />

people to respond more effectively to life challenges.<br />

There are several sessions run throughout the year in<br />

four locations – Rockingham, Armadale, Currambine and<br />

Mirrabooka. Classes are held from 10am to 12pm and are<br />

just a gold coin donation. For more information, please<br />

contact Sarah Lorrimar at Sarah.Lorrimar@mswa.org.au<br />

or on 9365 4858.<br />

References<br />

perthmeditationcentre.com.au<br />

beyondblue.com.au<br />

McKenzie, S., and Hassed, C. (2012). Mindfulness for Life.<br />

Wollombi, NSW: Exisle Publishing.<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 21


<strong>MSWA</strong> VOLUNTEERING<br />

NEWS<br />

DAWN BURKE, <strong>MSWA</strong> COORDINATOR OF VOLUNTEERS<br />

Hello again and welcome to the winter edition of the <strong>Bulletin</strong>.<br />

I can’t believe we are halfway through the year and so much<br />

has happened - as always is the case at <strong>MSWA</strong>.<br />

The first part of my year is spent focussing on National<br />

Volunteers Week and organising a beautiful luncheon to invite<br />

our volunteers along to. What a great way for us to celebrate<br />

together and to say, “Thank you for all you do.” This luncheon<br />

is <strong>MSWA</strong>’s way of acknowledging their efforts and the time<br />

they give to us, and to let them know how appreciated<br />

and valued they all are to all <strong>MSWA</strong> staff. Without you, our<br />

volunteers, we wouldn’t be able to do all that we do for our<br />

Members. I’d like all volunteers to take a moment and pat<br />

yourselves on the back, and say well done. I would also like to<br />

take this opportunity to send out my own personal heartfelt<br />

thanks to you all.<br />

The luncheon was a beautiful affair, and again held at<br />

Burswood on Swan. As per previous years we had the most<br />

amazing food and none of us went home hungry. I’m sure<br />

some of us felt we could roll home, we felt so full. If you didn’t<br />

try the hummus you missed out on a mouth-watering treat. I<br />

have tried many but this was without a doubt the best I have<br />

ever tasted. Many of the volunteers thought the same and<br />

even had the chef write out the recipe, which he happily did.<br />

I took a photo of the recipe he gave the volunteers. Aren’t<br />

mobile phones convenient little devices at times? The staff at<br />

Burswood on Swan are the most helpful staff I have ever come<br />

across. They make the organising of this event incredibly easy<br />

and on the day, are happy to lend a hand in any way to make<br />

it run as smoothly as possible.<br />

The view from the venue is just glorious, sitting right on the<br />

river overlooking Perth. You couldn’t ask for more, but more<br />

we got! We had a couple of seagulls floating around, who<br />

thought they would come inside every now and then to have<br />

a chat. There was another bird, which I believe is the Great<br />

Egret, strutting its stuff in all its finery for all to see and a<br />

friendly spider sitting in a tea cup hoping to enjoy the soothing<br />

aroma of a hot cup of tea. The table centrepieces were again<br />

designed and made by two of our volunteers, Lesley Pitt and<br />

Lynn Hoonhout. They looked fantastic - I would like to say<br />

thank you for creating such lovely centrepieces. They gave<br />

the tables such a personal touch. The feedback from the<br />

luncheon is always fantastic and everyone comments on how<br />

much they enjoy the venue. Hopefully we can go there again<br />

next year.<br />

During the Volunteer Luncheon our President, George<br />

Pampacos, brought forward a few volunteers that were<br />

nominated by their Department Supervisors for a Certificate<br />

of Appreciation Award. The recipients for <strong>2017</strong> were Pam<br />

Stupples, Callum Begg, Priya Rath, Lesley Pitt, Robert<br />

York, Lynn Hoonhout, Bee Lean Kim, and Rosalind Beatty.<br />

Congratulations to you all, thank you for your ongoing efforts<br />

and I’m sure you will be with us for many more years to come.<br />

I have been fortunate to attend two camps already this year.<br />

The first was a last-minute inclusion for me in April. I attended<br />

the Carers Retreat on Rottnest and took a volunteer, Rosalind,<br />

to assist myself and one of the counsellors, Karen Brown<br />

throughout the three days. The weather was amazing and<br />

the view from the unit I stayed in was second to none. The<br />

carers who were fortunate to share a unit with Rosalind were<br />

very spoilt and enjoyed being fussed after. It is important for<br />

our carers to have rest from their caring role with their loved<br />

ones. To have someone available to care and nurture them<br />

for a short period is worth its weight in gold. It is extremely<br />

important to care for the carer, as the role can be extremely<br />

demanding and sometimes thankless. The carers had a great<br />

time and enjoyed soaking up the sun rays.<br />

22 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


In May, I attended the first Members camp for <strong>2017</strong>. As usual<br />

it was in Guilderton, or more affectionately known as Moore<br />

River. The weather was mixed with rain, clouds and sun, but<br />

the weather gods were doing their job on the day of the river<br />

cruise and our BBQ lunch and kept the sun out while keeping<br />

the rain and clouds away. This was the biggest camp I have<br />

attended in my years here at <strong>MSWA</strong> and it was great to see<br />

quite a few new Members come along.<br />

We were very fortunate to have three volunteers attend this<br />

camp, Rosalind, Jacqui and Mike. You have no idea how hard<br />

these volunteers worked over the three days. The Member<br />

camps are so much more involved than the Carers Retreat,<br />

and require a much more hands on approach. The volunteers,<br />

as well as staff, most of whom volunteer outside of their<br />

regular work hours on camp, must load and unload equipment<br />

and belongings, drive to the venue, help set up and pack up<br />

Members beds, constantly wash and dry dishes (it is such a<br />

food fest), help in the kitchen, help with activities and provide<br />

general support to Members throughout the day. This camp<br />

would not run as well as it does or be as enjoyable as it is<br />

without the volunteers.<br />

Our volunteers give the staff the space to organise activities<br />

for the Members. This year we focused on Warrior games<br />

and groups were formed, shields were made and chants<br />

were roared. As always, we had many laughs, rekindled old<br />

friendships while making some new ones, shared stories and<br />

generally had a good time. Thank you to all my volunteers and<br />

to all the staff who attended. For me to make a difference in<br />

others’ lives is important, and these camps make a difference<br />

to many, and for that I am truly grateful.<br />

When I started in this position, over four years ago, Member<br />

Services volunteer numbers were fluctuating around<br />

100-105. The volunteer numbers have since grown in this<br />

area and numbers are now fluctuating between 125-130.<br />

This is amazing and shows that <strong>MSWA</strong> is a great organisation<br />

for volunteering.<br />

We are also very fortunate to have many long-term volunteers.<br />

<strong>MSWA</strong>’s Events team are always looking for volunteers for<br />

the <strong>MSWA</strong> events that are held throughout the year. Trish<br />

Watson, the Events Coordinator is at the helm of recruiting<br />

volunteers for upcoming events, so if you have a spare few<br />

hours throughout the year, or you know someone who would<br />

like to assist with the events, pass on Trish’s contact number<br />

6454 3116.<br />

Once again it has been a pleasure talking with you all. I<br />

look forward to catching up with you whether it is around<br />

the hallways at Wilson, out and about in the community or<br />

by phone and email. Please do not hesitate to contact me to<br />

discuss anything or just to say hi. My door is always open, if<br />

you can find me, and I’m happy to have a chat. Welcome to<br />

all our new volunteers, welcome into the <strong>MSWA</strong> family, and I<br />

look forward in getting to know you better.<br />

Until next time, it’s bye for now.<br />

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<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 23


COMING TO GRIPS<br />

WITH MS<br />

TERRY YOUNG<br />

I was diagnosed with MS in December of 2000. I had moved<br />

back to Perth a few years earlier with my wife at the time<br />

and two children. We had recently bought a house and I<br />

had just taken on the ownership of a new marine trimming<br />

factory. The business was involved in boat upholstery and it<br />

was wonderful, creative work and I felt I could really express<br />

myself. However, I was working seven days a week and was<br />

experiencing some relationship issues – so I was under a lot<br />

of stress and I didn’t allow myself the time to rest.<br />

I first noticed my symptoms at work, leaning on a work bench<br />

feeling overcome with fatigue and having blurred vision. My<br />

running was affected and one night lying in bed, I noticed that<br />

one of my legs was a completely different temperature to the<br />

other. It took three months of going and back and forth with<br />

my GP to finally come to a diagnosis.<br />

Initially, I had no idea about MS apart from my daughter having<br />

participated in the MS Readathon. It was a strange experience<br />

after I had been diagnosed. I didn’t understand what MS was<br />

and when I came to <strong>MSWA</strong> to speak to one of the nurses,<br />

I saw people in wheelchairs and that was confronting. The<br />

thought of being in a wheelchair was the scariest expectation<br />

I had. I refused to believe that it could be me. It took me two<br />

years before I accepted the disability pension, not accepting<br />

of the word disability. I think when you’re initially diagnosed<br />

and you know nothing about MS, particularly 17 years ago<br />

when there wasn’t much available, you are not given much<br />

hope. Thankfully, I have since learnt that there is a lot you can<br />

do to feel better and I can do things to help myself.<br />

I continued to drive after my diagnosis, after a while I used a<br />

car with hand controls as I had to leave my foot off the brake.<br />

I used a walker to help me do things and then I began to use<br />

a wheelchair to help me when travelling long distances and<br />

for activities like shopping. In 2010, I was in a car accident<br />

which left me permanently in a wheelchair and it was after<br />

this when things became harder. I couldn’t use the sewing<br />

machine for work anymore and my body felt weaker. Even<br />

though life has changed now that I’m in a wheelchair, I have<br />

not lost my passion for life. As I’m sure we all know, life can<br />

deal us many and varied hands, and it is how we deal with<br />

that which makes the difference.<br />

My MS is stable at the moment. Having progressive MS, I<br />

know there is a slight decline. My writing is not very good<br />

anymore and my arms can become very fatigued. Fatigue<br />

can affect me out of the blue sometimes, often it’s due to<br />

changes in the weather. My legs and my muscles is where I<br />

feel pain. I also have some nerve issues, like a little electrical<br />

shock when I’m in the pool. I try not to focus on this though.<br />

Working with different people has helped me understand why<br />

these things are happening to my body and has helped me to<br />

manage these changes. Listen to your physiotherapists and<br />

your OTs - pick their brains because you need them.<br />

Before I was diagnosed, I wasn’t eating healthy and I was<br />

smoking. These days I have quit smoking, my diet has<br />

improved immensely and I am regularly exercising. I go<br />

swimming at my local pool and I have an exercise program at<br />

home with assistance from a physiotherapist. Each morning<br />

I wake up at 5am and meditate for half an hour before my<br />

morning coffee. Meditating allows me to get a sense of how<br />

my body feels - I notice where my body is holding tension<br />

and which muscles are tight. Meditation also allows me to<br />

be mindful which I find helpful. Of course, I’m tired at the<br />

end of the day but these activities make me feel like my days<br />

are fulfilled. My relationships with people have helped me<br />

so much. Social connection is extremely valuable for your<br />

wellness. I’m conscious of positive self-talk and I value my<br />

independence, so I do as much as possible on my own.<br />

In the past few years, I have come to realise all the services<br />

<strong>MSWA</strong> offers. I have met some great friends through <strong>MSWA</strong><br />

and have accessed counselling, occupational therapy,<br />

physiotherapy and nursing services for about 10 years now.<br />

About a year ago, I struggled to get in and out of bed. I found<br />

it hard to reposition myself and get comfortable. It was then I<br />

learnt that <strong>MSWA</strong> offers services which could help me out at<br />

home. <strong>MSWA</strong> care support workers now visit during the week<br />

to help me get ready for the day and into bed. I have always<br />

felt that acknowledging you need help does not take away<br />

from yourself or make you more disabled – it helps make you<br />

more independent.<br />

I don’t deny that I have MS. It makes things tough but I have<br />

accepted that I have it and try not to focus on the negative.<br />

Having MS has opened a lot of possibilities for me. I have<br />

made new friendships, recognised the passions in my life and<br />

its inspired me to help others.<br />

My advice to others is to be kind to yourself. It’s important<br />

to recognise that there are challenges and it will take<br />

time to do things, but you will get it done.<br />

24 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


SOUTH WEST<br />

Regional Round Up<br />

The latest<br />

news from<br />

the South<br />

West<br />

BUNBURY OUTREACH NEWS<br />

SUZY BARKER<br />

A big warm “hello” from all the Members and staff at Bunbury<br />

Outreach Group, situated inside the fabulous new Bunbury<br />

Community and Health Services Hub.<br />

We are all ecstatic with our wonderfully spacious Outreach<br />

areas, atrium one and two (when we draw the room-divider),<br />

enabling us to comfortably move around and enjoy our social<br />

gatherings every Wednesday. We now can set up tables to<br />

create craft activities, play board and floor games and do<br />

the word quizzes on the shiny new white board! We have<br />

completed our first art activity, a colourfully painted ‘Outreach’<br />

plaque to be proudly mounted on the wall in our social area.<br />

In early April we held our first big event – a Hawaii Vacation<br />

themed morning tea! It was a hoot to say the least with<br />

everyone getting into the spirit of being colourfully dressed.<br />

We all attempted a quite comical hula dance around the<br />

room before enjoying a morning tea of Hawaiian pizza, fruit<br />

salad and tropical punch. We had such a great morning with<br />

many laughs, so thanks to Wilson Outreach for the loan of the<br />

Hawaiian box of goodies.<br />

We are now planning our next holiday adventure to Paris,<br />

France in mid-July! We are aiming to recreate a typical<br />

Parisienne café ambience, with rustic French decorations,<br />

music and memorabilia of famous icons and places in Paris.<br />

We even may dare to attempt the Can Can dance! Our project<br />

now is to create our ‘French Connection’ box with handmade<br />

costumes, crafty flags and all things French so we can pass<br />

the box onto the other outreach groups. So until next time,<br />

watch this space, Viva La France!<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 25


ALBANY OUTREACH NEWS<br />

CAROLINE CLARKE-SMITH, <strong>MSWA</strong> RESOURCE COORDINATOR<br />

In May we enjoyed a lovely morning tea with 10 of our Members<br />

at The Three Anchors restaurant at Middleton Beach. It was a<br />

great social outing and we look forward to the next one.<br />

Our next outing will be a lunch on Wednesday 19 July, at the<br />

Emu Point Café. We look forward to seeing everyone there.<br />

Please contact us to register your interest.<br />

Physiotherapy exercise classes commenced May 31 and ran<br />

on Wednesdays for six weeks. These classes may continue<br />

depending on interest. For more information or to register<br />

your interest, please contact our office.<br />

We enjoyed a visit from <strong>MSWA</strong> Senior Counsellor Leonie<br />

Wellington, Social Welfare Officer Gerald O’Sullivan and<br />

Senior Nurse Nimisha Baird. It was great to have them here<br />

and we received some input from their fields.<br />

The <strong>MSWA</strong> Albany Swim on March 18 was a great success.<br />

Thank you to all those who contributed. Your time and effort<br />

assisted in raising more than $20,000.<br />

Please be sure we have the correct contact details for you<br />

so we can keep you up to date. To update your details or<br />

for any other enquiries please contact us on 9377 7800.<br />

WILSON OUTREACH NEWS<br />

NICOLA RYAN, <strong>MSWA</strong> SENIOR OUTREACH COORDINATOR<br />

Our first half of the year at Wilson Outreach has been<br />

extremely busy and a whole lot of fun! Members often say<br />

when they are here that “the place just doesn’t stop”. That’s<br />

of course what we like to hear as ultimately everything we do<br />

is for the good of our Members!<br />

Many have enjoyed going on outings in the community and<br />

with the beautiful weather we have had in the first half of<br />

the year this was always going to be a winner! Sculptures<br />

by the Sea, a yearly event at Cottesloe beach, proved to be<br />

very popular amongst our Members with more going this year<br />

than ever.<br />

For the first time a visit was arranged to the Scented Garden<br />

in South Perth. Our Members from the ‘Embrace the Shake’<br />

group thoroughly enjoyed their time wandering around the<br />

beauty on the foreshore and have come back with lots of<br />

ideas to have something similar reproduced here, so watch<br />

this space!<br />

Movies are always a popular outing as many Members find<br />

it difficult to get there on their own. With the buses that we<br />

have on hand at Outreach this is easily arranged and after the<br />

movie there’s always time to get back to the centre for lunch!<br />

We are very lucky here in Perth to have such fantastic parks<br />

available literally on our doorstep at Wilson so a favourite<br />

outing for both Members and staff alike is a stroll along the<br />

Shelley foreshore and the beautiful Kent Street Weir!<br />

From outside outings to inside ones, we are again travelling<br />

the world and so far, this year have been to Italy and<br />

Las Vegas. Just like our previous two years of travel we<br />

manage to bring the places alive in the atrium where our<br />

Outreach meets.<br />

From different props, many pictures, great music, items<br />

brought in for show and our awesome staff arranging activities<br />

we soon find ourselves feeling that we are right there in the<br />

moment! Lunches while we travel are also an important part<br />

of our journey and we have had some amazing meals with<br />

all the fantastic aromas throughout the building helping with<br />

the atmosphere!<br />

In the times in between, when we are not travelling inside or<br />

outside, we always have activities that Members can join in on<br />

as well as some great places to sit and chat with others. Our<br />

volunteer pianists are here three days per week entertaining<br />

us so really there is never a dull moment! Members often<br />

pass through after other appointments and everyone is more<br />

than welcome to stay for a cuppa and chat.<br />

Outreach is a place to do exactly that! So please come<br />

and join us.<br />

26 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>


GERALDTON TRIP<br />

There were many activities happening as part of this year’s<br />

annual visit to Geraldton!<br />

Visiting <strong>MSWA</strong> staff included Senior Community Access<br />

Nurse Jill Crombie, Social Welfare Officer June Brown, and<br />

Physiotherapy Manager Dave Hathorn. Together, they made<br />

visits to Members at home and attended a local hospital,<br />

nursing home and the Disability Service Commission to<br />

update them on the recent growth of <strong>MSWA</strong>. They also met<br />

with the local <strong>MSWA</strong> Physiotherapists and masseur and joined<br />

the Geraldton peer support group which meets each month.<br />

On the first day of their three day visit, a Bunnings sausage<br />

sizzle fundraiser was organised by the wonderful Members in<br />

Geraldton which raised an impressive $800!<br />

The visit was a great way to connect with local Members<br />

and staff. <strong>MSWA</strong> are looking forward to next year’s visit<br />

– which thanks to the suggestion of one of our Members,<br />

could involve a fishing expedition!<br />

<strong>MSWA</strong> staff and Members at the Bunnings fundraiser.<br />

NORTHAM MORNING TEA<br />

On June 1, a group of <strong>MSWA</strong> Members from Northam<br />

and surrounds came together for a peer morning<br />

tea at the Bridgeley Community Centre. With people<br />

travelling from areas such as Bolgart and Toodyay,<br />

there was a great turnout of 15 people! This included<br />

people living with MS, their support persons and two<br />

staff members from Northam Hospital.<br />

Joining the group were <strong>MSWA</strong> staff members,<br />

Peer Support and Health Education Coordinator<br />

Sarah Lorrimar, Counsellor Cherry Chapman, NDIS<br />

Client Relationship Coordinator Pranjal Pawar and<br />

MS Nurse Dee Menzies.<br />

Following introductions, the group quickly warmed to<br />

each other and the session was spent sharing stories<br />

of life with MS as well as discussion on topics such<br />

as medication, neurologists, accessing supports,<br />

wellness and the NDIS. With such a successful first<br />

meeting, the group has already put in the motions to<br />

continue a regular meeting in Northam!<br />

<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 27


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