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<strong>August</strong> <strong>2020</strong><br />
Volume 23 / <strong>Issue</strong> 2<br />
<strong>SNN</strong>Spinal Network News<br />
THE POWER OF MUSIC TEINA BOYD DR RICHARD SMAILL<br />
Nick Cornish gets<br />
back on the oboe<br />
Tells a story about<br />
fighting for her life<br />
On his life of many<br />
ups and downs<br />
Family Ties—The Glentworth<br />
family on ‘hanging in there’
NEW ZEALAND SPINAL TRUST 2<br />
Contents<br />
3<br />
“I Can’t Hold in my Cry”<br />
Editorial<br />
20<br />
All in the family — Mark and Kathy Glentworth<br />
talk about playing the support role<br />
5<br />
<strong>2020</strong> Supporting Positive Futu<strong>res</strong><br />
Hans Wouters — CEO NZ Spinal Trust<br />
24<br />
We pay a visit to the Attitude BNB<br />
in Auckland<br />
7<br />
Nick Cornish<br />
Remarkable recovery of a professional musician<br />
26<br />
Dr. Richard Smaill talks about<br />
never giving up<br />
11<br />
The BAIL team evaluate the NZ Spinal Cord<br />
Impairment Action Plan (NZSCIAP)<br />
30<br />
Resource Centre<br />
15<br />
Telling it like it is<br />
Teina Boyd<br />
32<br />
Introducing our team<br />
Su Marshall on fundraising for the NZST<br />
18<br />
A Young Man who is not looking back<br />
Jayden Glentworth<br />
35<br />
Funders and Sponsors<br />
EDITORIAL TEAM<br />
Peter Thornton<br />
Hi my name is Peter Thornton, I am so proud to be the<br />
editor of this great magazine. I believe it is a publication<br />
that has the power to change lives. It has been a tough<br />
year for many people around New Zealand, hang in<br />
there and support one another.<br />
CONTRIBUTING WRITERS<br />
Peter Thornton<br />
Hans Wouters<br />
Bernadette Cassidy<br />
Teina Boyd<br />
Rachelle Martin<br />
Matt Aldridge<br />
THANKS FOR THE IMAGES<br />
Jo Nunnerley<br />
Nick Cornish<br />
Dr. Richard Smaill<br />
The Glentworth family<br />
Su Marshall<br />
Thanks to: The Glentworth family, Teina Boyd, Dr. Richard<br />
Smaill, Nick Cornish, Su Marshall and Attitude BnB<br />
Bernadette Cassidy<br />
Kia ora, my name is Bernadette Cassidy, it’s a<br />
pleasure to be part of the <strong>SNN</strong> Editorial Team. In the<br />
last few months our lives have changed dramatically.<br />
Be kind to yourself and others. Kia Kaha.<br />
Patrons of the New<br />
Zealand Spinal Trust,<br />
Sir Tim Wallis (left) and<br />
Trevor Harrison (right).<br />
SPINAL NETWORK NEWS is<br />
published by the NZ Spinal Trust<br />
Send your contributions to:<br />
The Editor SPINAL NETWORK NEWS<br />
c/- New Zealand Spinal Trust, Private<br />
Bag 4708, Christchurch 8140<br />
Tel: (03) 383 9484<br />
Email:<br />
peter.thornton@nzspinaltrust.org.nz<br />
Web:<br />
www.nzspinaltrust.org.nz<br />
Copy Proofing: Jackie Grimshaw<br />
Cover Photo: Mark and Kathy were<br />
there every step of the journey when<br />
their 15-year-old son Jayden sustained<br />
an SCI.<br />
Disclaimer: The views exp<strong>res</strong>sed<br />
in SPINAL NETWORK NEWS are<br />
those of its contributors. They do not<br />
necessarily rep<strong>res</strong>ent the opinion<br />
of the members of the Editorial<br />
Committee or the policies of the New<br />
Zealand Spinal Trust.<br />
Correction: In the <strong>SNN</strong> April issue<br />
we ran a story with Lynn James –<br />
this story had Lynn’s name as Lynn<br />
Stephens – we apologise for this error.
SPINAL NETWORK NEWS 3<br />
“I Can’t Hold in<br />
my Cry”<br />
Peter Thornton<br />
Editorial<br />
The lockdown was a pretty special family time<br />
but also had some challenging moments.<br />
“I can’t hold in my cry” – that was the<br />
catchphrase of my four-year-old daughter,<br />
Charlie, during lockdown. Now my wife and I<br />
weren’t too sure what she meant, but I can<br />
tell you that this saying, and the screaming<br />
that would fol<strong>low</strong>, definitely tested our<br />
patience during that time.<br />
Taking care of two kids under four years of age during the<br />
lockdown was like a reality television show. There were<br />
plenty of ups and genuine moments of connecting with<br />
the most important people in my life. But there also were<br />
many moments when we literally wondered if this<br />
madness would ever end, and if we would make it. We did<br />
and, once the frustration subsided along with the wailing<br />
catchcry, there was a good chance to reflect.<br />
Perhaps little Charlie was speaking for all of us.<br />
She couldn’t put it into words but, even at four years of<br />
age, Charlie knew something wasn’t quite right.<br />
Mindful awareness is about<br />
learning to pay attention,<br />
in the p<strong>res</strong>ent moment, and<br />
without judgment.<br />
It is normal to feel anxious right now. I certainly have<br />
been and with good reason. There is real uncertainty<br />
about the future. People all around us in our communities<br />
are struggling. The fundamentals of earning a salary,<br />
putting a roof over your family’s head and food on the<br />
table are things we often take for granted. At the moment,<br />
we can’t afford that luxury. Providing for our families is<br />
the No 1 priority at all times. When that was thrown into<br />
jeopardy, in what literally felt like an overnight<br />
development, it caused a fair amount of st<strong>res</strong>s.
NEW ZEALAND SPINAL TRUST 4<br />
Many years from now when COVID-19 is a “back-in-myday<br />
story” and we tell our grandchildren, about the<br />
pandemic, it is going to be some story. What will our<br />
take-aways be? I think my stand-out memory will be<br />
running along the beach, or just going for a walk around<br />
the block to get some sun on my face and get some<br />
perspective.<br />
There are a million things to worry about and, if you let<br />
your mind run away on you, you could find yourself down<br />
a deep, dark hole. Don’t go there. At the New Zealand<br />
Spinal Trust, Hans and the management team have done<br />
a great job encouraging our staff to adopt a mind-set<br />
of being grateful for what we they have and to look at<br />
this time as an opportunity. Of course, there are many<br />
days when this is easier said than done, but we must<br />
always try.<br />
During the lockdown our kids weren’t sleeping well, so I<br />
slept downstairs with our youngest daughter, Georgia, to<br />
make sure we all had some <strong>res</strong>t. Like most people, I<br />
worked from home. This meant that everything I did –<br />
where I slept, ate, watched TV and worked – was all<br />
within about 15 met<strong>res</strong> of each other. If I didn’t go outside,<br />
I could feel the weight of it all, and it started to erode my<br />
ability to cope. I needed some help.<br />
I attended a session on mindfulness with psychologist<br />
Maya Nova, which was like a breath of f<strong>res</strong>h air. Maya’s<br />
session was called “CREATING ORDER IN CHAOS –<br />
Mindful Habits and Daily Rituals”, and I highly<br />
recommend checking out her website: www.mindbalance.<br />
co.nz or booking a session.<br />
Maya provided some practical and valuable advice for<br />
right now, and there were a number of key learnings I<br />
have adopted.<br />
She says: “Mindful awareness is about learning to pay<br />
attention, in the p<strong>res</strong>ent moment, and without judgment.<br />
This reduces our tendency to work on auto-pilot, al<strong>low</strong>ing<br />
us to choose how we <strong>res</strong>pond and react. Mindfulness<br />
teaches us to <strong>res</strong>pond calmly to situations and st<strong>res</strong>sors,<br />
to recognise our unhealthy mental and emotional habits,<br />
to become more patient and tolerant, less judgemental<br />
and kinder to others and ourselves.”<br />
The four tips I adopted from Maya’s session included:<br />
1. Keeping a daily diary of what I had been doing and<br />
reflecting on it: The diary has been good to look at each<br />
night. I could ask myself what were my priorities for work/<br />
family/life and how did I measure up? What was in the<br />
way and how could I better align my priorities?<br />
2. Meditating (or, in my case, as a Christian, praying and<br />
being still): Being still right now is important. I have been<br />
working on my breathing - calming everything down and<br />
focusing on what I am grateful for and hopeful for. It has<br />
been a good mind-shift. Each morning I read from the<br />
book The Word For The Day which is sent out by Radio<br />
Rhema, and these words of wisdom are a good guide to<br />
my thinking.<br />
Many years from now when<br />
COVID-19 is a “back-in-myday<br />
story” and we tell our<br />
grandchildren, about the<br />
pandemic, it is going to be<br />
some story. What will our<br />
take-aways be?<br />
3. Starting each day with sunlight on my face: Every<br />
morning I take my cup of tea out to the front yard, sit in<br />
the sun and just have a few moments to myself. In the<br />
session with Maya, we were taught that “Sunlight and<br />
darkness trigger the release of hormones in our brains.<br />
Exposure to sunlight is thought to increase the brain’s<br />
release of a hormone called serotonin. Serotonin is<br />
associated with boosting one’s mood and helping a person<br />
to feel calm and focused.” Five minutes in the sun or<br />
daylight – no matter how cold in the morning – makes a<br />
world of difference.<br />
4. Limiting the amount of screen-time I have each day: it<br />
is so easy to spend so much of our lives looking at screens.<br />
You wake up and go straight on the phone, catch up on the<br />
world’s news on Breakfast TV, and then go straight to the<br />
laptop for the whole day, with breaks on the phone, and<br />
finish the day with a few hours watching telly. It is not<br />
good for our brains. We have to change. I have loved<br />
chipping golf balls in my front yard or taking a walk<br />
around the block and reading books. All of this is a step in<br />
the right direction of st<strong>res</strong>s management.<br />
Doing something practical about the st<strong>res</strong>s and anxiety<br />
has made a huge difference.<br />
Aside from the mindfulness, it is also really important to<br />
be honest. We may be doing it tough but so are many<br />
others. We are all in this together and, if there is one thing<br />
at which Kiwis are brilliant, it is helping others through<br />
hard times. Tell people about what you are going through<br />
and give them the opportunity to help. No one has it all<br />
sorted and, if they say they do, they are pulling your leg.<br />
There is always hope, always tomorrow. Never give up.<br />
And you know what if you are like my little Charlie and<br />
can’t hold in your cry right now, that is all right too. I am<br />
right there with you.
SPINAL NETWORK NEWS 5<br />
Supporting<br />
Positive Futu<strong>res</strong><br />
Hans Wouters<br />
CEO’s Column<br />
From L- R: Paul, Hans, Nancy and Bernadette at the new NZST Resource Centre.<br />
So, What Do You Do?<br />
I meet many new people and, if any conversation goes<br />
beyond the initial meet and greet, this is one of the most<br />
frequent questions I am asked: (So, What Do You Do?)<br />
This is how I answer “I have one of the most amazing jobs.<br />
I lead an extraordinary team of people who support folk<br />
who break their necks or backs.” A very inte<strong>res</strong>ting and<br />
fulfilling conversation always fol<strong>low</strong>s. I do have an<br />
extraordinary team of whom I am very proud. The impact<br />
we have supporting positive futu<strong>res</strong> is profound, vital and<br />
tremendously valued by those we work for and work with.<br />
The effect of the Covid-19 <strong>res</strong>trictions did not dent our<br />
determination to reach people, even though we could not<br />
access the spinal units.<br />
As I write, this edition of ‘Supporting Positive Futu<strong>res</strong>’,<br />
New Zealand has experienced one of the most<br />
extraordinary weeks in its political history. The<br />
Honourable Nikki Kaye, former Minister of ACC, whom I<br />
had the pleasure of meeting at the Beehive and was<br />
imp<strong>res</strong>sed with, announced her <strong>res</strong>ignation. Like<br />
National Party Leader Todd Muller’s <strong>res</strong>ignation at the<br />
beginning of that week, Nikki’s came out of the blue. Her<br />
reason for departing is one that is all too familiar with our<br />
team at NZ Spinal Trust and those we support; Nikki<br />
acknowledged “Cancer has taught me that life can change<br />
We have worked hard to<br />
support positive futu<strong>res</strong><br />
despite our location<br />
limitations.<br />
in a moment”. She took sick leave from her ministerial<br />
duties in 2016 for breast cancer treatment and her life, as<br />
she knew it, stopped in its tracks and was changed<br />
forever.<br />
How does one adjust to a life-changing moment? One day<br />
at a time, with deep breaths. I have encountered so many<br />
people whose world had been turned upside down by a<br />
spinal cord impairment, and have had the privilege of<br />
observing and, in some cases, supporting their journey. I<br />
liken it to a fork in the road - a whole, new unexpected<br />
path in life. What is the path like? It is rich; it is painful; it<br />
is dark; it is bright; it is hopeless; it is hopeful; it is<br />
uncertain; it is fear-filled; it is contented; it is lonely; it is<br />
crowded; it is bleak; it is even joyful. Above all, it is real -
NEW ZEALAND SPINAL TRUST 6<br />
very, very real. On this journey, one will encounter a<br />
whole other side of life which will touch them in all facets<br />
of their physical, emotional and spiritual life.<br />
Our founder, Professor Alan Clarke, declared 25 years ago<br />
that each person needs to be in charge of their own<br />
rehabilitation and that learning is key to that. That is<br />
why we have an enthusiastic team available to help.<br />
Our <strong>SNN</strong> readers who were around before 2016 will<br />
remember the beautiful Allan Bean Centre and Library<br />
located just beyond the Burwood Spinal Unit. One of the<br />
most difficult consequences of being ousted by the<br />
earthquakes from this purpose-built space was the<br />
separation of our services. The last time our three key<br />
Burwood-based services operated side-by-side in an<br />
easy-to-get-to, accessible space was July 2014. We have<br />
worked hard to support positive futu<strong>res</strong> despite our<br />
location limitations.<br />
We are so very excited because the Resource Centre Team<br />
recently joined our Vocational Rehab and Peer and<br />
Whānau Support teams in the main corridor which<br />
connects the Spinal Unit to the Gym – side by side again!<br />
Being able to see people as they roll past our office doors<br />
again and welcome them as they ‘pop in’ is a huge benefit<br />
to us. It al<strong>low</strong>s us to do so much more for families, as they<br />
negotiate one of the biggest life-shocks they will ever<br />
have. Do call in and see Bernadette and her team.<br />
Finally, in <strong>res</strong>ponse to an unprecedented number of<br />
concerns exp<strong>res</strong>sed recently by the SCI community about<br />
their carer agency, and also the variable agency <strong>res</strong>ponses<br />
How does one adjust to a<br />
life-changing moment?<br />
to the Covid-19 pandemic, we are conducting a<br />
nationwide survey of Care Agencies and their services.<br />
If you or someone you know needs a carer, we would be<br />
very grateful if you could complete the survey to help<br />
us, as we seek to improve the services. Visit our website<br />
to view the survey nzspinaltrust.org.nz<br />
If you are reading the <strong>SNN</strong> magazine for the first time<br />
I hope you find it inte<strong>res</strong>ting, uplifting and<br />
encouraging, especially if you are new to spinal cord<br />
impairment or injury.<br />
Noho ora mai - Hans<br />
PS NZST’s Annual Appeal is coming up – <strong>August</strong> 29th to<br />
September 5th. Keep an eye on your letter box for my Appeal<br />
Letter with the theme “Winning at Life”. Only 20 per cent of<br />
our funding comes from government sources (ACC, MoH,<br />
MSD, etc) so we really do rely on the generosity of our<br />
community to help support positive futu<strong>res</strong>. If you can help<br />
us out with a donation, that would be awesome!
SPINAL NETWORK NEWS 7<br />
Back in Tune<br />
The Spirited Recovery of Nick Cornish to Play the Oboe Again<br />
Nick says after what he has been through “It is almost a miracle for me now to<br />
be playing classical music with others, at a professional level”.<br />
For Nick Cornish, being able to play music is an essential<br />
part of his life. So, when that was suddenly taken away<br />
from him in November 2015 in a mountain biking (MTB)<br />
accident, he was “crushed”. The professional oboe player<br />
from Dunedin was out riding with his two brothers-in-law<br />
when things went awry. He sustained a C-6 and C-7<br />
fracture and peripheral nerve damage, which affected the<br />
extensor muscles in his fingers. He had an incomplete<br />
spinal cord injury. The now 60-year-old rehabbed at the<br />
Burwood Spinal Unit, and set the goal of being able to<br />
play the oboe again. The initial prognosis was bleak, and<br />
his days as a professional oboe player seemed to be over.<br />
But he has never given up and, after almost five years of<br />
hard work and dedication, Nick is back on track. “I’ve<br />
been very fortunate, to get my oboe playing back close to<br />
where it was before,” he said proudly. We caught up with<br />
Nick on his emotional journey, and how his love of music<br />
has played a huge role in his recovery.<br />
Take me back to November 2015…what happened in<br />
your MTB crash?<br />
I was up early to attend the Giant Demo Day at “The<br />
Redwoods” Mountain Bike Park at Wakari Road, Dunedin.<br />
I was keen to trial a couple of full suspension MTBs, as I<br />
was genuinely fascinated to know how it felt to ride one. I<br />
enjoyed the smooth ride and found myself swishing<br />
around corners faster than usual in no time! Just before I<br />
left the bike park entry, my brother-in-law, Brent, turned<br />
up with Mark, my other brother-in-law, and we filled in<br />
the forms together which said “We understand that, in the<br />
event of an accident, no <strong>res</strong>ponsibility falls on to the Giant<br />
company”, so we had a good laugh at that point!<br />
I biked to a high point in the Redwoods, where we had<br />
It took a few days for me to<br />
realise that my voice was not<br />
the same. This was upsetting,<br />
and the impact of this loss<br />
took several days to sink in.<br />
arranged to meet. Then, I made the fateful decision to<br />
attempt an advanced track called the “Roller Coaster”,<br />
which I had ridden only once before with Brent. As I<br />
approached the double bump, which Brent had said was<br />
gnarly, I had lots of zip in the wheels, but it was too much.<br />
At which point I came clean off the first steep rise into the<br />
air, and landed head first on to the hard-as-concrete track<br />
be<strong>low</strong>.<br />
My neck took the full force of my bodyweight. I’m only 77<br />
kg, but it was enough to do some serious internal damage.<br />
It was a shattering b<strong>low</strong> to my body, and I remember<br />
thinking “I’ve screwed up big this time!” My next thought<br />
was “There go my chances of playing with the New<br />
Zealand Symphony Orchestra next week”; as I was due to<br />
fly to Wellington for a week of work to play oboe in<br />
Stravinsky’s Rite of Spring. I lay prostrate on the ground,<br />
hardly able to breathe, but knowing that I had injured my<br />
neck, as an overwhelming tingling sensation was causing<br />
great discomfort in my right arm.
NEW ZEALAND SPINAL TRUST 8<br />
At the hospital, the news came through “Nick, we are<br />
sorry to tell you that you have broken your neck”, at which<br />
point Brent broke down in tears. It was a shattering b<strong>low</strong><br />
and a clear indication of how hard I had struck the ground<br />
after flying for a few met<strong>res</strong>. I had shattered two discs<br />
between C6 and C7 and dislocated my neck. There was<br />
quite a mess in there, including damage to nerves, which<br />
connected to my hands and fingers.<br />
The next day I was f<strong>low</strong>n to Christchurch and transferred<br />
to Burwood, where I had an operation. I had a titanium H<br />
plate screwed into my neck to secure the shattered bones,<br />
and the surgeons inserted some thigh bone into my neck<br />
in place of the discs which had been destroyed… all very<br />
clever! It was the start of my new life.<br />
How hard was the rehab at Burwood, and the<br />
mental adjustment?<br />
At first I struggled to compute the whole event of flying off<br />
a bike and injuring myself so badly. It was the <strong>res</strong>ult of a<br />
reasonable decision I’d made to test out a few new bike<br />
models. I was excited to see how they felt to ride...nothing<br />
bad happening entered my mind. So here I was lying in a<br />
hospital bed, having had an operation to fix my neck…I<br />
actually felt very grateful to the surgeon, who did a great<br />
job of putting things back straight in my neck again.<br />
At this stage, I clearly recall not being able to hold a phone<br />
in my hand, but I wasn’t sure why. I guess the drugs were<br />
keeping me comfortable. I was taking 19 tablets per day at<br />
the start. All the Burwood staff were so kind, patient and<br />
friendly. I had to be moved around in my bed every four<br />
hours to stop getting bedso<strong>res</strong>.<br />
It took a few days for me to realise that my voice was not<br />
the same. One of the nerves controlling my vocal cords<br />
was paralysed, and I couldn’t speak normally. This was<br />
upsetting, and the impact of this loss took several days to<br />
sink in. Within 24 hours I had started to write a blog of my<br />
rehab time at Burwood, which I published on Facebook so<br />
my friends could keep up with developments and news.<br />
The blog turned into a great form of therapy, helping me<br />
to exp<strong>res</strong>s thoughts and feelings at the time. I had a lovely<br />
view from the window by my bed of trees and shrubs.<br />
It was spring time and the weather was warming up by<br />
the day.<br />
A pleasant routine developed over the next few days. My<br />
wonderfully supportive wife, Megan, was staying at Ranui<br />
House in town, so she was able to drop round every day.<br />
She took leave from her job teaching at her Dunedin high<br />
school for the duration of my stay at Burwood… her<br />
school, Kaikorai Valley College, was totally supportive of<br />
her taking time off.<br />
I was blessed to have not just Megan with me, but also my<br />
fabulous stepdaughter Hannah too. Mark, my<br />
brother-in-law, was also there, he was an amazing nurse!<br />
How hard was it physically?<br />
After a few days in bed, it was time to get my body up and<br />
moving around again…I had no idea what sort of struggle<br />
lay ahead! I experienced severe abdominal cramps, as I<br />
tried to push myself up in bed. I had apparently also<br />
Nick says his family and friends have been a huge part of his recovery.<br />
cracked T-11, but the doctors weren’t concerned about<br />
that…I still don’t know what caused the very<br />
uncomfortable cramps.<br />
Just managing to straighten up in bed was an ordeal but<br />
it was the first attempt at standing that was weird.<br />
I didn’t feel connected to my feet at all! With lots of<br />
encouragement, I took my first tentative steps, with the<br />
physios checking my every move! I managed to walk over<br />
to the wheelchair at the end of the bed, and carefully<br />
<strong>low</strong>ered myself into it. It was a moment of triumph – I had<br />
quite a few witnesses!<br />
Now, I could be wheelchaired down the corridor to have<br />
my first look around the place. I distinctly remember my<br />
first sip of coffee after four days of pill-taking and liquids,<br />
was mind b<strong>low</strong>ing! The intensity of the flavour was like an<br />
explosion in my brain. Then the sweetness of a piece of<br />
caramel slice, which my friend Paul had given me, was<br />
similarly off the Richter scale in taste terms! My first<br />
mouthful of ice cream was also a powerful memory. We<br />
should try to cleanse our palates more often in normal life.<br />
I enjoyed the physical rehab and had lots of fantastic<br />
physios to assist me. It was, however dep<strong>res</strong>sing to see how<br />
weak the muscles were in my right hand with some of the<br />
exercises I had to do. I was getting a picture of the impact
SPINAL NETWORK NEWS 9<br />
Nick Cornish says playing music again was an emotional experience.<br />
on my fingers, which I absolutely relied on in my capacity<br />
as a professional woodwind player. I was devastated to see<br />
how useless they seemed to be in the extensor muscle<br />
building/testing exercises. I was only in a wheelchair for<br />
a few days before they told me I had to start walking<br />
around unaided.<br />
In physio class, I was made to lift weights, walk in straight<br />
lines and balance on wobbly things. The support from the<br />
physio staff was so positive and encouraging, that it was<br />
always a question of pushing the effort and achievement<br />
to the next level, on every occasion. My physical condition<br />
improved incrementally, but I still had a long way to go.<br />
I remember my first go on the bike trainer and managing<br />
to ride for 10km. I was imp<strong>res</strong>sed with that! And it was fun<br />
to sit on a bike again.<br />
When did you start trying to play music again?<br />
After a few weeks at Burwood, I was inte<strong>res</strong>ted in knowing<br />
whether I had any chance of playing the oboe again.<br />
Megan made a return trip to Dunedin and picked up a few<br />
instruments. I had already played a few sessions on the<br />
Burwood chapel piano, and realised then that my ability<br />
was shattered into pieces. What chance did my oboe<br />
playing have?<br />
The next few days confirmed my worst fears – essentially,<br />
that my right hand lacked sufficient strength to even hold<br />
the oboe up, and the fingers were impossible to control.<br />
My oboe playing days were over. This realisation was the<br />
hardest moment I had experienced since the accident…I<br />
had spent my life developing skills on a very specific<br />
instrument which I would never be able to play again.<br />
This was absolutely crushing.<br />
I play other wind instruments, and the saxophone has<br />
always been another very good friend. Unbelievably, I<br />
discovered that my fingers managed to move around the<br />
sax keys all right, mostly because there were not as many<br />
problems with gravity.<br />
I was thrilled when Hans<br />
Wouters [NZ Spinal Trust<br />
CEO] invited me to play<br />
a duet with him at the<br />
BSU Christmas Function<br />
that year....it was to be<br />
Greensleeves, and could I do<br />
a short sax solo in the middle<br />
section? I jumped at the<br />
opportunity.<br />
I was thrilled when Hans Wouters [NZ Spinal Trust CEO]<br />
invited me to play a duet with him at the BSU Christmas<br />
Function that year….it was to be Greensleeves, and could I<br />
do a short sax solo in the middle section? I jumped at the<br />
opportunity. Hans is a very talented chap, singing and<br />
playing guitar with skill and conviction, and the duet was<br />
well received. It was certainly a big moment for me in the<br />
recovery process, inspiring confidence.<br />
Rehabilitation is an emotional journey – were there<br />
any staff at BSU who stood out for you?<br />
I loved the professional team at Burwood, but a few people<br />
stood out for me - one was Lincoln – he always encouraged<br />
me to have aspirations. I asked him about my chances of<br />
playing oboe again, and he reckoned I had a slim chance of
NEW ZEALAND SPINAL TRUST 10<br />
getting back to professional-level playing. I am very happy<br />
to say that I am playing again, and have been for the last<br />
two years, with the Dunedin Symphony Orchestra and<br />
with other professional music groups. It certainly has been<br />
a tremendous struggle, but I tried not to give up hope of<br />
ever playing again.<br />
How did you refocus your musical ability and talent?<br />
After two years of struggling to play oboe again, I set my<br />
heart on playing bassoon to a pro-level. I practised hard<br />
for hours, learning finger patterns and playing long notes.<br />
I made great prog<strong>res</strong>s and auditioned for the Dunedin<br />
Symphony Orchestra.<br />
Clearly, I still had work to do, as they politely gave me a list<br />
of things to work on! I took a trip to Sydney where my son,<br />
Todd, helped me to find a bassoon to purchase. He played<br />
principal bassoon for the Sydney Symphony Orchestra.<br />
After the trip and choosing a bassoon, I returned to<br />
Dunedin and had one final go at playing oboe. I scraped<br />
reeds over a week-end (professional oboe players always<br />
make their own reeds) and gave the oboe one more go. I<br />
hadn’t tried it for months, as it was always such a difficult<br />
experience. Unbelievably, my efforts paid off, and a<br />
revelation occurred.<br />
How important has playing music been for you during<br />
your recovery, and what do you love about playing the<br />
oboe?<br />
Playing the oboe for me is a way of perceiving beauty in<br />
the natural world, and rep<strong>res</strong>enting it in the best way I<br />
can, using the sound of the oboe. It is a way of exp<strong>res</strong>sing a<br />
huge range of emotion from sadness through to complete<br />
elation, and every nuance in between. The mystery of<br />
music is in the unspoken word, in the inexp<strong>res</strong>sible<br />
emotion which is only communicated through musical<br />
sound. In playing music, you can reach a connection with<br />
the essence of feeling emotion and sharing that with<br />
others. Playing music in a group is always a powerful way<br />
to work, as you can connect with the emotion of master<br />
composers from many years ago.<br />
It must be incredibly rewarding to play music, after all<br />
you have been through?<br />
It is almost a miracle for me now to be playing classical<br />
music with others, at a professional level. It is an<br />
incredibly rewarding and joyful experience. I have such a<br />
lot to be thankful for, as I am still employed to teach music<br />
in schools, as an itinerant woodwind teacher in Dunedin.<br />
Also, I have great family support, which was a key part of<br />
my recovery too.
SPINAL NETWORK NEWS 11<br />
NZ Spinal Cord<br />
Impairment Action Plan<br />
How well did it work?<br />
- Rachelle Martin, Matt Aldridge and Jo Nunnerley<br />
During 2019, the Burwood Academy of Independent<br />
Living (BAIL) team conducted <strong>res</strong>earch to evaluate how<br />
effectively the New Zealand Spinal Cord Impairment<br />
Action Plan (NZSCIAP) had been implemented.<br />
What was the NZSCIAP?<br />
The NZSCIAP was developed by the Accident<br />
Compensation Corporation (ACC) and the Ministry of<br />
Health (MOH) in collaboration with a wide range of<br />
stakeholders across the health system - including<br />
consumer groups, professional bodies, expert clinicians,<br />
district health boards (DHBs) and <strong>res</strong>earchers. The Action<br />
Plan was implemented between 2014 - 2019 and led by a<br />
national governance group made up of service managers,<br />
senior clinical leads and community rep<strong>res</strong>entatives<br />
across spinal cord injury (SCI) services<br />
The NZSCIAP had eight objectives, focusing on different<br />
aspects of service delivery. It was hoped the NZSCIAP<br />
would improve health and wellbeing outcomes for those<br />
with SCI (and their families/whānau), including<br />
independence and community participation.<br />
How did we evaluate NZSCIAP effectiveness?<br />
Three main types of data were collected:<br />
• 151 online surveys - completed by adults with SCI, their<br />
families/whānau, carers, and health-care professionals<br />
• 17 interviews - conducted with both adults with SCI and<br />
children/adolescents with SCI (and their nominated<br />
family/whānau member).<br />
• Organisational process and outcome data requested<br />
from funders, service providers, and the NZ Spinal Cord<br />
Injury Registry (NZSCIR)<br />
What did we find?<br />
“There have been improvements with the service changes<br />
implemented through the NZSCIAP. However, there was<br />
still significant room for improvement in all areas of<br />
delivery - from in-patient to community fol<strong>low</strong>-up, to GP<br />
management and community care, education, and<br />
accessibility [for] people of varying socio-economic<br />
status, cultu<strong>res</strong>, location, and funding streams.”<br />
[HCP working in specialist unit]<br />
What worked well?<br />
The NZSCIAP provided a positive platform for collective<br />
action by funders, service providers and organisations.<br />
Having agreed goals about what needed to happen across<br />
the range of services within New Zealand was helpful, as<br />
There is no transparency<br />
around the decision-making<br />
process (NZSCIAP Evaluation<br />
PLEx Advisor).<br />
was the opportunity for the governance group to meet<br />
regularly to plan and work collaboratively on the next<br />
steps. The NZSCIAP document was a good way to keep<br />
everyone heading in the same direction, and also<br />
helped secure funding for <strong>res</strong>earch and service<br />
development improvement projects.<br />
Some of the projects developed and implemented as<br />
a <strong>res</strong>ult of the NZSCIAP:<br />
• A destination policy was introduced across New<br />
Zealand, so people who have a traumatic SCI are<br />
transported straight to one of the two specialist<br />
spinal services, unless life-saving intervention is<br />
needed at a closer hospital. This means people can<br />
get surgery earlier, and early treatment by people<br />
with specialist SCI knowledge. Before the destination<br />
policy was implemented, only 30% of people were<br />
admitted directly to these specialist spinal cent<strong>res</strong>.<br />
This has now increased to 70%. The average time<br />
from admission to the specialist spinal cent<strong>res</strong> to<br />
surgery has also reduced from 15 to 8 hours. Work is<br />
still needed to make sure that people with<br />
non-traumatic injuries or other health issues gain<br />
timely access to the units.<br />
• A specialist SCI service for children and<br />
adolescents with SCI was set up at Starship<br />
hospital, with rehabilitation at the Wilson Centre.<br />
Most (83%) of the healthcare professionals surveyed<br />
agreed that the implementation of the specialist<br />
service has helped children/adolescents with SCI to<br />
achieve optimal health and wellbeing. Interviews<br />
with children/adolescents also suggest a high level of<br />
satisfaction with services provided by Starship<br />
Hospital and the Wilson Centre. It is unclear if all<br />
children/adolescents with SCI are being offered<br />
access to the service, particularly those with<br />
non-traumatic or incomplete injuries. Next steps<br />
need to focus on how best to support children/
NEW ZEALAND SPINAL TRUST 12<br />
adolescents and their families/whānau, once they are<br />
discharged. Parents describe a lack of information and<br />
control over processes after they go home. They do not<br />
know what to advocate for, what services are available,<br />
and how to access them. Children are continually<br />
growing, and their needs changing, but the system does<br />
not seem to be able to keep up with this change.<br />
• The NZ Spinal Cord Injury Registry (NZSCIR) now<br />
routinely collects data that can be used for <strong>res</strong>earch<br />
purposes to help understand the number of people<br />
experiencing SCI, and to provide information to<br />
improve services. Between <strong>August</strong> 2016 and December<br />
2018, information on 480 people with a new SCI has<br />
been collected. Of those, 326 people consented to have a<br />
‘full-set’ of data collected. This data is already<br />
providing valuable information about the number and<br />
type of injuries in New Zealand, as well as how well<br />
services are doing at providing care. Registry staff are<br />
currently working to ensure that fol<strong>low</strong>-up information<br />
will be collected from people living in the community,<br />
who consented. This community fol<strong>low</strong>-up data will<br />
provide information about everything from secondary<br />
complications, pain management, people’s ability to do<br />
the things they want to do, and return to work rates. All<br />
very useful for making sure people’s health and<br />
wellbeing needs are being met in the future!<br />
• An attendant care in hospitals project has been<br />
piloted. This project looked at how feasible it would be<br />
to al<strong>low</strong> people with SCI to use their existing carers for<br />
specific duties, if they are admitted to a non-specialist<br />
SCI service hospital. An evaluation of this pilot is<br />
currently being finalised. Overall people seem to think<br />
it is a great option.<br />
What could be improved?<br />
As expected, there is still more work to do! We wanted to<br />
summarise what we have learnt from the people who told<br />
us of their experiences, so as to provide some practical<br />
suggestions to people funding and providing SCI services:<br />
• Equity of access to services. Overall, inequity of<br />
access to SCI services was a key issue identified across<br />
all objectives and by all stakeholders. Strong<br />
self-advocacy fol<strong>low</strong>ing discharge from SCI services<br />
appears to be important, creating inequity of outcome<br />
for those who, for a multitude of reasons, are unable to<br />
advocate for themselves. We recommended establishing<br />
mechanisms to improve access to and navigation<br />
through services for those most at risk of poor health<br />
outcomes. We also recommended that <strong>res</strong>ources and/or<br />
tools be developed which facilitate communication and<br />
increase transparency of decisions. We felt that these<br />
would empower the person with SCI (and their family/<br />
whānau) to more effectively advocate for themselves.<br />
• Working together to find solutions. We found that<br />
improvements, which contribute to meaningful<br />
changes in health outcomes, were more likely to be<br />
made, if providers and consumers worked together to<br />
find solutions to complex problems. We thought that<br />
more effort needs to be made to include a diverse range<br />
of people in service design projects. These should<br />
The NZSCIAP focused on different aspects of service delivery.<br />
consist of Māori, health professionals and carers<br />
working in both acute and community settings, and<br />
people with SCI rep<strong>res</strong>enting a range of different levels<br />
of injuries, funding models, and other personal<br />
characteristics.<br />
• Innovative ways to provide services. We also<br />
recommended that innovative outreach service delivery<br />
options be explored. We particularly wanted to make<br />
sure that everyone with SCI (including children/<br />
adolescents) receive timely and <strong>res</strong>ponsive reviews of<br />
their health and rehabilitation needs, once they are<br />
discharged from specialist spinal services, and then<br />
over the coming years. Current systems and processes<br />
are not working as well as they could be – either for the<br />
people with SCI or for the service providers.<br />
After reading many survey comments and listening to<br />
lots of interviews, we also have a few specific suggestions<br />
about what service ‘sticking points’ should be prioritised<br />
over the next few years:<br />
• Pain management. Many people with SCI (and their<br />
families/whānau) talked about the need for improved<br />
pain services (i.e. including within supra-regional<br />
units). Pain management plans and support also need<br />
to be provided in a timely manner.<br />
• Housing modification processes. Improved processes<br />
(and transparency of processes) for housing<br />
modifications are needed to (a) reduce the need for<br />
temporary accommodation and (b) to increase the<br />
speed of work completion. At the moment, issues with<br />
housing modifications are contributing to secondary<br />
complications, and <strong>res</strong>tricting people with SCI taking<br />
part in community activities.<br />
• Transitioning from child to adult services.<br />
Currently, the processes for transitioning to adult<br />
services for children with SCI are inconsistent, and<br />
these young adults are not receiving the level and type<br />
of support they need to live well with SCI.<br />
• Peer support. Ongoing work and funding are needed to<br />
make sure that everyone (including families/whānau<br />
and children with SCI) receive peer support as and<br />
when they need it. Those who received peer support<br />
found it very helpful. However, 26% of adults with SCI<br />
and 43% of family members, who took part in the<br />
<strong>res</strong>earch, were unaware of the service. Much work by<br />
Spinal Support New Zealand and the New Zealand<br />
Spinal Trust has been done to ensure that the peer
SPINAL NETWORK NEWS 13<br />
support services are consistent across New Zealand,<br />
with both charitable organizations employing peer<br />
supporters to work within the units.<br />
• Managing carers. Paid carers in the study generally<br />
felt they have an appropriate level of knowledge and<br />
experience, and think they have been adequately<br />
trained for their role. The majority of adults with SCI<br />
agreed that their carers have an appropriate level of<br />
knowledge and are reliable. However, only 35% of adults<br />
with SCI agreed they had received adequate training<br />
and support on how to manage their carers. Therefore,<br />
we recommended that people with SCI are provided<br />
training on how to manage carers, not just how to direct<br />
care. Family members reported that they were not<br />
confident that their family member would be well cared<br />
for, if they were sick or wished to take a holiday –<br />
regardless of whether or not a care agency primarily<br />
provides their support or not.<br />
There were some objectives about which people with SCI<br />
(adults and children) and their family/whānau had a lot of<br />
say - what worked well, what didn’t work so well, and what<br />
could be improved.<br />
Objective 4 – Provide nationally-consistent SCI<br />
rehabilitation services and extend community-based<br />
rehabilitation<br />
This was one of the broadest objectives. It was also the<br />
one which received the most extensive range of <strong>res</strong>ponses<br />
- from people having fantastic experiences to the<br />
complete opposite. The inequity between MOH- and<br />
ACC-funded clients was highlighted throughout the<br />
feedback on this objective. Currently, there seems to be<br />
little evidence of specific actions occurring to reduce the<br />
impact of these funding differences.<br />
A key issue identified was the absence of support in<br />
navigating the system - people simply did not know what<br />
they were entitled to or what was available. After<br />
discharge from the spinal units, people described<br />
fragmentation of services, which was amplified for those<br />
with MOH funding. If people did not live close to one of<br />
the spinal units (i.e. close to Christchurch or Auckland), it<br />
was harder to access support and services. People with<br />
SCI described many instances where they knew what<br />
equipment/service they needed and what would work for<br />
them but, often, the health care professional would not<br />
provide this. People also identified pain management and<br />
psychological services were not meeting their needs.<br />
Some community health providers also described<br />
difficulty getting information and advice from the<br />
spinal units.<br />
“In my experience, the issue cent<strong>res</strong> on how well anyone<br />
with an SCI or their support can advocate for themselves.<br />
There is no transparency around the decision-making<br />
process.” (NZSCIAP Evaluation PLEx advisor)<br />
“Although some spinal unit therapists are good at<br />
communicating with community therapists, many aren’t,<br />
and it is really unhelpful for clients when they receive two<br />
different lots of advice, i.e. at fol<strong>low</strong>-up clinics. The unit<br />
therapists are clinical experts in SCI, but those of us in<br />
community have specialised skills too, and we need to work<br />
together and <strong>res</strong>pect each other’s viewpoints. I would love<br />
the opportunity every couple of years to network with the<br />
teams (e.g. Skype) and for each of us to ask questions and<br />
make sure we’re on the same page with all our advice.”<br />
[Community health care professional]<br />
Objective 5 – Review and align MOH and ACC processes<br />
for access to equipment, housing modifications<br />
and transport<br />
All the people that we surveyed or spoke with referred to<br />
the inequity of access to equipment, housing and vehicle<br />
modifications between those receiving ACC funding and<br />
those receiving MOH funding, especially once they were<br />
living in the community.<br />
Most people thought they received appropriate<br />
equipment in a timely way. However, housing and<br />
housing modifications were identified as an issue, with<br />
one-third of survey participants stating that they were in<br />
temporary accommodation for too long. People described<br />
a lengthy and frustrating housing modification processes.<br />
Several people talked about injuries (including burns,<br />
p<strong>res</strong>sure areas and musculo-skeletal injuries) <strong>res</strong>ulting<br />
from a house not meeting their needs, while awaiting<br />
permanent modification.<br />
“After two years three months, housing modifications are<br />
not done yet, vehicle modification done but still waiting<br />
several bits of equipment to be assessed to return to social<br />
things… So, in the meantime, my partner is waiting and<br />
becoming more reclusive, more isolated, extremely<br />
frustrated and dangerously dep<strong>res</strong>sed each week that goes<br />
by! There is nothing I can do to make it better, so I’m now<br />
stuck too.” [Family member]<br />
It appears more effort needs to be made to include family<br />
in decisions around equipment, housing and vehicles to<br />
ensure that the needs of the entire whānau are considered<br />
in the decision-making process.<br />
This <strong>res</strong>earch was commissioned and funded by the<br />
Accident Compensation Corporation (ACC). The content<br />
and conclusions p<strong>res</strong>ented here do not necessarily rep<strong>res</strong>ent<br />
the official position of ACC or rep<strong>res</strong>ent ACC policy<br />
The average time from admission to the specialist spinal cent<strong>res</strong> to surgery<br />
has also reduced from 15 to 8 hours.<br />
The full NZSCIAP report is now available https://www.acc.<br />
co.nz/assets/<strong>res</strong>earch/sci-action-plan-2014-2019-<br />
evaluation-report.pdf
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SPINAL NETWORK NEWS 15<br />
Telling It Like It Is<br />
Teina Boyd’s Column<br />
I cried last night.<br />
Twice.<br />
Once from overwhelming gratitude. Love.<br />
The other from regret. This couldn’t be the end...<br />
Rewind.<br />
Volleyball nationals and its semi-final night. Two of my<br />
best mates are out there playing hard, and I’m SO excited.<br />
Great volley everywhere and I’m surrounded by beautiful<br />
friends.<br />
Literally surrounded.<br />
Flopped over in my wheelchair beside a packed-out<br />
bleacher, I was having a p<strong>res</strong>sure relief.<br />
Toots chatting away in one ear, keeping me updated on<br />
the sco<strong>res</strong> while my eyes were down in action. Leigh<br />
snuggled up on my right arm<strong>res</strong>t. Damo leaning on the<br />
back of my chair - being patient with my little man as he<br />
asks a million questions, Nick standing nearby... where<br />
he’s been for the last two days.<br />
I feel loved.<br />
I can’t tell you how much this all means to me. My friends<br />
treating my chair so mundanely. It’s not a huge white<br />
elephant in the room, or something to avert your eyes<br />
from. It’s just...my chair.<br />
Leigh puts her hand on my back, and Toots asks if I’m<br />
ready to come up. Their love and acceptance of my<br />
disability - it floors me.<br />
Heke ana nga roimata. The tears fall.<br />
How happy can one person be? Is there a limit? If there is<br />
- I’m stretching it.<br />
Toots lifts me back up in my chair as I try to keep my face<br />
down and hide the tears. She sees anyway. Damn it. I<br />
explain. I’m just happy. And grateful. And I love them.<br />
Cue hugs from the girls and one of the guys telling me to<br />
“Shush Man”. It’s enough to make me laugh and get back<br />
into the games.<br />
Fast forward.<br />
Both courts are on the fifth set.<br />
Something’s wrong.<br />
I thought I was just getting excited - short quick breaths.<br />
Sadly, that wasn’t the case. I could feel my heart speeding<br />
up, my lungs getting harder to use (weak things that they<br />
are), my body starting to sweat and a headache creeping<br />
in.<br />
Shit. Autonomic Dysreflexia. My body is trying to warn<br />
Teina Boyd is a regular columnist with the NZST helping others with an SCI.<br />
me something’s seriously wrong.<br />
I need to <strong>low</strong>er my blood p<strong>res</strong>sure. Quick.<br />
“Sharon, we need to leave, now please”.<br />
This last week my volleyball family have done such an<br />
amazing job at welcoming me back, I don’t want to pay<br />
them back by having a heart attack in the middle of the<br />
semi-finals.<br />
Sharon and I get in the van and boost. The hospital is so<br />
far away. Damn it.<br />
“GO Sharon, get me home now, I’ll pay the tickets.”<br />
(Silver lining: Sharon, my carer, is great at ignoring speed<br />
limits)<br />
Home has everything I need to fix this, and quick.<br />
The headache becomes all consuming. There are<br />
moments where I lose my vision, others when I just see<br />
red. The pain is only just bearable. I have to stay ‘with it’, I<br />
have to instruct my carers to tell them how to fix me.<br />
Police lights. Shit. I’m declining fast.<br />
“Sharon, pull over. Get out. Come to me”.<br />
She does.<br />
“Take my binder off please, we need to <strong>low</strong>er my blood<br />
p<strong>res</strong>sure. I’ll talk to him”.<br />
She’s panicking, fumbling with my top. Shit, last thing I<br />
need.<br />
“Deep breaths Sharon, you’re doing awesome”. I try to<br />
smile for her.<br />
He’s there. Yel<strong>low</strong> neon police vest hurts my eyes. I don’t<br />
let him talk.<br />
“Sir. I need you to listen. I don’t have long. I am suffering
NEW ZEALAND SPINAL TRUST 16<br />
autonomic dysreflexia and I am on my way to having a<br />
heart attack. I need to get home to my emergency<br />
medication. Now”.<br />
He looks stunned. I go blind.<br />
(Silver lining: He listened. He took us home)<br />
Blurs, flashing lights, panicked voices. I’m lost in the dark<br />
and can’t get enough of a mental foothold to come back.<br />
Shit is this it?<br />
It can’t be. I didn’t even kiss and hug Willie goodbye. Or<br />
Brad. Or Anna. Or Nick, Toots or Leigh.<br />
No way. This is NOT it.<br />
I get enough of a foothold to focus on my breathing.<br />
Deeper, s<strong>low</strong>er. After a minute, I can talk again.<br />
“Sharon. Pain killers. On fridge. GTN spray. On bedside<br />
table. Get them. Quick”.<br />
She runs. She’s crying. Leuila Is running up the<br />
driveway… I’m so glad it’s changeover of shift time. Four<br />
hands are better than two.<br />
I’m gone again. No warning.<br />
Then I’m back, confused. Trying to make sense of<br />
everything through the headache.<br />
“Get me on the bed, quick. Check my bladder and bowel.<br />
Emergency catheter change. Now”.<br />
Shit even I sound a bit panicked now. I can hear it<br />
reflected in their voices. In the sound of them dropping<br />
medical supplies and their hurried breaths.<br />
“Guys. You’re doing great. Deep breaths K. We got this”.<br />
They’re crying. But I feel their energy change. Refocus.<br />
This time I do make a smile for them.<br />
“Leuila. Emergency catheter change. Sharon. Call an<br />
ambulance”.<br />
I’m gone.<br />
I’m back. This headache, I hate it. Why can’t I see? I’m<br />
sweating. I hear Sharon panicking on the phone.<br />
“Give me the phone Shaz, it’s ok”.<br />
She holds the phone to my ear.<br />
I’m blind. Talking hurts. But I can do it. I can’t hear the<br />
operator. My heart is beating fast, and loud. I think it’s<br />
ripped itself out of my chest and someone’s shoved it back<br />
into my head. How is my heartbeat so loud?<br />
“Ambulance please”.<br />
I talk to the man on the other end of the line. He doesn’t<br />
understand the urgency. I’m calm, I explain. S<strong>low</strong>ly.<br />
Words are hard. My lungs. They want to <strong>res</strong>t.<br />
My head is ready to explode. I see white....and the pain<br />
stops for a second. The pain, its rallying its forces for the<br />
next attack. I relax....I start planning for the worst.<br />
“Sharon. I don’t have a will. It all goes to Brad for Willie<br />
K?”.<br />
“Yes T”.<br />
I’m gone again... I slip<br />
away quietly this time. One<br />
loud, painful heartbeat<br />
overwhelms me. A dam<br />
bursts in my head...and I’m<br />
carried away on the flood<br />
as the light fades.<br />
They’re crying again. I quietly join in. I know Brad will be<br />
fair and give my family anything they need.<br />
I’m gone again... I slip away quietly this time. One loud,<br />
painful heartbeat overwhelms me. A dam bursts in my<br />
head...and I’m carried away on the flood as the light fades.<br />
I’m yanked back roughly. I’m in the ambulance. Beeping<br />
machines. A kind face. Her lips are moving but I can’t<br />
hear her. I smile. The headache is so much quieter. I can<br />
breathe again. I fill my lungs.<br />
YES!<br />
I see the blood p<strong>res</strong>sure monitor.<br />
220/177. Shit.<br />
(Silver lining: I’m still here)<br />
I blink heavily...I’m gone again. I don’t think I’m coming<br />
back this time guys. Sorry.<br />
So many regrets. But they float away with me. We<br />
disappear. I remember the sound of rushing water, and<br />
everything fading to black… Including me.<br />
It’s silent, and dark… I feel like I’m waiting, but I don’t<br />
know what for.<br />
Stubble on my cheek. I feel it.<br />
I feel it?<br />
I open my heavy eyelids.<br />
Brad. Hugging me gently. Sammy behind him, smiling<br />
with teary eyes. I’m in the hospital.<br />
Wait...I’m waking up?<br />
I feel.... I can actually focus my eyes.<br />
My mind too. Headache’s smaller. It’s more like the<br />
neighbour’s bass playing on a Friday night now, instead of<br />
The Prodigy playing at the base of my skull.<br />
Whoa that feels good. I feel lighter. Pain easing. Blood<br />
p<strong>res</strong>sure settling. Inhale...lungs filling.<br />
YES!<br />
Eyes close…exhale and smile.<br />
I’m not going anywhere tonight.
SPINAL NETWORK NEWS 17<br />
NZ Spinal Trust & Melrose Wheelchairs<br />
Motor Racing Experience<br />
AT HigHlANdS MoToRSpoRT pARk<br />
Calling all adrenalin junkies! Here’s your chance to<br />
experience the thrill of driving a Mustang at the<br />
Highlands Motorsport Park in beautiful Cromwell.<br />
On Saturday 10th October there will be an opportunity to<br />
race a Mustang on the international racing track at Highlands<br />
Motorsport Park. The Highlands Mustang has “Push-Pull”<br />
hand controls, a racing seat with harness and a HANS neck<br />
brace and helmet. Your time on the track will be spent with an<br />
experienced racing car driver, who will take you around part of<br />
the circuit and show you the ropes.<br />
The team at Melrose Wheelchairs and Highlands Motorsport<br />
Park are keen for everyone to experience this opportunity.<br />
Contact Brett Ladbrook at the New Zealand Spinal Trust for<br />
bookings and more information, please note there are limited<br />
spaces available so get in quick. Phone: 03 387 1305 or email:<br />
brett.ladbrook@nzspinaltrust.org.nz<br />
Just like the racing Mustang, our Scorpion has gone on<br />
a diet to remove weight <strong>res</strong>ulting in a frame and<br />
upholstery package that weighs less than 4.00 kg.<br />
Contact Melrose Wheelchairs to trial the new Scorpion.
NEW ZEALAND SPINAL TRUST 18<br />
A Wise Head on<br />
Young Shoulders<br />
The Positive Outlook of Teenager Jayden Glentworth<br />
Jayden and his two sisters Jazz and Zoe have only grown<br />
closer since his accident.<br />
Jayden Glentworth returned to the spot where his life had<br />
changed for ever. Six months ago, the 15-year-old from<br />
Palmerston North was involved in a mountain-biking<br />
accident on the Arapuke Fo<strong>res</strong>t Park trails, which saw him<br />
sustain a T-12 burst fracture in his spine.<br />
On this cool winter afternoon, Jayden paused for a<br />
moment in his wheelchair to look at the River Gap jump to<br />
reflect. It was just a moment. That was enough. It was<br />
time to get on with his new life.<br />
“It was a good feeling to be back,” said Jayden from his<br />
family home. “It was a bit hard looking at the jump where<br />
I had my crash but, then again, there is no point me<br />
dwelling on the negative. I’d rather get back out there<br />
instead of sitting on my ass at home thinking about it.<br />
I’d rather just get on with life.”<br />
Jayden loved to mountain bike like a duck loves water. His<br />
long-term goal is to get back on his bike but, right now, he<br />
has shifted his focus to another passion. He is up on the<br />
trails taking photos and videos of his mates riding. There<br />
is nowhere else he’d rather be.<br />
“I’d obviously love to be on my bike and experiencing it<br />
myself, but it’s still so awesome to be up there and with<br />
the boys, and soaking it in. To be making a video in that<br />
environment was cool. I love it up there.”<br />
Talking to Jayden, it is clear he is a <strong>res</strong>ilient young man.<br />
He has been on a tough journey, where his <strong>res</strong>olve has<br />
been tested every step of the way, but he is not giving up.<br />
He is looking forward.<br />
“One of my main drivers for my photography is hanging<br />
out with my mates,” he said. “That is the main thing for<br />
me. Video and photography are things I was inte<strong>res</strong>ted in<br />
before my accident, and could do quite competently so I<br />
am looking forward to building on what I can do, and<br />
doing some cool stuff. It was just nice to hang out with my<br />
mates again.”<br />
It was probably easier being back, as Jayden can’t really<br />
remember what happened on that fateful day.<br />
He was out mountain biking with two good mates from<br />
Wellington in the Palmerston North MTB Park. They were<br />
enjoying the trails, when they came across a big jump – a<br />
5m clearing – which Jayden completed most weeks<br />
without drama.<br />
“I remember rolling into the jump and I remember curling<br />
up on the ground in a ball,” he said. “I came to when I was<br />
curled up in a ball, and it all just felt a bit wrong, so I lay<br />
back on the ground and had a breather.<br />
“I realised then my legs were feeling a bit tingly. I tried to<br />
move them, and I couldn’t. My mates said ‘Are you all
SPINAL NETWORK NEWS 19<br />
right?’… you had a really bad landing’. And I remember<br />
saying ‘Boys, I can’t feel my legs’.”<br />
His mates called an ambulance and he was f<strong>low</strong>n by<br />
helicopter to Christchurch Hospital for emergency<br />
surgery on his spine. Jayden’s most vivid memory was an<br />
overwhelming feeling of fear.<br />
“I had a panic moment and then I tried to chill out with<br />
the boys, and had a bit of a prayer time with them. I was<br />
really scared.”<br />
Jayden spent six days in Christchurch Hospital recovering<br />
from his surgery and then three months in the Burwood<br />
Spinal Unit (BSU), where his rehabilitation began.<br />
He said he owes the team at BSU a huge amount for how<br />
much they helped him.<br />
“The first few weeks were really hard. It was a challenge<br />
just getting up and out of bed, and my body was really<br />
sore, but the help of the team there was huge. It was a<br />
great experience.<br />
“My OT [Occupational Therapist] and physio told me that<br />
they had seen plenty of cases like mine and they just<br />
wanted me to get me moving and rehabilitated as best<br />
they could. They were so encouraging in my<br />
development.”<br />
The hardest part of the mental challenge was the<br />
adjustment of returning home to Palmy.<br />
“I did throw myself into a lot of the physical challenges,”<br />
he said. “Getting out of bed and getting that confidence<br />
up to be able to roll up and down the hallway to the gym.<br />
Once I had that confidence, it was a really good<br />
experience, it was a mental shift for me.”<br />
His parents, Mark and Kathy, were omnip<strong>res</strong>ent<br />
throughout every moment of his stay at the BSU.<br />
“It was pretty awesome having my parents there every<br />
day of the journey. They have just kept me positive and, to<br />
know they were there to chat about stuff, has been huge.<br />
“If I was ever hungry, they would whip down to Burger<br />
King and get me a burger and a sundae. They are awesome<br />
supporters of me and there is no doubt that I couldn’t<br />
have done it without them.”<br />
When he was in Burwood, Jayden had plenty of time to<br />
think. He wrote down the goal of walking out of the<br />
hospital but, unfortunately, that became “a bit<br />
unreachable”.<br />
“It was good for me to think that way anyway for added<br />
motivation. Another goal was to be nice and competent<br />
getting around in my wheelchair. I wrote down the goal to<br />
leave Burwood in a positive mental state and a good<br />
physical state, and I felt like I achieved that.”<br />
Aside from picking up his passion for photography again,<br />
Jayden has also kept his love for music alive. Before his<br />
accident, he played drums in a band at his church for nine<br />
years. He has since turned his attention to learning the<br />
bass guitar.<br />
“With my accident, it makes it a real challenge to keep on<br />
playing the drums,” he said.<br />
Jayden said his accident was a really scary day – but the team at Burwood<br />
were a “massive help in my rehab and keeping me positive”.<br />
“So I thought ‘why don’t I start up a new instrument?’.<br />
We needed a bassist in our band, and it isn’t too different<br />
from the drums, in terms of the chords, and the beats and<br />
stuff. It is going really well. It is a nice distraction from<br />
life. Eventually, I will be coming back into the band that I<br />
was in, so I am looking forward to that.”<br />
Jayden said his faith has also been a key pillar in his<br />
mental strength and getting through the hardest period<br />
of his life.<br />
“My faith has helped me heaps,” he said. “Having my<br />
church friends around and just having people I can sit<br />
down and pray with. We are still working through how<br />
hard it has been for me but, having my faith it is<br />
important. I know that God is looking out for me.”<br />
Jayden has some simple advice for anyone who sustains a<br />
spinal cord impairment and is at the start of their journey.<br />
“There is always a light at the end of the tunnel,” he said.<br />
“Especially at the start, it may feel like the world has<br />
fallen in on you. But whatever situation you are in, there<br />
are always going to be better days ahead. There will be<br />
hard times throughout your journey, but you will get<br />
through it, and the better days make it all worthwhile.”<br />
The afternoon up on the Arapuke Fo<strong>res</strong>t Park trails was<br />
one of the “better days” he is talking about. It is good to be<br />
back. It is different but then, again, Jayden had prepared<br />
for that.<br />
Jayden has an old head on young shoulders. He has<br />
experienced plenty in the past six months and he is not<br />
looking back. He is over the toughest part of his journey<br />
and he is ready for the next chapter, the next challenge.
NEW ZEALAND SPINAL TRUST 20<br />
All In The Family<br />
The Glentworth Family on Holding it Together in a Time of Crisis<br />
ALL SMILES – Jayden’s friends and family are<br />
happy to have him home in Palmerston North<br />
“You can’t do it on your own” – the Glentworth family’s<br />
advice for parents dealing with the shock of an SCI.<br />
You get the feeling the Glentworth family could get<br />
through anything together. The down-to-earth family of<br />
five (Mark, Kathy, Jayden, Jazz and Zoe) from Palmerston<br />
North are a tight unit. They received the news all parents<br />
dread, when their 15-year-old son, Jayden, had suffered a<br />
suspected broken neck in a mountain bike accident. It<br />
was a moment of total shock, when time stood still.<br />
The past six months has been a roller-coaster journey<br />
with many ups and downs. Hope and despair. Laughter<br />
and tears. Prayer and despondency. The one constant<br />
through it all – they have stuck together.<br />
We recently met with Jayden’s parents, Mark and Kathy,<br />
to talk about the role parents play in helping a teenager<br />
through spinal cord impairment. The impact of the<br />
life-changing injury is still very raw, and hard to talk<br />
about, but they wanted to share their story to help others.<br />
Jayden was 15 when he had his accident what are your<br />
memories from that day?<br />
Mark: He was training for an event and he had been<br />
dropped off at the mountain bike park during the day.<br />
There would usually be a number of phone calls from him<br />
about injuries or mechanicals. I was working when I<br />
received a phone call from Jayden’s phone, and it was the<br />
paramedic. He said there had been a crash; they had been<br />
called up there and the helicopter was en route.<br />
I have been in the NZ Police for 28 years, so I am used to<br />
being involved in traumatic situations, and I knew it was<br />
significant for him to be f<strong>low</strong>n directly to Christchurch.<br />
Fortunately, I was working in Palmerston North so I could<br />
be with Jayden. We were f<strong>low</strong>n directly to Christchurch<br />
and straight into emergency surgery. It was full capacity<br />
at Christchurch hospital, due to the White Island event.<br />
His injury was a T-12 burst fracture, and he had surgery<br />
within eight hours of the accident, which was pretty<br />
remarkable really.<br />
As his parents, what did you think when you received<br />
that call?<br />
Mark: Immediately, I thought how is the next day or next<br />
week going to look? How will the next 10 years look? It was<br />
that big unknown about Jayden’s future, and the impact<br />
on him straight away. But, I realised I had to remain calm,<br />
focused and make good, sound decisions for Jayden<br />
immediately, and also for Kathy and the other family<br />
members.<br />
Kathy: I suppose there was a bit of denial for me, as I am<br />
quite an optimist so, right from the start, I was thinking<br />
that he would be fine. Even though he had been f<strong>low</strong>n to<br />
Christchurch. I suppose we are six months down the track<br />
now, it has been really hard, but I’m still hopeful that<br />
Jayden will recover some more. I suppose everyone deals<br />
with it in different ways, but I am very much a full of hope<br />
person, but it’s been a hard ride that’s for sure.<br />
How was the rehab process for both Jayden and<br />
yourselves, with the s<strong>low</strong> prog<strong>res</strong>s and keeping<br />
up hope?
SPINAL NETWORK NEWS 21<br />
Kathy: We had amazing support from friends. Lots of<br />
people flew down from Palmerston North to be with<br />
Jayden and to be with us. That was huge and the Spinal<br />
Trust was amazing. I actually ran my design business<br />
from their office. Mike Brown had just left, so I was able to<br />
work at his desk, which was amazing, as Jayden’s quite<br />
independent and he didn’t want Mark and I breathing<br />
down his neck all the time. He wanted a bit of space. So,<br />
when Mark was there, he was able to continue working for<br />
the NZ Police in Christchurch, and I was able to run my<br />
design business from the NZ Spinal Trust office, so that<br />
gave us a bit of breathing space and al<strong>low</strong>ed Jayden to<br />
have some space as well.<br />
I think realising that, no<br />
matter how capable you<br />
think you are as parents,<br />
you cannot navigate this<br />
by yourself.<br />
Teenagers need space to process what had happened,<br />
so it would have been quite important for you to reach<br />
the right balance?<br />
Mark: Well, your first instinct, as a parent, is that you<br />
want to be there 24/7, but Jayden needed to gain his<br />
confidence with the injury and to find his own approach<br />
and attitude. He had to do that himself and I think it will<br />
be a very long journey and one I think he’s still doing<br />
that now.<br />
But, having the Trust there to help navigate those first few<br />
weeks or even the first few months was just incredible,<br />
because it’s extremely overwhelming. When you first go<br />
to the unit, it’s the place that is going to make or break<br />
Jayden’s mobility future. But when you’re there, it’s<br />
overwhelming, because there’s such a big rehab team and,<br />
when you’ve got someone like members of the NZ Spinal<br />
Trust just to help explain how everything works and<br />
support you through it, and be here when you need<br />
questions answered. It was a game-changer and made a<br />
great difference to us.<br />
It was incredible, actually, and I think realising that, no<br />
matter how capable you think you are as parents, you<br />
cannot navigate this by yourself, you actually, need to<br />
al<strong>low</strong> yourself to get advice, help and support from<br />
whoever is the right group/people to help you, it’s such an<br />
unknown, and nothing prepa<strong>res</strong> you for the practical<br />
issues that arise, especially navigating the emotional<br />
st<strong>res</strong>s, as parents.<br />
How did you deal with the st<strong>res</strong>s during the process?<br />
Kathy: I think our faith played a big part in that. As<br />
Christians we leaned into our faith a lot, and we’ve have<br />
friends in Christchurch, too, who were very supportive in<br />
that regard. So, a lot of prayers and a lot of people praying<br />
for us and Jayden played a big part in how we coped.<br />
Mark: We would have been backward if we hadn’t leaned<br />
into on our faith like we had, I don’t know where we would<br />
be; I don’t know how we would be now. It’s been a<br />
game-changer.<br />
Every time I went into Jayden’s room over those three<br />
months, I just thought whatever you say has got to be<br />
encouraging and positive for him. And that was quite<br />
difficult and tiring, but I think that it was really<br />
important just to let him know he wasn’t on his own, just<br />
as we weren’t on our own.<br />
The day Jayden and his family will never forget.<br />
And Burwood is such a special place. People have said ‘it’s<br />
harder to leave there than to arrive’ and I believe that<br />
now. You have this incredibly caring team around you<br />
where their whole mission is to support and, since we’ve<br />
returned to Palmerston North, that team of support has<br />
changed, but the mission is the same. They are still<br />
wrapping around us with practical help and care, and a<br />
huge amount of support and it’s been great.<br />
Kathy: It also made us think about all the other parents<br />
and families who are going through hard times. It really<br />
builds an amazing empathy to think about people around<br />
us, because we might not even know what they are going<br />
through. As a family, this has been our first big ordeal to<br />
cope with, so it has made us think about those around us<br />
who are going through similar or worse. It’s not just us<br />
going through this; other people do too.<br />
Has Jayden’s crash given you some perspective on<br />
other parts of your life?<br />
Kathy: It has made us focus on the positives because,<br />
there are so many negatives, that you know you can get a<br />
bit swal<strong>low</strong>ed up by it, so you we have to make a daily<br />
mental note to self to be grateful and thankful for what is<br />
good, and to be hopeful because that, I think, keeps you<br />
on the up.<br />
Mark: We know we have got so much to be thankful for.<br />
Although there is still uncertainty about Jayden’s<br />
mobility future, we know we are fortunate to have him as<br />
we do, as it could have been a lot worse and it’s not, and<br />
we are fortunate. Jayden’s well aware of that too.
NEW ZEALAND SPINAL TRUST 22<br />
Back in his happy place: Jayden is back up on the trails<br />
– these days taking photos and creating videos of his mates.<br />
Do you have any standout memories of people who<br />
helped you at Burwood?<br />
Kathy: Tom, the psychologist; what a cool dude, he was<br />
so great. He would really listen and he has a world of<br />
experience and he connected with all of us individually.<br />
Our lovely social worker, Jeanette, she was amazing.<br />
Such incredible professionals. Wayne, who runs the<br />
accommodation, he was great. So amazing. Everyone was<br />
so lovely, and supportive and sensitive. What a place!<br />
Mark: We got to know and we have maintained good<br />
contact with Matt, who broke his neck on Boxing Day,<br />
when he was 42. He’s such a special person to us and<br />
Jayden now. Matt and Jay, they share a lot. Jayden was<br />
able to be with Matt in his journey, and he’s doing really<br />
well physically. He came in with a broken neck and has<br />
had made an amazing recovery. They have got a really<br />
special friendship and we’ve maintained a lot of contact<br />
with them since we left - he made things much easier<br />
for Jayden in a situation where there was uncertainty<br />
and sadness.<br />
Also, Hans really helped us to navigate some really rocky<br />
times. He will forever be a very special part of Jayden’s<br />
journey but for me - Matt, and the other patients, made a<br />
big difference. We were privileged to be part of their<br />
injury journey, even just for a short period of time.<br />
What are some of Jayden’s passions and inte<strong>res</strong>ts, six<br />
months on?<br />
Mark: It is still early days, but he’s desperate to get out<br />
on his bike again in whatever shape or form it takes. The<br />
support of his friends - his youth group friends, his school<br />
friends, his riding friends - has been incredible. He’s just<br />
so happy to be out and about with them. He had a<br />
sleep-over recently with a mate, one of his best friends<br />
- that’s his first sleepover away from home, and it was<br />
great, it worked really well.<br />
Jayden’s passion is just being more independent around<br />
his friends; that’s his drive at the moment. He just loves<br />
getting out and about, in the mix with the friends he had<br />
pre-accident. He’s starting to do quite a bit of mountain<br />
bike photography now. We are lucky enough to have good<br />
camera gear, so Jayden goes down and takes some shots<br />
of the guys doing their biking but, in the same breath, it’s<br />
quite hard for him to do, because he was the one riding.<br />
However, he still wants to be heavily involved, and<br />
photography is one way he can do that. He used to play<br />
the drums at church, but he can’t do that now, so he’s<br />
learning the bass guitar because he can do that. He’s<br />
finding his confidence in different things.<br />
Seeing his strength and determination, has that<br />
inspired you?<br />
Mark: He is at quite an inte<strong>res</strong>ting stage, because he<br />
came back to lockdown. He was so hungry to get back<br />
home, to get back into school, or just establishing his new<br />
normal. Unfortunately, when he came back, we were in<br />
lock down so the timing wasn’t ideal. It’s only been about<br />
three weeks since he’s been back to school. He’s at a boys’<br />
school with 1700 students and he’s the only one in a<br />
wheelchair, he just wants to get back into the school<br />
environment. I’ve found that it is really cool that he’s keen<br />
to do that. I think that’s great. That’s the big thing that<br />
I’ve noticed. He’s happy to be out and about and be seen<br />
in his chair. This hasn’t been a big issue for him, which<br />
is cool.<br />
What are some of the ways you helped Jayden stay<br />
positive and win the mental battle?<br />
Kathy: The team here have been very helpful - my<br />
children, the physio and his Occupational Therapist. I<br />
think Jayden needs more than just us. I mean his sisters<br />
have been amazing; Jazz and Zoe are so encouraging and<br />
we have other close friends of the family, his friends<br />
Connor and Josh It’s very much a team which is<br />
encouraging him in his mental battle. Because, at the age<br />
of 16, young people are breaking away from their parents,<br />
and trying to be more independent and making their own<br />
mind up, so having really good, positive input from other<br />
family members and close friends has been key. And the<br />
youth leader and his youth group friends - just those
SPINAL NETWORK NEWS 23<br />
really good positive messages - that there is a good plan<br />
for his life and it will be all right. His psychologist has<br />
been telling him that and telling us that as well that he<br />
will be okay. Because, sometimes, worry becomes too<br />
much, it’s a huge thing and takes up your head space, so<br />
we just trying to dispel that worry with good positivity.<br />
Mark: Also giving Jayden a certain amount of control<br />
over his decision making about what happens during the<br />
day. Because, from what I can see, what he can actually<br />
have control over has totally changed. There are a huge<br />
amount of <strong>res</strong>trictions, so we’re just trying to stay positive<br />
around some of that decision making. Jayden has a lot to<br />
learn, about his confidence with the injury so, to give him<br />
control over things which, in the past, as parents, we<br />
might have said “This is what we’re going to do”, we are<br />
giving him more options so he can decide.<br />
What advice would you offer to parents at the start of<br />
their journey with an SCI in the family?<br />
Kathy: Look after yourself. Mark and I have both stuck to<br />
our exercise routines – Mark with his biking, and I have<br />
carried on running and going to boot-camp. Staying<br />
healthy is important. It has also been vital to maintain<br />
our good friendship network. The psychologist made the<br />
point that the house should not just rotate around Jayden.<br />
We have two girls as well, and the advice was to maintain<br />
as much normalcy in our lives as we can. To be honest,<br />
this is hard, but we are taking positive steps to manage<br />
that. Even though we are at home, Jayden has two or<br />
three appointments a day as well as school, so it can get a<br />
bit too much, but we have tried to maintain the routines<br />
from before the accident.<br />
Mark: It’s a hard question to answer. My main advice is to<br />
accept the help that is on offer. You can’t do this on your<br />
own. It’s an injury that is so far-reaching, it affects<br />
everything. It affects everything from your emotions to<br />
practical things like house modifications. You just have to<br />
accept the advice and the help that is available. When<br />
there is so much happening, you can’t physically process<br />
it all. Find people who you think will give sound advice,<br />
and stay in touch with them. The psychologists said to me<br />
early on don’t make any big changes. With my job, I travel<br />
a lot, but the psychologist said if you make changes to<br />
something that you really enjoy and value, then there<br />
is guilt – “You are changing because of the injury.”<br />
Just wait and see how things play out. You are not on<br />
your own.
NEW ZEALAND SPINAL TRUST 24<br />
Advertorial<br />
A Home Away From Home<br />
Attitude BnB in Auckland<br />
The recently opened Attitude BNB near Half Moon Bay in<br />
Auckland is ideal for a weekend getaway.<br />
Glenice Yeoman has a passion for helping<br />
people and creating opportunities. In <strong>2020</strong><br />
she started a <strong>res</strong>ort-style Bed and Breakfast<br />
– Attitude BNB - in Auckland which is fully<br />
accessible and inclusive. It is the ideal place<br />
to get away from it all for a relaxing weekend.<br />
We recently caught up with her on what<br />
makes her place special and what it’s like to<br />
see her dream realised.<br />
What makes Attitude BNB special?<br />
Attitude BnB is a dream I have had to produce a facility<br />
which is totally inclusive. It is for everyone, so people with<br />
access needs are catered for. When my Mum was only 40<br />
years old, she had a stroke, and as I was only 10 years old<br />
at the time, I grew up being aware and sensitive to some of<br />
the issues encountered on her journey. Although she is no<br />
longer with us, I couldn’t alter my house to a BnB, and not<br />
make it something that she would have enjoyed. As it is an<br />
adaptation of my existing house, the maximum width of<br />
wheelchair I can accommodate is 700mm.<br />
It is a facility to enjoy, a Resort Style BnB which has a pool<br />
and spa pool with a hoist to both. The whole site is fully<br />
accessible with ramps, level entry, 900mm doors and all<br />
the bathrooms are full disability bathrooms- but stylish,<br />
guess what, they don’t look like hospital bathrooms!<br />
There is a Function Room if there is a group who want to<br />
hold a meeting, or enjoy some of the classes which the<br />
room can accommodate - maybe you have a skill you<br />
would like to pass on to others – art or music, etc.<br />
What are some of the featu<strong>res</strong> of the property that<br />
appeal to the spinal impaired community?<br />
Everyone in our community deserves to be able to enjoy a<br />
tranquil <strong>res</strong>ort, think palm trees, pool, spa pool, alf<strong>res</strong>co<br />
breakfast by the pool with water cascading down the<br />
waterfall, a glass of New Zealand’s finest Villa Maria wine<br />
and a cheese platter in the afternoon before you go out to<br />
a local <strong>res</strong>taurant for dinner, home to relax into a massage<br />
bed with memory foam that is at the height to transfer<br />
from your wheelchair. Assistance dogs are very welcome.<br />
The spa was completed at the end of June, and the pool in<br />
time for summer. This is the only spa pool in the whole of<br />
Auckland that is accessible to the public in a wheelchair
SPINAL NETWORK NEWS 25<br />
The Attitude BNB has the only spa pool in Auckland that is accessible to wheelchair users.<br />
(including all the Council Pools). The pools are available<br />
for a swim or use the spa or both. The pool bathroom is<br />
fully equipped like the others, so you can have a shower<br />
and get changed if you like, even if you are not staying<br />
overnight. People are very welcome to come and do<br />
therapy in the privacy of the backyard and bring your<br />
physiotherapist or trainer if you wish. If you need any<br />
specialised equipment, please bring it and let me know<br />
what it is, so I can arrange the room accordingly.<br />
What are some of the highlights of the region, things<br />
that people can see and do when they stay in<br />
Bucklands Beach?<br />
The BnB is in a quiet cul de sac, where there is off street<br />
parking. We are five minutes’ drive from the beginning of<br />
a pictu<strong>res</strong>que peninsular, which includes Bucklands<br />
Beach on one side and Eastern Beach on the other. The<br />
boats moor at Half Moon Bay (HMB) which is also a<br />
terminal for the ferries into the CBD, and across to<br />
Waiheke Island (the ferries are wheelchair accessible).<br />
These are both beautiful trips which take about 45<br />
minutes and give a view of the Hauraki Gulf and some of<br />
the islands. At HMB, there is a supermarket, chemist,<br />
lovely cafes and <strong>res</strong>taurants looking over the marina.<br />
COMPETITION TO WIN A WEEKEND FOR TWO AT Glenice’s BNB:<br />
Glenice says: “I have a good sense of humour – you have to make me laugh, so tell me in<br />
a paragraph why you deserve a weekend for two at Attitude BnB this summer.”<br />
Enter on the NZ Spinal Trust Facebook page:<br />
https://www.facebook.com/NZSpinalTrust/<br />
To book at Attitude BnB in Bucklands Beach in Auckland visit: https://attitudebnb.co.nz
NEW ZEALAND SPINAL TRUST 26<br />
The Remarkable Life<br />
of Dr Richard Smaill<br />
Dr Richard Smaill says “life is but a journey and you only<br />
have one shot at it”.<br />
Dr. Richard Smaill has lived an extraordinary<br />
life against the odds.<br />
The 61-year-old became a tetraplegic when he was 15 after<br />
he broke his neck in a rugby tackle. That was 46 years ago<br />
- back in 1974 New Zealand was a very different place for<br />
Kiwis, living with a disability. Medical professionals were<br />
only just gaining the knowledge on how to keep high level<br />
tetraplegics alive. Still, Richard did not complain. He<br />
never looked at what he couldn’t achieve, he always<br />
focused on what was possible and set about living his life.<br />
He went back to school to gain University Entrance, went<br />
on to study Psychology at University of Otago becoming a<br />
registered Psychologist in 1984. He completed his PhD at<br />
the University of Canterbury.<br />
Richard worked for many years in the health services in a<br />
variety of positions in <strong>res</strong>earch, planning and senior<br />
management. During this time, he completed a Diploma<br />
in Health Service Management and was also awarded a<br />
Winston Churchill Memorial Fel<strong>low</strong>ship to study health<br />
information systems in Great Britain. He left the health<br />
services in 1993 to become self-employed establishing a<br />
business in career counselling as well as a variety of<br />
consultancy work. Further health issues set him back but<br />
he was fortunate to be granted a Health Research Council<br />
Disability Research Placement Award. His doctoral thesis<br />
‘Ageing with SCI in New Zealand’ was completed in 2014<br />
and was recognised by the Division of Health Sciences as<br />
being of exceptional quality. He is proud to be happily<br />
married with two adult children. We caught up with<br />
Richard to talk about his experiences, his study and his<br />
advice for those at the start of their journey with a spinal<br />
cord impairment (SCI).<br />
Tell me what it was like when you were 15 and your<br />
memories of breaking your neck?<br />
I was playing on the wing for the First XV in John<br />
McGlashen College in Dunedin. I grew very quickly as a<br />
young fella. I was tall and lanky. Fortunately, or
SPINAL NETWORK NEWS 27<br />
University of Otago was a run of C+ grades – I think I saw<br />
the inside of a library twice – we made sure we enjoyed<br />
ourselves. It was only when I came to the University of<br />
Canterbury which was much more wheelchair friendly. I<br />
learned very quickly that if I went to a library and applied<br />
myself, I could very quickly change my grades from a C+<br />
to a B+. I did my study in organisational psychology and<br />
came out looking for a job but quickly realised that no<br />
bugger wanted to touch you in a wheelchair. No one<br />
would employ you, particularly in the private sector. My<br />
family background is farming in South Otago. I was one of<br />
six children. I decided to stay here after my study. In the<br />
end I got a job with the Area Health Board in <strong>res</strong>earch and<br />
planning. I worked in orthopaedics for a few years.<br />
Dr Richard Smaill admits he saw the inside of a<br />
library only twice in his BA in Psychology.<br />
unfortunately, I used to be a pretty good rugby player.<br />
I was playing against some 17 and 18-year olds. We were<br />
playing St Peter’s College from Gore. It was a head on<br />
tackle and I slipped just as I was looking to tackle the<br />
chap. He was one of those guys who lifted their knees very<br />
high when they ran. I slipped and stuffed it up, and my<br />
head hit his knee. I knew I was in trouble.<br />
What was the rehabilitation like back in those days?<br />
The first week I was in Dunedin Hospital. The surgeon<br />
who was looking after me told my parents that he didn’t<br />
expect me to live the week. I was on an old stryker bed<br />
which they turned every four hours. They were an<br />
absolutely horrible bed. I did last longer than a week and<br />
that is when he thought he better get me to the Spinal<br />
Unit at Christchurch Hospital – the Spinal Unit at<br />
Burwood didn’t exist in those days. That is when I got<br />
really sick. I went into paralytic shock. I couldn’t digest<br />
any food and I was a really sick lad for quite a few months<br />
really. Dr Angelo Anthony and Mr Allan Bean who have<br />
been specialists for most of my time in a wheelchair<br />
started working at the Spinal Unit around that time. I<br />
remember Dr Anthony as a registrar so we go back a long<br />
way. It was dealing with those guys that enabled me to<br />
gain knowledge – enough knowledge to keep me alive.<br />
Not just me but a whole bunch of us really.<br />
What did it mean to be awarded the Winston Churchill<br />
Memorial Fel<strong>low</strong>ship?<br />
It was a huge opportunity but it came at a terrible time. It<br />
was back in the day when there weren’t emails or things<br />
like that. I used a fax machine to work out and plan my<br />
itinerary. The Health Reforms were starting to take place<br />
and I had a conversation with my Area Health Board boss<br />
who said if you want to go, you better go now as I can’t<br />
guarantee you will have a job in six months. I remember<br />
getting communication when I was over in Britain which<br />
basically said all Third Tier Managers would be made<br />
redundant. In a funny sort of way, they did me a favour as<br />
I left and set up my own business doing career<br />
counselling and strategic planning for different<br />
organisations.<br />
I was only home a week from the trip and I ended up in<br />
hospital with a nasty urinary tract infection, which ended<br />
up in my bloodstream. I was a very sick boy. Dr Angelo<br />
Anthony read the riot act to me. He said you have to<br />
realise that you are a tetraplegic and you can’t carry on<br />
working full-time, raising a young family and doing the<br />
hours that you are doing. You are going to kill yourself. He<br />
wrote me a very strong letter which suggested I should<br />
start working part-time. The funny thing is when you<br />
have your own business you end up working just as hard.<br />
So, I put in long hours on the computer and it caused neck<br />
pain and shoulder pain.<br />
What happened after your rehabilitation?<br />
I went back to boarding school [at John McGlashen<br />
College] after my injury. I had a nurse who would come<br />
and get me up in the morning. Then I would be with the<br />
boys for most of the day. The nurse would come back and<br />
help me get into bed at night. I lived in the boarding<br />
house for a couple of years and got University Entrance<br />
and went on to the University of Otago. Back in those days<br />
I was only the second person to go to the University of<br />
Otago in a wheelchair. The first person was a guy called<br />
Mark Thompson who did a law degree.<br />
What appealed about Psychology?<br />
Back in those days I was<br />
only the second person<br />
to go to the University<br />
of Otago in a wheelchair<br />
[after Mark Thompson].<br />
Probably every weekend getting on the booze [laughs].<br />
Nobody could tell you the future about your injury and<br />
the focus at that time was to go out there and make sure<br />
you enjoyed yourself. My BA in Psychology at the
NEW ZEALAND SPINAL TRUST 28<br />
In 2000 you had another setback with your health,<br />
what happened there?<br />
Over Labour Weekend in 2000 I lost about 30 – 35 percent<br />
of my movement. Bang just like that I lost it overnight. So<br />
I went back to hospital and then into the Spinal Unit and<br />
they couldn’t figure it out. They hadn’t experienced<br />
anything like that before. It took them a long time to<br />
figure out, but they worked out that where I had my<br />
original injury was still quite unstable and it had moved<br />
and caused more damage to my spinal cord. I was on and<br />
off for neurosurgery for the first couple of years and they<br />
were quite worried because back then they hadn’t done<br />
the proposed neurosurgery that high up on a person with<br />
SCI before. After two years the neurosurgeon said yes, he<br />
can do it. They left it up to me and my wife to make the<br />
choice. I chose to go ahead and it stabilised things but it<br />
didn’t bring back all my movement. So I went from an<br />
incomplete C5/C6 to a C4/C5. For example, I could not<br />
drive anymore.<br />
That setback inspired you to study again, what was the<br />
experience like second time around?<br />
When I went back to university in 2006 – 2007 I was<br />
overwhelmed by the disability support services because<br />
back in my day they just didn’t exist. When I went to<br />
university first up there was nothing, absolutely nothing<br />
– the registry office just didn’t want to know me. When I<br />
went back in 2006 there was a whole support service that<br />
was available to those with disabilities. It was<br />
phenomenal. Today it is a totally different world and it is<br />
wonderful.<br />
What were you looking to achieve with your PhD?<br />
The question is often asked at what point is someone with<br />
a disability ageing or are they aged and disabled? When<br />
does it switch over? Internationally there has been a<br />
massive amount of <strong>res</strong>earch in this space. The majority of<br />
the <strong>res</strong>earch indicates that someone with a spinal cord<br />
injury, if they look after themselves, can live 90 – 95<br />
percent lifespan of an able-bodied person. That was<br />
certainly not well documented before. It is not saying that<br />
you are not going to have a variety of complications along<br />
the way.<br />
One thing is clear if you don’t look after yourself and your<br />
body then you are going to pay the price. There is no in<br />
between there. In the end whether you are abled bodied<br />
or disabled we all end up in the same place. We all end up<br />
getting old and getting stuffed.<br />
In the end whether you are<br />
abled bodied or disabled<br />
we all end up in the same<br />
place. We all end up getting<br />
old and getting stuffed.<br />
before 1990 but the National Health Index (NHI) database<br />
was really unreliable. It is meant to be cleared and<br />
checked and deaths were meant to be removed but when I<br />
went through it, I realised there were a number of people<br />
who had passed away who were still on it. It has been a bit<br />
of a journey but a number of people are working towards<br />
fixing it, which is great.<br />
What advice do you offer others with an SCI who are at<br />
the start of their journey?<br />
Life is but a journey and you only have one shot at it, so<br />
you better make give it a pretty damn good shot. You need<br />
to make the most of every day. It get’s harder as you get<br />
older. I am coming up to 62 and I am finding that it’s not<br />
my biological age, it is my age since the injury.<br />
The <strong>res</strong>earch shows that time since your injury has more<br />
of an impact than your biological age because you are<br />
sitting down, your bones aren’t as strong, you are more<br />
prone to arthritis, more prone to obesity which leads to<br />
cardiovascular problems and <strong>res</strong>piratory problems. All<br />
of that is a <strong>res</strong>ult of the fact you can’t physically exercise<br />
in the same way. But you can live a full life – it is all up<br />
to you.<br />
Special mention:<br />
Mark Thompson, named in Richard’s story as the first<br />
person to attend the University of Otago in a wheelchair,<br />
passed away recently at the age of 74. Mark was a great<br />
survivor and he shared his story in the <strong>SNN</strong>. He enjoyed a<br />
full and abundant life despite 51 years in a wheelchair<br />
fol<strong>low</strong>ing his tragic accident at the age of 22. Our thoughts<br />
and prayers go out to his friends and family at this time.<br />
You are on the board for the New Zealand Spinal Cord<br />
Injury Registry(NZSCIR), how important has that<br />
work been?<br />
Getting the registry up and running has been a huge<br />
thing. When I started my <strong>res</strong>earch, it became clear that no<br />
one in New Zealand actually knew how many SCI’s there<br />
were in New Zealand. That is one of the things that the<br />
PhD looks at. I was able to identify around 1500 injured
SPINAL NETWORK NEWS 29<br />
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NEW ZEALAND SPINAL TRUST 30<br />
Sleep: Are You Getting Enough?<br />
The science of sleep, and how<br />
to get more<br />
by George A. F. Seber, <strong>2020</strong><br />
This is an essential<br />
tool box for anyone<br />
who has sleep<br />
problems (which is<br />
probably most of us!).<br />
The book covers all<br />
aspects of sleep,<br />
including the science.<br />
The book is a practical<br />
<strong>res</strong>ource for medical professionals<br />
and counsellors.<br />
Journals/magazines<br />
New Mobility: Social Media<br />
Influencers, <strong>Issue</strong> 319 Apr <strong>2020</strong><br />
New Mobility: Life in the Time<br />
of COVID-19, <strong>Issue</strong> 320 May <strong>2020</strong><br />
New Mobility: Active Vent Life,<br />
<strong>Issue</strong> 321 June <strong>2020</strong><br />
With The End In Mind:<br />
how to live and die well<br />
by Kathyrn Mannix, 2018<br />
Dr. Kathryn Mannix<br />
has studied and<br />
practiced palliative<br />
care for thirty years.<br />
In With the End in<br />
Mind, she sha<strong>res</strong><br />
beautifully crafted<br />
stories from a<br />
lifetime of caring for the<br />
dying, and makes a compelling case<br />
for the therapeutic power of<br />
approaching death not with<br />
trepidation, but with openness,<br />
clarity, and understanding.<br />
Spinal Network News: Jezza Williams<br />
on Inclusive Tourism, vol 23 issue 1<br />
May <strong>2020</strong><br />
Dynamics for Human Health<br />
(http://journalofhealth.co.nz/<br />
vol. 7 issue 2 June <strong>2020</strong><br />
The Accidental Tour Guide:<br />
adventu<strong>res</strong> in life and death<br />
by Mary Moody, 2019<br />
When Mary loses her<br />
beloved husband,<br />
her world is turned<br />
upside down. Part<br />
of her journey to<br />
reignite her<br />
passion for living<br />
is to boldly go<br />
where she has never<br />
been before – in her travels and in<br />
her everyday life.<br />
For all enquiries about the<br />
Resource Centre - Contact<br />
Bernadette Cassidy<br />
bernadette.cassidy@nzspinaltrust.org.nz<br />
or phone: 99484<br />
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SPINAL NETWORK NEWS 31<br />
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NEW ZEALAND SPINAL TRUST 32<br />
Introducing our team<br />
Q and A with Su Marshall on the Fundraiser’s role<br />
Su Marshall is not the sort of person who sits<br />
down for long. She is always up and about<br />
and looking for the next opportunity. The<br />
born-and-bred Cantabrian, with her “glass<br />
half-full” perspective, is the ideal person to<br />
be looking for prospects in a time of crisis.<br />
Su became the most recent addition to the<br />
New Zealand Spinal Trust team. She began<br />
working as the National Fund-raising<br />
Manager in February but, just weeks later,<br />
COVID-19 hit the world and New Zealand.<br />
We spoke with Su about her background, her<br />
passion for making a difference, and how she<br />
plans to create a sustainable funding model<br />
for the New Zealand Spinal Trust (NZST).<br />
Tell me about your background in fund-raising/<br />
sponsorship<br />
I began fund-raising 15 years ago after a work colleague<br />
suggested I should do it. I worked as a consultant for 12<br />
years for various clients, including the Christchurch City<br />
Mission, Hohepa Canterbury, Pillars and Seabrook<br />
McKenzie. I also worked on capital campaigns for<br />
Christchurch Cathedral, Clutha Rec Centre, Methven<br />
Heritage Centre and Isaac Theatre Royal. So, I have built<br />
up a broad range of fund-raising skills and experience and<br />
I had phenomenal mentors in Joy Simpson and Graeme<br />
Brady. I then went on to be National Grants Manager for<br />
the SPCA for two years, when they moved to a single<br />
organisation model. And now I’m at the NZST.<br />
What was the appeal about coming to work at the NZST?<br />
Initially, it was Hans… I’d met Hans through the Funding<br />
Institute of New Zealand (FINZ) meetings, and he is such<br />
a lovely, genuine guy that I knew the organisation would<br />
likely be awesome. After reading the job advert, the role,<br />
itself, sounded like a great challenge to sink my teeth into.<br />
I kept thinking of ways to build the fund-raising. And<br />
then, when I got the job and met the team, I absolutely<br />
knew I was supposed to be here. Everyone is so passionate<br />
about what they do, and they are all so kind, and<br />
supportive and funny … they are my kind of people.<br />
What have been some of your biggest learnings about<br />
the organisation so far?<br />
Coming to grips with SCI and what that entails for<br />
day-to-day living has been a biggie. Everyone’s journey is<br />
so unique and personal, that it’s important our team has<br />
the freedom to <strong>res</strong>pond to individual needs.<br />
Su Marshall has set her sights on creating a sustainable<br />
funding model for the NZST.<br />
And I’ve been meeting and getting to know our donors<br />
– the recent appeal and an upcoming database update<br />
have seen me diving into the Donor records and<br />
connecting with those who support the NZST. I keep<br />
saying we have a passionate team, but that passion<br />
extends beyond the office – we have some extraordinarily<br />
passionate supporters as well.<br />
What have been some of the standout moments so far?<br />
The <strong>res</strong>ponse to the COVID-19 lockdown and aftermath.<br />
The whole team just went “Right – let’s do this” and<br />
worked out a way to make it work. And the <strong>res</strong>ponse from<br />
our amazing supporters when we went out to ask for help.<br />
People were so generous, even when they may have been<br />
facing an uncertain time themselves … that kind of<br />
support shows how much the NZST’s work is appreciated<br />
by our community and that feels so good.<br />
COVID-19 hit soon after you started and has obviously<br />
created some big challenges?<br />
We’ve had a few of our generous funders ‘shut up shop’<br />
completely during the lockdown – gaming trusts were not<br />
receiving any income, so they could not give out grants.<br />
And this has caused a major speed bump in our<br />
fundraising. We are heavily reliant on fundraising to<br />
cover our operating costs … in the current budget<br />
approximately 80 percent of the Trust’s income is<br />
through fundraising initiatives.
SPINAL NETWORK NEWS 33<br />
“Throwing myself out of an airplane at 13,000 feet to raise<br />
money for SPCA … I really throw myself in to my job.”<br />
What will be some of the key things the NZST must do<br />
to overcome COVID-19 and the financial challenges?<br />
We rely on grants for a large portion of our fundraising, so<br />
the future is a little bumpy – will gaming trusts be able to<br />
fund in the near future? Will the share market hold for<br />
private trusts income? Will rental income hold for<br />
commercial properties that fund trusts? How long will it<br />
take for everything to settle down? I’m looking to<br />
strengthen our relationships with individual donors and<br />
business partners, so we can grow a more balanced<br />
fundraising programme.<br />
Why should companies/people support the NZST?<br />
Because this team does an amazing job supporting a part<br />
of our New Zealand community which have had some<br />
major hurdles to overcome (and will have more in the<br />
future) and who frequently are side-lined in an<br />
‘able-bodied’ focused world.<br />
Our team model real life with an SCI and show how<br />
positive it can be. When the NZST says we ‘support<br />
positive futu<strong>res</strong>’, our team live that vision. The SCI<br />
community is a sub-section of the broader community<br />
and is just as diverse and capable – they are a force to be<br />
reckoned with and should not be overlooked by the<br />
business community. They have so much to offer in terms<br />
of skill, talent, creativity and purchasing power. Any<br />
business which supports the Trust’s work supports people<br />
with an SCI to get back on track with their life -<br />
participating in and contributing to New Zealand life<br />
in general.<br />
What type of partnerships could be achieved?<br />
We do not have a lot of programme or activity costs – the<br />
majority of our operating expenses is paying staff salaries.<br />
And boy, are they worth it! We are inte<strong>res</strong>ted in true<br />
partnerships – where both sides are equal and have a<br />
genuine desire to help each other. We find ways to<br />
acknowledge a business’s support in a way that promotes<br />
the business them, without compromising NZST’s<br />
relationships with our clients or our ability to advocate.<br />
But, if any business wanted to give generously just because<br />
they felt good about that – we could work with that too.<br />
Are you excited about New Zealand post COVID-19<br />
and the opportunities for the NZST to grow and<br />
further develop?<br />
I’m excited that COVID-19 gave us an opportunity to reach<br />
out to our community and start conversations around<br />
NZST’s funding and how people can support us. This was<br />
something which had been planned, but COVID-19 gave<br />
us the opportunity to do it sooner. I wouldn’t want to<br />
always reach out as a <strong>res</strong>ult of a national emergency, but it<br />
was good to have a positive aspect to this situation. In the<br />
past we have relied heavily on grant funders, and not<br />
given individuals many direct opportunities to help us<br />
keep doing what we do. So many people appreciate the<br />
work this team does and it is lovely that they have had the<br />
opportunity to show that in a really helpful and practical<br />
way. I think many people might have thought we were<br />
government-funded, and had not realised how much the<br />
Trust relies on fundraising to keep going. Now that they<br />
do, they have really stepped up to support us. Many have<br />
even begun monthly donations, which is a huge help in<br />
‘flattening’ our budget bumps.<br />
What is the goal for your role at the NZST?<br />
To develop a broad, even platform for fundraising – not<br />
too reliant on any one particular area. Also, it would be<br />
good to reach a point where the Trust could launch a<br />
capital campaign to raise funds for a new building.<br />
Perhaps even reach the point where people would consider<br />
leaving a gift in their Will to support the Trust’s work<br />
beyond their lifetime. All long-term plans – first, we have<br />
to make sure we can always pay our bills and be here to<br />
support people with SCIs, and their whānau and friends,<br />
as they get on with life. My contact with donors so far<br />
has been nothing but positive – the NZST has such<br />
awesome community support. On a more personal level,<br />
I am looking forward to really getting to know our<br />
community more.<br />
For Fundraising and Partnership<br />
opportunities contact:<br />
Su Marshall - National Fundraising Manager<br />
+64 21 288 3011 | su.marshall@nzspinaltrust.org.nz
NEW ZEALAND SPINAL TRUST 34<br />
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SPINAL NETWORK NEWS 35<br />
Thank you to our<br />
Funders & Sponsors<br />
The New Zealand Spinal Trust appreciates the generous support of the fol<strong>low</strong>ing<br />
funders. Without their kind support, the Trust would not be able to deliver the<br />
variety of services to assist clients to live independent lives right now.<br />
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Rehabilitation Welfare Trust<br />
The Elizabeth Ball<br />
Charitable Trust<br />
Air Rescue Services Ltd<br />
Deluxe Box<br />
Crusaders<br />
Canterbury Masonic<br />
Charitable Trust<br />
F<strong>res</strong>hChoice Parklands<br />
Healthvision NZ<br />
Are you a subscriber?<br />
It’s easy to subscribe to the NZST and it only costs $30 a year.<br />
Your subscription helps with the printing of the Spinal<br />
Network News magazine and helps us support the positive<br />
futu<strong>res</strong> of people with spinal cord impairment.<br />
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