MSWA Bulletin Magazine Winter 2023
Unravelling the mysteries of multiple sclerosis | Ambilympics champion Chris McEncroe takes home silver for Australia | John Robertson: Nurturing a decades-long vocation | Don't think of the pink elephants!
Unravelling the mysteries of multiple sclerosis | Ambilympics champion Chris McEncroe takes home silver for Australia | John Robertson: Nurturing a decades-long vocation | Don't think of the pink elephants!
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
THE OFFICIAL MAGAZINE OF <strong>MSWA</strong><br />
<strong>Winter</strong> <strong>2023</strong><br />
mswa.org.au<br />
INSIDE<br />
Creating connections: <strong>MSWA</strong> Clients, staff and<br />
carers came together in a flurry of creativity<br />
to celebrate World MS Day on 30 May.<br />
See inside for more photos at our Butler,<br />
Bunbury, Rockingham and Wilson events.
WILSON CENTRE<br />
29 Parkhill Way 9365 4888<br />
Fax 9451 4453<br />
CONTACT US<br />
If you would like to comment<br />
on anything you read in this<br />
<strong>Bulletin</strong> please email<br />
bulletin@mswa.org.au<br />
or write to <strong>MSWA</strong>, Locked Bag 2,<br />
Bentley DC WA 6983<br />
For general feedback or complaints<br />
please contact<br />
Davina Sawyer 6454 3173 or<br />
feedback@mswa.org.au<br />
EDITORIAL WORKING GROUP<br />
Nicola Washington, Tony Millar,<br />
Emily Ace and Nicolette Murphy.<br />
CONTRIBUTORS<br />
Geoff Hutchinson, Carol Chong,<br />
Dajana Tesevic, Vanishree Chetti,<br />
Denise Vogels, James Beckett,<br />
Tracey Hockey, Misty Reinkowsky<br />
and Crystal Chan.<br />
The Editorial Working Group<br />
welcomes unsolicited submissions.<br />
All articles are subject to a<br />
reviewing process. The views<br />
expressed are those of the authors<br />
and do not necessarily reflect the<br />
view of <strong>MSWA</strong>’s staff, advisors,<br />
directors or officers.<br />
NURSING SUPPORT<br />
Our Neurological Liaison Nurses are usually the first point of<br />
contact after the neurologist’s diagnosis.<br />
COMMUNITY NURSE: 9365 4888<br />
MONDAY TO FRIDAY (8.00AM - 4.00PM)<br />
CLIENT ENGAGEMENT DEPARTMENT<br />
Our experienced teams will provide you with personalised support<br />
throughout your service journey with <strong>MSWA</strong>. From helping you to<br />
access funding, to working with you to get the most from your<br />
selected services, our trained staff are here to help.<br />
FOR MORE INFORMATION, PLEASE CONTACT 9365 4888.<br />
OUR SERVICES INCLUDE:<br />
COUNSELLING, PEER SUPPORT AND HEALTH EDUCATION<br />
COMMUNITY SUPPORT<br />
DIETETICS<br />
OCCUPATIONAL THERAPY<br />
OUTREACH<br />
PHYSIOTHERAPY<br />
SOCIAL WELFARE<br />
SPEECH PATHOLOGY<br />
NURSING<br />
OUTREACH AT <strong>MSWA</strong><br />
If you live in Perth, Rockingham, Bunbury or Albany and are interested<br />
in a trial to experience the Outreach community, get in touch with<br />
SENIOR COMMUNITY OUTREACH COORDINATOR MELISSA COOMBS<br />
VIA OUTREACH@<strong>MSWA</strong>.ORG.AU<br />
EMPLOYMENT SUPPORT<br />
The <strong>MSWA</strong> Employment Support Service is the only specialist employment<br />
service for people living with multiple sclerosis and other neurological<br />
conditions in Western Australia. Our team can help you to stay in your<br />
current job or find employment in the open labour market.<br />
LEIGH MCCAFFREY, EMPLOYMENT SUPPORT SERVICES<br />
MANAGER: 1300 865 209<br />
FOR MORE INFORMATION ON THE SERVICES <strong>MSWA</strong> OFFERS,<br />
PLEASE VISIT <strong>MSWA</strong>.ORG.AU<br />
WELCOME<br />
Welcome to the <strong>Winter</strong> <strong>2023</strong> edition of <strong>Bulletin</strong>. We hope you enjoy the news, stories and<br />
service information we have brought to you this quarter.<br />
CONTENTS<br />
WOULD YOU PREFER TO RECEIVE BULLETIN ONLINE?<br />
Help us to reduce our environmental impact by going digital!<br />
Not only does this save trees and minimise our contribution to landfill, but it also allows<br />
you to better engage with our <strong>Bulletin</strong> content. Get in touch via communications@mswa.org.au<br />
to sign up to our e-magazine. You can also find us online at publications.mswa.org.au.<br />
2<br />
3
FROM OUR CEO<br />
It’s hard to believe we are over<br />
One of the new ‘seeds’ is our<br />
In the theme of celebration, it<br />
halfway through <strong>2023</strong>, but<br />
Client Advisory and Co-Design<br />
was fantastic to see so many<br />
when I reflect on the positive<br />
Committee, which is now well<br />
of you participating in our<br />
progress we have made on so<br />
underway and providing<br />
World MS Day ‘paint and sip’<br />
many fronts – it’s no wonder the<br />
valuable insights.<br />
workshops on 30 May. It was<br />
time is flying by.<br />
There are so many initiatives<br />
now underway to improve the<br />
way we do things at <strong>MSWA</strong>,<br />
to better support and engage<br />
our Clients, and also to create a<br />
great workplace for our staff and<br />
volunteer teams. Whilst we still<br />
have so much we want to do, it is<br />
very encouraging to see the ‘seeds’<br />
planted for the future.<br />
This is underpinned by the<br />
feedback you have shared with us.<br />
Thank you to all our Clients and<br />
carers who took the time to<br />
complete our <strong>2023</strong> Client Survey.<br />
The insight you provide is key to<br />
shaping our future direction and<br />
where to prioritise our focus.<br />
We also hosted our <strong>2023</strong> Client<br />
forum in July, which provided the<br />
opportunity to hear first-hand from<br />
researchers on the important work<br />
being undertaken at Edith Cowan<br />
University and Perron Institute,<br />
including information on the<br />
various trials in progress.<br />
This event was particularly welltimed,<br />
with the Perron Institute<br />
contributing to a groundbreaking<br />
international study identifying<br />
the first genetic marker for MS<br />
severity, with these findings<br />
published in the scientific journal<br />
Nature in late June.<br />
We congratulate Perron Institute<br />
for its significant role in this<br />
discovery, which not only furthers<br />
our understanding of MS, but<br />
holds the potential to revolutionise<br />
the development of effective<br />
treatments for long-term disability.<br />
<strong>MSWA</strong> is proud to be a<br />
longstanding supporter of the<br />
Perron Demyelinating Diseases<br />
Group and we commend Professor<br />
Allan Kermode and Dr Marzena<br />
Fabis-Pedrini – both of whom<br />
receive funding from <strong>MSWA</strong> –<br />
for the significant progress their<br />
work has yielded.<br />
uplifting to watch Clients<br />
and staff from across the<br />
organisation come together to<br />
make new connections over<br />
coffee, cake and creativity.<br />
We are also thankful to Main<br />
Roads Western Australia for<br />
supporting us to light up<br />
the night and many of<br />
Perth’s bridges red to mark<br />
the occasion.<br />
The overwhelming feeling of<br />
support and connection was also<br />
felt at our Step Up for <strong>MSWA</strong><br />
event on 25 June, raising more<br />
than $163,000. We now gear up<br />
for our biggest event of the year,<br />
the <strong>2023</strong> Ocean Ride (powered by<br />
Retravision) that will take place<br />
on Sunday, 12 November, as well<br />
as the Stationary Cycle Challenge<br />
between October and November.<br />
So don’t wait, get on your bike –<br />
stationary or otherwise – and start<br />
preparing! We are eager to see if<br />
<strong>MSWA</strong> Rockingham can defend<br />
their 2022 title!<br />
On a different but equally positive<br />
topic, our national body Multiple<br />
Sclerosis Australia (MSA) is set<br />
to host the <strong>2023</strong> Progress in MS<br />
Research Conference in Perth for<br />
the first time ever, between 29<br />
November and 1 December.<br />
The three-day event is designed to<br />
promote the exchange of scientific<br />
thought, break down barriers to<br />
neurological research in Australia,<br />
and to provide research updates to<br />
the community.<br />
We are proud to partner with<br />
MSA in delivering this conference,<br />
which for the first time will feature<br />
community sessions designed<br />
for people with lived experience.<br />
We will provide you with further<br />
information around the conference<br />
and how you can get involved in<br />
the coming months.<br />
Lastly, in the Autumn <strong>Bulletin</strong><br />
I wrote about an important<br />
piece of work undertaken by the<br />
Board to change our company<br />
legal structure and update our<br />
Constitution to better reflect the<br />
complex organisation <strong>MSWA</strong> is<br />
today, and as we look to the future.<br />
I am proud to inform you that<br />
our Financial Members voted<br />
to approve the conversion<br />
from an incorporated<br />
association into a company<br />
limited by guarantee and<br />
adopt a new Constitution at<br />
a Special General Meeting<br />
on 29 June.<br />
These changes are solely to<br />
strengthen the governance of our<br />
organisation and have no impact<br />
on the services Clients receive from<br />
<strong>MSWA</strong>, which remains a not-forprofit<br />
charitable organisation.<br />
This is an important milestone<br />
in <strong>MSWA</strong>’s history, laying a<br />
foundational piece from which<br />
we can continue to focus on our<br />
Purpose; ‘to provide benevolent<br />
relief to people living and affected<br />
by multiple sclerosis and other<br />
neurological conditions, to<br />
empower them to live their best<br />
lives’. We would like to thank<br />
all Financial Members who<br />
engaged with us around these<br />
important decisions.<br />
In closing, I would like to thank you<br />
all for your ongoing input, feedback<br />
and support, whether that is as<br />
a Client, carer, family member or<br />
supporter. We wouldn’t be making<br />
the inroads we are without it.<br />
We can always do better, but<br />
not without your input as to<br />
how and where.<br />
MELANIE KIELY<br />
CHIEF EXECUTIVE OFFICER<br />
4<br />
5
MEMBER & CLIENT SERVICES<br />
Welcome to the <strong>Winter</strong> Edition<br />
of our Member & Client Services<br />
<strong>Bulletin</strong>. The cold weather is<br />
definitely here but spring is on<br />
its way.<br />
“The colour of springtime is in<br />
the flowers; the colour of winter<br />
is in the imagination.”<br />
– Terri Guillemet<br />
On Thursday, 6 July we held<br />
our <strong>2023</strong> Client Forum at the<br />
Telethon Speech and Hearing<br />
Centre in Wembley. We had a<br />
great turnout for this event, where<br />
Clients were provided updates<br />
on the latest research and trials<br />
underway from our research<br />
partners at Perron Institute and<br />
Edith Cowan University. We also<br />
UNRAVELLING THE MYSTERIES<br />
OF MULTIPLE SCLEROSIS:<br />
A GROUNDBREAKING GENETIC<br />
BREAKTHROUGH<br />
As featured on our front page,<br />
heard from our own clinicians<br />
World MS Day took place on 30 May<br />
and we held a ‘paint and sip’ event<br />
at our Butler, Bunbury, Rockingham<br />
and Wilson sites. It was a fantastic<br />
day where our Clients, carers<br />
and staff came together to raise<br />
awareness for MS and to show off<br />
their painting talents.<br />
While there were quite a few<br />
talented artists, I was not one of<br />
them! However, it was a great day<br />
with lots of fun and great time<br />
spent sharing stories and making<br />
connections. The artwork will be<br />
put together and displayed at our<br />
centres and we are looking forward<br />
to seeing it all pulled together.<br />
Thank you to all involved in our<br />
World MS Day working group<br />
and to our wonderful Events and<br />
Outreach team who did such a<br />
good job organising this activity.<br />
who provided information on new<br />
services available through our<br />
Physiotherapy and Occupational<br />
Therapy teams. This annual forum<br />
provides our Clients with the<br />
opportunity to interact and ask<br />
questions for more insight across<br />
research and our services.<br />
If you were not able to make it<br />
to the forum, you can review<br />
the presentations on our<br />
<strong>MSWA</strong> YouTube Channel.<br />
Scan the QR code to view.<br />
As we close out on another<br />
financial year, the NDIS has now set<br />
the budgets for the year ahead. We<br />
will be watching closely on what<br />
changes will be implemented by<br />
Minister Bill Shorten following the<br />
NDIS review. We are hopeful that<br />
we will see some positive action.<br />
On page 8, <strong>MSWA</strong> Manager Client<br />
Engagement Geoff Hutchinson<br />
breaks down the ‘What we have<br />
heard’ report released by the NDIS<br />
in June, following the review’s<br />
consultation period.<br />
A key issue which remains a<br />
challenge across the disability<br />
sector – and indeed many other<br />
sectors across Australia – is<br />
workforce staffing shortages. The<br />
challenges are not going away any<br />
time soon, and the focus for <strong>MSWA</strong><br />
and our peers is to attract and<br />
retain good people in the disability<br />
sector. Despite these challenges,<br />
<strong>MSWA</strong> has achieved some great<br />
outcomes, including redefining<br />
our Purpose, strategy and values,<br />
and the implementation of new<br />
systems, processes and services to<br />
better support our Clients.<br />
I would like to thank our dedicated<br />
staff for their hard work and<br />
commitment over the past year,<br />
and our Clients for your patience<br />
and understanding as we<br />
navigated these challenges.<br />
As always, your feedback is<br />
important to us. If you have<br />
anything you would like to<br />
share, please reach out to us<br />
via feedback@mswa.org.au or<br />
call 6454 3173.<br />
NICOLA WASHINGTON<br />
CHIEF CLIENT<br />
OPERATIONS OFFICER<br />
Multiple sclerosis (MS), a complex<br />
neurological condition affecting<br />
millions worldwide, has long<br />
perplexed medical researchers<br />
seeking effective treatments.<br />
However, there may be hope on the<br />
horizon as the Perron Institute, in<br />
collaboration with an international<br />
study, achieved a major<br />
breakthrough in MS research: the<br />
identification of the first genetic<br />
marker associated with MS severity.<br />
This remarkable discovery not only<br />
advances our understanding of the<br />
disease, but also has the potential<br />
to revolutionise long-term disability<br />
treatments for those living with MS.<br />
Published in prestigious journal<br />
Nature, the groundbreaking<br />
study involved an impressive<br />
collaboration of over 22,000<br />
individuals with MS from across<br />
the globe. Under the leadership of<br />
Professor Kermode, spearheading<br />
this activity Demyelinating<br />
Diseases Research at Perron<br />
Institute and the Centre for<br />
Molecular Medicine and Innovative<br />
Therapeutics at Murdoch<br />
University, the research team also<br />
included Dr. Fabis-Pedrini, a Senior<br />
Research Fellow funded by <strong>MSWA</strong>.<br />
Both distinguished researchers<br />
have been acknowledged as coauthors<br />
from Western Australia for<br />
their remarkable contributions to<br />
this international study.<br />
Excitement abounds in the<br />
scientific community as Professor<br />
Kermode shares his enthusiasm<br />
for the results, stating that the<br />
genetic marker discovery has<br />
flung wide open the door to<br />
understanding the intricate<br />
mechanisms underlying MS. This<br />
unprecedented insight paves the<br />
way for developing treatments that<br />
can significantly enhance recovery<br />
and halt disease progression,<br />
ushering in a new era of hope for<br />
MS patients.<br />
Dr. Fabis-Pedrini echoes the<br />
sentiment, emphasising the<br />
significance of identifying the<br />
genetic variant linked to MS<br />
severity. This crucial advance<br />
not only holds potential for<br />
new drug discovery, but also<br />
aims to preserve the wellbeing<br />
of people living with MS,<br />
marking a major stride towards<br />
improving the lives of those<br />
affected by the disease.<br />
The latest data underscores the<br />
far-reaching effects of neurological<br />
conditions on people's lives and<br />
serves as a poignant reminder of<br />
the need for continued dedication<br />
to research and fundraising efforts.<br />
The commissioned report by<br />
MS Australia reveals that 33,335<br />
Australians were living with MS in<br />
2021, with 3,040 individuals based<br />
in Western Australia, indicating<br />
an increase from 2017 figures.<br />
This growing prevalence<br />
highlights the urgency of MS<br />
research and support.<br />
<strong>MSWA</strong> remains resolute in its<br />
commitment to empowering<br />
people to live their best lives<br />
and providing the best possible<br />
support. Over the past decade,<br />
<strong>MSWA</strong> has contributed an<br />
astounding $34 million to research,<br />
bolstering hope for advancements<br />
in MS treatments.<br />
MARIANNE GREEN<br />
<strong>MSWA</strong> SENIOR MARCOMMS<br />
OFFICER (BRAND)<br />
6<br />
7
CLIENT ENGAGEMENT TEAM<br />
PARTICIPANTS IDENTIFY FIVE KEY<br />
CHALLENGES IN NDIS REVIEW<br />
As discussed previously in this<br />
publication, the Government<br />
announced a review into the<br />
National Disability Insurance<br />
Scheme (NDIS)… again.<br />
1<br />
Why is the National Disability Insurance Agency<br />
(NDIA) an oasis in a desert?<br />
This is a big one and something I am very happy<br />
the report is highlighting. In short, this means that<br />
the NDIA was never designed to support all people with all<br />
4<br />
Why aren’t NDIS markets working?<br />
The early vision of the NDIA was to establish a competitive and free market where<br />
providers competed for clients and produced improved quality, innovation,<br />
or diversity of services for all participants in all locations. However, due to a<br />
variety of reasons, this utopia hasn’t occurred yet.<br />
Just two years after the completion<br />
of the 2019 Functional and<br />
Efficiency Review of the NDIA Act<br />
– otherwise known as the ‘Tune<br />
Review’ – the Hon Bill Shorten MP,<br />
announced in October 2022 that<br />
the Government would complete<br />
yet another review of the Scheme.<br />
The goal of the current review is to<br />
look at the design, operations and<br />
aspects of their disability, and not enough support remains<br />
available for those who don’t fit into the NDIA structure. For<br />
example, of the $31.3 billion the Government contributed to<br />
disability services in 2021-2022, 93 per cent of it went to the<br />
NDIS. This means that if you are not on the NDIS, such as<br />
people over 65 with a disability who missed out on entering<br />
the Scheme, your service options and available funding are<br />
limited. <strong>MSWA</strong> has been working to highlight this issue to the<br />
Government, so it's pleasing to see that it has been listed as<br />
challenge #1 in this report.<br />
One reason may just be time, as it will take time for the market to understand the gaps in the sector<br />
and drive change. However, another may be that it isn’t a ‘free market’. As Economic Studies 101 tells<br />
us, a market where the price is regulated by the Government isn’t ‘free’. As the report highlights, the<br />
way price caps are set does not help providers respond to the needs of participants and encourage<br />
innovation or competition in service delivery. It also makes it hard to invest in the capability of<br />
workers which in turn limits providers' ability to bridge the worker gap currently engulfing the sector.<br />
The shortage of skilled workers and the impact this has on service delivery has been well<br />
documented here and in other Government reports. However, until we do something to address this<br />
issue, the ability for a truly free market experience for participants will remain limited.<br />
sustainability of the NDIS.<br />
It will also look at ways to make<br />
the market and workforce more<br />
responsive, supportive and<br />
sustainable. The review isn’t due<br />
to be finalised until October <strong>2023</strong>;<br />
however, much like any great<br />
summer blockbuster, they have<br />
released a few snippets early to<br />
allow us to catch a glimpse of<br />
where things are heading.<br />
Report Part A, or the ‘What we<br />
have heard’ report as they call it,<br />
highlights five issues co-chairs<br />
Lisa Paul AO PSM and Professor<br />
Bruce Bonyhady AM feel are the<br />
most challenging, from feedback<br />
provided from participants like<br />
you. Report Part B or ‘What we<br />
are going to do about it’, as I am<br />
hoping they call it, will be<br />
released later in the year. The full<br />
report is available online at<br />
www.ndisreview.gov.au or you can<br />
keep reading to get the gist.<br />
2<br />
3<br />
What does reasonable and necessary mean?<br />
The bedrock of the NDIA was that individuals<br />
would receive ‘reasonable and necessary’ support<br />
based on their individual needs. However, there is no set<br />
definition of what is ‘reasonable’ or what is ‘necessary’,<br />
and critically how we keep that consistent while also<br />
understanding everyone's individual needs are different.<br />
Having lived in the NDIS world now for five years, this confusion<br />
leads to some remarkably inconsistent and inequitable<br />
decisions that impact participants' plans and service<br />
opportunities. While I applaud any attempt at reframing this<br />
often-used phrase, I am also concerned getting this wrong<br />
could lead to an even less personalised approach. This is a<br />
tough needle to thread for the NDIA, but one that could really<br />
improve the outcomes for participants if they get it right.<br />
Why are there many more children in the<br />
NDIS than expected?<br />
Not much to add to this takeaway other than to<br />
highlight that 50 per cent of the 592,059 active<br />
NDIS participants nationally are aged between<br />
0 – 18 years of age.<br />
5<br />
How do we ensure that the NDIS is sustainable?<br />
Or as I like to call it, ‘all of the above’. A sustainable NDIS (to me) would be one that<br />
supports the needs of all participants, with prompt and necessary funding that<br />
understands individual service requirements, is delivered by a skilled and motivated<br />
workforce and supported by alternate funding options for requirements that fall<br />
outside the scope of the Scheme. Once we get all that right, the NDIS can continue<br />
to grow and assist without annual reviews being needed.<br />
At 10 years in, I still maintain that the NDIS is a remarkable idea that will one day help all those living<br />
with disability to access the type of services they deserve. However, it's also worth noting that at 10<br />
years in, we’re not there yet.<br />
The latest NDIA review seems to have identified challenges where a different answer will make a<br />
difference to those on the Scheme. They also seem to be going about it the right way in seeking<br />
feedback from participants and providers on how to fix these issues. On each page, they pose further<br />
questions on how we can improve the Scheme.<br />
I encourage you all to read the report and respond to the questions with your feedback on<br />
how we can make the NDIS into the scheme we all want it to be at www.ndisreview.gov.au.<br />
GEOFF HUTCHINSON<br />
MANAGER CLIENT ENGAGEMENT<br />
What is the National Disability Insurance Scheme (NDIS)?<br />
The NDIS is a scheme of the Australian Government which<br />
provides funding to eligible people living with disability.<br />
The NDIS now supports over 500,000 Australians with<br />
disability to access the services and supports they need.<br />
The National Disability Insurance Agency (NDIA) delivers the NDIS.<br />
8<br />
9
OUR STORIES<br />
CHRIS’S STORY<br />
As a father of three young girls,<br />
Chris had spent the final weeks of<br />
December 2016 working long days<br />
at his fledgling electrical business<br />
before enjoying a well-earned<br />
break with his family.<br />
But what he imagined to be a<br />
time for spoiling his girls with<br />
presents, long lunches and relaxing<br />
in the summer sun turned into<br />
the unimaginable overnight; a<br />
AUSTRALIA’S<br />
BRIGHTEST SPARK:<br />
CHRIS MCENCROE<br />
Years of steadfast dedication, selfbelief<br />
and hard work has paid off<br />
in spades for <strong>MSWA</strong> Client Chris<br />
McEncroe, who over a sevenyear<br />
journey went from lying in<br />
a hospital bed on a ventilator to<br />
bringing home not one, but two<br />
medals for Australia at the <strong>2023</strong><br />
Ambilympics held in Metz, France.<br />
The competition attracted 400<br />
competitors from 24 different<br />
countries, with Chris the only<br />
Australian representative<br />
competing in a skilled trade<br />
category: electrical engineering.<br />
Chris, alongside his partner – and<br />
recently qualified apprentice –<br />
Poss, had two days to complete the<br />
wiring for a mock house, complete<br />
with an electrical switchboard,<br />
to be judged on the accuracy of<br />
delivering a set of plans. While Poss<br />
hadn’t initially planned to compete,<br />
her help was required to reach<br />
some of the work which had been<br />
set out at two metres high.<br />
“I found it quite odd they didn’t<br />
expect someone in a wheelchair,<br />
and out of the eight competitors,<br />
I was the only one,” Chris said. “I<br />
asked how I could do the parts that<br />
I couldn’t reach, so they let Poss<br />
help me, which was pretty cool<br />
because we go to do part<br />
of it together.”<br />
By the time the last second of<br />
the clock ticked down on the<br />
competition, Chris had a good<br />
feeling his work had earned him a<br />
place on the podium.<br />
“I was pretty chuffed, because I<br />
felt I was the most disabled out<br />
of everyone, and yet it was only<br />
me and another guy that actually<br />
finished the task,” he said.<br />
“The moment of getting the medal<br />
was awesome, getting to go up<br />
on stage and first to get the silver<br />
medal, I thought alright that’s all<br />
done and dusted.”<br />
But little did Chris know,<br />
each country is presented an<br />
Outstanding Achievement<br />
medal to award their strongest<br />
competitor.<br />
With Chris the only Australian<br />
representative to medal at<br />
the Abilympics, he was the<br />
natural choice.<br />
“My partner was waving the<br />
Australian flag and helped push<br />
me up on stage.”<br />
“I would never have thought that I<br />
would end up with a silver medal<br />
for Australia a couple of years ago,<br />
so I think it’s a real ‘feel-good’ kind<br />
of thing.”<br />
Chris highly recommended<br />
anyone interested to showcase<br />
their skills to get in touch with<br />
contact@abilympics.org.au.<br />
“It’s so positive for everyone,<br />
particularly those in the disabled<br />
community. It gives everyone<br />
that ability to do something<br />
they wouldn’t normally have the<br />
opportunity to achieve.”<br />
life-changing diagnosis and a sixmonth<br />
stint in intensive care.<br />
“I went to work on December 23,<br />
totally normal and healthy,” Chris<br />
remembers. “It hit me nearly two<br />
hours into that day, I just started<br />
getting weakness in my legs.”<br />
“By lunchtime it had spread to my<br />
arms, but weirdly I didn’t think<br />
much of it. I didn’t expect anything<br />
because I was a healthy guy.”<br />
Having managed to finish the job<br />
that day, Chris made his way home<br />
and went to bed, not raising the<br />
alarm with his family.<br />
“I went to bed that night<br />
and never walked again,”<br />
Chris said.<br />
“The next morning, I told my ex-wife<br />
that I couldn’t get out of bed. I literally<br />
could not move. The paramedics had<br />
to drag me out of bed and took me<br />
to Busselton Hospital.”<br />
Due to the severity of Chris’<br />
condition, he was quickly diagnosed<br />
with Guillain-Barré Syndrome.<br />
“I explain it as MS in reverse. It is the<br />
same demyelination of the nerve<br />
sheath, but in my case, I lost all my<br />
nerve sheath overnight,”<br />
Chris explains.<br />
Unlike MS, Guillain-Barré affects<br />
the peripheral nervous system – the<br />
network of nerves located outside<br />
of the brain and spinal cord.<br />
“They flew me out to Perth straight<br />
away, because when it’s that<br />
severe, there is a real risk of going<br />
into full cardiac arrest,” he said.<br />
“I knew nothing about it at that<br />
stage. I got to ICU, I remember<br />
blacking out and then I was<br />
basically in a coma for two weeks.”<br />
What followed was six months in<br />
Fiona Stanley’s intensive care unit<br />
on a ventilator.<br />
“Most ICU patients are totally<br />
blacked out the whole time,<br />
whereas I was totally responsive –<br />
I just couldn’t breathe,” he said.<br />
From the start, doctors told Chris<br />
he may never fully recover, citing<br />
that people living with Guillain-<br />
Barré rarely made significant<br />
recoveries past the two-year mark.<br />
But giving up was never an option<br />
for Chris.<br />
“At two years, I was still having<br />
help with everything. I could hardly<br />
feed myself or do anything at that<br />
point,” he explained. “If I went off<br />
what the textbooks say, life now<br />
would be pretty different.”<br />
“I have just never given up. I’ve<br />
been lucky that I haven’t had<br />
to go straight back to work, I’ve<br />
still been able to do my rehab<br />
and that I have had <strong>MSWA</strong>,<br />
they have done a lot for me.”<br />
“The physios have been incredible,<br />
to be honest – it makes me<br />
emotional to think about it.”<br />
Now seven years along his journey<br />
with Guillain-Barré, Chris is close<br />
to walking and is in the process<br />
of applying for semi-robotic knee<br />
joints which he trialed in Perth.<br />
“The end goal is to use them<br />
around the house with a walker<br />
frame to start with, then crutches,<br />
so that’s what we are working on in<br />
physio at the moment,” he said.<br />
As well as representing his<br />
country on a global scale, the selfproclaimed<br />
“rev head” is also in his<br />
fourth season of racing go-karts,<br />
which Chris modified himself, with<br />
some help from his carers, to be<br />
hand controlled.<br />
“Funnily enough, I think go-karting<br />
is what has done so much for my<br />
upper-body strength. It’s as good<br />
for rehab, as it is for mental health,”<br />
he said.<br />
Reflecting back, Chris said his<br />
journey had opened his eyes to a<br />
whole new world. But through it all,<br />
Chris is an unstoppable force when<br />
it comes to achieving his goals.<br />
From all of us here at <strong>MSWA</strong>, a<br />
huge congratulations to Chris<br />
McEncroe on his incredible<br />
achievement for Australia!<br />
10<br />
11
OUR COMMUNITY<br />
PHYSIOTHERAPY<br />
<strong>MSWA</strong> CLIENT FORUM <strong>2023</strong><br />
EXERCISE WITH<br />
THE RIGHT ADVICE<br />
Clients gained insight from<br />
Do you feel like you need more<br />
<strong>MSWA</strong>’s neurological research<br />
guidance with your physical<br />
partners and <strong>MSWA</strong> clinicians on<br />
activity and how it relates to<br />
a range of developments at this<br />
your needs?<br />
year’s Client Forum on 6 July.<br />
Back in May, the Physiotherapy<br />
Associate Prof. Jennifer Rodger, of<br />
Team promoted Exercise Right<br />
Perron Institute for Neurological<br />
Week <strong>2023</strong>. Exercise Right Week<br />
and Translational Science, opened<br />
is an annual public awareness<br />
the event with the findings of<br />
campaign powered by Exercise and<br />
her stimulating remyelination<br />
Sports Science Australia (ESSA), the<br />
research journey which captivated<br />
governing body of our Accredited<br />
the audience.<br />
Exercise Physiologists. The theme<br />
Prof. Moira Sim, Dr Travis<br />
Cruickshank and Dr Mitchell<br />
Turner, of the School of Medical<br />
and Health Sciences at Edith<br />
Cowan University, also presented<br />
the results and future direction<br />
for Exercise Right Week <strong>2023</strong> was<br />
'The Right Advice', highlighting<br />
the importance of seeking<br />
individualised and tertiary qualified<br />
advice for exercise, health and<br />
sporting needs.<br />
of their SPIN research program<br />
(Systematic Profiling in<br />
Neurological Conditions) and<br />
how Clients can get involved.<br />
Clients also heard about new<br />
services now offered at <strong>MSWA</strong>,<br />
including the Physiotherapy<br />
Team’s Lymphoedema<br />
Service, as presented by Senior<br />
Physiotherapist Randall Rooney,<br />
and Occupational Therapy’s<br />
Supported Lying Service, presented<br />
by Caitlin Ross, Rachel Karsakis and<br />
Samantha Warne.<br />
We also discovered more about<br />
the role of <strong>MSWA</strong>’s accredited<br />
exercise physiologists, and how<br />
this role differs from that of<br />
physiotherapists and physiotherapy<br />
assistants. CMO Tony Millar then<br />
highlighted the various fundraising<br />
initiatives underway at <strong>MSWA</strong>,<br />
which aim to put our Clients back<br />
in the spotlight.<br />
If you were not able to make it to the forum,<br />
you can review the presentations on our <strong>MSWA</strong><br />
YouTube Channel. Scan the QR code to view.<br />
What is an Accredited Exercise<br />
Physiologist (AEP)?<br />
AEPs are tertiary qualified allied<br />
health professionals who adopt<br />
evidence-based, person-centered<br />
approaches to work with Clients<br />
holistically. We use exercise as<br />
medicine to treat, manage and<br />
prevent chronic and complex<br />
health conditions and disabilities.<br />
Why is seeking the right<br />
advice important?<br />
In today’s digital world it can<br />
be incredibly confronting and<br />
overwhelming, with the copious<br />
amounts of information available,<br />
to commence safe and effective<br />
exercise that is specific to you.<br />
Seeking the right advice is<br />
especially important for complex<br />
chronic conditions, as your body’s<br />
physiological reaction can<br />
change depending on the<br />
exercise prescription.<br />
We’re all guilty of going to Dr.<br />
Google when we’re unsure of the<br />
right advice. But let’s face it, you<br />
wouldn’t take your phone to a<br />
mechanic, right? Following correct<br />
information regarding your health<br />
is important to ensure there is<br />
purpose and reasoning behind<br />
what you are doing.<br />
So, what is the right advice?<br />
Our Exercise Physiology and<br />
Physiotherapy team will safely<br />
guide you towards the best course<br />
of action to address your needs<br />
and goals.<br />
We believe in ensuring your<br />
experience is enjoyable and<br />
realistic to build a sustainable,<br />
positive and long-term relationship<br />
with physical activity. Education,<br />
empowerment and a holistic<br />
approach are important aspects<br />
we consider when working with<br />
you as a team to create a plan that<br />
is right for you.<br />
ASHLEIGH CASTLEDINE<br />
<strong>MSWA</strong> ACCREDITED<br />
EXERCISE PHYSIOLOGIST<br />
If you’re finding it hard to know where to start, or want to consult with<br />
one of our team members, email ashleigh.castledine@mswa.org.au<br />
12<br />
13
COUNSELLING<br />
OCCUPATIONAL THERAPY<br />
SPEECH PATHOLOGY<br />
DON’T THINK<br />
ABOUT PINK<br />
ELEPHANTS!<br />
HOW TO MANAGE<br />
NEGATIVE THOUGHTS<br />
KAREN BROWN<br />
<strong>MSWA</strong> COUNSELLOR<br />
Negative thoughts are pushy<br />
little mojo-stealing pirates. They<br />
are persuasive, intrusive and<br />
powerful. Our thoughts will<br />
influence how we feel, which<br />
influence what we do and how<br />
we see ourselves.<br />
It isn’t so much the thoughts that<br />
are the problem, but what those<br />
thoughts are allowed to become.<br />
Negative thoughts that come<br />
and go without settling in are no<br />
problem at all. We all have them<br />
from time to time.<br />
The ones that cause trouble are<br />
the ones that swagger in, claim<br />
their place at the table and<br />
outstay their welcome. Even more<br />
boldly, they’ll run a convincing<br />
argument that they must stay<br />
to protect you from all sorts of<br />
perceived harmful situations.<br />
If only negative thoughts could<br />
find their way out as easily as<br />
they find their way in – but<br />
negative thoughts don’t tend to<br />
work that way. In fact, the more<br />
we try to push them out, the more<br />
they’ll push back. When we slam<br />
the door, they’ll hustle through<br />
the window. When we run,<br />
they’ll chase.<br />
Let’s try a little experiment.<br />
What’s happened to your pink<br />
Whatever you do, no matter what, elephants now?<br />
for the next 10 seconds: DO NOT<br />
How you manage negative<br />
THINK ABOUT PINK ELEPHANTS.<br />
thoughts is as unique as you are,<br />
DO NOT think of pink elephants. and you will need to practice<br />
Whatever you do, DO NOT think of finding the strategy that works<br />
pink elephants!<br />
for you.<br />
What were you thinking about? I If you would like to explore your<br />
bet it was about pink elephants. pink elephants further, the<br />
That’s because we cannot just counsellors at <strong>MSWA</strong> may be<br />
tell ourselves to not think about able to assist you. Just speak to<br />
something. You must replace it your Client Liaison Coordinator<br />
with something else.<br />
or contact the counselling team<br />
on 0455 453 620.<br />
Now… THINK OF BLUE MONKEYS.<br />
Imagine BLUE MONKEYS<br />
EVERYWHERE so many<br />
BLUE MONKEYS!<br />
Here are just a few ideas to help you make a start;<br />
there are many more.<br />
Engage in a guided meditation or mindfulness exercise.<br />
Find an activity that you enjoy to fully occupy your mind.<br />
For example, walking, art, music, or my favourite, which is<br />
to spend time with your pets.<br />
Engage in a social activity with friends or family.<br />
Write down your intrusive thoughts.<br />
Recognise your thought as an intrusive thought and<br />
acknowledge it.<br />
Remind yourself that thoughts are just thoughts, and<br />
there is no need to fear or act on them.<br />
FINDING HIGH<br />
VALUE IN LOW-COST<br />
ASSISTIVE TECH<br />
SAM WARNE, SARAH COUTINHO AND HEIKI FU<br />
<strong>MSWA</strong> OCCUPATIONAL THERAPISTS<br />
Two of the most frequently asked questions of <strong>MSWA</strong> Occupational<br />
Therapists (OTs) are ‘what does Assistive Technology (AT) mean?’ and<br />
‘how do I know if AT is low cost?’. Often this is followed by ‘does a flat<br />
screen TV count as AT?’.<br />
The landscape of assistive technology is vast and overwhelming. Our<br />
Clients often report feeling lost in a sea of suppliers advertising their<br />
shower chair, adapted tap turner, cooling vest... (the list goes on) as<br />
‘the best on the market’. Additionally, the means of purchasing lowcost<br />
items vary based on each funding stream (National Disability<br />
Insurance Scheme, Home Care Package and Community Aids and<br />
Equipment Program).<br />
The interactive Low-Cost AT Group, run by the <strong>MSWA</strong> Occupational<br />
Therapy department, provides participants with:<br />
/ Information on what low-cost AT is<br />
/ How low-cost AT is funded, depending on the stream<br />
and how to obtain it<br />
/ Education on the different kinds of AT available, depending on<br />
area of the home or diagnosis<br />
/ A list of trusted suppliers<br />
/ Interactive case studies to apply knowledge learned during<br />
the workshop<br />
/ An opportunity to view some low-cost items in person<br />
We will also identify where you will need further support from your<br />
Occupational Therapist in securing funding depending on the item.<br />
Our first group will be conducted on Friday, 15 September at our<br />
Wilson facility.<br />
If you are interested in attending a Low-Cost AT group, please<br />
contact our Occupational Therapy line on 9365 4854 or email us<br />
at ot.groups@mswa.org.au. From there, one of our Occupational<br />
Therapy Assistants will get in touch and discuss further details.<br />
We also provide light refreshments and lots of laughter! We look<br />
forward to seeing you soon and hope our low-cost group is of high<br />
value to you.<br />
FINDING<br />
YOUR VOICE<br />
Group speech therapy is a great<br />
way to target your speech goals in<br />
a natural setting.<br />
An eight-week treatment block of<br />
group speech therapy was recently<br />
completed with a small group of<br />
<strong>MSWA</strong> Clients.<br />
In these groups, Clients came<br />
together to work on speech, voice<br />
and high-level language (memory,<br />
attention, word-finding etc.).<br />
This was also a great opportunity<br />
to socialise, build connections and<br />
have some fun, in a supportive but<br />
relaxed environment.<br />
Clients took part in voice exercises,<br />
practiced clear speech strategies<br />
and participated in fun language<br />
activities such as Family Feud,<br />
Taboo and Celebrity Heads.<br />
Clients reported that the groups<br />
were very enjoyable, and it was<br />
great to have conversations with<br />
other like-minded individuals,<br />
whilst targeting therapy goals.<br />
If you would like to attend future<br />
speech groups, please contact<br />
Speech Pathology via<br />
speech.pathology@mswa.org.au<br />
or by calling 9365 4888.<br />
Acknowledge the emotions that are present.<br />
14<br />
15
DIETETICS<br />
CHECK IN<br />
ON YOUR<br />
NUTRITION<br />
7<br />
8<br />
Plan ahead<br />
Plan out your meals for the week and shop in<br />
advance to achieve a balanced diet. This also<br />
avoids impulse purchases and last-minute<br />
unhealthy meals. As the cost of food increases,<br />
this can also save money!<br />
Eat a rainbow<br />
Choose a range of different coloured fruits and<br />
vegetables to fill up on healthy fibre, get a range<br />
of vitamins and minerals, boost gut health,<br />
manage weight and reduce chronic disease risk.<br />
How healthy are your eating and shopping habits? Here is a helpful checklist compiled by <strong>MSWA</strong> Senior<br />
Dietitian Misty Reinkowsky with practical advice to improve your nutrition.<br />
1<br />
2<br />
3<br />
Choose seasonal produce<br />
Eating fruit daily, in<br />
particular the citrus fruit<br />
in abundance in Western<br />
Australia at the moment,<br />
helps keep our immune<br />
systems working efficiently.<br />
Add in some Omega 3s<br />
Omega 3s are fatty acids<br />
which have been shown to<br />
help reduce inflammation in<br />
the body. The best sources<br />
of Omega 3s are fish, fish<br />
oil, cod-liver oil and other<br />
seafood, but you can also find<br />
them in plant food such as flaxseed,<br />
walnuts, chia, pecans and flaxseed oil.<br />
Add nuts!<br />
There is an ever-growing<br />
body of evidence which<br />
suggests the daily<br />
consumption of nuts has an<br />
association with decreased<br />
disease risk and improved<br />
quality of life outcomes.<br />
Adding raw, unsalted almonds, walnuts,<br />
brazil nuts, or a nut mixture to your diet is a<br />
great and healthy way to boost the quality of<br />
your diet. Remember a serve of nuts is<br />
approximately 40 grams.<br />
<br />
4<br />
5<br />
6<br />
Choose healthy fats<br />
Unsaturated fats from foods<br />
like nuts, seeds, avocado<br />
and Australian Extra Virgin<br />
Olive Oil are beneficial in<br />
small amounts, as part of a<br />
healthy diet.<br />
Eat mindfully<br />
Increase enjoyment and<br />
awareness of your<br />
meal/snack. Limit distractions<br />
at mealtimes, chew food well<br />
and pay attention to how full<br />
you feel. Stop eating once you<br />
feel satisfied, even if your plate<br />
isn’t empty. You can keep the<br />
leftovers for the next meal.<br />
It’s all about balance<br />
Choose whole foods first. Limit<br />
processed foods, choose mostly<br />
plant foods and eat a variety of<br />
food from the five food groups<br />
for optimal health. These are:<br />
/ Vegetables<br />
/ Fruits<br />
/ Meat and alternatives<br />
/ Grain foods<br />
/ Dairy and alternatives<br />
HEALTHY SALMON<br />
PATTIES RECIPE<br />
Prep: 35 mins<br />
Cook: 20 mins<br />
Servings: 5<br />
Ingredients:<br />
/ 400g can no-added-salt<br />
pink salmon, drained<br />
/ 300g sweet potato<br />
/ 3 spring onions (including green tops)<br />
/ 1 red capsicum<br />
/ 1/2 cup reduced-fat cheddar cheese<br />
/ 10 slices sundried tomato<br />
/ 1 egg<br />
/ 1 tbs parsley, dried<br />
/ 3 tsp lemon rind<br />
/ 1 tsp dill, dried<br />
/ 1/2 cup breadcrumbs<br />
/ Pepper<br />
/ 2 tsp canola oil<br />
Method:<br />
1. Peel and dice sweet potato, place<br />
in a saucepan with water and cook<br />
until soft.<br />
Recipe sourced from: livelighter.com.au/recipe/511/salmon-patties<br />
2. Grate cheese, dice spring onion,<br />
sundried tomatoes and capsicum.<br />
3. Drain potatoes and mash until smooth.<br />
4. In a large bowl combine salmon,<br />
sweet potato, spring onion, sundried<br />
tomatoes, capsicum, egg, cheese,<br />
lemon rind, parsley, dill and pepper.<br />
5. Form 10 even patties and roll in<br />
crumbs, coat well. Place in refrigerator<br />
for 20 minutes to chill.<br />
6. In a fry pan heat canola oil and pan fry<br />
each patty until golden brown on both<br />
sides and cooked through.<br />
7. Serve two patties per person.<br />
16<br />
17
NURSING<br />
WATER, LIFE, THE UNIVERSE<br />
AND EVERYTHING! – PART 4<br />
For part four of this series, we explore the important role water<br />
plays in digestive and urinary system health.<br />
ROCHELLE BROWN<br />
<strong>MSWA</strong> NEUROLOGICAL LIAISON NURSE<br />
Chronic Constipation<br />
Dehydration is one of the leading causes of chronic constipation. The food we eat<br />
makes its way through the body via the stomach to the large intestine (colon). If<br />
you don’t have enough water present in your body already, the colon soaks up<br />
water from the waste products present in the colon. This results in hard stool<br />
which is difficult to pass. An over-full bowel due to constipation can press on the<br />
bladder, reducing the amount of urine it can hold or make you feel like you<br />
need to pass urine urgently.<br />
Severe constipation is one of the most common causes of faecal incontinence.<br />
Hard bowel motions are difficult to pass and may cause a partial blockage higher<br />
in the bowel. This results in watery bowel motions flowing around the constipated<br />
stool without warning, which can be mistaken for diarrhoea.<br />
Adequate Hydration vs Infections<br />
A Urinary Tract Infection (UTI) is an infection in any part of your urinary system -<br />
your kidneys, ureters, bladder and urethra. The majority of UTIs are associated with<br />
the lower urinary tract i.e. the bladder and urethra. Increasing water intake will help<br />
women avoid UTIs. This widely held belief was backed by an independent study<br />
published in the Journal of the American Medical Association (JAMA). Women are<br />
at a greater risk of developing a UTI than men due to their shorter urethras.<br />
UTIs don’t always cause signs and symptoms in men and women.<br />
However, when they do, they may include:<br />
/ A strong, persistent urge to urinate<br />
/ A burning sensation when urinating<br />
/ Passing frequent, small amounts of urine<br />
/ Urine that appears cloudy<br />
/ Urine that appears red, bright pink or cola-colored, a sign of blood in the urine<br />
/ Strong-smelling urine<br />
/ Flank pain (the area between the upper abdomen and the back)<br />
/ Pelvic pain, in women — especially in the center of the pelvis and around the<br />
area of the pubic bone<br />
If you suspect you or someone you know may have a UTI, it is important to<br />
see a doctor as soon as possible, as there could be serious consequences<br />
if the infection spreads to your kidneys.<br />
In part five of our hydration series, you can learn more about<br />
continence and ways to help manage bladder and bowel dysfunction.<br />
Kidney Stone Disease<br />
The incidence of kidney stone disease is rising worldwide. Currently, increasing<br />
fluid intake is recommended as the most ideal prevention. However, to date<br />
there has been inconsistent evidence surrounding optimum volumes<br />
and types of fluid that affect stone formation.<br />
Stone formation has been directly associated with a lack of fluid intake and<br />
is by far one of the most common causes of kidney stone formation. Kidney<br />
stones are formed from minerals and salts present in the urine, which combine<br />
to create hard deposits inside the kidney. This is likely due to the effect low<br />
fluid intake has on the production of urine, which results in concentrated urine<br />
and therefore an increase in the concentration of these minerals and salts in<br />
the urine. Over 80 per cent of kidney stones are made up of calcium oxalate,<br />
whereas uric acid stones make up 8 – 10 per cent of stones worldwide.<br />
As we highlighted in the previous articles in this series, our bodies use some<br />
of the water that we drink for necessary processes, like digestion, and we<br />
also lose water through sweat. Urine volume is therefore not identical to fluid<br />
intake. For this reason, people who are prone to kidney stones may be directed<br />
by their doctor to increase their fluid intake.<br />
You might have seen advertisements in magazines or on social media<br />
promoting different types of water and listing their health benefits. So, you<br />
may ask if there is a ‘best’ type of water to prevent the formation of kidney<br />
stones. The answer is simple: there is no scientific data that demonstrates<br />
that one type of water is better than another in preventing kidney stones.<br />
The key to preventing kidney stones is to increase and maintain an<br />
adequate urine volume.<br />
Soft Drinks<br />
With this information in mind, you might think it is OK to<br />
include soft drinks towards your fluid intake. But beware!<br />
Research shows dark soft drinks such as cola have been<br />
shown to increase the risk of kidney stones. So, if water is not<br />
your ‘thing’ we recommend reading Gemma’s article Stay<br />
Hydrated this summer in our Summer <strong>2023</strong> Edition of <strong>Bulletin</strong> for her<br />
tricks of the trade on how to increase your fluids in a fun and tasty way.<br />
If you have recurrent kidney stones, you may need to follow a special diet.<br />
First, your doctor will run tests to find out what type of stones you form.<br />
From these, your doctor or dietician can determine which diet changes<br />
might be right for you.<br />
References:<br />
Kidney Stone Prevention: How Much water Should You Drink? K. McCallum (Jan <strong>2023</strong>)<br />
The role of fluid intake in the prevention of kidney stone disease: A systematic review over the<br />
last two decades. Turk J Urol. (Nov 2020) 46 (Suppl 1): S92–S103. DOI: 10.5152/tud.2020.20155<br />
Can drinking more water help women fight urinary tract infections? D. Sparks. (Oct 2018)<br />
Effect of Increased Daily Water Intake in Premenopausal Women With Recurrent Urinary Tract<br />
Infections A Randomized Clinical Trial. JAMA Internal Medicine. T. M. Hooton, et al. (July 2018)<br />
Faecal Incontinence: Constipation. Continence Foundation of Australia. (Aug 2021)<br />
18<br />
19
OUR STORIES<br />
It’s this social aspect that John<br />
finds so important, which is<br />
beneficial for both Clients and<br />
volunteers alike. He encouraged<br />
anyone thinking of volunteering to<br />
get involved, as it is an opportunity<br />
to connect with the community,<br />
improve wellbeing and give back.<br />
NURTURING A<br />
DECADES-LONG<br />
VOCATION WITH<br />
<strong>MSWA</strong><br />
“I’d just like to see more people do<br />
it; get people out of the pattern<br />
that they have in their lives, look<br />
around and do something positive,<br />
something you are capable of<br />
doing” he said.<br />
“As you get older there is less<br />
things you can do, that’s part of life,<br />
but meeting people – there is no<br />
restriction on that.”<br />
This year, John was recognised<br />
with a nomination in the<br />
WA Lifetime Contribution to<br />
Volunteering category of the<br />
When John Robertson first<br />
started volunteering at <strong>MSWA</strong>,<br />
“I started doing eight hours a week,<br />
which lasted a year until I was<br />
“While some of the ladies couldn’t<br />
do things physically, they knew<br />
<strong>2023</strong> WA Volunteer of the Year<br />
awards for his incredible work.<br />
Google was a new kid on the<br />
block, the assembly of the<br />
International Space Station had<br />
only just begun and you still<br />
couldn't use your landline and<br />
internet at the same time!<br />
Safe to say, in his 24 years of<br />
officially retired, but then I just<br />
kept going,” he said. “What was<br />
half a day a week became one day,<br />
then two.”<br />
“As you can see, it’s a fairly big<br />
property [at Wilson] and when I<br />
started it was all scrub at the back.<br />
how to grow plants and they gave<br />
me a lot of ideas to grow plants<br />
from cuttings – so that is where<br />
many of the plants around the<br />
place have come from.”<br />
“It gets to be like family after a<br />
while, with the Clients.”<br />
“John’s unselfish and noble actions<br />
in his work boots and gloves leave<br />
a trail of radiant garden beds at our<br />
Wilson facility for all staff, Clients,<br />
and visitors,” said <strong>MSWA</strong> Lead<br />
Manager of Property Development<br />
and Construction Steve Corbett.<br />
dedicated service, John has borne<br />
witness to many changes – but his<br />
passion for the people at <strong>MSWA</strong><br />
has never faltered.<br />
Initially, his volunteer work as a<br />
handy man and gardener was to<br />
bridge the year-long gap between<br />
his retirement from the mining<br />
industry and access to the pension<br />
at age 65.<br />
What he didn’t expect was for this<br />
new venture to become a vocation<br />
he was so passionate about.<br />
There were always things to do,<br />
but I also found it was such a good<br />
place to work.”<br />
“Being a volunteer, there was no<br />
pressure on me to do things,<br />
but I felt a moral obligation to<br />
do things.”<br />
His time volunteering has<br />
proved a valuable learning<br />
experience, with many <strong>MSWA</strong><br />
Clients helping to grow his<br />
knowledge over the decades.<br />
“A lot of the Clients here,<br />
particularly the ladies with MS,<br />
knew more about gardening than I<br />
will ever know,” he said.<br />
John said <strong>MSWA</strong> had always made<br />
him feel welcome and “accepted<br />
as one of the troops”, being able<br />
to join in with Client activities,<br />
lunches and morning teas.<br />
Above all else, John’s most<br />
important duty is to connect with<br />
Clients – and he is always prepared<br />
for a chat.<br />
“One thing they told me at the<br />
start is, if any of the members want<br />
to talk – talk,” he said. “They are<br />
always more important than the<br />
job I’m currently doing.”<br />
“You meet a lot of people and talk<br />
to them. There are a lot of people<br />
that want me to come and look<br />
after their garden,” he laughed.<br />
“For the past 24 years, John has<br />
been available to help <strong>MSWA</strong><br />
with surrounding gardens<br />
through seasons of heat and rain.<br />
Being a volunteer, John is not<br />
paid; not because he’s worthless –<br />
he is priceless!”<br />
“The longevity of his selfless acts of<br />
kindness in <strong>MSWA</strong> gardens make<br />
it a better place. His touch extends<br />
to the inside of the building, with<br />
staff able to fill vases with healthy<br />
vibrant flowers from our very own<br />
gardens in meeting rooms, offices,<br />
and reception areas.”<br />
"We learnt long ago John is<br />
the backbone of our successful<br />
landscapes, and <strong>MSWA</strong> would be<br />
lost without his devoted efforts.”<br />
VOLUNTEER WITH US AT THE<br />
<strong>2023</strong> <strong>MSWA</strong> OCEAN RIDE!<br />
Come and join us bright and early<br />
as we send off all our fantastic riders<br />
completing the 10km Family Ride,<br />
30km, 50km, 70km, 100km, 120km<br />
and 140km courses.<br />
With volunteering locations in Fremantle, Scarborough,<br />
Hillarys and all the way along the course, there's something<br />
for everyone! Job roles include helping setup and pack<br />
down, registering participants, marshalling riders along the<br />
course and helping hand out medals, fruit and water.<br />
Join the team by contacting<br />
events@mswa.org.au or call us on (08) 6454 3131<br />
20<br />
21
ACCOMMODATION & OUTREACH<br />
OUTREACH<br />
Christmas in July<br />
<strong>MSWA</strong> Beechboro Outreach got into<br />
the holiday spirit with a Christmas in<br />
July celebration featuring the musical<br />
stylings of local musical artist Drea.<br />
The non-alcoholic mulled wine was<br />
a hit!<br />
Sanctuary Planting Day<br />
The green thumbs at Wilson Outreach got their hands<br />
dirty to plant the newly installed vertical gardens in the<br />
refurbished Sanctuary Garden.<br />
Together, Clients and staff transformed the space with a<br />
vibrant mix of flowers, ornamentals, ferns and edible plants.<br />
A big thank you to the Facilities Team for making it possible.<br />
Casino Royale<br />
Clients at <strong>MSWA</strong> Wilson Outreach were feeling lucky<br />
after the Atrium was transformed into a casino in July.<br />
From blackjack to roulette, everyone was a winner at<br />
Casino Outreach!<br />
International Nurses Day<br />
<strong>MSWA</strong> Bunbury Outreach hosted Senior Neurological Nurse<br />
Nimisha Baird as guest speaker for International Nurses Day,<br />
who shared her story with Clients.<br />
OUTREACH AND<br />
ACCOMMODATION<br />
HAPPENINGS<br />
If you live near Perth, Rockingham, Bunbury or<br />
Albany and are interested in a trial to experience<br />
the Outreach community, get in touch with<br />
Senior Community Outreach Coordinator<br />
Melissa Coombs via outreach@mswa.org.au<br />
Outreach opening times<br />
Wilson Mon, Tues, Wed + Thurs 8.30am – 2pm<br />
Beechboro Mon + Fri 8.30am – 1pm<br />
Rockingham Tues, Wed + Fri 8.30am – 1pm<br />
Bunbury Wednesday 9am – 12pm<br />
Albany Friday 9am – 12pm<br />
Mother’s Day High Tea<br />
<strong>MSWA</strong> Bunbury Outreach also hosted<br />
a special Mother’s Day High Tea in May,<br />
featuring an impressive raffle made possible<br />
through Client and staff donations.<br />
ACCOMMODATION<br />
<strong>MSWA</strong> Butler Accommodation Staff Appreciation<br />
The hard work and dedication of the <strong>MSWA</strong> Butler<br />
Accommodation team was recognised with a<br />
morning tea in July, where staff were presented<br />
with appreciation gifts.<br />
22<br />
23
OUR COMMUNITY<br />
CREATING CONNECTIONS<br />
WORLD MS DAY <strong>2023</strong><br />
Creativity and conversation<br />
flourished across four <strong>MSWA</strong><br />
locations in recognition of<br />
World MS Day on May 30, with<br />
more than 140 Clients and staff<br />
coming together for a special<br />
‘paint and sip’ event.<br />
Professional artists Fiona Rafferty<br />
and Clare Davenhall, from the<br />
Bunbury Regional Art Gallery,<br />
and Miles Carpenter and Joanne<br />
Bowman, from the Fremantle Arts<br />
Centre, led participants at Bunbury,<br />
Rockingham, Wilson and Butler to<br />
create a painted masterpiece on<br />
puzzle pieces.<br />
Our Facilities Team is now hard<br />
at work bringing these individual<br />
artworks together to create ‘the<br />
full picture’ of each location;<br />
showing that despite our unique<br />
personalities and differences, we<br />
are one connected community<br />
here at <strong>MSWA</strong>.<br />
As well as the joy of taking some<br />
time to be creative, it was great<br />
to see new connections and<br />
friendships formed throughout<br />
each session.<br />
Scan for the full gallery<br />
of images from <strong>MSWA</strong>’s<br />
Paint and Sip events<br />
LIGHTING UP<br />
THE NIGHT FOR<br />
WORLD MS DAY<br />
In honour of World MS Day,<br />
the Mounts Bay Bridge,<br />
Joondalup Drive Bridge,<br />
Tonkin Highway Sky Ribbon<br />
and Northbridge Tunnel shone<br />
red into the early hours on<br />
May 30 in a show of support<br />
for people living with MS.<br />
<strong>MSWA</strong> Board Director John<br />
Patmore and other members<br />
of our community sent in these<br />
snaps of the landmarks proudly<br />
shrouded in red.<br />
<strong>MSWA</strong> Board Director John<br />
Patmore admires the Mounts Bay<br />
Bridge lit up red for World MS Day.<br />
24<br />
25
OUR COMMUNITY<br />
STEPPING<br />
UP TO THE<br />
CHALLENGE<br />
FOR <strong>MSWA</strong><br />
Scan for the<br />
full gallery<br />
Commonwealth Bank representatives Karen and Adrian present their<br />
generous donation to <strong>MSWA</strong> Chief Marketing Officer Tony Millar.<br />
The Ruggiero Foundation, our <strong>2023</strong> highest fundraising team.<br />
The <strong>2023</strong> <strong>MSWA</strong> Step Up - Powered by Commonwealth Bank event<br />
was a great success, with over 800 participants and $163,885 raised for<br />
people living with neurological conditions.<br />
The event, held in the Central Park Building, saw participants climbing<br />
the steps of Perth’s tallest building.<br />
The atmosphere on the day was electric, with families, friends and<br />
colleagues cheering on their loved ones as they took on the challenge.<br />
Our top fundraisers were recognised on the day, with top individual<br />
fundraiser, Nicholas Ruggiero, raising an impressive $5,675, assisting<br />
his team – the Ruggiero Foundation – to also claim the highest<br />
fundraising team title, raising over $24,000.<br />
Colin Ottaway took out the most steps climbed with a huge 24 climbs<br />
– that's over 24,000 steps!<br />
TURNING CURLS INTO<br />
CASH FOR <strong>MSWA</strong><br />
There is nothing hairdresser<br />
Shenae Wilson won’t do for her<br />
friends, especially when it comes<br />
to one of her best friends, Cherone,<br />
who lives with MS.<br />
In May, Shanae transformed her<br />
Wangara salon into a fundraising<br />
hub – offering patrons blow outs<br />
and hair styling services, with 100%<br />
of the proceeds donated to <strong>MSWA</strong>.<br />
“Cherone was diagnosed around 15<br />
years ago, but thanks to <strong>MSWA</strong> and<br />
all of the money they have invested<br />
in research, the treatment she<br />
receives means she lives a pretty<br />
normal life,” Shenae said.<br />
Shenae’s support continued on<br />
into June, where she and her<br />
husband Travis climbed the<br />
Central Park tower in the Step<br />
Up for <strong>MSWA</strong> event.<br />
“I did the double up, my husband<br />
did the multi climb eight times<br />
and my girlfriend did it three times.<br />
I’m obviously the most unfit one,<br />
because the second time was hard<br />
enough!” she laughed.<br />
We also must give a special mention to our very own <strong>MSWA</strong> staff<br />
In all, Shenae raised $1825 through<br />
member and Client Tracey Hockey, who with the support of her son,<br />
her salon fundraiser and almost<br />
Keenlan, took to the stairs five times!<br />
another $1000 with her husband<br />
The event would not have been possible without the support<br />
for Step Up.<br />
of our sponsors and volunteers, including Commonwealth<br />
“Just get involved – it helps so<br />
Bank and Central Park. We are grateful for their ongoing<br />
many people and it’s always great<br />
commitment to supporting West Australians living with<br />
to support a cause, so why not<br />
neurological conditions.<br />
choose something that means<br />
Overall, the <strong>2023</strong> <strong>MSWA</strong> Step Up – Powered by Commonwealth<br />
something to you and make a<br />
Bank event was a fantastic day, filled with inspiration, challenge and<br />
difference?” Shenae said.<br />
community spirit.<br />
“I have seen firsthand the<br />
We thank all participants, volunteers and sponsors for making it such<br />
difference <strong>MSWA</strong>’s investment in<br />
a success!<br />
research has made and how they<br />
help people living with MS live<br />
DANNIELLE MCCONNELL<br />
Colin Ottoway on his<br />
<strong>MSWA</strong> Client and staff member Tracey<br />
<strong>MSWA</strong> SENIOR EVENT COORDINATOR<br />
longer and fuller lives.”<br />
26<br />
way to 24 climbs!<br />
Hockey with her son, Keenlan.<br />
27
EVENTS<br />
<strong>2023</strong> <strong>MSWA</strong> OCEAN RIDE<br />
POWERED BY RETRAVISION<br />
Canine star, Stan.<br />
Lotteries Marketing Officers Vanessa<br />
and Sam on confetti control duties<br />
Hananeh, Brodie and Hayley<br />
celebrate wrap up on set.<br />
The <strong>2023</strong> <strong>MSWA</strong> Ocean Ride is<br />
coming up quick and promises to<br />
be a day filled with excitement,<br />
with a distance for everyone!<br />
This year's ride will again take place<br />
on the beautiful Western Australian<br />
coastline in November, with the<br />
Stationary Cycle Challenge also close<br />
to pedalling off, providing our <strong>MSWA</strong><br />
Clients the opportunity to take part<br />
in their physiotherapy sessions!<br />
Whether you are an experienced<br />
rider or a newcomer, the <strong>MSWA</strong><br />
Ocean Ride is the perfect<br />
opportunity to challenge yourself<br />
and raise funds for a great cause.<br />
As you prepare for the ride, it's<br />
important to remember that this<br />
is not just a cycling event – it's a<br />
community effort to show our<br />
support for West Aussies living with<br />
neurological conditions.<br />
Every kilometre you ride and every<br />
dollar you raise will make a real<br />
difference in the lives of those who<br />
need it most. So: train hard, stay<br />
focused and get ready to make a<br />
positive impact!<br />
THANK YOU, PHARMACY 777<br />
Staff and Clients will receive<br />
free registration; be the first<br />
know by registering your<br />
interest on our website,<br />
mswaoceanride.org.au.<br />
Mark your calendars, gather your<br />
friends and family, and get ready to<br />
join thousands of other riders for a<br />
day of excitement, adventure and<br />
giving back.<br />
From all of us at <strong>MSWA</strong>, we want to thank longtime<br />
supporters Pharmacy 777 for their passion<br />
and commitment to our cause, with the team<br />
The <strong>2023</strong> <strong>MSWA</strong> Ocean Ride will be<br />
held on Sunday, 12 November <strong>2023</strong>.<br />
DANNIELLE MCCONNELL<br />
<strong>MSWA</strong> SENIOR EVENT<br />
COORDINATOR<br />
raising an astounding $47,240 for West Australians<br />
living with neurological conditions as part of the<br />
HBF Run for a Reason.<br />
We were blown away by this effort, which also saw<br />
Pharmacy 777 take home the crown for highest<br />
fundraising team across the whole event.<br />
Congratulations and thank you for making a lasting, positive impact on our community.<br />
LIFE ON SET: A LOOK BEHIND THE SCENES<br />
<strong>MSWA</strong>’s marketing department, led by the lotteries team, has been hard at work behind the scenes pulling<br />
together another incredible Mega Home Lottery campaign, due to launch on Monday, September 4!<br />
There will be some familiar faces featuring on screens across WA this time around, as we have packed our<br />
commercials full of <strong>MSWA</strong> staff, with <strong>MSWA</strong> Client Hayley Long playing a starring role. There was even a<br />
canine actor on set – much to everyone's excitement!<br />
There will be three more incredible properties up for grabs during this campaign and we had plenty of fun<br />
checking out the amazing features while on set.<br />
Here is a little sneak peek of what is to come – make sure you keep an eye out for the campaign launch<br />
on mswalottery.com.au.<br />
<strong>MSWA</strong> Client Hayley Long.<br />
READATHON<br />
The <strong>MSWA</strong> marketing team<br />
has sure been busy, with team<br />
members Hananeh Arzavi, Laura<br />
Radicevic and Deb Packer visiting<br />
Providence Christian College in<br />
August to talk to students about<br />
MS Readathon!<br />
For the month of August, every<br />
book you read will raise money for<br />
kids and their families impacted by<br />
multiple sclerosis. Find out more<br />
at www.msreadathon.org.au<br />
Our star extras from lotteries,<br />
recruitment and marketing.<br />
SUBMIT YOUR ARTICLE TO US<br />
Do you have a story about living with a neurological condition in WA<br />
that other <strong>MSWA</strong> Clients might like to read? We invite you to share<br />
your experiences with us.<br />
Email your submission to bulletin@mswa.org.au for consideration.<br />
SUGGESTIONS, COMPLAINTS AND COMPLIMENTS<br />
We want to hear from you. Your feedback helps us to understand<br />
what is working well and where we can improve.<br />
You can raise a concern or acknowledge the support an <strong>MSWA</strong> staff<br />
member has provided by telephoning the Complaints Liaison and<br />
Compliance Coordinator, Davina Sawyer on 6454 3146, via email<br />
feedback@mswa.org.au or writing to Quality and Compliance;<br />
Locked Bag 2, BENTLEY DC 6983.<br />
What a rig!<br />
Alternatively, you can speak with the coordinator of your services.<br />
For more information, visit mswa.org.au/about-mswa/contact-us.<br />
28<br />
29
OUR COMMUNITY<br />
NEWS IN BRIEF<br />
SAVE THE DATE<br />
Thriving with Multiple Sclerosis<br />
<strong>MSWA</strong> Client Rob Cridge recently<br />
took on the challenge of giving a<br />
TEDx talk in Kinjarling (Albany), as<br />
part of the ‘Imagine’ themed event.<br />
Rob talks about how making<br />
small changes in your life can, and<br />
will, lead to positive outcomes in<br />
the future, how to become more<br />
engaged in life and how to not<br />
sweat the small stuff.<br />
Rob’s list of achievements is<br />
pretty amazing and you can<br />
watch his inspiring talk here:<br />
https://youtu.be/dq2gt-CK0lo<br />
“I was diagnosed with Multiple<br />
Sclerosis... and it is the best thing<br />
that ever happened to me.”<br />
Rob Cridge<br />
‘Tuff’ Love - Drag News feature<br />
Rob isn’t the only star in our midst,<br />
with die-hard Ducati fanatic<br />
and <strong>MSWA</strong> Client Chris Morgan<br />
featured in Drag News <strong>Magazine</strong><br />
in May.<br />
Margaret Doody Respite<br />
The skilled drag racer talks about<br />
House Mural<br />
his passion for motorbikes,<br />
his plans to compete for a<br />
Perth-based artist Liv Robinson<br />
championship and how MS won’t kindly donated her time and<br />
hold him back.<br />
talents to produce a four metre<br />
mural to spruce up Margaret<br />
“When I race my world comes down<br />
Doody Respite's courtyard.<br />
to a very specific group of actions<br />
that I try to refine and perfect.<br />
To make the under-the-sea<br />
Nothing can distract me. It is a world themed masterpiece more special,<br />
of looking for the perfect run and a Liv bought the artwork to <strong>MSWA</strong><br />
world where I no longer have MS.” Wilson Outreach, guiding Clients to<br />
Chris Morgan<br />
add the finishing touches.<br />
Read the full story at<br />
We hope our Clients visiting respite<br />
dragnews.com.au/tuff-love/<br />
will enjoy the new scenery!<br />
May 50K<br />
A team of <strong>MSWA</strong> employees and Clients showed their support for the<br />
MS community by participating in the May 50k.<br />
Together, they fundraised $1,307 for the cause, logging an<br />
impressive 1,015km!<br />
A huge congratulations to the team for getting involved and thank you<br />
to all who supported with their generous donations.<br />
UNDERSTANDING MS<br />
NEWLY DIAGNOSED INFORMATION EVENING<br />
Expressions of interest<br />
Have you been diagnosed with MS in the past 2 years? Do you want to<br />
know more about MS and hear from others living with MS? This information<br />
evening is run by <strong>MSWA</strong> twice a year and is free for Clients and family<br />
members/support people.<br />
In addition to connecting with peers, this session provides insight into our<br />
MS Peer Support program, Employment Support Service and includes a<br />
Q&A opportunity with the <strong>MSWA</strong> Allied Health Panel.<br />
Register your interest to dajana.tesevic@mswa.org.au or call 0429 267 970.<br />
From diagnosis to risk factors and symptom-management, the<br />
Understanding Multiple Sclerosis course is for anyone wanting to<br />
learn more about MS.<br />
The award-winning online course was developed by the Menzies Institute for<br />
Medical Research to improve understanding and awareness of MS.<br />
To date 37,000+ people from more than 170 countries have enrolled.<br />
The six-week online course allows you to study at your own pace. Best of all – it’s completely free.<br />
The next course will begin on 11 September, <strong>2023</strong>.<br />
Visit ms.mooc.utas.edu.au to enrol.<br />
DIGESTING THE SCIENCE OF MS (FOR AGES 6 – 16)<br />
Expressions of interest – September/October school holidays<br />
This workshop is an opportunity for children and families to attend a free, interactive<br />
science-based activity session to learn about MS in an engaging and fun way.<br />
Navigate the nervous system and discover how MS affects the body, while<br />
having fun and connecting with your loved ones. Register your interest to<br />
dajana.tesevic@mswa.org.au or call 0429 267 970.<br />
“The event was great for my kids! They really enjoyed the excellent resources.<br />
My 7-year-old… has been able to understand more and ask more questions.”<br />
20 – 26 AUGUST<br />
21 – 27 AUGUST<br />
4 – 8 SEPTEMBER<br />
8 SEPTEMBER<br />
11 SEPTEMBER<br />
21 SEPTEMBER<br />
OCTOBER<br />
7 – 14 OCTOBER<br />
23 – 29 OCTOBER<br />
29 NOV - 1 DEC<br />
Speech Pathology<br />
Week<br />
Brain Injury<br />
Awareness Week<br />
Women’s Health<br />
Week<br />
World Brain<br />
Day<br />
Understanding MS<br />
course begins<br />
World Alzheimer's<br />
Day<br />
Mental Health<br />
Awareness Month<br />
Mental Health<br />
Week<br />
Occupational<br />
Therapy Week<br />
Progress in MS Research<br />
Conference<br />
30<br />
31
WORLD MS DAY