Autumn 2009 Newsletter - Friedreichs Ataxia Society Ireland
Autumn 2009 Newsletter - Friedreichs Ataxia Society Ireland
Autumn 2009 Newsletter - Friedreichs Ataxia Society Ireland
- No tags were found...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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