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network<br />

The Official Magazine of the MS Society of SA & NT | ms.asn.au<br />

Happy moviegoers at the MSchievous Bunch film fundraiser.<br />

<strong>Winter</strong> 20<strong>15</strong><br />

Protect yourself from the flu<br />

Cruising with Stephen<br />

Living a meaningful life with MS<br />

Physiotherapy classes restart in SA


Inside | <strong>Winter</strong> 20<strong>15</strong><br />

The Multiple Sclerosis<br />

Society of SA & NT (Inc.)<br />

Telephone (08) 7002 6500<br />

Fax (08) 7002 6599<br />

MS Assist 1800 812 311<br />

Letter from the Editor 3<br />

From the desk of the CEO 4<br />

A message from the General Manager – Client Services 5<br />

Round-up of research and other items of interest 6-7<br />

Client Services<br />

Directory<br />

GENERAL MANAGER – CLIENT SERVICES<br />

Sue Shapland (08) 9365 4840<br />

MAWSON LAKES – HEAD OFFICE<br />

Endeavour House – Technology Park<br />

Module 6E,<br />

11-<strong>15</strong> Fourth Avenue (08) 7002 6500<br />

BRIGHTON<br />

7a Sturt Road (08) 8198 1400<br />

CHRISTIES BEACH<br />

Unit J/111 Beach Road (08) 8392 0100<br />

ENFIELD<br />

273 Main North Road (08) 8360 0800<br />

MODBURY<br />

31 Smart Road (08) 8203 6600<br />

MORPHETT VALE<br />

Shop 3/204<br />

Main South Road (08) 8187 2100<br />

SALISBURY<br />

6-8 John Street (08) 8256 3700<br />

WOODVILLE<br />

51 Woodville Road (08) 8345 8700<br />

Protect yourself from the flu 8<br />

The invisibility of loss 9<br />

Multiple Solutions 10<br />

Disclosure – to tell or not to tell? 11<br />

Cruising with Stephen 12<br />

Information Sessions 20<strong>15</strong> 13<br />

Living a meaningful life with multiple sclerosis 14<br />

Friends <strong>15</strong><br />

Peer Support 16-17<br />

Physiotherapy classes restart in SA 18<br />

Motomed Exercise machine in Darwin 19<br />

NT Carers Australia 19<br />

Contact Us<br />

If you would like to comment<br />

on anything you read in this<br />

<strong>Network</strong> please email<br />

feedback@ms.asn.au<br />

or write to<br />

MS SA & NT, PO Box 377,<br />

Salisbury South DC SA 5106<br />

The <strong>Network</strong> can also be viewed at<br />

ms.asn.au<br />

The Editor welcomes unsolicited submissions.<br />

All articles are subject to a reviewing process.<br />

The views expressed are those of the Authors<br />

and do not necessarily reflect the view of the<br />

Society’s staff, advisors, Directors or officers.<br />

NURSING<br />

Our nursing team is usually the first point of contact, after the neurologist, for anyone<br />

diagnosed with multiple sclerosis. We’re committed to providing holistic support so you have<br />

a greater understanding of what to expect from your condition.<br />

OCCUPATIONAL THERAPY<br />

Occupational therapists work with Clients referred through the Disability and Community<br />

Services Program, providing assessments and recommendations for aids and equipment.<br />

PEER SUPPORT<br />

Peer support groups help people living with multiple sclerosis provide support for each<br />

other and share their experiences. There are several groups meeting across the state.<br />

They provide a safe place for the sharing of information and helping each other.<br />

2<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


Letter from the Editor<br />

Bhavna Jagtiani, Guest Editor<br />

It is a great privilege to be sitting in the Editor’s chair for<br />

this edition of the <strong>Network</strong>. When thinking about what I<br />

should say, I asked myself what I enjoy most about working<br />

on each edition.<br />

As you may or may not know, the process of bringing the<br />

magazine to life starts about two months before it reaches<br />

your letter box. It begins with a big call out asking for entries<br />

from the MS community in SA & NT. The response is always<br />

excellent and then begins the process of sifting through the<br />

content so that only the best and most relevant information<br />

reaches you. Finally, the design process starts before the<br />

satisfying conclusion of holding the finished magazine in my<br />

hands. While this whole process in itself is rewarding, it isn’t<br />

what I enjoy the most about working on <strong>Network</strong>.<br />

I have to say, what I enjoy most is seeing the passion all the<br />

contributors to the magazine have for people living with MS<br />

in SA & NT. Each and every person who submits an article<br />

to <strong>Network</strong> truly cares about you – our readers - and it is<br />

extremely heart-warming to see.<br />

From the regular Round-up of research column on page 6 to<br />

personal stories such as Cruising with Stephen on page 12,<br />

every article comes from a place of wanting to improve the<br />

lives of those living with MS.<br />

There are many articles of interest in this edition. If you find<br />

yourself wanting to head off on a cruise like Stephen, note<br />

down the dates for our travel forum in your diary. The forum<br />

will offer tips on making travel comfortable and easy among<br />

other things.<br />

Also in this edition, we are pleased to announce the<br />

re-commencement of physiotherapy classes in SA. Read<br />

all about it on page 18. Finally, don’t miss a very poignant<br />

piece on the importance of grieving on page 9. It will make<br />

you re-think your definition of loss and remind you of the<br />

importance of acknowledging your feelings.<br />

As you flip through this edition, I hope you enjoy the<br />

read, and know that we are continually striving to bring<br />

a better <strong>Network</strong> to you.<br />

Do you want to receive the <strong>Network</strong><br />

online? Want monthly information<br />

updates?<br />

Register your email address today to start receiving our<br />

monthly e-newsletter and the <strong>Network</strong> magazine online.<br />

Just email feedback@ms.asn.au or call 08 7002 6500 and let<br />

us know your current email address.<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 3


From the desk of the CEO<br />

Marcus Stafford<br />

On 27 May, we celebrated World MS Day.<br />

It’s a big day, with the dominant objective focused on<br />

reminding the general population that people with MS<br />

are part of our community. Sometimes their disabilities<br />

are clear to see; sometimes people are fighting their own<br />

hidden battles. Everyone has a unique and personal journey.<br />

On this day, the MS community comes together to share<br />

stories, raise awareness and crusade with, and for<br />

everyone affected by MS.<br />

As a consequence we have adopted the theme ‘Stand Up<br />

to MS’. It is a theme that champions empowerment and<br />

creates a spirit that is relevant for all. The message is<br />

simple. Perhaps you are a nineteen year old young woman,<br />

diagnosed yesterday. Or perhaps you were diagnosed forty<br />

years ago and now find yourself in a wheelchair. Or perhaps<br />

you are a busy able-bodied worker doing the Adelaide<br />

commute every day. Without boundaries and without<br />

temerity, let’s Stand Up to MS.<br />

The action comes in many forms and is spread evenly<br />

between the provision of healthcare services to build today’s<br />

quality of life and the commitment to research to create a<br />

future world free from MS.<br />

We are very proud to say that the MS community in South<br />

Australia rallied behind us and we were able to pull off a<br />

successful campaign.<br />

You may have seen us out and about during the week of<br />

World MS Day. We held a street appeal at Adelaide Central<br />

Market and on Rundle Street, shaking tins, handing out<br />

Stand Up to MS stickers, and chatting to anyone who<br />

wanted to listen!<br />

The Multiple Solutions team also joined in on fundraising<br />

efforts with their own street appeal. It was lovely to see the<br />

team get behind our campaign and we thank them for their<br />

continuous support.<br />

It was a great day for all and the positive feedback we<br />

received made it all worthwhile. All money raised through<br />

the campaign will support people living with MS in SA<br />

and NT.<br />

We are working hard to rebuild and expand our services<br />

to our Clients. Already we have been able to re-establish a<br />

number of services through our events and crowdfunding<br />

campaigns. But this can’t be done without ongoing support.<br />

Next year, we hope to expand our activities around SA and<br />

NT and make World MS Day a stand-out event. So – don’t<br />

be shy! If you’d like to get involved, please let us know. The<br />

more the merrier; the bigger the better!<br />

Let’s Stand Up to MS.<br />

4<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


A message from the General Manager<br />

– Client Services Sue Shapland<br />

“Those who can adapt to change are<br />

those who will continue to grow,”<br />

Justin Ramalho<br />

Well never a truer word spoken and very pertinent at this<br />

time! Change is the one constant and we are experiencing<br />

ongoing change across the board currently.<br />

In the MS world there are three new therapies available<br />

and additional international research efforts focusing on<br />

progressive MS.<br />

Of course the biggest and most significant changes that will<br />

come about will relate to the evaluation of the various NDIS<br />

trial sites and how the model will look and be rolled out.<br />

However the scheme ultimately looks, the outcomes for<br />

people who do, or may need a wide range of supports or<br />

equipment will be so much better under these changes.<br />

Already in WA we are seeing some of our Members within<br />

both of the trial sites accessing their new individual funding<br />

plans to their benefit.<br />

We are looking forward to plotting our new directions for<br />

<strong>MSSANT</strong>; expanding our capacity to support people living<br />

with MS. We will keep you posted with information and<br />

updates as they come to hand.<br />

I would like to thank everyone who took the time to provide<br />

us with their feedback through our first annual Client<br />

Services Survey. We are currently finalising the results and<br />

will be happy to share these with you in the next <strong>Network</strong>.<br />

Don’t forget flu season is on the way. Have you had your flu<br />

jab? We have added some tips on trying to avoid the flu in<br />

this edition.<br />

Please remember the Client Services team, including<br />

Amy on our MS Assist line, are here to provide you with<br />

quality information about all aspects of MS, treatments,<br />

research and support.<br />

Secondary Progressive<br />

MS Study<br />

• Are you aged 18 – 65 years?<br />

• Have you been diagnosed with<br />

Secondary Progressive Multiple Sclerosis (SPMS)?<br />

• Are you interested in a study investigating<br />

the efficacy of a new medication for SPMS?<br />

If you’ve said yes to any of the above,<br />

then you may be eligible to participate.<br />

For further information please call PARC on 8222 2712<br />

This study has been approved by<br />

the Royal Adelaide Hospital Human<br />

Research Ethics Committee<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 5


Round-up of research<br />

and other items of interest<br />

Sue Shapland RN, BN<br />

Here we bring you research summaries sourced from<br />

various web sites around the world.<br />

PrevANZ Update<br />

PrevANZ is a world-first clinical<br />

trial that will test whether oral<br />

vitamin D supplementation can<br />

prevent MS in those at risk of<br />

developing the condition.<br />

Funded by MS Research<br />

Australia, combined with<br />

significant funding by MSWA,<br />

this clinical trial will focus on the possibility of<br />

using oral vitamin D supplementation to prevent a diagnosis<br />

of MS following a person’s presentation with a first ‘attack’<br />

suggestive of MS.<br />

There are currently over 60 people enrolled, but the target<br />

is 240 people with Clinically Isolate Syndrome from around<br />

Australia and New Zealand. The trial will take a total of four<br />

years to complete, with results expected in 2017.<br />

Read more on the MS Research Australia website at<br />

msra.org.au/prevanz<br />

Anti-LINGO<br />

Experimental drug<br />

found to repair<br />

nerve damage<br />

A Phase-2 study of<br />

experimental antibody<br />

anti-LINGO-1 has been found<br />

to repair nerve damage in<br />

people suffering from MS.<br />

The drug was tested on 82 people suffering from acute optic<br />

neuritis, a condition that is characterised by loss of myelin<br />

within the optic nerve. It is thought that half of all people with<br />

optic neuritis will go on to develop MS. Participants were<br />

treated with high dose steroids and half were then chosen<br />

to receive anti-LINGO-1. Participants were assessed every<br />

four weeks for six months. Findings showed that 53% of the<br />

people who were given the drug had recovered to normal or<br />

nearly normal. Source: International Business Times.<br />

Researchers identify new potential<br />

genetic risk factor for relapsing-remitting<br />

MS in women<br />

Although MS is not strictly hereditary (directly transmitted<br />

from parent to child), the risk of developing MS is higher<br />

among siblings or children of a person with MS compared<br />

to the general population. This inheritance pattern suggests<br />

that genetic factors play a role in determining MS risk.<br />

A study published by Dr. Anne Boullerne, Douglas<br />

Feinstein and colleagues in the journal American Society of<br />

Neurochemistry (ASN) Neuro has identified a new genetic<br />

risk factor for the development of MS.<br />

The authors identified a genetic variation in a family in which<br />

five siblings, but neither parent, were either diagnosed<br />

with or suspected of having MS called a single-nucleotide<br />

polymorphism (SNP) in a gene called STK11. This has<br />

traditionally been associated with tumour suppression,<br />

but has also been shown to play a role in the regulation of<br />

immune cells and the formation of myelin around nerves.<br />

The researchers then determined whether this genetic<br />

variation in the STK11 gene is linked to the risk of MS in a<br />

genetic population study.<br />

DNA samples from over 1,400 individuals were screened<br />

– 654 with relapsing-remitting MS, 100 with primary<br />

progressive MS, and 661 healthy controls – to determine if<br />

this genetic variation is more common in individuals with MS<br />

compared to those without the disease.<br />

The findings from this study have placed the STK11 genetic<br />

variation as one of the strongest reported genetic risk<br />

factors for the development of relapsing-remitting MS in<br />

women, while opening up the possibility of targeting cells<br />

harbouring this variation with drug therapies.<br />

Reported by the MS Society of Canada.<br />

6<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


High doses of biotin in<br />

chronic progressive<br />

multiple sclerosis:<br />

A pilot study<br />

This pilot study aims to assess<br />

clinical efficacy and safety of<br />

high doses of biotin in patients<br />

with progressive MS. The<br />

preliminary data suggests that high doses of biotin might<br />

have an impact on disability and progression in progressive<br />

MS. Two double-blind placebo-controlled trials are ongoing.<br />

Source: msard-journal.com<br />

Comment: Biotin is a B-complex vitamin also known as<br />

vitamin H and is found in small amounts in numerous foods<br />

including egg yolks, nuts, berries and cauliflower. Find out<br />

more about biotin rich foods at bodyandsoul.com.au.<br />

Fatigue, Sleep Quality,<br />

and Disability in<br />

Relation to Quality<br />

of Life in Multiple<br />

Sclerosis<br />

Fatemeh Moghaddam Tabrizi,<br />

PhD; Moloud Radfar, PhD<br />

From the Nursing and Midwifery Department, Reproductive<br />

Health Research Center, Urmia University of Medical<br />

Sciences, Urmia, Iran.<br />

Quality of life (QOL) is impaired for people living with MS in<br />

part due to physical disability. MS-associated fatigue (MSF)<br />

and poor sleep are common and treatable features of MS<br />

which affect QOL.<br />

The study, with 217 participants, sought to assess the<br />

association between fatigue, sleep quality and quality of<br />

life in people with MS. The researchers observed strong<br />

correlations between QOL, fatigue, and sleep quality in the<br />

participants. The findings support routine screening and<br />

monitoring of fatigue severity and sleep quality and their<br />

effects on QOL.<br />

Understanding Drivers of Employment<br />

Changes in a Multiple Sclerosis Population<br />

Karin S. Coyne, PhD, MPH; Audra N. Boscoe, PhD; Brooke M.<br />

Currie, MPH; Amanda S. Landrian, BSTodd L. Wandstrat, BS<br />

Pharm, RPh, PharmD.<br />

This study aimed to increase understanding of the key<br />

symptoms and factors leading MS patients to leave work or<br />

reduce employment.<br />

Twenty-seven MS patients who reported leaving the<br />

workforce, reducing working hours, or changing jobs<br />

due to MS within the past six months, were recruited<br />

from four clinical sites in the US. Patients participated in<br />

semi-structured interviews to discuss MS symptoms and<br />

reasons for changing employment status.<br />

Physical symptoms (e.g. fatigue, visual deficits) were the<br />

most common reasons (77.8%) for employment change, and<br />

40.7% of patients reported at least one cognitive symptom<br />

(e.g. memory loss). Fatigue was the most pervasive<br />

symptom, affecting both physical and mental aspects of<br />

patients’ jobs.<br />

Fatigue was the most common symptom associated with<br />

decisions to leave or reduce employment and can lead<br />

to a worsening of other MS symptoms. Comprehensive<br />

symptom management, especially fatigue management, may<br />

potentially help patients preserve their employment status.<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 7


Protect yourself<br />

from the flu<br />

A yearly flu vaccination for everyone six months and older<br />

is recommended as the first step in protecting yourself<br />

against the flu. It reduces the chances of contracting and<br />

transmitting the flu. This is especially important for people<br />

particularly at risk of complications arising from influenza,<br />

and those in close contact with at-risk people.<br />

Influenza is highly contagious and spread by an infected<br />

person coughing or sneezing virus droplets into the air.<br />

Others then breathe them in and become infected. It’s<br />

important to remember that touching contaminated surfaces<br />

(including hands) and then touching your mouth, nose or<br />

eyes can also lead to infection.<br />

You can minimise the spread of the virus during flu season<br />

by practicing good household and personal hygiene, avoiding<br />

close contact with others if you or they are ill, and covering<br />

your mouth and nose when coughing or sneezing.<br />

The bad news:<br />

• Influenza viruses can survive for an hour or more in<br />

enclosed environments. This means contaminated<br />

respiratory secretions can be picked up even without<br />

someone coughing or sneezing near us.<br />

• Even before we display symptoms, we can be shedding<br />

the flu viruses and infecting people around us.<br />

• Influenza viruses are characterised by constant evolution.<br />

This means there can be a new threat every year.<br />

The good news – you can protect yourself and others by<br />

practicing good hygiene etiquette:<br />

• Turn away from others when sneezing or coughing.<br />

• Cover your mouth and nose with a tissue or your sleeve.<br />

• Use disposable tissues rather than a handkerchief.<br />

• Put used tissues into the nearest bin.<br />

• Wash your hands or use an alcohol hand rub as soon as<br />

possible afterwards.<br />

Hand washing is the single most effective way of killing<br />

the flu virus and limits the spread of influenza and other<br />

respiratory infections.<br />

Wash your hands with soap and water or an alcohol-based<br />

product (gels, rinses, foams) that doesn’t require water:<br />

• after coughing, sneezing or blowing your nose;<br />

• after being in contact with someone who has a cold or flu;<br />

• before touching your eyes, nose or mouth; and<br />

• before preparing food and eating.<br />

Stop the spread in your household<br />

Flu viruses can survive more than eight hours on hard<br />

surfaces. Regular cleaning of frequently touched surfaces<br />

such as door handles and benches will help avoid<br />

contamination. Flu viruses can be inactivated and removed<br />

with normal household detergents. Keep personal items<br />

such as towels, bedding and toothbrushes separate. Don’t<br />

share cutlery and crockery, food or drinks.<br />

This information, and more, is available at<br />

flusmart.org.au<br />

8<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


The invisibility of loss<br />

Leonie Wellington<br />

Here at <strong>MSSANT</strong>, we try to provide our Clients with<br />

information on how to live well and make informed choices.<br />

What can be forgotten, in looking toward the future, is taking<br />

the time to grieve what has been lost. Living with MS is a<br />

unique experience for every person diagnosed, as are the<br />

many losses that may go along with that.<br />

In our society, grief and loss are inextricably linked to death<br />

and dying. The definition of loss, however, actually relates<br />

to the feeling of grief after losing someone, or something of<br />

value. So, in fact, grief and loss can be experienced daily in<br />

varying degrees, depending on how much value a person<br />

places on the loss.<br />

Unfortunately, not all losses are viewed as equal in our<br />

society, nor are some even recognized as requiring time to<br />

grieve. This can be difficult for people living with an ongoing<br />

chronic health condition that is unpredictable and has losses<br />

that are often invisible to those around them.<br />

Losses can accumulate over time. It may be a series of<br />

smaller things on an ongoing basis that build up to what may<br />

become an overwhelming sense of grief. Much like anxiety,<br />

grief can sneak up on us and we are left asking ourselves,<br />

“Where did that come from?”<br />

It is easy to minimize loss. People will often compare<br />

themselves to others and reflect that their loss is not as<br />

great, and so therefore doesn’t deserve sadness. I cannot<br />

stress this enough – just because someone’s circumstances<br />

seem worse than yours, in no way does that make your own<br />

loss any less important.<br />

Those close to a person living with MS can also be affected<br />

by experiences of loss and grief. Again, it may seem<br />

inappropriate to acknowledge these feelings, as you are<br />

not the one who has been diagnosed with MS, but loss<br />

of certainty about the future, or the changing roles within<br />

families and relationships, can all generate feelings of grief.<br />

It is helpful to remember that by not allowing yourself or<br />

others permission to grieve, it may then come out in ways<br />

that may be harmful to your relationships and your general<br />

wellbeing. Acknowledging loss, and the impact it has on you<br />

or those close to you, allows for an opening to adjust and<br />

change and live well beyond that experience. It is one of the<br />

ways to build resilience.<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 9


Multiple Solutions has been a specialist employment service since 1992. We seek to<br />

make a difference in the lives of individuals by helping them to break down the barriers<br />

to employment and assisting them to achieve a sustainable, self-directed future.<br />

By helping our clients identify these barriers, and by offering them ways to help<br />

address these issues, we are empowering individuals to maximise their abilities and life<br />

opportunities and impact those around them. Here are some of our success stories.<br />

Bradley Crack<br />

Bradley reached out to<br />

Multiple Solutions after<br />

being unemployed for six<br />

months. Despite suffering<br />

from Addison disease<br />

and hypothyroidism, he<br />

managed to secure a job<br />

as a delivery driver. He is<br />

overjoyed with his new<br />

role and thanks everyone<br />

who supported him.<br />

Olivia Bernauer<br />

After 4 years of<br />

unemployment, Olivia<br />

was able to overcome<br />

depression, a learning<br />

disability and obsessive<br />

compulsive disorder to start<br />

a new role as a massage<br />

therapist. She is over the<br />

moon with her new role<br />

and would like the team<br />

at Multiple Solutions for<br />

helping her in her journey.<br />

Medical Communication Systems<br />

Employment Consultant Danielle Carpenter (pictured)<br />

was able to secure a telecommunications traineeship with<br />

Medical Communications Systems (MCS) for a Multiple<br />

Solutions participant.<br />

James Hollo (L), Managing Director at MCS and Michael<br />

Mullins, MCS Project Manager, have been very supportive<br />

and proactive employers who have worked together with the<br />

Morphett Vale Multiple Solutions team to ensure the best<br />

possible outcome for the client, MCS and Multiple Solutions.<br />

MCS is the South Australian Integrator of Austco Nurse<br />

Call Systems, providing 24/7 technical service and the<br />

installation of Electronic Health Care Products and Care<br />

Assist Solutions to Hospitals and Aged Care facilities.<br />

For more information, head to multiplesolutions.com.au<br />

or contact us on (08) 7002 6500.<br />

10<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


Disclosure –<br />

to tell or not to tell?<br />

Mike Smith<br />

Disclosure is tricky. When diagnosed with MS, the event can<br />

either go by noticed or unnoticed to the outside world. This<br />

can then determine what path you may take with disclosure.<br />

You often get advice not to disclose, and often for very good<br />

reasons. There are a number of instances where it can<br />

be held against you. In my case, it was reasonably public<br />

right from the start. I was working on a major underground<br />

project, in a very tight team and in a small town, so there<br />

was nowhere to hide even if I had wanted to.<br />

The onset of my initial symptoms resulted in me taking<br />

some time off to get intravenous steroids. I then went back<br />

to work, only this time with unremitting sensory symptoms<br />

that are still with me to this day. At this stage it was the<br />

netherworld of waiting for confirmation of the diagnosis.<br />

Six months later, there was a subsequent event which led to<br />

confirmation of the diagnosis of MS. On returning to work,<br />

I informed my manager at the time and left with tears in my<br />

eyes. It was all just too traumatic for me.<br />

Subsequently, as I moved around the world working on<br />

various projects, I have informed each employer of my<br />

situation. Almost without exception, the result is the same,<br />

irrespective of nationality and country of location. Following<br />

a stunned silence, I sit down with the manager, inform them<br />

and after that, literally years go by without a mention.<br />

You may well ask, “Why don’t you initiate some discussion?”<br />

A valid question, but having made the disclosure in the first<br />

place, I don’t want to run around too much and reinforce or<br />

stimulate anything unnecessarily from my side.<br />

However, don’t be fooled. Even though no one may be<br />

talking to you directly about MS and how it impacts on you,<br />

people will still be talking - just not to you.<br />

I spent quite some time working for a global mining<br />

company and one of the key leadership aspects was that<br />

of establishing an environment of “visible felt leadership”.<br />

The focus was on leadership and the quality of genuine<br />

engagement with your team. In my experience, this can<br />

often translate into, “Do as I say, not as I do”. This was<br />

reinforced to me twice when I was directly and indirectly<br />

refused an opportunity to be considered for a transfer.<br />

On the first occasion, I had enquired about moving to an<br />

offshore location to an executive with whom I had never<br />

worked. The response was, “That may be an issue, because<br />

you would have to be medevac’d to an offsite major<br />

location”. This response came from nowhere, and I actually<br />

had to stop and think of what he was talking about. It then<br />

dawned on me, and I asked if this was related to my MS.<br />

He responded, “Yes”. I was then advised to keep looking for<br />

other opportunities.<br />

Four years later, out of the blue, and completely unprompted,<br />

I was informed by a colleague that he had mentioned my<br />

name to the same executive as a replacement, and the<br />

response was, “I don’t want sick people here”. On the<br />

first occasion, I just moved on, deciding it was not worth<br />

getting upset, but upon hearing the same message from<br />

a completely different source, I was furious. Here I was,<br />

running projects in the multi-millions of dollars, for ventures<br />

that would ultimately be worth billions, and the perception<br />

was that I was ‘sick’!<br />

My wife constantly advises me not to tell, as in my<br />

environment MS is regarded as a sign of weakness. Maybe<br />

my wife is correct; the silence that greeted me after I<br />

had the courage to disclose, and the reinforcement from<br />

third parties, seem to bear out her opinion, but given my<br />

achievements, I do not feel that at all.<br />

I fully recognise that our world has lots of variety – that’s<br />

what makes it so interesting - but in my case, disclosure and<br />

the subsequent reaction really unpacks some true human<br />

traits. In this day and age, when there is so much press and<br />

rhetoric about understanding and compassion, one has to<br />

be careful about just how disclosure will really play out. The<br />

cynic would say that in my experience disclosure has been<br />

analogous to having a brother in jail – everyone knows about<br />

it, but no one talks about it.<br />

These experiences I’ve shared are my own; they are simply<br />

my observations. Much the same as MS symptoms, no one<br />

person is the same. Similarly, the reaction around you will be<br />

different. Judge your own environment.<br />

Has my disclosure held me back? Apart from the annoyance<br />

of one very senior executive, I would have to say, “No”.<br />

While my symptoms are still with me as a constant reminder,<br />

I have been able to actively engage myself in my profession,<br />

and to work and travel globally.<br />

As a closing thought on disclosure, you need to be aware<br />

before you have to beware! Remember though, whatever you<br />

do – Aziko wo! (Zulu for “don’t stop”) There is too<br />

much to lose.<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 11


Cruising with Stephen<br />

Mary-Anne Edge<br />

In the lead up to the <strong>MSSANT</strong> Travel Forum on 20 July,<br />

one of our SA Clients wanted to share his recent<br />

travel experience.<br />

In 2014, Stephen was fortunate to be granted a MS Choice<br />

Award which provided funds towards an overseas holiday.<br />

Stephen was excited about the prospect of going on a<br />

holiday, and felt it would give him the opportunity to have<br />

something positive to reflect back on and remember. In<br />

January this year, Stephen set sail on the holiday of a<br />

lifetime – a 12 night P&O cruise to the Pacific Islands.<br />

Stephen knew this would be a unique experience, and as he<br />

has lost his sight, he travelled in a wheelchair and brought a<br />

friend with him.<br />

The cruise had everything Stephen could hope for –<br />

island-hopping, tender boats, beaches, cyclones, rough<br />

seas, amazing food and drink, great company and lots and<br />

lots of fun. The highlight for Stephen was the entertainment.<br />

He loved the music, the shows and the disco. He could feel<br />

the rain and hear the waves crashing against the boat. Even<br />

though it was hard work getting onto the islands, there were<br />

new experiences to enjoy such as the locals playing their<br />

drums, the intense heat, and making new friends.<br />

But, it could have been better. There were many simple<br />

things that if provided would have made the experience<br />

more comfortable. Things like a suitable shower chair, a<br />

toilet raise, a bed rail, and a telephone that could be reached<br />

from the bed. The disabled toilets were located within the<br />

gents or ladies bathrooms, making it hard to access them<br />

when your carer is the opposite sex. Being blind, it was often<br />

hard to get bar service, and to know if the staff were there<br />

ready to serve. Stephen was also unable to access the<br />

pools or spas.<br />

Would Stephen cruise again? He sure would, but he would<br />

want these shortcomings addressed. His advice to others<br />

living with MS is to ensure your sleeping and personal care<br />

needs can be accommodated before your trip commences.<br />

And, if you use a wheelchair, travel with a carer.<br />

Armed with the right knowledge and preparation, travel<br />

can be comfortable, rewarding and incredibly fun.<br />

Come to the Travel Forum and learn more about it.<br />

Details can be found on page 13.<br />

12<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


Information<br />

Sessions 20<strong>15</strong><br />

The MS Society of SA & NT provide a series of education programs focused on maintaining a healthy lifestyle<br />

and keeping you up-to-date with latest information and research. These programs are free to Clients and their<br />

family and friends.<br />

Registration is essential. Confirmation letters are provided 1-2 weeks before each seminar or workshop.<br />

If you do not receive a letter/email confirmation for a session you had planned to attend, please notify<br />

MS Assist on 1800 812 311 or email msassist@ms.asn.au. At the time of printing, the dates, times and venues<br />

are current however details may need to be changed. Please ensure you check details when registering.<br />

Travel Forum<br />

In conjunction with RAA travel, we are offering a travel forum to discuss suitable destinations,<br />

accommodation and activities, with advice on travel insurance and other useful tips.<br />

Presenters include:<br />

Staff from 2 cruise suppliers<br />

Travel insurance representative<br />

RAA travel consultants<br />

MS Health Staff<br />

We hope to show you how it is possible to travel, ways to make travelling comfortable<br />

and easy, and top accessible destinations around the world.<br />

Hear fellow travellers share their experiences and travel tips; learn from the things<br />

that went well and those that didn’t.<br />

The event is free to all MS Clients and their family and carer.<br />

Date: Monday, 20 July 20<strong>15</strong><br />

Time: 6pm – 8.30pm. Light supper provided.<br />

Location: Unley Town Hall, 181 Unley Road, Unley<br />

RSVP: by Friday, 10 July to MS Assist 1800 812 311 or msassist@ms.asn.au<br />

Newly Diagnosed<br />

People living with MS and their families are warmly invited to an informative and practical<br />

information session to guide their first steps with multiple sclerosis.<br />

The programme will include a presentation ‘Overview of MS’, which will include the latest<br />

in MS research and treatments and a Q&A session with a neurologist. There will also be<br />

a brief introduction to the services provided by <strong>MSSANT</strong> and time to meet with staff and<br />

others living with MS.<br />

Date: August 20<strong>15</strong>, 6.30pm<br />

Venue to be advised.<br />

Further information on these events can be found on the <strong>MSSANT</strong> website, in the monthly<br />

e-newsletter – Vitality and MySociety Facebook group. For more information, call MS Assist on 1800 812 311.<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 13


Living a meaningful life<br />

with multiple sclerosis<br />

Sook Ling, Tho<br />

I still remember the first time a neurologist told me I might<br />

have MS. I accepted it in a state of disbelief. I was totally<br />

ignorant of this unpredictable autoimmune condition, and its<br />

complications. I simply couldn’t believe that such common<br />

symptoms like hand numbness and fatigue, could lead to<br />

blindness or paralysis. After seeing three neurologists -<br />

two in Malaysia and one in Australia - I had the answer:<br />

Yes, I had MS.<br />

That was in 2012, after which the way I saw things in life<br />

began to change. I used to take my health for granted,<br />

coming up with excuses for not exercising and eating<br />

healthy. I was a dedicated civil engineer and worked under<br />

extreme stress, but after the diagnosis I realized just how<br />

important our health and family are to us. That’s when<br />

I knew I had to change my lifestyle and adopt a positive<br />

mindset to fight MS. I am now 40 years old with a beautiful<br />

daughter and a very understanding husband.<br />

I am still an active civil engineer here in Malaysia and will<br />

migrate to Australia eventually to continue my professional<br />

career. MS hasn’t stopped me from working, or going to<br />

construction sites, or doing household chores; however, I<br />

have learned to delegate work to my subordinates, and to<br />

give some household chores to my family.<br />

I also attend Qigong classes and regularly exercise. I like<br />

hiking, walking, running, swimming and going to the gym.<br />

My hand numbness worsens with heat. Therefore, I exercise<br />

indoors or in the morning.<br />

Eating healthy food is just as important. I remember my<br />

neurologist telling me to have a healthy balanced diet —<br />

carbohydrates, fats, proteins, vitamins, minerals and water,<br />

all in their proper proportions, so as to maintain good health.<br />

My last MRI scan in December 2014 showed that my MS<br />

is now in remission. My symptoms have not worsened and<br />

neither are there any new signs of activity since my original<br />

diagnosis in 2012. I chose not to take medication, and<br />

consider myself lucky MS has not impaired my vision or<br />

mobility; however, because MS is so unpredictable, I simply<br />

can’t take things for granted.<br />

Living with MS is not easy and can be frustrating at times.<br />

People around us may not understand how this chronic<br />

condition affects us physically and mentally. However,<br />

MS is not a death sentence either. It is different for every<br />

individual. It becomes our role then to live our own lives to<br />

the fullest, and to make our lives meaningful and beautiful.<br />

14<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


Friends<br />

Ros Harman<br />

When I moved house nine years ago, I made some new<br />

friends. I bought myself an electric wheelchair to get around,<br />

and soon discovered I automatically gained a whole bunch<br />

of friends from the group “People with Disabilities Who Hang<br />

around my street”.<br />

This group included Bill - a gnarly, little old man who looked<br />

a lot like Popeye in a wheelchair, and was always keen to<br />

stop for a chat. Over the next couple of years, I heard his life<br />

story, as he recounted it in his cheerful cockney accent. He<br />

had joined the merchant navy in Britain at 14 years of age<br />

and travelled far and wide. Terrible arthritis began to attack<br />

his joints at the age of 40, but he always had a smile for<br />

me, and was well known in most of the local shops. He lived<br />

alone in a ground floor flat and visited the shops every day.<br />

One day he asked if he could buy me a cup of tea to<br />

celebrate his 80th birthday. I am ashamed to say I was<br />

faintly embarrassed when we went into the cafe together<br />

in our electric wheelchairs. Poor old Bill found steering<br />

between the tables and chairs a little difficult with his<br />

misshapen hands, and he bumped most of the furniture as<br />

he crashed and banged his way up to the cash register. He<br />

ordered tea and cakes for us both, shamelessly took a large<br />

handful of paper serviettes which he shoved into his pocket,<br />

then careened back through the tables to join me. During<br />

our conversation he told me he was going to hospital the<br />

next day for a small medical procedure. “It wouldn’t be a<br />

bad thing if I don’t wake up from the anaesthetic,” he said.<br />

“There are worse ways to go.”<br />

Over the next few days I kept my eye out for Bill, but as time<br />

went on and he didn’t reappear, my heart sank. I began to<br />

wonder if his words had been prophetic. Weeks went by<br />

and I asked around in the shops, but no-one had seen him.<br />

Eventually, I concluded that he had gotten his wish. I hoped<br />

I had given him a little bit of pleasure by sharing his last<br />

birthday with him.<br />

But the story doesn’t end there. Recently a neighbour told<br />

me that Bill had moved to an aged care facility in a nearby<br />

suburb. He has joined another group. I’m quite certain he is<br />

still crashing around in his chair and flirting with the ladies.<br />

I’m sure he has made new friends.<br />

“No man is an island,” said John Donne in 1624. It is a<br />

curious fact of life that everyone belongs to a group. No<br />

matter how determined you are to be unique, it is an<br />

incontrovertible truth that there will always be someone,<br />

somewhere, who shares one or more characteristics with<br />

you. You may very well try to stand alone and isolated in this<br />

ocean of life but the reality is, as John Donne told us, we are<br />

all part of the great mega-continent of humanity. Everyone<br />

belongs to some sort of group, whether we like it or not.<br />

Edward is another member of my group. He regularly sits<br />

in the sun on the bench outside the Post Office. Edward<br />

has one wonky eye, one wonky leg, and I am pretty sure<br />

his brain is a bit wonky too. He loves to learn and memorize<br />

details and every time I stop for a chat he proudly recites,<br />

“Your name is Ros and your birthday is on the 21st of<br />

March!” Edward was born on the same day as my sister.<br />

I know that because he reminds me every time I see him.<br />

Sometimes, I try to start a conversation about something<br />

else with him, but he is not really interested in anything<br />

other than birth dates.<br />

Edward has always finished conversations by asking if he<br />

can borrow $1.50. About a year ago, he put the price up to<br />

$2, which is reasonable I suppose, given the state of the<br />

economy. I’m sure he’ll pay it all back one day, because he<br />

is my friend.<br />

There are a few other people in my local group of friends<br />

too. There is the woman who lives in the house with the<br />

overgrown garden, and struggles to find employment<br />

because of a lifelong battle with anxiety. There is the<br />

professor at a local university who has used a wheelchair<br />

since a childhood accident. I see these people only rarely,<br />

but we chat when we meet.<br />

When I was first hammered with the reality that I would be<br />

living with MS for the rest of my life, I joined a large group<br />

of people with something in common. It is a great solace to<br />

have people in your life who understand what it is like to live<br />

with MS, and who can laugh and cry with you through the<br />

ups and downs of life. That’s what friends are for.<br />

According to Facebook I have 57 friends. That doesn’t<br />

include my friends Bill and Edward, who don’t have<br />

computers. Even if half of them are relatives, I suppose<br />

that’s not bad for a middle aged woman in a wheelchair.<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> <strong>15</strong>


Peer Support<br />

Evidence clearly shows the benefits of peer support programs.<br />

Our Clients and people living with MS have found them to be<br />

friendly, supportive, informative and practical.<br />

What is a Peer Support Group?<br />

A peer support group is a gathering of people with MS.<br />

The purpose of the group is to provide support to<br />

each other and to share information by:<br />

• learning more about MS;<br />

• sharing feelings and experiences;<br />

• obtaining accurate information;<br />

• providing an opportunity to talk through<br />

problems or choices being faced;<br />

• listening to others who share similar<br />

feelings and experiences;<br />

• helping others through the sharing of ideas<br />

and information; and<br />

• knowing they are not alone.<br />

New & reinvigorated peer support groups<br />

There are again a number of new groups we hope will<br />

start meeting this year, they all welcome new members<br />

to join them.<br />

Under 35s (or a bit older) –<br />

a group meeting in the southern suburbs.<br />

Eastern suburbs –<br />

we are looking to start a new group in the Unley area.<br />

Parents with kids –<br />

a chance for parents with MS to chat while their<br />

children play. The group has met at various indoor and<br />

outdoor play areas.<br />

Contact Mary-Anne on (08)7002 6500 for details of<br />

the next event or if you can help in organising events<br />

for these groups.<br />

We are also seeking interest in:<br />

• support groups in Whyalla, Clare & Alice Springs;<br />

• starting an Overcoming MS group in the southern suburbs<br />

of Adelaide; and<br />

• support groups for family and friends of those with MS.<br />

NB: there is now an on-line group called MySociety -<br />

Family and Friends.<br />

Please contact Mary-Anne Edge on (08) 7002 6500<br />

or at medge@ms.asn.au if you would like to join one<br />

of these groups.<br />

Facebook support group – My Society –<br />

Family and Friends<br />

We have recently set up a Facebook group for family, friends<br />

and carers of people living with MS. This is a private place<br />

to chat, share information and connect with others who are<br />

supporting someone with MS. It has been created, and is<br />

administered by the MS Society of SA & NT. As it is set up<br />

as a private group, only people in the group will be able to<br />

read posts.<br />

This group is for family, friends and carers of people with MS<br />

in SA & NT only, not for people living with MS.<br />

facebook.com/groups/1388437131394906/<br />

Facebook online support - MySociety<br />

There is an online Facebook group for people living with MS<br />

in SA & NT. This is a private place to chat and only people in<br />

the group will be able to read posts.<br />

It is a closed forum, only accessible to members from<br />

South Australia and the Northern Territory. Head to<br />

facebook.com/groups/MySocietySANT/ to find the group and<br />

request to be a member.<br />

16<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


Peer support groups meet in the following areas:<br />

(Family members and carers are welcome)<br />

If there have been any changes to your support group that we’re not aware of, please contact the<br />

MS Society to advise us of any updates.<br />

REGION WHEN CONTACT<br />

Adelaide Hills – Mount Barker 3rd Monday of each month David<br />

6.30pm – TAuchendarroch Tavern, Mount Barker 0410 451 301<br />

Barossa 3rd Thursday of each month Penny<br />

11am – Tanunda/Nuriootpa 0488 952 211<br />

Broken Hill Sundays, every two months Tanya<br />

11am – Gloria Jean’s Coffee, Bromide St 0410 822 511<br />

City based for workers 2nd weekend of every month Jess<br />

Various city locations 0403 <strong>15</strong>5 696<br />

Clovelly Park 4th Friday of each month Christine Sutherland<br />

12pm – Tonsley Hotel/Silks (08) 8276 3779<br />

Morphettville Junction<br />

Copper Triangle 1st Wednesday of each month Allan<br />

11am – Various venues 0498 386 949<br />

Darwin Various venues Sarah<br />

0439 885 604<br />

Fleurieu Random Tuesdays Jill Masters<br />

12:30pm – Rotated around Fleurieu eateries (08) 8555 0358<br />

Gawler 2nd Monday of each month Helen Hoppmann<br />

10am – Gawler Women’s Health Centre 0403 295 348<br />

Gawler evening group Various venues Helen<br />

0403 295 348<br />

Hard Yakkas (Salisbury) Last Wednesday of each month Tallia Coulter<br />

12pm – Café Maranello 0403 766 <strong>15</strong>7<br />

Kapunda 2nd Tuesday of each month Pauline<br />

6.30pm – Various venues 0427 010 754<br />

Kensington 3rd Monday of each month Pam Schartner<br />

(Overcoming MS group) 7pm – Pembroke College (08) 8331 9360<br />

Modbury Last Tuesday of each month Gary Griffiths<br />

10am – Independent Living Centre, Gilles Plains (08) 8263 7760<br />

Mount Gambier 1st Friday of each month Len Stidwill<br />

1pm – Various hotels in Mount Gambier 0403 218 971<br />

Noarlunga 1st & 3rd Thursday of each month Jude Brown<br />

12.30pm – Various lunch venues (08) 8322 5441<br />

Port Lincoln 2nd Tuesday of each month Rick Cunningham<br />

4.30pm – Various venues 0429 977 082<br />

Port Pirie 2nd Wednesday of each month Anne<br />

1pm – GP Plus Health Care Centre 0448 321 610<br />

Riverland 1st Tuesday of each month Crystal<br />

10am – The Big River Golf Club and other venues 0418 690 013<br />

South East Support Group 3rd Thursday of each month Kay Cavill<br />

10.30am – Settlers Café, Naracoorte 0407 6<strong>15</strong> 118<br />

Tailem Bend Wednesdays, mid-monthly Sue Griffiths<br />

Various venues (08) 8572 3914<br />

Under 35s (and a bit older) 2nd Monday of each month Nicole<br />

6.30 pm – Various venues, north of the city 0417 003 547<br />

Western Suburbs Last Tuesday of each month Enza<br />

10am – Various venues 0433 972 312<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 17


Physiotherapy<br />

classes restart in SA<br />

Margot Strelan Physiotherapist<br />

As a result of your support, we are pleased to announce<br />

the re-commencement of three physiotherapist supervised<br />

exercise programs. The exercise programs have been made<br />

possible through targeted donations and a new partnership<br />

with Life Care Active.<br />

Life Care Active has an accessible, purpose built facility and<br />

they offer a range of exercise programs for the over 55’s.<br />

We have established a mutually beneficial arrangement<br />

where we have use of their venue free of charge and in<br />

return they have access to some of our equipment housed in<br />

their gym.<br />

We currently have 24 Clients registered for classes and run<br />

three one-hour classes run every Monday morning.<br />

Classes consist of a combination of exercises that includes<br />

resistance band strengthening, balance circuit, core stability<br />

exercises, and modified boxing and coordination activities.<br />

Classes also include seated warm ups, stretching and<br />

relaxation at the end of the session.<br />

Participants all benefit from the social interaction and<br />

camaraderie of exercising together and sharing their<br />

experiences and knowledge of MS.<br />

Our long term plan is to transition these groups to Life Care<br />

Active physiotherapists so that we can establish similar<br />

groups in other locations. I will provide specific training for<br />

the Life Care physiotherapists, educate them on how to work<br />

with MS and continue to support those attending the groups.<br />

18<br />

<strong>Winter</strong> 20<strong>15</strong> The MS Society of South Australia & Northern Territory


Motomed Exercise<br />

machine in Darwin<br />

People living with MS are welcome to come and use the<br />

Motomed that is based at Therapy Services in Darwin.<br />

Thanks to funds from the MS Society, we were able to<br />

purchase a Motomed for MS Clients and others with a<br />

neurological or physical disability. The Motomed gently<br />

moves legs and arms, and is ideal for daily passive,<br />

assistive and active movement training.<br />

If you would like to use Motomed, you will need to<br />

complete a referral form and undergo an assessment.<br />

Please contact Darwin Day Therapy Centre on<br />

(08) 8922 6670 or email Tsdarwin@ech.asn.au<br />

for more details.<br />

NT Carers Australia<br />

This publication provides carers with information on how to make life a bit easier.<br />

For example, did you know that Smart Cooling in the Tropics provides free home<br />

energy assessments and a range of retrofit packages for eligible households?<br />

Did you know that there are support groups and workshops in Darwin specifically<br />

for carers? Did you know that you can speak to Counsellors at Carers NT?<br />

For more information, visit their website carersnt.asn.au or contact them on 1800 242 636.<br />

Sunday, 8 November 20<strong>15</strong><br />

missmuddy.com.au<br />

The MS Society of South Australia & Northern Territory <strong>Winter</strong> 20<strong>15</strong> 19


Tour Barossa<br />

Run by Kym & Steve, Tour Barossa<br />

offers a multitude of ways for you<br />

to experience the Barossa Valley.<br />

Choose from the:<br />

• Barossa highlights tour;<br />

• Adelaide Hills tour;<br />

• McLaren Vale Tour;<br />

• Tour Clare;<br />

• “secret experiences” tour;<br />

• private charters;<br />

• private tours; or<br />

• wedding packages.<br />

Mention the The 20<strong>15</strong> MSchievous<br />

Bunch Calendar when making a<br />

booking and Tour Barossa will<br />

donate 20% of the fee<br />

to the MS Society!<br />

Book online: tourbarossa.com<br />

E: book@tourbarossa.com<br />

P: (08) 8563 1000 M: 0412 1217 19<br />

Contact us on (08) 7002 6500 or<br />

email kfowler@ms.asn.au<br />

entertainmentbook.com.au/orderbooks/161y000<br />

Leaving a gift of hope<br />

Remembering the<br />

MS Society in your Will<br />

Leaving a gift in your Will is one of the most<br />

powerful ways to be sure that the Multiple<br />

Sclerosis Society of SA & NT is able to continue<br />

to provide vital support and services to those<br />

living with MS, and fund research into the<br />

cause and cure.<br />

For more information on how to leave a gift<br />

to the MS Society in your Will, please contact<br />

our Planned Giving Manager.<br />

08 6454 3168<br />

bequests@ms.asn.au<br />

ms.asn.au

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