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InTouch KIA NOHO TATA Inclusive | Inspiring | Informative Autumn 21 Issue 109 Celeb r a t i n g [ our triumphs To Cyprus with love Libby’s marathon run for MG I see you… A mother’s beautiful, poetic reflection Boxing away perceptions Olivia is throwing jabs and hooks from her wheelchair
Contents PO Box 12063, Penrose, Auckland 1642, New Zealand. FEATURES Freephone 0800 800 337 NZ Phone: (09) 815 0247 International prefix (00649) Editor: MDANZ National Support Office info@mda.org.nz 10 0800 800 337 I see you… Design: The Artset A beautiful and poetic camp the.artset@gmail.com Insta/facebook: @theartset reflection from a grateful mother. Cover photography: FinisherPix® Contributions: We welcome contributions, comments and letters to the editor. We thank all contributors to this edition. 12 Subscriptions: In Touch is available Home is where the free to people with neuromuscular conditions, their families, health and heart is for award- education professionals and other interested people. winning author Adrienne Smith’s contemporary Advertising: In Touch welcomes advertising enquiries. For a rate card, small-town stories are winning fans. please contact the MDANZ office. Printer: Alliance Print 09 358 5151 allianceprint.co.nz The opinions and views expressed in 14 this magazine are not necessarily those of the Muscular Dystrophy Association. To Cyprus (and All material in this magazine is MG) with love copyright. You must therefore contact the editor for permission before A first-time marathon runner raises copying or reproducing any of it. awareness and funds for MG. Charities Commission Registration: CC31123 ISSN 1179-2116 MDANZ would like to thank Nick Lingard Foundation the following supporters:
Autumn 2021 | Volume 109 REGULAR 7 Pride for Dukies’ 22 Why take part in achievements clinical trials? 2 Kōrero with Tristram By Award Leader Marty Price. There are plenty of benefits From the desk of the Chairperson. to taking part in clinical trials. 8 A new circle of friends and a confidence boost MDANZ NEWS Camille Peterson on what the YOUR CONDITION Hillary Award means to her. IN REVIEW 23 Myasthenia Gravis FEATURES contd... A review of MG, an auto-immune disorder. 3 America’s Cup 16 Boxing away more accessible perceptions New vans are helping to reduce and challenges 25 Many more adventures transport barriers for members. Olivia Shivas is throwing jabs, to be had hooks and uppercuts from A “zombie-ish” moment in the 4 Dragon slaying, car lead up to a major solo art her wheelchair. racing and building cities exhibition led to Judy Smith’s Scott Boyle checks out the ocular MG diagnosis. controllers of two new consoles. RESEARCH 5 A cup of tea 18 The good and the CLINICAL and a catch up… bad of disability data PERSPECTIVES With Jane Hazlett. More analysis of the hidden costs of disability is needed. 26 A rough guide to 6 Ensuring our vaccine testing and voices are heard 20 Telehealth wheelchair approval processes An update on the Disabled assessments The main stages of development People’s Organisation Coalition. New research finds good news. and delivery of a new vaccine. We would also like to acknowledge our corporate sponsors: Also thanks to the ANZ Bank Staff Fund, ARA Lodge No 348 IC Charitable Trust, NZ Post Community Post, One Foundation, Richdale Charitable Trust and the Independent Living Service for their continuing support.
From the desk of the Chairperson Kōrero with Tristram The importance of the Covid-19 immunisation campaign cannot be underestimated. Well I’m sure, if you’re feeling like me, that the relaxation Bottom line, although we may already be sick of it, we of the summer break feels well behind us all now as we haven’t heard the end of Covid yet – it will be with us for power into another year of hard work, big challenges, and some time into the future. exciting opportunities. Meanwhile, the time-critical challenge is getting these An important piece of news from members’ perspective immunisations to our most at-risk and less-connected is the ongoing campaign to immunise the country against communities of members. Covid-19. As a team we are strategising about what local There will be a sequenced roll-out based on those initiatives we can do to work with DHBs and other that are higher risk going first. The importance of this providers as they begin the roll-out to ensure our campaign, for our individual and collective safety, cannot members are front-and-centre in the implementation. be underestimated. We also want to encourage you to get your usual flu Some critical elements that our team are mindful of, and shot done and out of the way as soon as possible as the will advocate for, are the fact that you, our members, and two immunisations cannot be given within several weeks everyone in your bubble, should be immunised as soon as of each other, and the Covid-19 campaign will be ramping possible when it becomes available in your area. up at about the same time. The Covid-19 variants are significantly more Finally, I want to reassure you, from my role on the transmissable and therefore the possibility of the Government Covid-19 Immunisation Implementation virus escaping our MIQ facilities and re-entering the Advisory Group, that from the data I’ve been seeing inside community remains a serious concern. the Ministry of Health the immunisations are very safe, Although the immunisations each provide a good level have been well tested (not just in trials but as deployed of personal protection, the pieces of evidence that are still in several countries now) and seem to provide very good lacking are whether the immunisation prevents someone levels of protection from serious illness. transmitting the virus to others around them. Currently it looks like they may not fully prevent transmission hence the usual protections of physical distancing, wearing masks if you can, handwashing and contact tracer app use are even more important now. Dr Tristram Ingham Additionally, as more variants are identified we need to National Executive Chairperson be mindful how effective these immunisations will be in the longer term. 2 | InTouch magazine Autumn 2021
MDANZ Useful updates for MDANZ members news America’s Cup more accessible thanks to minibus grant New vans are helping to reduce transport barriers such as accessibility and affordability for MDANZ members. By Melanie Louden. A generous grant and the hard work of van interior experts meant MDANZ members had improved access to America’s Cup events held in Auckland this month. Funding from the Lottery Grants Board, to the tune of $233,174, meant the association could purchase two Mercedes Benz minibuses, and have them fitted out for wheelchair transportation by the team at Jackson Top left: A very happy bunch. On their way Van Interiors. to the Northern Region family camp held on National Executive Chairperson Waitangi weekend, are (clockwise from front left) Ethan King, Oliver King, Neil Singh, Lachlan Tristram Ingham says the organisation Islip and Neil Westwood. wanted to provide a free door-to- Top right: The vans are fitted with hoists that can lift 350kgs. door wheelchair accessible shuttle Left: Jackson Van Interiors General Manager Neil service to members to “support active Collis, left, and Northern Region Chairperson and National Vice-Chairperson Trevor Jenkin engagement in America’s Cup events”. with one of the Mercedes Benz minibuses. The vans transported members to observation areas in the Viaduct and at He says factory minibuses don’t attending Northern Region camps. Bastion Point. meet the needs of everyone, so the “In the past people haven’t attended Once the racing is over, one van will company does everything from camp because they can’t get there, be used by MDANZ’s Northern region, manufacturing and fitting seat frames or they’ve had to hire a van to get and the other by the Central region to and hand controls, to carrying out there – which is an extra cost on top of provide ongoing transport options for crash tests to prove that their seats attending camp.” members to events. meet NZTA safety standards. He says MDANZ is incredibly grateful “A number of members have been Northern Region Chairperson and to Lotteries for the generous grant and unable to attend our peer support National Vice-Chairperson Trevor Jenkin to Jackson Van Interiors for the great groups, annual meetings and community says the team at Jackson Van Interiors customer service. “Without the help of events because of the lack of accessible, were extremely accommodating as Lotteries, Ingham Prestige Mercedes affordable transport,” Tristram says. they worked towards getting the vans and Jacksons our members would have Jackson Van Interiors General Manager fit for purpose. struggled to attend the America’s Cup Neil Collis says it takes up to 160 hours “Nothing was too much trouble for events and continued to miss out on to kit out an empty van with reinforced these guys.” Trevor says the vans will be events and support services. Thank you floors and walls, wheelchair restraints, a vital tool in helping members attend for your support of MDANZ – it really swing-out seats and a hoist. events and access services – including does make a difference,” Trevor says. N InTouch magazine Autumn 2021 | 3
MDANZ news Dragon slaying, car racing and building entire cities with your mates As more people pick up gaming Scott Boyle checks out the controllers of two new consoles. 2021 has finally rolled in, kicking its predecessor to the curb and daring to be even worse. Last year was a roller coaster of epic proportions and definitely one that none of us wish to repeat. But as Covid is going to be a big part of our lives going forward perhaps we should look at new ways to have fun and socialise. And what better option than gaming. Scott Boyle is enjoying a game about Vikings during the Scandinavian invasion of England. 2020 was a fairly important year for gaming, and it had a massive effect From slaying dragons and surviving Of course, none of this matters on how people view games due to in apocalyptic wastelands, to racing unless you can play. Having played millions of people wisely going into cars and building entire cities with on both consoles since release I can lockdown. your mates. Games let you do it all! say that the controllers are very easy Our own lockdown was rather brief Even better is that gamers are to handle. compared to the rest of the world, pretty inclusive and welcoming to Having weaker hands myself I am but we were still left with weeks of newcomers. Take ‘Skyrim Grandma’ always cautious of new controllers, nothing to do. for example, a wholesome 84-year- but both are a good size, easy to hold Reports say that thousands more old who streams herself playing and with sensitive buttons. people purchased a new console games for the whole world to see. Even better is the customisation of before and after lockdown as a But where do you start? Well settings, making life much easier for result of the boredom, giving them thankfully October and November those of us with physical struggles. the chance to experience entirely new last year saw the launch of the Throughout 2021 we aim to share stories, challenges, and adventures. Playstation 5 and Xbox Series X. articles and blogs with our amazing Two powerful new consoles that members about the world of are much faster than the previous gaming. Topics such as what games generation and allow for the making are right for you, the health benefits of bigger and better games. of playing, the culture of the industry At the moment I’m playing a and even building a career by being Date for your diary game about Vikings during the a gamer. So, stay tuned. N April 30, 7pm: MDANZ AGM via Scandinavian invasion of England, something that is thrilling from a Scott Boyle is a member of the Zoom. Members will be emailed gameplay perspective, but also very MDANZ National Council. a link closer to the date. historically accurate. 4 | InTouch magazine Autumn 2021
MDANZ news A cup of tea and a catch up with Jane Hazlett Each issue we introduce a MDANZ team member. How long have you worked for the members taking every step possible Muscular Dystrophy Association to achieve their goals and to be and what do you do? interacting socially in the community I joined the Canterbury Branch team and supporting each other, as well as in November 2020 as the Fieldworker accessing and enjoying the beautiful for the Upper South Island. country that we live in. What qualifies as a great day What are you passionate about? at work for you? I am passionate about the health A great day at work for me is meeting If resources and funds weren’t an and well-being of not only myself our members and getting to know issue, what would you like to see and family but also those around their personal strengths, needs and our members enjoying? me. I believe it is important to always goals and being able to facilitate I think the “Covid year” has taught us look at the positives in your life as access to further supports, services to make the most of everyday and otherwise it is too easy to get bogged or resources and feeling like I have the opportunities that are presented down with the negatives, which made a difference to someone’s life. to us. I would love to see our never makes you feel very good. N Winner of the Henry Kelsey Scholarship The winner of the Henry Kelsey is investigating the effect of a small Alex was born in Hong Kong and Scholarship, 26-year-old Alex Chan peptide naturally produced by the his family came to New Zealand when of Auckland University, says he was mitochondria called MOTS-c on muscle he was just two and he grew up in quite shocked but pleased when function. One of his referees says this Auckland’s Botany Downs. he got the news that the $10,000 is a new and exciting field of research Unsure what to do when he first scholarship was his. in that MOTS-c appears to be largely went to university he initially went The scholarship provides funds produced by the muscle, and early into Biomedical Sciences, but later for individuals to undertake evidence suggests it can improve the developed an interest in nutrition. research towards a PhD studying metabolic function of muscle, and His Master’s degree was investigating muscular function, including the perturbed mitochondria and metabolic different dairy protein formulations causes and treatment of muscular processes are common in many muscle on skeletal muscle protein synthesis dysfunction. MDANZ collaborates pathologies. The outcomes from with Universities New Zealand, which and his PhD is in muscle and Alex’s research project has potential administers the scholarship, and to be translated into clinical models of mitochondrial physiology. our National Executive Chairperson, muscular dysfunction. Alex says that As to the future, he is unsure as Tristram Ingham, chairs the committee. by understanding the mechanisms yet, but is open to the possibility of Alex, who is in the third year of his of MOTS-c, it can provide a better a career in academia, teaching or PhD, explains his research is in a new understanding on how MOTS-c can industry work. But his current goal is area looking into how mitochondria improve skeletal muscle function when to finish his research and PhD. N regulates metabolism and stress. He exposed to metabolic stress. InTouch magazine Autumn 2021 | 5
MDANZ news Ensuring our voices are heard Alison Riseborough, one of two MDANZ representatives on the Disabled People’s Organisation Coalition, provides an update on recent and current issues. In mid-2020 I replaced Tristram Ingham as one of MDANZ’s two representatives on the Disabled People’s Organisation Coalition committee (DPO Coalition). Tristram is still the DPO Coalition representative on the Integrated Monitoring Mechanism (IMM) and is on some other government working groups because of his valuable skills and the Disability Action Plan. The report can be found at: https:// expertise. committee reviews and comments www.ombudsman.parliament.nz/ The DPO Coalition represents on the reports before they are resources/making-disability-rights- the voices of disabled people to published. The first progress real-pandemic the highest levels of government. reports on the current DAP are due Last year, Covid-19 severely disrupted Other groups in the Coalition are the to be published in early 2021. many of the proposed actions under Disabled Persons Assembly NZ (DPA), • Accessibility legislation: The new the Disability Action Plan. It looks like Blind and Low Vision NZ, People Government has renewed its the pace of work is picking up again First NZ, Deaf Aotearoa, Kāpō Māori commitment to establishing an in the first half of 2021. Aotearoa, and Balance Aotearoa. Accessibility for New Zealanders Some policy areas where there Since joining the DPO Coalition Act. The DPO Coalition wants to could be developments are: committee, I have learned that its ensure that disabled people’s • System transformation (disability activities include monitoring and views are gathered effectively support services). providing advice on the Disability and are reflected in the advice • Access to health services. Action Plan, meeting with the on options that goes to ministers Minister for Disability Issues, meeting in May 2021. The Access Alliance • Education. senior government officials and is working in partnership on • Employment. commissioning research on pressing the operational aspects. The • Welfare reform. disability issues. engagement process was • Building the leadership capabilities The DPO Coalition has to stretch expected to get under way of disabled people. itself wide to cover the many in the new year. There will be important issues that affect disabled opportunities for discussion and Lack of accessible and affordable people in New Zealand. Some of the input through each DPO. housing is another critical area where recent and current issues of interest urgent reform is needed. • Making disability rights real to MDANZ members are: in a pandemic: DPO members Please look out for opportunities • Disability Action Plan progress were involved in production to have your say on these issues and reports: Each government of a report describing disabled others that affect you. N agency must report six-monthly people’s experiences during the You can contact Alison at on the work it is doing under Covid-19 response last year. The alison.riseborough@mda.nz 6 | InTouch magazine Autumn 2021
MDANZ news Pride for Dukies’ achievements MDANZ staff MDANZ members taking part in the Duke of Edinburgh’s Hillary on the move Award are rising to the challenge, writes Award Leader Marty Price. The Central Region farewelled fieldworker Raygaana Naidoo, When I think about the Dukies as Camille is in Auckland and has also who was a real professional, hugely they are tracking through their goals completed her three sections. capable and much liked by members. for the Bronze or Silver Medal, it fills These three are our Bronze Medal Ray joined us in August and left at me with a lot of pride that I am on Dukies and all of them have done the end of 2020. We wish her the this journey with them. exceptionally well so far. very best. I just want to thank our Dukies for Our Silver Dukies are Jack in In January, the Central Region lost persevering through the lockdown Invercargill who has completed his the skills, enthusiasm and knowledge and after it with each of their goals. physical section of walking which he of Michelle Smith – the Community As always stated, there is no rush to has done very well at, and Dylan of Coordinator (East Coast) since June complete either medal; apart from Auckland who has also completed 2019. Michelle, also a member, made ensuring it is all completed before his skills section of model rocketry. a tangible difference to the member that Dukie turns 25 years old, as this engagement in the East Coast districts Once all the sections are is the oldest they can be. having coordinated, run or supported completed you can prepare to do For our Dukies it all depends on the Adventurous Journey, and this many member events, peer-support their abilities and their condition as can be done in a group setting workshops or fundraising initiatives. to how they will work through their with other Dukies or individually. Our Wellington members and goals and how far they want to At MDANZ we believe it’s great to the team will miss both Ray and push themselves. do it together as the Dukies can Michelle, but Philippa, Talitha and The variety of goals that have meet each other and chat about Louise will be very capable as they already been completed is a their goals. pick up responsibility for covering testament to them; I am so very We are tracking very well, and we the whole central region. proud of what they have achieved would love to see more members, The National Support Office has so far. who are keen to step outside their welcomed Kristin Cross who took I know some of our Dukies were comfort zone, join us. on the new role of Fundraising and very nervous at putting themselves Please get in contact; you won’t be Partnerships Advisor in January. forward for this knowing that their let down. Plus, these goals can lead Kristin comes from a corporate families cannot help them do it; they you to many other opportunities in marketing background, has her own can drive them to places but can’t the community. N sales business, and helped St John actually help. So, this was a step create a new revenue stream that outside the box for all. The Duke of Edinburgh’s Hillary Award engaged businesses. N is for 14 to 24-year-olds. For more Currently we have Ryan from Gore information go to: who has completed all his sections https://www.mda.org.nz/What-We- and is just waiting for his assessors Offer/Duke-of-Edinburghs-Hillary-Award to sign these off. Joy in Nelson has completed her physical and voluntary sections and is one hour away from finishing her skills section and being signed off too. Kristin Cross InTouch magazine Autumn 2021 | 7
MDANZ news A new circle of friends and a boost in confidence From taking on a leadership role, to spending more time with her mobility dog, Camille Peterson is taking full advantage of the Duke of Edinburgh’s Hillary Award. By Melanie Louden. The opportunity to combine her members taking part in the Duke hobbies with stepping out of her of Edinburgh’s Hillary Award – a comfort zone has given teenager programme that gives 14 to 24-year- Camille Peterson a new circle of olds the chance to challenge Camille gave her trusty mobility dog Lewis friends and a boost of confidence. themselves, learn new skills and extra training as part of her Duke of Edinburgh’s Hillary Award. Camille is among the MDANZ meet new people. Participants carry out tasks in three categories – service; physical recreation; and skills, and go on an Adventurous Journey to complete bronze, silver and gold levels. Members taking part design their own programme, set goals and record progress towards their achievement – all with the help of MDANZ Award Leader Marty Price. At the bronze level, participants average at least one hour per week on each section, plus a further three choose your months in one of the service, skills or physical recreation sections. own adventure! Camille, who has limb-girdle muscular dystrophy, began the programme mid-2019 and has The Duke of Edinburgh Award creates opportunities for completed the first three parts of young people to learn a new skill, get physically active, the bronze award. give voluntary service to their community and take part in The 17-year-old Aucklander picked an adventurous journey, an expedition or exploration in up volunteering in the Sexuality And our great Kiwi backyard. They build confidence, problem- Gender Acceptance group at her solving skills and greater resilience, giving them more school for the service category. tools in their toolbox to thrive in our fast-changing world. This saw her volunteer as the Year 12 Contact us on info@mda.org.nz or phone 0800 800 337 leader last year, and this year she is the Equipping all young New Zealanders for promising futures. Year 13 leader. Among other things, she helps organise events, fundraising and meetings.
MDANZ news Camille says putting herself forward the pool meant she had to commit to in work mode. for the leadership role last year was a regular swimming. The Hillary Award has been a “big push” out of her comfort zone, but “It was a good chance to track my confidence booster for Camille, and “it was definitely worth it”. progress. I got to know my limits and she recommends it to other MDANZ “It helped that they were all insanely got into a routine.” members. friendly people. But I had to get used Camille’s skill category was training “It’s an amazing opportunity to take to talking to a group of people. Once her mobility dog Lewis, a four-year-old elements of your hobbies and elevate I got over that initial feeling of ‘these golden retriever. them and to see what it’s like to be people are going to think I’m weird’ it Lewis has been part of the Peterson doing things consistently.” N was okay. family for two years and goes to school MDANZ is a licensed Hillary Award “I’ve made lots of friends through with Camille. provider, and through Award Leader that group, and I’m helping the “If I drop anything he picks it up. Marty Price, MDANZ can provide funding community.” He can open doors. We’re pretty close and direct support for members aged Camille’s physical recreation activity to school – it’s a 20-minute walk to between 14 and 24 years who want to was swimming, which she was only get there – he can press the button take on the challenge to achieve either doing occasionally before starting the for the pedestrian crossing with his bronze, silver or gold level awards. Hillary Award. nose or paw.” For more information go to: But having a home pool with a hoist Camille says when Lewis wears his https://www.mda.org.nz/What-We- and needing to keep up her hours in mobility dog jacket he knows he is Offer/Duke-of-Edinburghs-Hillary-Award A power chair with a difference Experience one of New Zealand’s lightest and most versatile power chairs, designed for indoor manoeuvrability, outdoor terrains and easy travel. www.freedom-chair.nz Get in touch with Paul 0800 466 626 for your free demonstration. InTouch magazine Autumn 2021 | 9 paul@freedom-chair.nz
Around 60 members attended the MD Northern family camp. I see you… A beautiful and poetic family camp reflection from a grateful mother. Corinne King, mum to Ethan, 9, and Ollie, 7, who both have Duchenne muscular dystrophy, reflects on a very special weekend away at the MD Northern Branch family camp and the generosity and love she saw being shared. I see you... I see you rush to get your brother changed for a swim I see you rushing to help your dad out of the pool with a and remember his meds at dinner time, without being hoist, scooter or cane and always with a smile on your face. asked, and you are barely a teenager yourself! I see two grown men pulling another grown man to his I see you run around with a little boy’s kite because feet with grace and good humour, so that he could have his little legs won’t let him and seeing his smile was a swim like everyone else. I see that you could do that a everything. few years ago by yourself but now you can’t, but you don’t I see you tired yourself, but taking a group of little boys complain. in the big van just because they wanted to go for a ride. I see the fear in your eyes when you talk about how your I see you making customised certificates and trophies son is declining yet you smile and ask about my child. till late at night, just to make those little boys eyes light up. I see you struggle to get in and out of the pool because You are a true angel and you have no idea. of your disability, but you do it anyway. I see you making an obstacle course for the boys I see you sitting beside your wheelchair waiting for it in wheelchairs, thinking about how everyone can be to charge, not upset that you can’t move because your included and have fun. wheelchair has no juice, just waiting. I see you helping other people’s kids into paddle boats I see you pick your brother up from his wheelchair and so they can have the experience when your arms aren’t place him on an electric scooter so that he can have that the strongest either and your neck and shoulders are experience. already killing you. 10 | InTouch magazine Autumn 2021
Feature | I see you ... “Your grace and humility are something people strive for their whole lives and never achieve, and you just do it every day without even realising it”. I see you walking with your child holding his hand for every step and NEVER taking your eyes off him because he can’t fall and he’s unstable. But you never complain. And I see you chasing an able-bodied kid down on an David Westwood and his mum Lucy Bennett on the obstacle course. electric scooter because that scooter is your friend’s – “And he needs that scooter for his legs!”. A great time had by all I see you drive in all different directions to collect wheelchairs from one location and kids from other The MD Northern family camp was held on Waitangi directions. All out of the goodness of your heart and all weekend at Ngāruawāhia Christian Camp and was so as many kids as possible can have fun. attended by around 60 members. You don’t know you are superheroes special needs The camp was filled with lots of fun and laughter, families; but you are truly beautiful people and I feel the kids (and adults) enjoyed the pool, the incredibly blessed to be part of this world. waterslide, paddle boats and a very special visit from members of the Ngāruawāhia Police who handed This world I would never have seen had I not had out wheelchair licenses and trophies to the kids my boys. after they finished their obstacle course. This world of truly selfless people. Thank you to Pub Charities and the Auckland This world of immense understanding for others and Chapter of Harley Owners’ Group (HOG) for helping putting others needs before your own. fund this camp. Your grace and humility are something people strive for their whole lives and never achieve, and you just do it every day without even realising it. These are the beautiful people of my muscular dystrophy family. And all that… I saw in just three days at family camp. Search ‘Ethan & Ollie’s Journey’ on Facebook to follow what they are doing. Also see their story in the Spring 2019 issue of In Touch. Neil Singh is all smiles on the water slide. InTouch magazine Autumn 2021 | 11
Home is where the heart is for award-winning author Her contemporary small-town stories are winning fans Adrienne Smith’s first published romance novel has scooped three national awards. She shares her success story with Melanie Louden. rights and control over her own work. “But it does mean you won’t find me in mainstream bookstores.” Home of the Heart – a Dragonfly Lake Novel won the Romance Writers of New Zealand Pacific Hearts award for Completed Unpublished Novels in 2018 and in 2020, after it was published, went on to win their Koru Award for Best First Book. “It was so exciting to win that, since you’re going up against other published authors,” Adrienne says. Her book was also a finalist in the Best Long Book category for that year. An unpublished novel that Adrienne plans to rework Adrienne has collected three awards for her first published novel. and add to her current series has also won Reader’s Choice for the Romance Writers of New Zealand Clendon Award. Adrienne Smith’s love of writing started at a young age Inspiration for her “sweet contemporary small-town and has followed her through to adulthood, resulting in stories” doesn’t come from anywhere specific, she says. her first published novel being an award winner. “Stories just pop into my head and grow from there. The 48-year-old Auckland resident has been writing Usually it will start with a character popping up and since she can remember. a scene about them, and before you know it, they’re “I recall being given a very old typewriter – back before demanding to have their whole story told! we had computers – that didn’t have a working ‘L’ key “I really enjoy getting the voices in my head onto paper,” and I had to write them all in by hand. My parents were says Adrienne, who also likes craft, knitting her own socks teachers and supported reading and writing from a very and cross-stitching in front of the TV in the evening. early age.” Move forward to 2021 and the romance novelist is married to fellow award-winning author and MDANZ Northern Region Fieldworker Darian Smith, and she has “I really enjoy getting the voices recently won three awards for her first published novel. Adrienne self-published Home of the Heart – a Dragonfly in my head onto paper.” Lake Novel, in 2019 because it allows her to keep the 12 | InTouch magazine Autumn 2021
Feature | Home is where the heart is for award-winning author Home of the Heart – a Dragonfly Lake Novel took Adrienne collection, and a non- “years” to write. She works in the claims department of an fiction book for writers on insurance company and hopes to start working part-time how to use psychology to this year, giving her more time to write. create characters. Adrienne was diagnosed with myotonic dystrophy 11 His works have gone years ago and says she is “lucky in that I can still walk and on win a Sir Julius Vogel work and type”. Award and he has been a “But things are getting harder. I just try to focus on what finalist several times. He The competition is on between award has won two Koru Awards winning authors Adrienne and her I can still do.” husband Darian. Darian helps her with a lot of things, and she works from and was a finalist for the home to make things a bit easier. Self-Published Fantasy Blog-Off. He has also received the Awesome Indies Seal “Going out anywhere I have to walk that’s not flat and of Excellence. on even ground is difficult, and stairs are an absolute no-go. Neither Adrienne nor Darian have any plans to stop writing – she is working on a sequel to Home of the Heart – a Dragonfly “But more than that, having to give up things like Lake Novel, while he is starting a shorter young adults’ novel playing guitar has been a big loss,” she says. before working on book four in his Agents of Kalanon series. Darian has published six books – three in the Agents of Kalanon series (murder mysteries mixed with epic fantasy), You can find paperback and ebook versions of Adrienne and a paranormal romance set in New Zealand, a short story Darian’s published works at www.amazon.com A KIWI SOLUTION TO HOIST PROBLEMS! The Kera sit2sit is an innovative device that assists a single Safe and secure caregiver to transfer someone that can’t move for themselves. The Kera transfers tetraplegics and double leg amputees who have no standing strength at all. Single caregiver Small, lightweight and with no sling to fit, it’s quick and easy to use in your home. Find out more and book your free demo at 2 minute transfers www.sit2sit.co.nz PH: 021 0854 3105
MDANZ fieldworker and Myasthenia Gravis NZ founder, Talitha Vial, left was part of Libby Carmichael Venning’s support team in Queenstown. To Cyprus (and MG) with love First-time marathon runner raises awareness and funds for myasthenia gravis. When MDANZ came to the aid of mum Libby Carmichael Venning, she was so grateful she decided to run a marathon – giving her one of the best days of her life. When her daughter had a “full body failure” as a result of about her daughter’s condition. myasthenia gravis, Libby Carmichael Venning felt helpless. “I just said, these guys are amazing, I’m going to run a It was November 2019 and Libby’s daughter Sacha Main marathon for them.” was living in Northern Cyprus. Libby was in Christchurch. So, she did. “I had been living permanently in New Zealand for one In November last year Libby ran the Sotheby’s and a half years by then. I felt helpless, guilty, mortified. International Realty Queenstown Marathon to raise Here was my daughter on the other side of the world…” awareness about the condition that is thought to affect It was then that Libby reached out to MDANZ. one in 100,000 New Zealanders, and raise awareness for “I signed up and a fieldworker came to my house. Paul Myasthenia Gravis NZ. Graham… what an amazing guy,” Libby says. “My friends in Cyprus, my son Tomas, and Sacha, [all] said Paul, who has since retired from MDANZ, referred Libby ‘don’t be stupid’. I definitely took myself totally out of my to fellow fieldworker Talitha Vial, who also has myasthenia comfort zone.” gravis and is the founder of support group Myasthenia In the previous two years Libby lost 20 kilograms and Gravis NZ. a year before the marathon she started training, with her Libby, who turns 50 this month, was impressed by the programme intensifying in the last 16 weeks. information and support she received from MDANZ, Paul “It was time consuming, life consuming. And at times it and Talitha as she sought to understand and learn more was quite terrifying – you set yourself targets and sometimes 14 | InTouch magazine Autumn 2021
Feature | To Cyprus (and MG) with love your body just doesn’t want to do it. Just like MG.” Sacha had no more episodes until the “full body failure” Libby says taking part in the 42 kilometre event was “one in November 2019. These days she isn’t on any medication of the best days of my life” – after the birth of her children and “just lives day to day aware that her body could react at and getting married to her husband Geoff. any time”. She says the race-day atmosphere was great and the Sacha is really proud of Libby, but says at first she reason for taking part was never far from her mind. didn’t believe her mum was serious about completing a marathon. “I had a flannel with a photo of Sacha printed on it. I was “In Cyprus she wasn’t fit. Mum was a little overweight running with Sacha all the time, so that was lovely. And I and loved drinking beer. died my hair bright blue – the colour for MG.” “I only realised she was taking this seriously when I would Libby completed the marathon in six hours 38 minutes call her and she would say, ‘are you okay? Because right and 40 seconds and says the event was tough – mentally now I am training, can I call you back?’. and physically. “I was totally amazed at mum’s commitment and passion “I got to water station number four and I felt really and I am eternally grateful for the love and support we rubbish. But when I saw Geoff, Talitha and my best friend have both found from MGNZ. Talitha is an amazing new Gill, at the 20 kilometre mark I knew I was going to do it. friend to my mum.” “I burst into tears when I crossed the finish line. Talitha Libby says anyone contemplating what looks like an was so proud and pleased that I did it for MG. “unachievable goal” should just get out there and do it. “The next day I couldn’t walk. I couldn’t sit down, I “I’d recommend running a marathon to anyone. If couldn’t do anything… just like MG,” Libby says. “My body anyone is thinking ‘should I or shouldn’t I’ … just do it – to wasn’t working that day. raise awareness, to know you’ve done something special “I still think about it now and think ‘wow, I did that’. My for someone.” toes were a bit damaged – but it reminds me of what I did.” “I’m still running, just not stupid amounts. I like running As part of her efforts to raise money for Myasthenia Gravis now – but just five kilometres at a time.” NZ, Libby set up a Givealittle page which raised $3345. Talitha used the Givealittle funds Libby raised for “I was totally blown away. I know 2020 wasn’t a great year Myasthenia Gravis NZ to buy information booklets, to be fundraising, but if I could raise awareness, then I did keyrings, bracelets and kids’ books. my job. I never wanted it to be about me. “I felt pride to be able to spread the word.” Libby’s daughter Sacha, now 21, was diagnosed with myasthenia gravis after an incident during a high school exam. “When she was 17, she was writing her answers on what Sacha Main she thought was a piece of paper. But she was writing on the desk. She had double vision.” Libby was still living in Cyprus with Sacha at the time, and after a handful of tests ocular myasthenia gravis was confirmed. There had been no obvious signs of the condition, no symptoms, until the exam. “She had years of complaining about being tired and having sore eyes. But we thought she was just going Sacha’s face was printed on a flannel, meaning she was with mum Libby through those teenage years.” the whole way around the marathon. Photo credit: FinisherPix® InTouch magazine Autumn 2021 | 15
Olivia now attends boxing classes three or four times a week. Photo: Ben Hotchin. Boxing away perceptions and challenges Olivia is throwing jabs, hooks and uppercuts from her wheelchair Olivia Shivas says trying something new can be scary and exciting at the same time, and there are often additional levels of nerves when you have a disability. But, she says, you should give it a go anyway. By Melanie Louden. Olivia Shivas speaks from personal experience when she gym one day and thought ‘I wonder if I could do that?’. encourages MDANZ members to “challenge what other “There was a sign that you get free gloves when you sign people perceive about you”. up. I’m always up for free stuff!” “Don’t let other people’s negative stereotypes and She bravely called and texted the gym in advance so perceptions of disability hold you back.” there were no surprises for her, or the personal trainer, when Olivia has been a wheelchair-user her whole life and says she arrived. The 27-year-old Aucklander wanted to start trying something new is scary and exciting at the same time. boxing by doing one-on-one personal training sessions to “There’s an additional level of nerves when you have a figure out if she could actually do it and to gain confidence disability – especially when you’re doing something you before joining classes with non-disabled people. don’t see normalised in the media, or in the community, However, personal training sessions are expensive, so as people with disabilities being capable of doing.” Olivia applied to the Bradley Jenkin Memorial Fund to seek Olivia, who has central core disease, drove past a boxing financial support. 16 | InTouch magazine Autumn 2021
Feature | Boxing away perceptions and challenges “I knew the money would be used in a good way for friends, cooking and baking, reading, and is involved with me to get fit and, hopefully one day, to inspire other her church, now attends three or four gym classes a week. disabled people to do the same.” The funding she received “This would not have happened without funding from contributed to 12 weekly training sessions. the Bradley Jenkin Memorial Fund to try something I would After a few months of one-on-one boxing sessions with not have otherwise have spent money on. I probably a personal trainer, Olivia gained the confidence to join a wouldn’t have taken the opportunity to give boxing a go.” class with non-disabled people. One of her best friends, a fellow wheelchair-user, has also “I found, if you want to try something new, your now picked up the sport. “It’s exciting that my experience confidence might not come straightaway. Take small steps, has positively influenced her. She’s the only other metaphorically if you’re a wheelchair-user like myself, and wheelchair boxer I know, so it’s good to have someone else do what you’re comfortable with first to reach that goal. to encourage and talk to about the challenges and how we “The main thing is don’t stop or give up. Progress at a resolve them.” pace you are comfortable with,” says the former MDANZ Olivia says boxing has changed her life – and it’s not just National Council Rangatahi Youth Representative. about becoming fit and active. Olivia says going to her first class with all non-disabled “Boxing has improved my self-confidence, knowing people was probably “one of the scariest things I’ve done that I’m more capable of doing things than I, and others, in my life”. thought were possible when you have a disability. “But there have been so many benefits - keeping fit and “I didn’t join a class with non-disabled people at the start active, as well as maintaining good mental health.” because I was self-conscious and nervous – not only about She has lost weight, things are easier for her to do now being capable of being able to box and throw a punch, – such as climbing in and out of her wheelchair from the but of other people’s opinions of me: ‘What is a girl in a floor, and she’s able to stay independent. wheelchair doing here?’. “Despite being a wheelchair-user my whole life and “Everyone at the gym is so warm and inclusive and achieving a lot of great things, I still get insecure and makes sure that I can be involved as much as possible. compare myself. Everybody does, whether they live with Yes, I might have to do some things a bit differently, but a disability or not. I feel just as much a part of the gym as anyone else.” “But once you get over those initial nerves, it’s fun and Olivia, who works as a digital news producer at Stuff.co.nz, empowering trying new things.” says boxing in a wheelchair is similar to boxing when you’re standing up. “I still throw jabs, hooks and uppercuts, and learn the The Bradley Jenkin Memorial Fund same boxing sequences. But when I’m boxing with a The Bradley Jenkin Memorial Fund is designed partner I’ll have my arms up higher and they need to to help MDANZ members with a neuromuscular crouch down a little bit so we are a similar height, but that condition receive funding for access opportunities just means my arms get an extra workout.” and specialised resources that enable them to Sometimes Olivia’s knees get in the way when she uses achieve freedom. The fund has helped members the punching bag, so she adjusts the distance and angle of purchase specialised sports equipment, participate her chair. in sporting events, it has contributed towards the A big part of boxing is the footwork – moving back cost of obtaining a mobility dog, provided mobility and forth from your partner or the bag – not just boxing equipment, and assisted with career development with gloves. such as university and course fees. “I can’t move around and box at the same time, so we For more information go to: https://www.mda.org.nz/ have to be a bit creative.” What-We-Offer/Bradley-Jenkin-Memorial-Fund Olivia, who enjoys going out for brunch and dinner with InTouch magazine Autumn 2021 | 17
Research The good and the bad of disability data Quality disability data is an important tool that the disability community needs to hold the government, society and the private sector to account, write disabled persons advocate, Roger Loveless, and senior policy analyst Sam Murray. Data is boring, but important! Disability data is no exception. Complete, accurate, and robust disability data is what government needs to make good decisions around disability policy. All too often, however, the stories of disabled people, and their whānau are not heard. Quality disability data must acknowledge the human aspects of disability. This means looking beyond the figures that are easy to measure. We need to value the hidden costs of disability as an important piece of the puzzle. Quality disability data is also an The good news: A growing number time. For example, we can look at the important tool that the disability of regular surveys now include Household Labour Force Survey. The community needs to hold the disability questions. These surveys June edition of this survey has had government, society and the private provide a regular source of disability disability data since 2017. sector to account. data but come with some caveats. Since 2017 there has been no real In recent years, there has been good These surveys use fewer disability change in employment outcomes for and bad news with nationally collected identification questions than the disabled people aged 15-to-64. The disability data. Disability Survey. This means the employment rate for disabled people The bad news: Back in 2012, the 2018 variety of impairment types covered is aged 15-to-64 is still under half that of Disability Survey was cancelled. Since smaller. Fewer disabled people are also non-disabled people in that age group. 1996, the Disability Survey had been identified in this data. A big challenge with disability data is held every five years. The next Disability As a result, the data is less reliable understanding the effects of age. The Survey is planned for 2023, which is 10 and tends to bounce around between disability rate rapidly increases over the years after the 2013 Disability Survey. years. In addition, it is difficult to break age of 65. This means many disabled This is far too long. The Disability Survey the disability data down by ethnicity, people over 65 have acquired their is an essential source of disability data impairment type, and/or gender. impairment after reaching the age of because it interviews a large number This makes it hard to explore the 65. They will still experience many of of people and includes in-depth diversity of experiences in the disability the same barriers as other disabled questions on disability. It is vital that community. people, especially around access. the Disability Survey switches back to The data from regular surveys is They, however, are likely to have at least a five-year cycle. best used to look at broad trends over more wealth and other assets. 18 | InTouch magazine Autumn 2021
Research As a result, disabled people over 65 Despite the challenges, slow tend to have better outcomes than progress is being made. The upcoming younger disabled people. Household Economic Survey release For example, in 2018, disabled people will have disability data for the first under 65 were almost 2.5 times more time. You can now access disability likely to report not having enough data across a wide range of areas on a income than non-disabled people under regular basis. 65. By comparison, disabled people over We still need a regular Disability 65 were only 1.5 times more likely to Survey however to provide a much report not having enough income than more detailed picture than provided non-disabled people over 65. by these regular surveys. This can become a real issue because The Disability Survey allows us to of the big differences in median age explore the diversity of experiences between disabled people and non- within the disability community and disabled people. Because so many identify the benefits of initiatives such disabled people are over 65, disabled as Enabling Good Lives. people have a much higher median You can find most of the recent age than non-disabled people. In New disability data on the Statistics New Zealand, people over 65 often score Zealand pages below. Look under better on poverty, home ownership latest information releases and latest and wellbeing measures than younger publications: www.stats.govt.nz/ people. topics/disability Sam Murray (top) and Roger Loveless. With all-ages disability data, we Surveys that now have disability are comparing a population with understand the true depth of financial data are: many people over 65 with a younger and time costs disabled people face. • General Social Survey (2016 population. This can hide the inequality The often-large gap between the and 2018). experienced by disabled people who government’s support and those costs have had their impairment from an • Household Labour Force Survey is largely hidden. early age. This problem may get worse (June of every year from 2017 We need in-depth analysis of the onwards). with our ageing population. hidden costs of disability. This includes For now, the best we can do is to look • Te Kupenga (2018). looking at: at younger age ranges in the data. In • 2018 Census. • The value of unpaid family and the future, we need data on the specific whānau support. • New Zealand Crime & Victims experiences of people who have had an • The amount disabled people and Survey (2018/19). impairment from an early age. The 2023 Disability Survey may help here, but we their whānau spend privately on • Health Survey (2019/20). still need far more regular data. equipment and support. Roger Loveless is an advocate for disabled Another major gap is data on the • The opportunity costs caused when persons, an MDANZ member, and a local financial and time costs disabled people disabled people and their whānau advisory committee member for CCS and their whānau experience. There has cannot fully engage in society, for Disability Action Bay of Plenty. He has a been some work done on this over the example, through lost employment lived experience of disability. years, but again we still lack a regular or volunteering opportunities. Sam Murray is a senior policy analyst and reliable source of data on this. If we could better show the true for CCS Disability Action and is based This is important because the depths of the costs, this could lead in Dunedin. R government often does not to increases in support. InTouch magazine Autumn 2021 | 19
Research Telehealth wheelchair assessments under the microscope Research shows the Telehealth Wheelchair Assessment Service is thought to be a good idea by most wheelchair users and assessors, writes Dr Fiona Graham. Like a lot of life’s turning points, it started with a throw-away comment: ‘Someone should study that and see if it really works.’ I made the comment to Sally Wallace, an occupational therapist colleague who was playing around with telehealth (video-conferencing, photo-sharing, phone calls) with clients with complex wheelchair and seating needs – most of whom had neuro-muscular changes among their physical needs. This was a few years ‘BC’ (Before Covid-19) so technology software and hardware was more limited than it is today, especially within the health system. Sally was finding that telehealth the answers to these questions were Lab testing reported equivalent seemed to work with some people, important to ensure that the health results between in-person and and often it wasn’t the complexity dollar was well spent. telehealth wheelchair assessment. of client’s needs that determined Like a lot of life’s turning points, my Clients were big fans when it whether telehealth assessments were comment was then followed by a lot improved their access to assessors. successful or not. of hard work. Assessors were more cautious, with We noted too that very few First, without project funding, concerns about data security and wheelchair assessors used telehealth a group of my colleagues at Te clinical accuracy. at that point. Why was this? Whare Whakamatutu (Rehabilitation Clearly, assuming that telehealth Telehealth wheelchair assessment Teaching & Research) at the University was a great idea and everyone in seemed to save time and money, but of Otago in Wellington decided to New Zealand should now do it was did it really when all the costs were canvas the research literature on a risky assumption. added up? what was already known about the So, with a view to informing Who did telehealth wheelchair use of telehealth for wheelchair health policy on the New Zealand assessment work for, how well, assessment. design requirements of a successful and in what context was all a great We did a scoping review of telehealth wheelchair assessment unknown. If telehealth was to be research to date and found that service, we applied to the used more extensively in Aotearoa, minimal research had been done. Neuromuscular Research Fund in 20 | InTouch magazine Autumn 2021
Research 2018 and were awarded $17,000 to and shared findings in person with determine the social and technical Ministry of Health planners. Two requirements of a Telehealth peer reviewed publications are in Wheelchair Assessment Service progress. (T’WAS for short). Feedback so far is that findings Our work was also generously have prompted big insights for many supported by an advisory group assessors on how their interactions comprising wheelchair users, tangata with wheelchair users might be whenua, assessors and assessor experienced, in-person or via educators and students. telehealth, and demystified what We took a grass roots approach, T’WAS could look like. seeking the views of wheelchair users, their families, specialist We are currently pursuing funding and non-specialist assessors and for our next step, to take a detailed Dr Fiona Graham. technicians. We also sought the look into attempts to do telehealth views of service managers, funders wheelchair assessments. stakeholders was more timely and policy writers, although We’ll map out the context around assessment than the current in- only recruited service managers. when T’WAS can work, doesn’t work person system allowed. Frustration Understanding the perspective of with the current system was loudly and the steps that make it more Māori was also a priority. expressed. likely to be a positive outcome for Over 12 months, 117 people everyone. We hope to create a freely Māori were enthusiastic for (including 47 wheelchair users, 49 T’WAS generally. While one Māori accessible resource for assessors and wheelchair assessors, nine family assessor questioned the quality wheelchair users as a key output of members, six technicians and three of whanaungatanga (relationship this next project. service managers) shared their building) for Māori through views about a T’WAS through To access a series of publicly telehealth, Māori wheelchair users a survey, and 41 also through available workshops on telehealth commented that telehealth could interviews. Māori represented 12 that drew from study findings, go level the playing field, and improve percent of responses. to: https://www.youtube.com/ the experience of being culturally Surprisingly, most respondents safe. As one Māori wheelchair user watch?v=YebdoSmNAaU. thought T’WAS was a good idea, put it: To access full copies of the although cautioned that it shouldn’t peer reviewed articles email “I think having it [wheelchair be the only option. fi.graham@otago.ac.nz assessment] done by a video Unlike our scoping review findings, link could improve the [cultural Special thanks to our advisory assessors were enthusiastic about it, and personal] safety of these group members: Pete Williams, although few of them were using it. consultations…You can just hang up Hemakumar Devan, Siobhan Jansen, Wheelchair users, including Māori, if you feel unsafe. You know you have Rita Robinson, Johnny Bourke, David were better equipped than assessors control in that moment because it’s Hood, Stephanie Thompson and with the technology in place to meet a lot more even playing field than Michael Nolan. R via telehealth. Tablets seemed to be when therapists are in your house.” the optimal hardware and simple, We have already shared the Dr Fiona (Fi) Graham is a Senior off the shelf software (e.g., Zoom) findings from this study with Lecturer in the Rehabilitation Teaching was preferred. assessors through several and Research Unit in the University of The key impact voiced by all professional development workshops Otago’s Department Of Medicine. InTouch magazine Autumn 2021 | 21
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