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Multiple sclerosis and botox - Multiple Sclerosis Society of Canada

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<strong>Multiple</strong> <strong>sclerosis</strong> <strong>and</strong> <strong>botox</strong><br />

Dr. R.B. Egerdie<br />

<strong>Multiple</strong> <strong>Sclerosis</strong> can affect<br />

many aspects <strong>of</strong> your quality<br />

<strong>of</strong> life, but one <strong>of</strong> the most<br />

troublesome, <strong>and</strong> difficult to<br />

manage, is the alteration <strong>of</strong> normal<br />

bladder function that occurs with<br />

the disease. To a greater or lesser<br />

extent, many people as they<br />

age experience bladder control<br />

problems; however, if a neurologic<br />

disease is superimposed upon the<br />

deteriorating bladder function that<br />

occurs with aging, it can become<br />

quite miserable.<br />

Bladder urgency, urinary<br />

frequency, urinary incontinence,<br />

<strong>and</strong> the expense <strong>of</strong> pads <strong>and</strong><br />

medications may become<br />

consuming issues, <strong>and</strong> the available<br />

treatments <strong>of</strong>ten have very<br />

undesirable side effects rendering<br />

them ineffective or intolerable.<br />

But there are options. Botox,<br />

In very small doses, <strong>botox</strong>, or<br />

botulinum toxin, has an amazing<br />

number <strong>of</strong> uses in medicine.<br />

or botulinum toxin, is the most<br />

poisonous substance known to man<br />

<strong>and</strong> causes botulosis. In very small<br />

doses, however, it has an amazing<br />

number <strong>of</strong> uses in medicine.<br />

Botox was first approved for use<br />

in 1989 for the treatment <strong>of</strong> neck<br />

spasms, eye spasms, crossed eyes,<br />

muscle spasms (cerebral palsy, or<br />

after a stroke), abnormal sweating,<br />

<strong>and</strong> for cosmetic purposes<br />

(smoothing wrinkles). Recently<br />

Botox was approved for use in<br />

<strong>Canada</strong> for patients with spinal<br />

cord injuries <strong>and</strong> degenerative<br />

neurologic conditions, including<br />

multiple <strong>sclerosis</strong>.<br />

Botox only acts in the area<br />

where it is injected, <strong>and</strong>, since<br />

it only works locally, it does not<br />

cause the dry mouth, constipation,<br />

blurring <strong>of</strong> vision, <strong>and</strong> other side<br />

effects commonly associated with<br />

medications taken by mouth. Small<br />

amounts <strong>of</strong> Botox are injected into<br />

your bladder, under sedation, in<br />

20 injection sites so that the entire<br />

bladder is treated.<br />

See Botox on page 7<br />

To LIKE our Facebook page, go to www.facebook.com/mssocietywdc<br />

Board <strong>and</strong> staff . . . . . . . . . . 2<br />

Farewell . . . . . . . . . . . . . . . 2<br />

Winter fitness . . . . . . . . . 3<br />

Calendar <strong>of</strong> events . . . . . . .4, 5<br />

Program descriptions . . . .7<br />

An appeal for help . . . . . . . 8<br />

All programming <strong>and</strong> services <strong>of</strong> the MS <strong>Society</strong> are <strong>of</strong>fered in a barrier-free facility


Thank you to an MS advocate<br />

It is with warmest regards that<br />

we say goodbye to our Executive<br />

Director, Susan St. John.<br />

Susan has been with the MS<br />

<strong>Society</strong> <strong>of</strong> <strong>Canada</strong>, Waterloo<br />

District Chapter for the past four<br />

years <strong>and</strong> during that time has<br />

achieved great successes <strong>and</strong><br />

accomplishments in her mission to<br />

help people in our community live<br />

better with MS.<br />

We wish Susan all the best in her<br />

future endeavors <strong>and</strong> thank her for<br />

the time <strong>and</strong> dedication she has<br />

given us over the years.<br />

DO YOU LIKE US?<br />

Have you visited our Facebook page? We would like to hear from you<br />

about what sort <strong>of</strong> information you would like posted there. We also<br />

welcome discussion. Do you have any issues you want to discuss? Like<br />

us at facebook.com/mssocietywdc.<br />

Contact us<br />

Client Services Coordinator<br />

Carrie Van Lingen, carrie.vanlingen@mssociety.ca, ext. 5<br />

Administration <strong>and</strong> Finace<br />

Craig Stevenson, craig.stevenson@mssociety.ca, ext. 10<br />

Volunteer <strong>and</strong> Event Coordinator<br />

Kim Kay, kim.kay@mssociety.ca, ext. 3<br />

We can be reached at 519-569-8789<br />

The MS <strong>Society</strong> Mission Statement:<br />

The MS <strong>Society</strong> enables people affected by multiple<br />

<strong>sclerosis</strong> to enhance their quality <strong>of</strong> life, raises funds<br />

for local programs <strong>and</strong> services, <strong>and</strong> supports research<br />

toward finding a cure for multiple <strong>sclerosis</strong>.<br />

Board <strong>of</strong> Directors<br />

Past Chair: Sharon Giles<br />

Chair: John Emrich<br />

Vice Chair: TBA<br />

Treasurer: Dianne Ritz<br />

Secretary: Terry O’Keefe<br />

Director <strong>of</strong> Human Resources:<br />

TBA<br />

Director <strong>of</strong> Non-Event<br />

Fundraising: TBA<br />

Director <strong>of</strong> Volunteers: TBA<br />

Director <strong>of</strong> Facilities: Toi Vaino<br />

Director <strong>of</strong> Client Advocacy:<br />

Gord Hill<br />

Director <strong>of</strong> Client Services:<br />

Lissa Kuzych<br />

Director <strong>of</strong> Communications:<br />

Brad Needham<br />

Directors at Large:<br />

Linda Jarrett, Lisa Powell<br />

& Bob McColl<br />

Honorary Member/Consultant:<br />

Dr. Patti M<strong>and</strong>alfino<br />

Board meetings: Fourth<br />

Wednesday, 5 p.m., MS Centre<br />

on Belmont. Visitors welcome.<br />

Client Advisory Council<br />

contact: Cheryl Fisk, 519-<br />

744-4920, fisk@rogers.com


FITNESS<br />

Exercising safely in the cold<br />

By Eliza Reid<br />

Winter weather provides a<br />

number <strong>of</strong> unique opportunities to<br />

get outside <strong>and</strong> be active. Skating,<br />

skiing, snowshoeing, <strong>and</strong> hiking<br />

are all excellent exercises for your<br />

cardiovascular system. Improved<br />

mood, self-image <strong>and</strong> sleep are<br />

only a few <strong>of</strong> the many benefits to<br />

being active all year round.<br />

The cold weather <strong>and</strong> winter<br />

terrain, however, can pose some<br />

unique challenges <strong>and</strong> risks.<br />

The key to enjoying the benefits<br />

<strong>of</strong> exercising outdoors while<br />

minimizing your risk <strong>of</strong> an injury<br />

is to prepare well for the winter<br />

conditions. Here are some tips to<br />

keep you safe outside <strong>and</strong> feeling<br />

great.<br />

Dress for the cold weather. Wear<br />

cold weather boots with adequate<br />

grip on the bottom to help with<br />

navigating safely on snowy terrain.<br />

Wear warm socks, gloves <strong>and</strong> a hat.<br />

A fair amount <strong>of</strong> our body heat is<br />

lost from the top <strong>of</strong> our heads so it<br />

is important to keep yours covered<br />

up. Dress in loose fitting clothing,<br />

this will allow for a pocket <strong>of</strong><br />

warm air to be created between you<br />

<strong>and</strong> your clothes. Always bring a<br />

spare pair <strong>of</strong> socks <strong>and</strong> gloves so<br />

you can change them if they get<br />

wet. Frostbite most <strong>of</strong>ten occurs<br />

with the fingers, toes, ears <strong>and</strong> nose<br />

so do your best to keep them all<br />

warm <strong>and</strong> dry.<br />

When exercising, our bodies<br />

use energy <strong>and</strong> produce heat at<br />

When exercising outdoors, dress for the cold weather. And always bring<br />

an extra pair <strong>of</strong> socks <strong>and</strong> gloves in case yours get wet.<br />

an increased rate. These actions<br />

occur at the cellular level. These<br />

cells function best when they are<br />

adequately hydrated <strong>and</strong> have<br />

a readily available fuel supply.<br />

To assist our body’s production<br />

<strong>of</strong> heat, we can drink plenty <strong>of</strong><br />

non-caffeinated fluids before<br />

<strong>and</strong> during exercise. Also, eat<br />

a light snack before exercising<br />

in the cold. It is best to avoid<br />

drinking alcoholic beverages<br />

when exercising outdoors as it<br />

impairs the ability to feel the onset<br />

<strong>of</strong> frostbite. It also works as a<br />

vasodilator, which opens the blood<br />

vessels, <strong>and</strong> in cool weather can<br />

lower your body temperature.<br />

Lastly, listen to your body for<br />

signs that it might be time to go<br />

in <strong>and</strong> get warmed up. Move<br />

indoors if you are shivering, if<br />

your coordination becomes worse,<br />

or if you are feeling tired. As with<br />

any exercise program always<br />

All programming <strong>and</strong> services <strong>of</strong> the MS <strong>Society</strong> are <strong>of</strong>fered in a barrier-free facility<br />

begin slowly <strong>and</strong> try to set small<br />

attainable goals for yourselves.<br />

Wishing you all a wonderful New<br />

Year full <strong>of</strong> winter outings.<br />

References:<br />

http://uk.news.yahoo.com/5common-injuries-cold-weathersports-145600200--spt.html<br />

http://www.princeton.edu/~oa/<br />

safety/hypocold.shtml<br />

http://www.ehow.com/<br />

way_5668389_cold-weatherinjury-prevention.html<br />

http://www.medicinenet.com/<br />

frostbite/article.htm<br />

http://www.medterms.com/script/<br />

main/art.asp?articlekey=3522<br />

Eliza Reid<br />

B.Sc. Ex.Sc.,<br />

Certified<br />

Kinesiologist


MS CENTRE January 2013<br />

OUR<br />

MISSION<br />

Sunday Monday Tuesday Wednesday Thursday Friday Saturday<br />

Please detach this calendar <strong>and</strong> post it as a reminder <strong>of</strong> MS <strong>Society</strong> programs.<br />

5<br />

Massage<br />

Therapy<br />

10 am - 12:30 pm<br />

4<br />

2 3<br />

1<br />

Centre Closed<br />

We will<br />

enable<br />

people<br />

affected<br />

by multiple<br />

<strong>sclerosis</strong><br />

to enhance<br />

their quality<br />

<strong>of</strong> life…<br />

New Year’s Day<br />

12<br />

10 11<br />

9<br />

8<br />

Yoga (4)<br />

10:30 - 11:30 am<br />

7<br />

Seated Stretch<br />

11 - 11:30 am<br />

6<br />

Foot care<br />

10:30 - 2:30 pm<br />

Access to Fitness<br />

(tentative)<br />

7 - 9 pm<br />

Lunch Bunch<br />

11:30 - 2:30 pm<br />

18 19<br />

17<br />

13<br />

Please share<br />

your<br />

thoughts on<br />

our programs<br />

by contacting<br />

us at<br />

519-569-8789<br />

or<br />

info.waterloo<br />

@mssociety.ca<br />

16<br />

Massage Therapy<br />

3:30 - 6 pm<br />

15<br />

Yoga (5)<br />

10:30 - 11:30 pm<br />

Kitchen<br />

Independence<br />

10 am - noon<br />

Walk Committee<br />

6 - 7:30 pm<br />

14<br />

Seated Stretch<br />

11 - 11:30 am<br />

Living Well<br />

Discussion Group<br />

7 - 9 pm<br />

Lunch Bunch<br />

11:30 am - 2:30 pm<br />

26<br />

Massage<br />

Therapy<br />

10am - 12:30 pm<br />

25<br />

24<br />

23<br />

Travels to the<br />

Mediterranean<br />

with Donna<br />

11am - 12pm<br />

22<br />

Yoga (6)<br />

10:30 - 11:30 am<br />

21<br />

Seated Stretch<br />

11 - 11:30 am<br />

20<br />

Kitchen<br />

Independence<br />

10 am - noon<br />

Lunch Bunch<br />

11:30 - 2:30 pm<br />

Note:<br />

Programs may<br />

be cancelled in<br />

adverse<br />

Weather.<br />

Board Meeting<br />

5 - 7 pm<br />

31<br />

30<br />

29<br />

Yoga (7)<br />

10:30 - 11:30 am<br />

27 28 Seated Stretch<br />

11 - 11:30 am<br />

Wii Fit<br />

11am - noon<br />

Kitchen<br />

Independence<br />

10 am - noon<br />

Potluck Lunch<br />

Bunch<br />

11:30 am - 2:30 pm


MS CENTRE February 2013<br />

Sunday Monday Tuesday Wednesday Thursday Friday Saturday<br />

TO<br />

REGISTER<br />

FOR<br />

PRGRAMS:<br />

2<br />

1<br />

Movies on the Big<br />

Screen TV<br />

1 - 3 pm<br />

Groundhog day<br />

35 Belmont<br />

Avenue West<br />

Kitchener,<br />

Ontario<br />

N2M 1L2<br />

9<br />

Massage<br />

Therapy<br />

10 am - 12:30 pm<br />

8<br />

7<br />

6<br />

5<br />

Yoga (8)<br />

10:30 - 11:30 am<br />

4<br />

Seated Stretch<br />

11 - 11:30 am<br />

3<br />

Wii Fit<br />

11:00 - noon<br />

Lunch Bunch<br />

11:30 am - 2:30 pm<br />

Phone:<br />

519-569-8789<br />

16<br />

15<br />

14<br />

Wii Fit<br />

11:00 - noon<br />

13<br />

12<br />

Yoga (1)<br />

10:30 - 11:30 am<br />

11<br />

Seated Stretch<br />

11 - 11:30 am<br />

10<br />

Fax:<br />

519-569-8475<br />

Massage Therapy<br />

3:30 - 6 pm<br />

Kitchen<br />

Independence<br />

10 am - noon<br />

Lunch Bunch<br />

11:30 am - 2:30 pm<br />

E-mail:<br />

info.waterloo<br />

@mssociety.ca<br />

Valentine's<br />

Day<br />

Ash Wednesday<br />

Chinese<br />

New Year<br />

23<br />

Massage<br />

Therapy<br />

10 am - 12:30 pm<br />

22<br />

21<br />

20<br />

Foot Care<br />

10:30 am - 2:30 pm<br />

19<br />

Yoga (2)<br />

10:30 - 11:30 am<br />

18<br />

Centre Closed<br />

17<br />

Web:<br />

www.mssociety<br />

.ca/waterloo<br />

Wii Fit<br />

11:00 am - noon<br />

Living Well<br />

Discussion Group<br />

7 - 9 pm<br />

Kitchen<br />

Independence<br />

10 am - noon<br />

Mayor’s Movie<br />

Morning for MS<br />

Facebook:<br />

www.facebook.<br />

com/<br />

mssocietywdc<br />

Family Day<br />

28<br />

27<br />

26<br />

Yoga (3)<br />

10:30 - 11:30 am<br />

25<br />

Seated Stretch<br />

11 - 11:30 am<br />

24<br />

Access to Fitness<br />

7 - 9 pm<br />

Board Meeting<br />

5 - 7 pm<br />

Kitchen<br />

Independence<br />

10 am - noon<br />

Potluck<br />

Lunch Bunch<br />

11:30 am - 2:30 pm


ONGOING PROGRAMS<br />

PHYSICAL WELLNESS<br />

Seated Stretch Exercise<br />

Mondays; No group – Feb. 18<br />

Yoga<br />

Tuesdays; No group – Jan. 1<br />

The first lesson is free. If you<br />

decide to continue for the full<br />

session (8 lessons in total) a<br />

nominal fee <strong>of</strong> $45 will apply.<br />

Financial support is available<br />

(Please speak to the client services<br />

coordinator).<br />

Sunnyside Wellness Centre<br />

Take part in a personal exercise<br />

program designed by a kinesiologist.<br />

Call the chapter to learn<br />

more about our partnership with<br />

the Sunnyside Wellness Centre.<br />

Wii Fit<br />

Interested in using our Wii gaming<br />

system for fun <strong>and</strong> exercise?<br />

Join us as we prepare to<br />

launch our new personalized<br />

exercise program using the Wii<br />

Fit. We’ll teach you everything<br />

you need to get started <strong>and</strong><br />

even provide a healthy snack!<br />

Massage Therapy<br />

The Canadian College <strong>of</strong> Massage<br />

& Hydrotherapy (CCMHT)<br />

provides a certified instructor to<br />

supervise free 45-minute student<br />

massage therapy sessions<br />

at our chapter. Please arrive 10<br />

minutes prior to your scheduled<br />

appointment to complete waiver<br />

information. Appointments book<br />

fast, call today!<br />

Foot Care Clinic<br />

A registered foot care nurse will<br />

conduct an assessment <strong>and</strong><br />

CHAPTER PROGRAMS: JANUARY/FEBRUARY<br />

Practise making nutritious meals<br />

in our Kitchen Independence<br />

Program, starting Jan. 15.<br />

provide nail care. The cost is<br />

only $30. To book an appointment,<br />

please call the chapter.<br />

SOCIAL AND EMOTIONAL<br />

WELLNESS<br />

Lunch Bunch<br />

Mondays; No group – Feb. 18;<br />

Potluck Lunch Bunch - Jan. 28,<br />

Feb. 25<br />

Looking to meet other people<br />

with MS? Bring your lunch <strong>and</strong><br />

stop by the centre!<br />

Living Well with MS Discussion<br />

Groups<br />

This dynamic group focuses<br />

on exchanging practical lifemanagement<br />

techniques using<br />

a positive non-judgmental<br />

approach. Please call ahead to<br />

indicate your interest in participating<br />

in the sessions.<br />

Jan. 16: Tips for Staying Active<br />

in the wintertime<br />

Feb. 20: Calling all family <strong>and</strong><br />

friends <strong>of</strong> those with MS – Are<br />

you interested in meeting with<br />

other caregivers to discuss your<br />

joys <strong>and</strong> concerns that arise<br />

from supporting someone you<br />

love with MS? Join us to dis-<br />

cuss if there is interest in a new<br />

support group just for you.<br />

SEASONAL AND NEW<br />

PROGRAMS<br />

Kitchen Independence<br />

Program<br />

Tuesday, Jan. 15, 22, 29, Feb.<br />

12, 19, <strong>and</strong> 26: 10 a.m. – noon.<br />

Are you concerned about your<br />

ability to safely make nutritious<br />

meals? Do you find yourself<br />

reaching for the cereal box at<br />

suppertime because you are<br />

too tired to cook? Through our<br />

Kitchen Independence program<br />

small groups <strong>of</strong> people will<br />

practise making nutritious meals<br />

in an accessible kitchen at the<br />

Downtown Community Health<br />

Centre. With the assistance <strong>of</strong> a<br />

dietician/chef <strong>and</strong> occupational<br />

therapy aides, you will learn<br />

how to use adaptive kitchen<br />

tools to create delicious food<br />

that you can then take home<br />

to put in the freezer for those<br />

nights when you are too fatigued<br />

to cook. Space is limited!<br />

Please call the client services<br />

coordinator for more details or<br />

to register for our first six-week<br />

session starting Jan. 15.<br />

Travels to the Mediterranean<br />

with Donna<br />

Wednesday, Jan. 23 11 a.m.noon<br />

Join our volunteer Donna as<br />

she shows us pictures on the<br />

big screen <strong>of</strong> her Mediterranean<br />

Cruise. With sun, s<strong>and</strong> <strong>and</strong><br />

tasty snacks, you’ll forget all<br />

Continued on next page<br />

All programming <strong>and</strong> services <strong>of</strong> the MS <strong>Society</strong> are <strong>of</strong>fered in a barrier-free facility


SEASONAL PROGRAMS: JANUARY/FEBRUARY<br />

Botox effects last five months on average<br />

Botox, from page 1<br />

The treatment takes five minutes<br />

<strong>and</strong> you go home from hospital the<br />

same day. It may take about two<br />

weeks for the Botox to start having<br />

an effect <strong>and</strong> the effect lasts, on<br />

average, for about nine months.<br />

Continued from previous page<br />

about winter!<br />

Movies on the Big Screen TV<br />

Friday, Feb. 1: 1-3 p.m.<br />

Join us for a completely accessible<br />

movie experience. We<br />

even provide the popcorn <strong>and</strong><br />

drinks!<br />

If you require a personal attendant<br />

at an event, please speak<br />

directly with the client services<br />

coordinator at least10 working<br />

days prior to the scheduled<br />

event so that appropriate arrangements<br />

can be made to<br />

meet your needs.<br />

If possible one week’s advance<br />

notice would be appreciated if<br />

you plan to participate in programming<br />

that involves guest<br />

speakers or the advance purchase<br />

<strong>of</strong> food or other materials.<br />

Unless otherwise stated, program<br />

events will be held at 35<br />

Belmont Ave. W, Kitchener.<br />

Periodically events have to<br />

be cancelled on short notice.<br />

Please call the chapter to confirm.<br />

Although this treatment is not yet<br />

covered, except by private plans,<br />

the cost is comparable to other<br />

treatments.<br />

If you are not tolerating the<br />

medications for your bladder, or if<br />

pads <strong>and</strong> incontinence devices are<br />

causing financial strain, you may<br />

want to discuss this new treatment<br />

option with your doctor.<br />

R.B. Egerdie,<br />

Adjunct Pr<strong>of</strong>essor <strong>of</strong> Urology,<br />

University <strong>of</strong> Western Ontario.<br />

Mayor Zehr’s<br />

Movie Morning to End MS<br />

Family Day, Monday, Feb.18, 2013<br />

Doors open at 8:30 a.m., shows<br />

start at 9:30 a.m.<br />

Empire Theaters – Gateway Park,<br />

135 Gateway Park Dr., Kitchener<br />

There will be tons <strong>of</strong> fun things to<br />

do like our Lucky Loonie Draw,<br />

face painting, <strong>and</strong> come meet<br />

some local celebrities! Every ticket<br />

is eligible for the door prizes draw.<br />

All programming <strong>and</strong> services <strong>of</strong> the MS <strong>Society</strong> are <strong>of</strong>fered in a barrier-free facility<br />

All the proceeds <strong>of</strong> this fourth<br />

annual event will support the MS<br />

<strong>Society</strong> <strong>of</strong> <strong>Canada</strong>, Waterloo Dis-<br />

trict Chapter to help people in our<br />

community live better with MS <strong>and</strong><br />

to fund research to end MS.<br />

For more information, contact<br />

the Waterloo District Chapter,<br />

519-569-8789. Visit the website at:<br />

www.mayorsmoviemorning.com


Supporter<br />

Friend<br />

Champion<br />

Patron<br />

Benefactor<br />

Together . . .<br />

We can help people live better with MS<br />

Up to $199<br />

$200 - $499<br />

$500 - $999<br />

$1,000 - $1,999<br />

$2,000 +<br />

Annual<br />

gift<br />

OR<br />

OR<br />

OR<br />

OR<br />

OR<br />

Monthly<br />

pledged gift<br />

Up to $16.58<br />

monthly<br />

$16.67 – $41.60<br />

monthly<br />

$41.67 – $83.25<br />

monthly<br />

$83.33 - $166.58<br />

monthly<br />

$166.67+<br />

monthly<br />

Find out how to<br />

become a sponsor<br />

for one <strong>of</strong> our many<br />

fundraising or<br />

program events.<br />

Contact<br />

the chapter at<br />

519-569-8789<br />

MAKING<br />

STRIDES

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