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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
Our triumphs - Muscular Dystrophy Association of ...
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:
Our triumphs - Muscular Dystrophy Association of ...
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.
Our triumphs - Muscular Dystrophy Association of ...
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
Our triumphs - Muscular Dystrophy Association of ...
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
Our triumphs - Muscular Dystrophy Association of ...
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
Our triumphs - Muscular Dystrophy Association of ...
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
Our triumphs - Muscular Dystrophy Association of ...
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
Our triumphs - Muscular Dystrophy Association of ...
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
Our triumphs - Muscular Dystrophy Association of ...
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

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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

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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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