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Autumn 2009 Newsletter - Friedreichs Ataxia Society Ireland

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FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

N E W S L E T T E R <strong>Autumn</strong> <strong>2009</strong><br />

<strong>2009</strong> Holiday - visit to Athenry Heritage Centre


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

EDITORIAL<br />

Dear Members and Friends,<br />

I hope you will find this issue interesting and informative.<br />

As a follow-on to last year’s Scientific Conference, we are including various<br />

excerpts relating to current research, which include meetings attended by FASI<br />

representatives in Turin (arranged by GoFAR) in June, and in Philadelphia in July<br />

(arranged by FARA) where Repligen outlined their plans for HDACi trials in FRDA.<br />

Professor Dolores Cahill, who has been working with our <strong>Ataxia</strong> Clinic Registrar,<br />

Dr Amin Lakhani, on proteomics – a research project which FASI has supported<br />

and to which many of you who have attended the Clinic at Tallaght will have<br />

contributed - has provided us with an update. Also, as there were several<br />

questions raised at the recent AGM on Idebenone and CoQ10, we are including an<br />

article on this and other therapeutic options by Dr. Christine Albertyn, our new<br />

<strong>Ataxia</strong> Registrar, an excerpt from <strong>Ataxia</strong> UK re trials involving Vitamin E and<br />

CoQ10 and details of Deferiprone studies.<br />

You will also note a selection of articles by members who were ‘badgered’ by me<br />

for a piece and I am very grateful to them for taking the time to send us their<br />

positive experiences, together with illustrations!<br />

Following the holiday week at Cúisle in July, our next Social will be the Christmas<br />

one on December 5th, in the Stillorgan Park Hotel as usual, so we hope to see<br />

many of you there then!<br />

Best wishes to you all in the meantime.<br />

The Editor<br />

1


CONTENTS<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

RESEARCH<br />

Pages<br />

• FARA / Repligen 3<br />

• GoFAR 3<br />

• Useful Research websites 3<br />

• Idebenone/CoQ10 / Deferiprone 4/5/6<br />

FUNDRAISING<br />

Pages<br />

• Conor’s Fight Night 7<br />

• Mary’s Music Night 7<br />

• Ladies Mini-marathon 7<br />

• Pre-Triathlon Music Night 7<br />

• Triathlon - Athlone 7<br />

MEMBERS’ ARTICLES<br />

Pages<br />

• ‘There’s sweet FA wrong with me!’ ~ by Anita Gracey 8<br />

• Recession, Not for me! ~ by John Kelleher 9<br />

• My Trip to Monaco in France ~ by Clare Louise Creedon 9<br />

• A Horsey Tale ~ by Martin Kilduff 10<br />

• New York, New York ~ Tom Colohan 12<br />

FASI NEWS & EVENTS<br />

Pages<br />

• Annual Holiday 13<br />

• New <strong>Ataxia</strong> Registrar 14<br />

• Farewell to Amin 14<br />

• <strong>Ataxia</strong> Nurse 14<br />

• Information Day for Parents 14<br />

• AGM & Social 15<br />

• International Rare Disease Day 16<br />

• Christmas Social 16<br />

• Wedding Bells for Suzanne & Gilbert 16<br />

• Entitlements 16<br />

• Bequests 16<br />

MISCELLANEOUS<br />

Pages<br />

• Irish Times article 17<br />

• Jubilee Sailing Trust 17<br />

• Useful web addresses 17<br />

• God’s Pharmacy 18<br />

2


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

RESEARCH NEWS<br />

USEFUL RESEARCH WEBSITES<br />

CAN BE FOUND AT THE<br />

FOLLOWING ADDRESSES: –:<br />

www.ataxia.org.uk<br />

<strong>Ataxia</strong> UK<br />

www.curefa.org<br />

The <strong>Friedreichs</strong> <strong>Ataxia</strong> Research<br />

Alliance (FARA - U.S.)<br />

www.ataxia.org<br />

National <strong>Ataxia</strong> Foundation<br />

(U.S.A.)<br />

www.fara.org.au<br />

Friedreich <strong>Ataxia</strong><br />

Research Association<br />

(FARA - Australia)<br />

www.lacaf.org<br />

Canadian Association for<br />

Familial <strong>Ataxia</strong>s<br />

FARA CONFERENCE – Philadelphia 17/18 July, <strong>2009</strong><br />

A 5-person delegation from <strong>Ireland</strong>, co-ordinated by Barbara Flynn, including<br />

Dr Raymond Murphy, Dr. Christine Albertyn, the new <strong>Ataxia</strong> Registrar, Tom<br />

Kelleher and Sheron Wylie-Modro, Neuro Scientist travelled to Philadelphia<br />

for the Conference. The two day meeting was attended by "Front line"<br />

Research Scientists and Doctors from America, Europe, Australia and the<br />

Middle and Far East, over 100 delegates in total. All of these people had one<br />

aim: to advance progress in <strong>Friedreichs</strong> <strong>Ataxia</strong> Research towards better<br />

clinical management, new drugs and clinical trials of the HDAC inhibitor<br />

being set up by the drug company, Repligen. The pilot drug trials by Repligen<br />

should start before the end of the year and trial centres for the next phase will<br />

also be set up throughout America and Europe.<br />

HDAC inhibitors work by "unsticking" the DNA near the Frataxin Gene,<br />

making it possible for the body to make its own Frataxin, the protein which<br />

is in low concentrations in <strong>Friedreichs</strong> <strong>Ataxia</strong> sufferers and causes such<br />

devastating results. The trials will take some time as Repligen must verify that<br />

there are no harmful side effects and that the inhibitor works as expected in<br />

human systems, so we must keep our fingers crossed. Drug trials take time so<br />

everyone must be very patient and that includes the scientists as well as the<br />

<strong>Friedreichs</strong> <strong>Ataxia</strong> sufferers.<br />

FASI is also keeping <strong>Ireland</strong>'s "end up" by financially supporting one of the<br />

Research Grants in America for work on HDAC inhibitors.<br />

The future for <strong>Friedreichs</strong> <strong>Ataxia</strong> sufferers is very bright. There are teams of<br />

scientists throughout the WORLD working TOGETHER to make sure that<br />

everyone with <strong>Friedreichs</strong> <strong>Ataxia</strong> has a BRIGHTER FUTURE.<br />

Sheron Wylie-Modro<br />

(Biomedical Scientist), MAMLS, MIBiol, CIBiol, Member of the British Neuroscience<br />

Association, FASI Committee Member<br />

GoFAR Meeting in Turin on<br />

5th June, <strong>2009</strong><br />

A meeting organised by GoFAR, of the European Clinical Network was held<br />

on 5th June, <strong>2009</strong> in Turin to discuss European participation in clinical trials<br />

to be conducted by Repligen, a US pharmaceutical company, developing<br />

HDACi drugs for use in treating FA. Dr. David Jacoby, Medical Director of<br />

Repligen attended the meeting and advised that it is anticipated that Phase I<br />

will commence towards the end of <strong>2009</strong>, with, depending on outcome,<br />

hopefully Phases II and III of the defined HDACi beginning as soon as 2010.<br />

Presentations by clinicians from various European FRDA Clinical Centres also<br />

took place and Professor Richard Festenstein (Imperial College, London)<br />

outlined development plans regarding a new HDAC inhibitor. He presented<br />

data on a new compound which increases levels of frataxin in patient cells<br />

and in mouse models. This is an HDAC inhibitor which is commercially<br />

available, thus fewer safety studies would be needed. He plans to do a proof-ofconcept<br />

trial in a small number of FRDA patients soon and if successful this would<br />

be followed by a multi-centre trial with other European partners after that.<br />

3


RESEARCH NEWS<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

Proteomics Research by Professor Dolores Cahill (UCD)<br />

Research in Friedreich’s ataxia<br />

Friedreich’s <strong>Ataxia</strong> (FRDA) is the most common form of autosomal recessive ataxia, where diagnosis is confirmed by<br />

GAA-trinucleotide repeat expansion in the FRDA gene on Chromosome 9q13. There is currently no effective<br />

therapeutic strategy established for the treatment of FRDA or the other recessive ataxias. We are working on a<br />

research programme in Friedreich’s ataxia which aims to identify and characterise the antibody ‘profile’ in the serum<br />

(blood) obtained from patients with ataxia. This profile information gives us further insights into the understanding<br />

and the progression of FRDA.<br />

We collaborate closely with the group of Dr. Raymond Murphy, who has established an <strong>Ataxia</strong> Clinic over many years<br />

which can be accessed by all ataxia patients in <strong>Ireland</strong>. Since 2005, serial samples have been collected in the Clinic.<br />

Our research is built on the interest and involvement of the Irish Friedreich’s <strong>Ataxia</strong> society and the <strong>Ataxia</strong><br />

community and we gratefully acknowledge their support.<br />

We are screening these serum samples from patients with FRDA against this protein array and we are comparing<br />

these profiles, with the profiles we obtain from screening healthy age and sex matched controls and a control group<br />

of patients with other recessive ataxias. Preliminary results were presented at the Fredreich’s <strong>Ataxia</strong> <strong>Society</strong> Meeting<br />

(2008) in Dublin. Funding to develop this research programme is being sought.<br />

Rationale for this research<br />

There are currently no established therapies for sufferers of inherited ataxias. Friedreich’s <strong>Ataxia</strong> (the most common<br />

inherited ataxia) is a neurodegenerative disease with initial symptoms of the disease frequently appearing in<br />

childhood and resulting in premature death. The expertise of this group of clinicians and researchers will be utilised<br />

to identify disease biomarkers from ataxia patients resulting in a better understanding of disease progression and<br />

the potential identification of targets for therapy.<br />

While this programme involves basic research by determining the antibody profile using high content protein arrays<br />

derived from human brain tissue. This method of identifying and understanding the disease process in FRDA has a<br />

number of advantages over other methods, such as detecting the proteins directly in serum.<br />

It is hypothesized that proteins that are associated with the diseased tissue or the disease progression are presented<br />

to the immune system, for example by tissue leakage. The immune systems then generates an immune response<br />

against them (auto-antibody response) as such proteins are not normally present in healthy individuals or before the<br />

on-set of the disease. The body’s immune system amplifies the response and signal obtained. Other advantages<br />

include the sensitivity of the immune system that can generate an antibody response to proteins that are presented<br />

at low levels and to proteins present at a very early stage in the disease process. There is no requirement for pretreatment<br />

of the serum or plasma and no capturing antibodies are required. The antibody response remains over<br />

long periods, which is also a significant advantage.<br />

Our aim in this research programme is a greater understanding of the development of FRDA and of ataxias, in<br />

general. Functional analysis and validation of the profile obtained may result in the identification of potential<br />

therapeutic targets for the treatment of patients with ataxias.<br />

4


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

RESEARCH NEWS<br />

DEFERIPRONE<br />

Iron is believed to play an important role in the pathogenesis of FRDA. Frataxin plays an important role in<br />

mitochondrial iron metabolism and reduction of the gene results in mitochondrial iron overload. For this reasons,<br />

iron chelation therapy with Deferiprone (DFP) is considered to be a potential treatment for FRDA.<br />

A pilot study in FRDA patients showed that treatment with Deferiprone for 6 months resulted in some clinical<br />

benefits such as improvement in delicate movements, manipulative dexterity, and speech fluency, and warming of<br />

limb extremities, in some patients, with the ability to sense their own feet and the floor. Also a decrease in iron levels<br />

in the dentate nuclei of FRDA patients was noted.<br />

Prof. Antonio Piga, Thalassemia Centre –Biological and Clinical Sciences Department – University of Torino, Italy, is currently<br />

working on a two-year study on Use of Iron Chelation in Friedriechs <strong>Ataxia</strong><br />

Therapeutic Options<br />

by<br />

Dr Christine Albertyn<br />

Great progress has been made in understanding the mechanisms underlying disability in Friedreich’s ataxia (FRDA).<br />

The genetic mutation that causes FRDA is the GAA repeat expansion on chromosome 9. This abnormal triple repeat<br />

causes a relative deficiency of a protein called frataxin. Frataxin plays an important role in mitochondria, which<br />

form a core part of every cell in our body. Loss of frataxin then damages mitochondria by forming of iron-sulphur<br />

clusters and possibly causing oxidative stress. All these discoveries have helped researchers to look into possible<br />

strategies to reverse or slow down disease progression.<br />

Idebenone is an anti-oxidant related to coenzyme Q10. It works by counteracting the toxicity caused by iron<br />

compounds. It has been tested in clinical trials and, while it has been shown in some studies to improve heart<br />

function, it has not consistently showed improvement in neurological function. It has therefore not been licensed<br />

for use in America and Europe. However, phase 3 trials are currently underway in Europe (MICONOS trial) and<br />

America (IONIA trial). In these two studies, high dose idebenone will be used and the investigators will look for a<br />

change in ICARS score. The ICARS is a rating scale used by doctors to measure physical disability.<br />

Histone deacetylase(HDAC) inhibitors offer a promising therapeutic approach by silencing the gene and thereby<br />

increasing frataxin levels. This has been shown in animal models. There is a concern that this drug can switch off<br />

other genes as well with serious possible side-effects. The drug is currently being tested for cancer therapy. There are<br />

no clinical trials underway yet in patients with FRDA.<br />

Diferiprone is a drug that binds iron, and may therefore limit cell damage in patients with FRDA. This drug has<br />

shown some promising results in pilot trials and animal models and further Phase 2 clinical trials are planned.<br />

Erythropoietin stimulates growth of red blood cells. It can protect neurons and has been shown to increase Frataxin.<br />

It has been tested in pilot studies and further studies will be helpful. However, concern about possible side-effects<br />

has been raised due to the fact that blood cells are being stimulated.<br />

Pioglitazone is a drug already used in diabetes. It stimulates mitochondrial function by acting on the peroxisome<br />

proliferator-activated receptor gamma (PPAR ) pathway. It has shown promise in cell models, but the concern is that<br />

it can lead to cardiac toxicity. A phase 2 trial is being planned.<br />

The amount of research being done is remarkable, especially when taking into account that this is a rare disease.<br />

This is due to the fruitful collaboration across the world between investigators sharing their successes and failures;<br />

assistance of pharmaceutical companies and importantly the generous assistance of patient support groups.<br />

5


RESEARCH NEWS<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

References<br />

1. Lodi et al. Ann Neurol 2001 May;<br />

49(5):590-6.<br />

2. Hart et al. Arch Neurol 2005<br />

Apr;62(4):621-6.<br />

3. Cooper et al. European Journal of<br />

Neurology 2008 15:1371-9.<br />

Vitamin E and Coenzyme Q10 randomised controlled trial in<br />

Friedreich’s ataxia<br />

Dr JM Cooper, Professor AHV Schapira, Dr LVP Korlipava, Dr PE Hart, and<br />

Dr JL Bradley from the Royal Free Hospital and University College Medical<br />

School London, describe the results of their latest trial.<br />

The team at the Royal Free Hospital in London has been involved in research<br />

in Friedreich’s ataxia for a number of years. A few years ago we published the<br />

results of a pilot study in 10 patients with Friedreich’s ataxia which produced<br />

encouraging results for the potential treatment of the condition with Vitamin E<br />

and CoenzymeQ10 (CoQ10) in relation to both ataxia and heart function. (1,<br />

2) In order to determine whether this treatment could be recommended to<br />

patients with Friedreich’s ataxia a larger trial was needed. We have just<br />

completed and published results from this larger study involving 50 patients.<br />

(3) This was a randomised double blind controlled trial which compared the<br />

effect of high dose* Vitamin E/CoQ10 with low dose* on the participants’<br />

ataxia, as measured using the International Cooperative <strong>Ataxia</strong> rating scale.<br />

The trial lasted 2 years.<br />

Over the period of the trial there was no significant difference in the ataxia<br />

rating scale when comparing the two treatment groups. However, 49% of<br />

patients in the trial showed an improvement in the ataxia rating scale<br />

(responder group) when compared with data from patients who were not on<br />

the trial and therefore not taking the trial medication. We also found that pretreatment,<br />

the levels of CoQ10 and Vitamin E in the patients’ blood were<br />

significantly lower than normal and that these increased to normal levels after<br />

treatment with both low and high doses of Vitamin E and CoQ10.<br />

Interestingly, the ‘responder group’ (ie: the 49% of patients whose ataxia<br />

rating scale improved) had significantly lower pre-treatment levels of CoQ10<br />

and Vitamin E compared with the ‘non-responder’ group.<br />

Our conclusion from this study is that the levels of CoQ10 and Vitamin E in<br />

patients’ blood are a predictor of whether they will respond to Vitamin E and<br />

CoQ10 therapy.** In other words, if the level of CoQ10 and vitamin E in the<br />

blood of a patient with Friedreich’s ataxia is low they may respond positively<br />

to treatment with CoQ10 and Vitamin E at either low dose or high dose.<br />

This research project was funded by <strong>Ataxia</strong> UK.<br />

*High dose used in the trial was:<br />

2100 IU/day Vitamin E tablet and<br />

600mg/day CoQ10 tablet for<br />

adults and for patients under 18<br />

years of age it was 30 IU/kg/day<br />

Vitamin E and 9mg/kg/day<br />

CoQ10. Low dose used in the trial<br />

was: 30mg CoQ10 tablet and a<br />

placebo tablet which contained<br />

Vitamin E (4IU/day) as a<br />

preservative.<br />

** Testing for CoQ10 levels is not<br />

normally carried out in patients<br />

with Friedreich’s ataxia. If<br />

required, testing for CoQ10 is<br />

routinely available at the<br />

Neurometabolic Unit, National<br />

Hospital for Neurology and<br />

Neurosurgery, London.<br />

Please contact Dr I.P Hargreaves<br />

for details (Tel: 0845 1555000<br />

ext 723844 email:<br />

iain.hargreaves@uclh.nhs.uk).<br />

Disclaimer<br />

Readers should seek their own<br />

medical advice before taking any<br />

action based on this summary of<br />

the results of this trial. No person<br />

shall have any claim of any nature<br />

whatsoever arising out of or in<br />

connection with this publication<br />

against <strong>Ataxia</strong> UK, the Royal Free<br />

Hospital, the University College<br />

London Medical School or any of<br />

their officers or employees.<br />

6


FUNDRAISING<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

Conor's Fight Night - November 28th, 2008<br />

Conor survived his 'White Collar' boxing bout, which Brenda witnessed, at the Tivoli Theatre! Many thanks to Conor<br />

for 'fighting for FASI' and to all those who sponsored him.<br />

Mary Colohan’s Music Night – February 22nd, <strong>2009</strong><br />

Barbara & Brenda travelled to Ballymahon to join in the fun when Mary (whose son, Thomas, has FA) organised a<br />

fundraiser for FASI in a local hostelry! They couldn’t believe how late they ‘party’ in the country…. (perhaps they are<br />

just feeling their age!!). Thanks to Mary for organising the entire night and to the musicians who took part.<br />

Ladies Mini-marathon – 1st June, <strong>2009</strong><br />

A big ‘thank you’ to all the ladies who ‘did it for FASI’ on the June Bank Holiday…on what was a ‘sweltering’ day!<br />

T-shirts and sponsor cards are always available from the office, so any walkers/runners out there … please consider<br />

participating for FASI next year!<br />

Pre-Triathlon Music Night – June 13th, <strong>2009</strong><br />

Skelly’s Bar was the scene for another Ballymahon evening<br />

when friends of Thomas Colohan, Bernard Mulvihill, Michael<br />

Delaney and Enda Trautt, who participated in a Trialthlon (see<br />

below) on behalf of FASI, started their fundraising with a<br />

fantastic night of entertainment featuring several bands… and,<br />

yes, our stalwart FASI respresentatives, Brenda and Barbara,<br />

were there again… with Sean, Brenda’s husband, there this<br />

time….perhaps as chaperone<br />

Triathlon – Athlone – 19th July, <strong>2009</strong><br />

Bernard, Michael and Enda<br />

Bernard Mulvihill and Michael Delaney ‘exhausted’<br />

themselves by taking part in the above which<br />

included a 1.5km swim, 40km cycle and a 10km<br />

run….(phew, I feel tired just writing that!) which was<br />

the Olympic distance, while Enda Trautt, another<br />

friend, joined in doing the Sprint distance …. and all<br />

of them were doing it for FASI!<br />

A huge ‘thank you’, lads for, not only a fabulous<br />

physical effort on the Day, but also for your pre-<br />

Triathlon fundraising efforts and the production of a<br />

very attractive website which is accessible from the<br />

FASI web address.<br />

David , Michael, Mary, Bernard, Pat<br />

7


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

MEMBERS’ ARTICLES<br />

I and approximately 50 people in<br />

Northern <strong>Ireland</strong> have this little<br />

known condition, Friedreich’s<br />

<strong>Ataxia</strong>. Friedreich’s <strong>Ataxia</strong> is a<br />

genetic disorder which attacks the<br />

nervous system; mobility, speech,<br />

hearing and co-ordination are<br />

affected. My parents unknowingly<br />

were both carriers of the gene, so<br />

each of their seven children had a<br />

one in four chance of developing<br />

Friedreich’s <strong>Ataxia</strong>. As fate would<br />

have it myself and three of my<br />

siblings have it.<br />

The thought that I might develop the<br />

disease was not a big worry, perhaps<br />

because from my older siblings I<br />

knew what to expect. It was very slow<br />

to develop and gave me time to<br />

acclimatise. During my teens most<br />

people didn’t notice anything, but I<br />

did because I wasn’t any good at<br />

running or handball and such like. I<br />

think people put it down to my being<br />

smaller, therefore I couldn’t be<br />

sporty.<br />

Towards the end of my school years,<br />

an observant teacher noticed I was<br />

particularly slow at taking things<br />

down from the board. He was the<br />

first person I told and I still<br />

‘There’s sweet FA wrong with me!”<br />

by Anita Gracey<br />

remember the look of shock on his<br />

face when I explained.<br />

Since my impairment became<br />

apparent, “What’s wrong with you”<br />

is the question I get asked the most.<br />

I at first treated this question with<br />

relish, as for several years people<br />

assumed I was drunk. I thought<br />

people were genuinely interested in<br />

the intricacies of my impairment<br />

‘Friedreich <strong>Ataxia</strong>’. But alas, as<br />

people couldn’t get their head round<br />

the name – “Free wha Free drink and<br />

a taxi”, I would explain the genetic<br />

structure of how both my parents<br />

were unknowingly carriers of this<br />

rare condition. Eyes would glaze<br />

over at the ‘science bit’ and they<br />

would reply, “So you were in an<br />

accident then”. It is a genetic<br />

disorder named after the doctor who<br />

first identified it in the 1860’s.<br />

Of course, in the world of<br />

impairments you have CP for<br />

Cerebral Palsy or MS for Multiple<br />

Sclerosis. As luck would have it I<br />

could announce “There is FA wrong<br />

with me”. This reply was seen as rude<br />

rather than clever.<br />

So next I started telling people I had<br />

MS. They could nod knowingly and<br />

tell me how brave I was. This worked<br />

for a number of years but then,<br />

coincidently, one of my best friends<br />

was diagnosed with MS. I felt<br />

uncomfortable misrepresenting my<br />

friend’s impairment.<br />

I then told people I had been in a<br />

motorbike accident. Well by people,<br />

I mean boys. All that leather and<br />

speed makes a sexy combination,<br />

one has to take advantage wherever<br />

one can. Anyway this worked well<br />

until one night a man asked in reply,<br />

“What type of bike was it” Well with<br />

his short hair and no visible tattoos,<br />

how was I to know he was a biker<br />

I think Friedreich’s <strong>Ataxia</strong> has given<br />

me more opportunities. I went to<br />

university in my 20’s, which I<br />

probably would never otherwise<br />

have done. So, if the world<br />

emphasises what I can’t do as a<br />

disabled woman, I discovered higher<br />

education was something I could do.<br />

Currently I’m employed as a Mentor<br />

and Facilitator for the Service User<br />

Support Team within Leonard<br />

Cheshire Disability which provides<br />

housing and other support services<br />

for disabled people across the UK. I<br />

work freelance to offer training on<br />

Direct Payments and Disability<br />

Equality Training. I have an eleven<br />

year old and a great family and<br />

friends and I am thankful for that.<br />

Recently when people ask, “What’s<br />

wrong with you” I invariably say “I<br />

have a cold.” I enjoy the confusion<br />

and the flustered gesturing towards<br />

my wheelchair. “I meant that,” they<br />

say. I know I should answer from the<br />

Social Model perspective, and<br />

respond how I have impairment and<br />

it is the world around me which is<br />

‘wrong’ and disables me but its more<br />

fun teasing the myths and<br />

misconceptions of life.<br />

Nowadays I tell people it’s none of<br />

their business.<br />

8


MEMBERS’ ARTICLES<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

Recession, Not for me!<br />

By John Kelleher from Dublin<br />

Just before I went to Australia the<br />

recession was starting to kick in and<br />

a month later when I got back, well it<br />

was here. Things had got worse,<br />

people weren’t spending,<br />

unemployment was climbing and<br />

there was a freeze in recruitment in<br />

the public sector.<br />

A few weeks before I went to<br />

Australia I had done an interview for<br />

promotion in the Civil Service. I had<br />

passed that interview, been put on a<br />

panel and it looked very positive that<br />

I would be promoted before<br />

Christmas. After I got back, though, it<br />

was a lot different. Promotion was 6<br />

months’ away if I was lucky, and 6<br />

months was growing to 8, even 10<br />

months, by the week. With this in the<br />

back of my head, I pushed on and<br />

attended an interview for a job in the<br />

Chief State Solicitors Office.<br />

Regardless of jobs, <strong>2009</strong> would be the<br />

year of my new car! I had ordered a<br />

Volkswagen Scirocco for myself in<br />

November 2008. It was beryllium<br />

grey and it had an iPod adaptor, Rain<br />

and Light Sensors and a DSG gearbox.<br />

All of this sounds very fancy and<br />

expensive because it is! I had saved<br />

up the money and really liked the car<br />

so I put my foot down and it was<br />

staying down. All that seems so long<br />

ago now! I drove my new car off the<br />

dealer’s forecourt in mid January and<br />

never looked back. The car is<br />

absolutely brilliant. Smooth,<br />

comfortable, zippy and very easy on<br />

the eye! Judge for yourself. I thought<br />

it might be hard for me to get in and<br />

out of but it hasn’t so far.<br />

Like my old car I got hand controls<br />

fitted to this car, which were done by<br />

Motability <strong>Ireland</strong>. The garage (Park<br />

motors on the Navan Road) and<br />

Motability <strong>Ireland</strong> were very helpful<br />

when I was buying and fitting my<br />

new car.<br />

At the end of 2008, beginning of<br />

<strong>2009</strong> I decided to look into getting a<br />

wheelchair. Mobility was getting<br />

more and more difficult. I had tried a<br />

walking frame but I didn’t feel<br />

comfortable with it. I found it<br />

awkward to use and I didn’t feel safe<br />

with it. Then again, I probably didn’t<br />

give it enough time. There was an<br />

issue around storing the wheelchair<br />

in my car; the boot has a small<br />

entrance so we had to get a chair to<br />

not only fit me, but also fit my car.<br />

When I ordered the car I hadn’t<br />

thought about getting a wheelchair.<br />

On the 31st March I got my<br />

wheelchair. So far it has been very<br />

helpful. On Sunday 5th April I went<br />

to the Great <strong>Ireland</strong> Run in the<br />

Phoenix Park. We parked a good<br />

distance from the race, so I hopped<br />

into my wheelchair and went over.<br />

Without the chair I would have been<br />

exhausted when I got there - if I had<br />

got there at all! I know the transition<br />

won’t be easy, but it will allow me<br />

more freedom so I am looking<br />

forward to using it.<br />

Then I got word that I got the<br />

interview and started my new job in<br />

the Chief State Solicitors Office on<br />

the 6th April. I have been here just<br />

over 2 weeks now and so far so good.<br />

The people are very friendly, I have a<br />

parking spot and I have a job!<br />

So, this year – so far – I have acquired<br />

a new car, a new wheelchair and a<br />

new job. You can never tell what lies<br />

ahead!<br />

My trip to Monaco<br />

By Clare Louise Creedon from Dublin<br />

On the 15th March this year, I went to<br />

Monaco with my boyfriend and six<br />

friends. Three of us are in<br />

wheelchairs and three other friends<br />

were coming over on the 18th. The<br />

reason we went was one of my<br />

friends, Mary Collins<br />

(www.bluewavearts.ie), was having<br />

an exhibition of her paintings in the<br />

Princess Grace Library there.<br />

Only my friend and one of her<br />

helpers went to the opening night on<br />

the 17th, when she met Prince Albert,<br />

who was opening the exhibition. The<br />

rest of us went to the exhibition the<br />

next day, as the room was absolutely<br />

packed and it was so small. We all<br />

headed to the exhibition by bus – on<br />

two separate buses as the first bus<br />

could only take one wheelchair. We<br />

all met up at the exhibition and it<br />

was great as a lot of my friend’s<br />

paintings were sold.<br />

We were staying in apartments not<br />

far from the city centre (the AMHM<br />

apartments, VILLA JULIA Bâtiment A,<br />

10 avenue Jacques Abbas, 06320 Cap<br />

d'Ail, France.) There were a lot of<br />

hills, but it didn’t matter as there was<br />

a bus route just down the road and it<br />

would take one wheelchair user. The<br />

bus would take us to the shopping<br />

centre and from there we could go to<br />

the sea front where there were a lot<br />

of cruiser boats and also bars and<br />

restaurants.<br />

There is a bigger bus you can also get<br />

nearby that will bring you further<br />

and they take two or three<br />

wheelchair users. One night a few of<br />

us got a bus to the shopping centre<br />

and went to find a restaurant at the<br />

seafront, but we found out the<br />

restaurants only open at 8.00 and the<br />

buses stop running at 8.30, so we just<br />

headed back to the centre and went<br />

9


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

MEMBERS’ ARTICLES<br />

to McDonalds and then got the last<br />

bus which fitted on two wheelchairs<br />

which was brilliant.<br />

Another day, we got buses to the<br />

terminus, where we met with two of<br />

our friends who were staying in a<br />

hotel nearby. The lady who was coordinating<br />

our trip met us when we<br />

got off the bus and we all met up<br />

outside a lovely park. Then we all<br />

headed to the Oceanic museum -<br />

which is well worth a visit. I was<br />

particularly impressed by the<br />

aquarium which was part of the<br />

museum. Luckily one of the gang<br />

brought a phrasebook so we were<br />

able to translate the menu at the<br />

restaurant there, which was only in<br />

French.<br />

The next place we visited was the<br />

cathedral which contains the tomb of<br />

Princess Grace. The cathedral was<br />

gorgeous and had statues of Mary<br />

and Bridget, Saint France, Vincent de<br />

Paul etc.<br />

Then the group took a bus to the<br />

Casino where we passports were<br />

required to enter. One of our gang<br />

didn’t have his passport, so he left us<br />

to visit McCarthy’s Irish Bar which is<br />

next to the Casino! We had a look<br />

around the Casino and then went for<br />

a drink, which was pretty expensive!<br />

I then went to one of the roulette<br />

tables with one of the others. I lost<br />

the money I put on the wheel, but<br />

fortunately my friend won quite a lot<br />

of money!<br />

The trip co-ordinator had made<br />

arrangements for a visit to the<br />

Rothschild’s Villa house and gardens.<br />

We saw around the house first and it<br />

was absolutely gorgeous and with so<br />

much history attached to it. After a<br />

delicious lunch, we went out to see<br />

the gardens and words cannot begin<br />

to describe how breathtakingly<br />

beautiful they were and,<br />

appropriately, the sun even made an<br />

appearance. There was a huge<br />

waterfall in the middle of the gardens<br />

and it danced to the music of Strauss<br />

and Bach; I can’t imagine a more<br />

perfect day.<br />

I felt a pang of sadness as I boarded<br />

the bus for the return journey, but<br />

our lady organiser asked the driver to<br />

make a stop over the Italian border to<br />

San Reno, where we had a coffee and<br />

tea in a café, which cheered me up!<br />

The next day we were leaving, so we<br />

said our goodbyes and left for the<br />

airport. I couldn’t believe that the<br />

power chairs had to go through an x-<br />

ray machine at Nice airport and the<br />

backs had to be taken off them which<br />

worried me slightly, but they were<br />

fine thankfully. They were very<br />

security-conscious, which I suppose<br />

is necessary.<br />

When we arrived in Dublin airport,<br />

we were treated so well. We were the<br />

last off the plane and we were lifted<br />

into an ambulance chair before<br />

transferring to our own chairs. We<br />

went then to get our bags and had to<br />

show our passports one last time<br />

before heading off in taxis to our<br />

various destinations after a great<br />

week.<br />

Clare Louise & friends outside<br />

Villa Rothschild<br />

A Horsey Tale<br />

by Martin Kilduff from Wexford<br />

For as long as I can remember I’ve<br />

loved horses, I suppose coming<br />

from a farming back-ground<br />

helped! I actually left school after<br />

doing my Group & Inter Certs<br />

(they are now known as the Junior<br />

Cert) to pursue my ambition to be<br />

a jockey. Little did I know then<br />

that FA was lurking around the<br />

corner! I worked for a few years<br />

with racehorses, but I didn’t get to<br />

fulfil my ambition; alas I was<br />

diagnosed with Friedreich’s<br />

<strong>Ataxia</strong>, so too were my two<br />

brothers Kenneth & Dominic.<br />

I remember the consultant telling<br />

me at the time, “to get myself a<br />

Desk Job”. “That’s it” I then<br />

thought “my life with horses was<br />

over”. Remember, I had left school<br />

early, (as I thought then, getting<br />

away from the school books was<br />

great) to work with horses and<br />

here was the consultant advising<br />

me to get a “Desk Job”, well great -<br />

bloody great!<br />

After another few years went by,<br />

trying to do other jobs, I<br />

eventually went to College as a<br />

mature student studying Business<br />

Studies & Computer Applications.<br />

While studying & living in Dublin<br />

and later working there, I was<br />

introduced by Clare Creedon<br />

(who was bringing John & Clare-<br />

Louise down) to Rathdown<br />

Carriage Driving Group. “Thanks”<br />

Clare; that introduction brought<br />

me right back to my love with<br />

horses. Ok, yes, I did now use a<br />

wheelchair, but, hey, I now was<br />

able to drive a Horse & Carriage;<br />

and you know what, my love affair<br />

with horses began all over again!<br />

For the next five years I had some<br />

very enjoyable days with<br />

Rathdown Carriage Driving<br />

Group, who are based in Co.<br />

10


MEMBERS’ ARTICLES<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

Dublin. In 1997 I drove a Horse &<br />

Carriage at my first Show in<br />

Kilmacanogue, Co. Wicklow; and in<br />

1998 I became the first wheelchair<br />

user to drive a Horse & Carriage at the<br />

Kerrygold Horse Show in the RDS,<br />

Dublin. I enjoyed many other days<br />

driving with Rathdown, with whom<br />

Liam McSweeney also currently<br />

drives.<br />

When I left Dublin, there was a void<br />

in life and, having enjoyed my<br />

experience of carriage driving with<br />

the Rathdown Group, I set about the<br />

task of establishing a Carriage<br />

Driving Group in my own area. I<br />

approached Sadie Murphy (local<br />

horse-woman renown for Carriage<br />

Driving) and together in 2002 we<br />

jointly-founded Gorey Carriage<br />

Driving Group; thus my dream<br />

became a reality!<br />

Who is Gorey Carriage Driving<br />

Group Based in Ballycanew, Co.<br />

Wexford, we have a fantastic kindhearted<br />

team of volunteers and, like<br />

the Rathdown Group, are affiliated to<br />

the Riding for the Disabled<br />

Association – <strong>Ireland</strong>, which<br />

incorporates Carriage Driving. The<br />

main focus of the RDA work is to<br />

broaden the physical and mental<br />

horizons of those affected by<br />

disability – see their website<br />

www.rdai.org. We are a voluntary<br />

group who teach the skills of driving<br />

a Horse & Carriage to disabled<br />

people. We drive at our base in<br />

Ballycanew one afternoon per week<br />

(weather permitting). Carriage<br />

Driving offers an alternative way for<br />

ambulant disabled & wheelchair<br />

users to enjoy the company of a horse<br />

in the open air.<br />

Carriage-Driving can be a high-risk<br />

sport and thus safety is of paramount<br />

importance at all times. Through<br />

Sadie’s generosity, we have the use of<br />

her horses and they have been<br />

assessed for their suitability for<br />

working with disabled drivers and<br />

our carriages have been specially<br />

adapted to take people with various<br />

disabilities. Drivers must wear a<br />

safety harness plus a riding helmet<br />

and a support bar can be attached to<br />

the horse’s reins if required. Our AB-<br />

Whips, who accompany our disabled<br />

Drivers (in keeping with safety<br />

procedure) are all formally tested &<br />

approved, and, should the need arise,<br />

they are available to drive. Two sets<br />

of reins are used – one by the<br />

disabled driver and the other by our<br />

AB-Whip, (similar to a Motoring<br />

Instructor). Steps are available to<br />

assist with loading, while a seat can<br />

be fitted for an ambulant driver.<br />

Ramps are used for loading<br />

wheelchair users, plus their<br />

wheelchair is clamped to the floor of<br />

our carriages. We also have a<br />

wheelchair available for the less<br />

mobile and a neck support is worn by<br />

some of our disabled drivers. We<br />

have also run a basic First Aid course<br />

for our team, and a local Doctor has<br />

agreed to provide medical assistance,<br />

if required.<br />

The benefits gained from Carriage<br />

Driving are;<br />

• Psychological: Being out-doors in<br />

the fresh air, gives our disabled<br />

drivers a feeling of well being and<br />

contact with horses can be very<br />

therapeutic;<br />

• Physical: Posture, Co-ordination,<br />

Balance, Muscle-Tone & Improved<br />

Strength;<br />

• Social: After our drive we socialise<br />

over a cup of tea or coffee,<br />

sandwiches and buns;<br />

• Achievements: Some of our<br />

disabled drivers compete at shows.<br />

Our Group began with one horse,<br />

Smokie, and two-wheeled carriage<br />

and what fun we’ve had! Now<br />

Monday afternoons have become<br />

very special to us as we drive at our<br />

base. Our Group has also competed<br />

at various Shows winning rosettes<br />

and trophies. We now have a fourwheeled<br />

waggonette, plus two more<br />

horses Kojack and Clyde and a pony,<br />

Windsor, available to our Group.<br />

I am delighted to say that in 2006,<br />

driving Kojack and accompanied by<br />

AB-Whip, Sadie Murphy and groom,<br />

Mary Boyne, I achieved first place in<br />

the disabled section and Jason Kehoe,<br />

accompanied by AB-Whip, Lucy<br />

Rothwell, and groom, Rachel<br />

Rothwell, came second in the<br />

disabled section of the Horse & Pony<br />

Trades Class at the Fáilte <strong>Ireland</strong><br />

Horse Show at the RDS. Having won<br />

the disabled section and competing<br />

with the other section winners, I won<br />

the Championship Cup sponsored<br />

by D.S.P.C.A. This win has given me<br />

the honour of being the first<br />

wheelchair-user to win a prestigious<br />

Cup at the RDS. More importantly,<br />

this was truly a wonderful team<br />

effort. I want to reiterate my<br />

heartfelt thanks and appreciation to<br />

all who helped in any way to make<br />

this possible.<br />

What a thrill Carriage Driving has<br />

given me over the years, and now<br />

with Gorey Carriage Driving Group,<br />

I get as much pleasure seeing other<br />

disabled drivers experiencing the<br />

same joy. We have drivers with<br />

various disabilities such as:-<br />

Multiple Sclerosis,<br />

Transplant Recipient,<br />

Post Polio Paralysis, Coeliac, Deaf,<br />

Hypothyroidism, Psoriasis,<br />

Diabetics, Visually Impaired, Blind,<br />

Epilepsy, Cerebral Palsy,<br />

Friedreich’s <strong>Ataxia</strong>, Amputee.<br />

11


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

MEMBERS’ ARTICLES<br />

At the FASI <strong>2009</strong> AGM, it was noted that”there was life after<br />

Friedreich’s <strong>Ataxia</strong>” and at the Social afterwards, I was asked<br />

if I would write an article for the upcoming <strong>Newsletter</strong>. I do<br />

hope that this horsey tale will give hope and encouragement<br />

to FASI members. Any interested FASI member should<br />

contact me as follows:<br />

Tel. 053-948 31 36 / 087-697 90 91<br />

E-mail carriagedriving4disabled@eircom.net<br />

Just because you may be a wheelchair user doesn’t mean you<br />

can’t participate in many activities. Yes, “there is life after<br />

Friedreich’s <strong>Ataxia</strong>”. HAPPY DRIVING !<br />

Tom Colohan from<br />

Ballymahon writes of his<br />

New York trip in September<br />

2008<br />

We left Shannon Airport for a one<br />

week trip early on a Friday morning<br />

and took a Delta Airlines seven-hour<br />

flight to JFK Airport. When we got<br />

there, a yellow cab brought us into<br />

Manhattan and we checked into a<br />

mid-town hotel.<br />

We then visited a bar where I knew a<br />

fellow from home and we had<br />

something to eat. After the meal, we<br />

went down to Madison Square<br />

Garden for a women’s Basketball<br />

match – it wasn’t the same as the<br />

men, but it was good anyway!<br />

Afterwards, we headed to the Empire<br />

State Building to get the views of this<br />

‘cool city’. As it was then getting late,<br />

we got a cab back to the hotel and<br />

slept.<br />

Up early the next morning, we<br />

decided to go to Central Park to see<br />

what all the fuss was about, as it is so<br />

talked about. We went around for a<br />

couple of hours and decided to go to<br />

the Zoo. In there we saw lots of<br />

animals and wildlife. I liked the bear<br />

the best - he was like a giant to me.<br />

Then we decided to go to eat in Times<br />

Square; the food there was the best!<br />

There was also a good cinema there<br />

and the Comedy Club was great too.<br />

The next day we took the subway to<br />

Queens for the Baseball. New York<br />

Mets were the team, but as a game, I<br />

found it very boring. We took a<br />

subway back to Manhattan and went<br />

to a Broadway show. The show wasn’t<br />

very exciting and it cost $80 to boot!<br />

The next day we decided to take the<br />

subway to Brooklyn, walk across the<br />

bridge and have a good look at the<br />

skyline of New York City. We then<br />

took a boat out to the statue of<br />

Liberty on the Hudson River, before<br />

we finished up with some shopping<br />

in Mid-Town.<br />

All in all it was a very enjoyable week<br />

and I will go back again whenever I<br />

have the opportunity.<br />

Accessibility:<br />

Most places in Manhattan are<br />

accessible, but some of the subways<br />

are a problem, i.e. a lack of elevators.<br />

The yellow cabs are handy if you are<br />

able to get into them yourself and<br />

wheelchair taxis are quite limited in<br />

the city, but if you are staying in<br />

Manhattan everything is within easy<br />

walking distance.<br />

12


FASI NEWS & EVENTS<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

Annual Holiday at Cúisle, Donamon – July 4-11, <strong>2009</strong><br />

Another successful and enjoyable week was had by all, with a wide range of<br />

activities organised for every day, from racing to shopping, and fishing to yoga<br />

etc., with musical entertainment each evening keeping the ‘party animals’ up<br />

until all hours. Barbara and Brenda kept a close check on everybody’s<br />

preferences with daily lists for each activity and mostly fine weather allowed<br />

for a couple of musical sessions and other activities out of doors.<br />

Tom & Ita Kelleher<br />

Studying the form at<br />

Roscommon Races<br />

Roscommon races<br />

Rose from Mayo with Susan Creedon,<br />

FASI Chairperson<br />

Art class in progress<br />

New volunteer, Priscilla, celebrated<br />

a birthday<br />

Athenry Heritage Centre<br />

Liam ‘the Joker’ and Damien ‘the<br />

mysterious monk’!<br />

Kate from Cork<br />

During the week, our Vice-Chairman, Tom Kelleher and his wife, Ita,<br />

celebrated their 40th wedding anniversary and – as little is unknown to the<br />

‘two B’s’ – they had organised a cake to mark the occasion.<br />

This year’s Fancy Dress theme on the last night was ‘County Colours’ and the<br />

overall winner was Rose from Mayo, with Jarlath from Wexford and Kate from<br />

Cork also in the county prizes. ‘Baby in Blue’, Ken from Dublin, won a feature<br />

prize. A Bowling prize was won by Jan and newcomers to the holiday, Laura,<br />

Michael and Sarah, were welcomed at the prizegiving.<br />

Laura, Michael and Sarah<br />

13


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

FASI NEWS & EVENTS<br />

New <strong>Ataxia</strong> Registrar – 1st July, <strong>2009</strong><br />

Dr Christine Albertyn joined the <strong>Ataxia</strong> Clinic team on 1st July and will be<br />

working with Dr. Raymond Murphy and our <strong>Ataxia</strong> Nurse, Grainne at the<br />

fortnightly dedicated <strong>Ataxia</strong> clinics which will be held in Tallaght Hospital.<br />

Farewell to Amin<br />

Dr Amin Lakhani, who had been with us for two years, and who, with Dr<br />

Murphy, has been instrumental in setting up our <strong>Ataxia</strong> Clinic, has recently<br />

moved to Dundalk.<br />

As well as his dedicated work for our members, during his time at Tallaght he<br />

was also involved in the research with Professor Dolores Cahill (UCD) (see<br />

article in this issue) into proteomics and genomics in Friedreich's <strong>Ataxia</strong>.<br />

In thanking him for his hard work and involvement with FASI, we wish him<br />

well in his new post.<br />

INFORMATION DAY FOR PARENTS – 23rd May, <strong>2009</strong><br />

Some 40 people attended this very successful event, specifically for parents<br />

of recently-diagnosed children, which we hope to repeat again soon.<br />

Presentations were given by:-<br />

Dr Raymond Murphy<br />

Consultant Neurologist at AMNCH<br />

Dr David Webb Paediatric Neurologist at Our Lady’s Hospital, Crumlin<br />

Dr Deirdre Ward<br />

Cardiologist at AMNCH, and<br />

Fiona Hill<br />

Senior Speech & Language Therapist at AMNCH<br />

More pictures<br />

from Cúisle<br />

‘Baby in Blue’, Ken from Dublin<br />

Jan with Susan<br />

Both at the mid-afternoon break, and on completion of the presentations,<br />

parents had the opportunity to speak to all the presenters and discuss their<br />

individual concerns. Dinner and overnight accommodation was provided<br />

for those who could stay and an enjoyable evening was had by all, with parents<br />

being able to relax and share experiences in an informal and convivial<br />

atmosphere.<br />

If you would like to attend one of these events in the future, please contact us<br />

at the office and also if you would like a copy of the synopsis of the afternoon’s<br />

presentations.<br />

Jimmy, Paudie & Brian fishing on<br />

the River Suck<br />

Tom, Pip & Brendan at the Information Day<br />

Marietha, Ellie and Simon<br />

at the bowling alley<br />

14


FASI NEWS & EVENTS<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

AGM & Social – 4th April, <strong>2009</strong><br />

Following the official business, Dr Amin Lakhani from the <strong>Ataxia</strong> Clinic<br />

gave a short powerpoint presentation which was followed by questions,<br />

mostly on the efficacy of Idebenone and CoQ10.<br />

A buffet meal was served, the usual very successful raffle was held and racing<br />

enthusiasts watched the Grand National on TV before the disco got going!<br />

Robin Peacocke had a particular ‘winning’ day, not only having his number<br />

called out in the raffle, but, more significantly, having picked the winner in<br />

the National at 100-1….. we’re still waiting for the party, Robin!<br />

We Have an <strong>Ataxia</strong> Nurse – March <strong>2009</strong> !<br />

Grainne Fitzgerald joined The Friedreich’s <strong>Ataxia</strong> <strong>Society</strong> earlier this year and<br />

works directly with the Registrar at the <strong>Ataxia</strong> Clinic in Tallaght, where she is<br />

based. Her e-mail address is:- Grainne.Fitzgerald@amnch.ie<br />

Grainne has written of her initial couple of months below:-<br />

I started as the Clinical Nurse Manager in <strong>Ataxia</strong> on the 16th of March <strong>2009</strong>,<br />

and I would like to briefly let you know what my role involves: The<br />

responsibilities in this appointment will involve<br />

• managing nurse-led clinics<br />

• developing these clinics<br />

• liasing between the Friedreich’s <strong>Ataxia</strong> <strong>Society</strong>, their families and<br />

the hospital<br />

• co-ordinating with services such as G.P. and community services.<br />

Siobhan & Bernie<br />

David, Sean & Geraldine<br />

Since I started, I have had the pleasure of meeting many members of FASI and<br />

I hope to get to know you all and for you to know my contact details in order<br />

for me to facilitate and support you.<br />

On the 20th of April, <strong>2009</strong>, Barbara and I went to the Royal Hallamshire<br />

Hospital in Sheffield which is known as a centre of excellence in Neurology<br />

and, while there, the Nurse Specialist in <strong>Ataxia</strong>, Celia Wilson, allowed me to<br />

observe her at work and also, with the patients’ permission, I attended the<br />

clinics, This was a positive learning experience for me in assessing patients<br />

that attend the clinic and ensuring that the standard of care that is delivered<br />

to them is in accordance with international standards.<br />

I have had enormous support since I have started in this position and have<br />

being warmly welcomed into this team which has made it so much easier for<br />

me to start developing the role of <strong>Ataxia</strong> Nurse Manager. I would like in<br />

particular to thank the following people:-<br />

➢ the Friedreich’s <strong>Ataxia</strong> <strong>Society</strong>, especially Claire and Tim Creedon for<br />

welcoming me on my first morning to the society;<br />

➢ Anna Mc Carthy (Clinical Nurse specialist in Multiple sclerosis),<br />

➢ Denise Cunningham (Clinical Nurse Specialist in Epilepsy),<br />

➢ Dr. Raymond Murphy, Amin, the Neurolgy team and administration<br />

staff in the Neurology department, especially Helen and Maeve,<br />

Dolores and Martha in Out-Patients, and Ann Connolly Assistant<br />

Director of Nursing, in Tallaght Hospital.<br />

Gráinne & Peter<br />

Ken & sisters<br />

15


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

FASI NEWS & EVENTS<br />

International Rare Disease Day – 28th February, <strong>2009</strong><br />

This Conference, with the topic ‘Focus<br />

on Rare Diseases in <strong>Ireland</strong> – What is<br />

the National Plan”, was held in<br />

advance of ‘INTERNATIONAL RARE<br />

DISEASE DAY’ on 28th February, which<br />

took place at the Mansion House and<br />

was open to all those affected and<br />

their families. FASI C.E.O., Barbara<br />

Flynn, attended both functions.<br />

‘WEDDING BELLS’ FOR<br />

GILBERT & SUZANNE<br />

Front Row L-R: Eibhlin Mulroe –IPPOSI, Larry Warren - Alpha One Foundation,<br />

Senator Deirdre de Burca, Anne Lawlor – 22q11,<br />

Back Row L-R: Karen Pickering – MDI, Marian Begly – Irish Lupus, Avril Daly –<br />

Fighting Blindness (Chair GRDO), Judy Windle GRDO, Barbara Flynn – FASI,<br />

Patricia Towery - Huntington Disease Association of <strong>Ireland</strong>.<br />

Christmas Social – 7th December, 2008<br />

In publishing this picture, we would like to offer profuse thanks to the ladies who<br />

faithfully attend all our Socials, bringing heaps of prizes with them for the raffle, which<br />

they organise, and which raises substantial amounts at each event. What would we<br />

do without you!<br />

While mentioning these ladies, we would also like to remember Lily Cadwell<br />

who passed away in October<br />

2008, at the wonderful age of<br />

90. Lily’s son, Peter, is a member<br />

of the <strong>Society</strong> and, with his<br />

sisters, Margaret and Ann, is a<br />

regular attendee at our Socials<br />

and on the Annual Holiday. Lily<br />

was associated with the <strong>Society</strong><br />

from its onset and introduced<br />

us to the wonderful and<br />

hardworking ‘Raffle Ladies’ ~<br />

The Raffle Ladies - Anna, Eileen & Margaret’<br />

you will long be remembered<br />

by FASI, Lily.<br />

BEQUESTS TO FASI<br />

We were delighted – and<br />

amazed – at the generosity of<br />

a relative of one of our<br />

members who recently left a<br />

generous legacy to the <strong>Society</strong>.<br />

Please consider including<br />

FASI in your will so that we<br />

can continue to help those<br />

who need assistance in<br />

dealing with their disability<br />

on a day-to-day basis, and<br />

especially in light of the<br />

recent cutbacks which, as<br />

ever, affect those who need them most.<br />

Santa lifting a leg, Peter & Ron<br />

On 16th May, <strong>2009</strong>, Suzanne<br />

Pringle, one of our members,<br />

married Gilbert Hannon at St.<br />

Killian’s Church in Greystones,<br />

followed by a reception at the Royal<br />

Hotel, Bray and a honeymoon in<br />

Shillelagh, Co. Wicklow.<br />

We wish them both every<br />

happiness together.<br />

ENTITLEMENTS FOR<br />

PEOPLE WITH<br />

DISABILITIES<br />

The Citizens Information Board can<br />

advise you on eligibility for any of<br />

the following allowances. Contact<br />

your local Citizens Information<br />

Office, ring them on Lo-Call 1890<br />

777 121,<br />

or contact us at the FASI office-:-<br />

• Domicilliary Care Allowance<br />

• Disability Allowance<br />

• Mobility Allowance<br />

• Motorised Transport<br />

• Carer’s Benefit<br />

16


MISCELLANEOUS<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

The following article appeared in The Irish Times on 24th April, <strong>2009</strong>:<br />

EU health refund plans approved - GENEVIEVE CARBERY in Strasbourg<br />

PLANS TO give Irish patients the right to seek health treatment in other EU<br />

countries and to be reimbursed for the costs were approved by the European<br />

Parliament yesterday.<br />

Under the directive Irish patients would be allowed to get refunds for a wide<br />

range of treatments already covered in the Irish health service.<br />

If introduced, this could be a way for patients to bypass long waiting lists.<br />

However, in order to get refunds for hospital services, patients could have to<br />

apply for approval from the HSE beforehand. Patients would pay for the<br />

service first and be reimbursed later. They would receive up to the amount<br />

that the treatment would cost in <strong>Ireland</strong>.<br />

However, under special provisions, people with rare diseases would be<br />

entitled to treatment without prior authorisation even if it is not provided in<br />

<strong>Ireland</strong>.<br />

‘ALL ABOARD’ with the Jubilee Sailing Trust<br />

Set up in 1977, The Jubilee Sailing Trust is a unique sailing organisation that<br />

has been promoting the integration of able bodied and physically disabled<br />

people through the thrill and adventure of coastal and offshore tall ship<br />

sailing.<br />

The Trust owns and operates two magnificent barques, LORD NELSON and<br />

TENACIOUS, both designed and built to enable crews of mixed abilities to<br />

work side by side as equals.<br />

The facilities aboard these two fully accessible ships represent 30 years of<br />

experience taking people with physical disabilities to sea and include wide<br />

decks for wheelchair users, power assisted hydraulic steering for those with<br />

limited strength, a speaking compass to enable people with vision<br />

impairments to helm the ship, and much more.<br />

Although the ships spend the summer months in UK and Northern European<br />

waters our winter programmes boast more exotic destinations such as the<br />

Caribbean, the Canaries and the Bahamas.<br />

Aboard our ships every crewmember has a vital role to play irrespective of<br />

ability, disability, age or gender. The success of each voyage depends on<br />

teamwork and working to the best of people’s strengths, not weaknesses.<br />

For some, sailing with<br />

the JST is a fantastic<br />

adventure but for many<br />

it represents a life<br />

changing experience,<br />

providing<br />

the<br />

opportunity for many<br />

disabled people to<br />

rediscover a sense of<br />

independence and<br />

freedom that they may<br />

otherwise have thought<br />

out of reach.<br />

For information on how you can sign up for your own voyage of a lifetime<br />

please contact the JST on 0044 2380 449 108 or email info@jst.org.uk<br />

NOTE FOR THE DIARY:<br />

The Christmas Social will be held at<br />

The Stillorgan Park Hotel on<br />

Saturday, 5th December. This is a<br />

‘fun’ day for our members, their<br />

families and our wonderful helpers,<br />

so we hope you will be able to join us.<br />

[Unfortunately the date proposed for<br />

the September Social clashed with the<br />

euro-ATAXIA Conference which takes<br />

place in Spain this year. As our C.E.O.<br />

(who is now President of euro-<br />

<strong>Ataxia</strong>), Barbara Flynn, our Vice-<br />

Chairman, Tom Kelleher and <strong>Ataxia</strong><br />

Registrar, Dr. Christine Albertyn, will<br />

all be attending, it was felt that it was<br />

best to cancel the Social on this<br />

occasion.]<br />

Please note that our e-mail address<br />

is: info@ataxia.ie<br />

(ataxia@eircom.net is being<br />

phased out!)<br />

CHECK OUT THESE WEBSITES:-<br />

www.kanchi.org (formerly The Aisling<br />

Foundation): “Kanchi’s purpose is to<br />

enhance the relationship between<br />

disability and society”.<br />

www.disability.ie<br />

“An on-line information service for<br />

people with disabilities and special<br />

needs, as well as their family and<br />

friends. Disability.ie aim to provide<br />

easy access to a comprehensive on-line<br />

information service for people with<br />

disabilities.”<br />

www.internationalgeneticalliance.org<br />

“Voicing the interests of people<br />

affected by genetic diseases”<br />

www.configure.ie<br />

“Configure Limited is an Irish disabled<br />

access consultancy. We provide public<br />

and private bodies with services and<br />

products that help to make<br />

organisations accessible for people with<br />

disabilities.”<br />

The following addresses have been<br />

provided to us by Alan Thomas, a Welsh<br />

member of <strong>Ataxia</strong> UK:-<br />

www.friedreichataxia.blogspot.com<br />

www.livingwithataxia.org/<br />

www.alanroygbiv.blogspot.com<br />

17


FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

MISCELLANEOUS<br />

One of our members, Marie Nolan, forwarded the following interesting article to us:<br />

GOD’S PHARMACY<br />

It's been said that God first separated the salt water from the fresh, made dry land, planted a garden, made animals<br />

and fish... All before making a human. He made and provided what we'd need before we were born. These are best<br />

& more powerful when eaten raw. We're such slow learners...<br />

God left us a great clue as to what foods help what part of our body!<br />

God's Pharmacy! Amazing!<br />

A sliced Carrot looks like the human eye. The pupil, iris and radiating lines look just like the human<br />

eye... And YES, science now shows carrots greatly enhance blood flow to and function of the eyes.<br />

A Tomato has four chambers and is red. The heart has four chambers and is red. All of the research<br />

shows tomatoes are loaded with lycopine and are indeed pure heart and blood food.<br />

Grapes hang in a cluster that has the shape of the heart. Each grape looks like a blood cell and all of<br />

the research today shows grapes are also profound heart and blood vitalizing food.<br />

A Walnut looks like a little brain, a left and right hemisphere, upper cerebrums and lower cerebellums.<br />

Even the wrinkles or folds on the nut are just like the neo-cortex. We now know walnuts help develop<br />

more than three (3) dozen neuron-transmitters for brain function.<br />

Kidney Beans actually heal and help maintain kidney function and yes, they look exactly like the<br />

human kidneys.<br />

Celery, Bok Choy, Rhubarb and many more look just like bones. These foods specifically target bone<br />

strength. Bones are 23% sodium and these foods are 23% sodium. If you don't have enough sodium in<br />

your diet, the body pulls it from the bones, thus making them weak. These foods replenish the skeletal<br />

needs of the body.<br />

Avocadoes, Eggplant and Pears target the health and function of the womb and cervix of the female<br />

- they look just like these organs. Today's research shows that when a woman eats one avocado a<br />

week, it balances hormones, sheds unwanted birth weight, and prevents cervical cancers. And how<br />

profound is this It takes exactly nine (9) months to grow an avocado from blossom to ripened fruit.<br />

There are over 14,000 photolytic chemical constituents of nutrition in each one of these foods<br />

(modern science has only studied and named about 141 of them).<br />

Figs are full of seeds and hang in twos when they grow. Figs increase the mobility of male sperm<br />

and increase the numbers of Sperm as well to overcome male sterility.<br />

Sweet Potatoes look like the pancreas and actually balance the glycemic index of diabetics.<br />

Olives assist the health and function of the ovaries<br />

Oranges, Grapefruits, and other Citrus fruits look just like the mammary glands of the female and<br />

actually assist the health of the breasts and the movement of lymph in and out of the breasts.<br />

Onions look like the body's cells. Today's research shows onions help clear waste materials from all<br />

of the body cells. They even produce tears which wash the epithelial layers of the eyes. A working<br />

companion, Garlic, also helps eliminate waste materials and dangerous free radicals from the body.<br />

18


We would like to update our mailing list and also reduce our postage costs,<br />

so please contact us if you would like to:<br />

1 Receive communications, including the newsletter, by email:<br />

2 Amend your address:<br />

or Be deleted from our mailing list<br />

You can contact us by:<br />

• e-mail info@ataxia.ie<br />

• phone 01 289 4788<br />

• website www.ataxia.ie<br />

• letter ‘San Martino’, Mart Lane, Foxrock, DUBLIN 18<br />

Thank You for your assistance.<br />

Transport Services for People with mobility impairments<br />

Do you or somebody you know<br />

find it is hard to get to:<br />

family occasions<br />

holidays<br />

Socialising events<br />

appointments<br />

work<br />

school, college and<br />

classes<br />

YES<br />

Please call for further<br />

information on our<br />

member services<br />

<br />

<br />

<br />

Door to Door<br />

(trips from €6.60)<br />

Self Hire<br />

(daily hire from €25.00)<br />

Shop Route<br />

(free to people 65+<br />

North Central Dublin )<br />

Vantastic is supported by<br />

FREEPHONE 1800242703 www.vantastic.ie<br />

FASI<br />

I<br />

<strong>Ireland</strong><br />

<strong>Society</strong> <strong>Ataxia</strong> <strong>Friedreichs</strong><br />

incorporating other<br />

genetic ataxias<br />

Tel: +353 1 289 4788 Fax: +353 1 289 8845<br />

E-mail: info@ataxia.ie Website: www.ataxia.ie<br />

C h y. N o : 7 0 7 6<br />

I S S N 0 7 9 0 - 4 2 0 7

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