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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


NEW ZEALAND SPINAL TRUST 14<br />

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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 />

Permobil is a global leader with over 50 years experience<br />

in providing advanced medical technology and<br />

state-of-the-art healthcare solutions. Today, those<br />

solutions include the sale and rental of power wheel<br />

chairs, manual wheelchairs, power assist and seating &<br />

positioning products.<br />

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 />

Go to our website and click on<br />

the red ‘membership’ button<br />

www.nzst.org.nz


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