Bulletin Magazine Bunuru / Second Summer 24
Welcome to the Bunuru / Second Summer 2024 edition of Bulletin. On the cover: Client art shines at the MSWA art exhibition, with thousands of visitors from near and far appreciating the showcase at the Mega Home Lottery Grand Prize Home in Marmion. Inside: MSWA provides Tysabri access Pauline and John Campbell: Love conquers all NDIS review to bring major changes A different approach to happiness
Welcome to the Bunuru / Second Summer 2024 edition of Bulletin.
On the cover: Client art shines at the MSWA art exhibition, with thousands of visitors from near and far appreciating the showcase at the Mega
Home Lottery Grand Prize Home in Marmion.
Inside:
MSWA provides Tysabri access
Pauline and John Campbell: Love conquers all
NDIS review to bring major changes
A different approach to happiness
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Client art shines at the MSWA art exhibition,<br />
with thousands of visitors from near and<br />
far appreciating the showcase at the Mega<br />
Home Lottery Grand Prize Home in Marmion.<br />
<strong>Bulletin</strong><br />
Inside<br />
YOUR MSWA MAGAZINE<br />
BUNURU | SECOND SUMMER 20<strong>24</strong><br />
mswa.org.au
Welcome to the <strong>Bunuru</strong> 20<strong>24</strong><br />
edition of <strong>Bulletin</strong>.<br />
WILSON CENTRE<br />
29 Parkhill Way<br />
9365 4888<br />
Contact Us<br />
If you would like to comment on anything you read in<br />
this <strong>Bulletin</strong>, please email bulletin@mswa.org.au<br />
For general feedback or complaints, please contact<br />
feedback@mswa.org.au<br />
<strong>Bunuru</strong> is the hottest time of the year, with hot easterly winds<br />
and very little rain. Traditionally, this is a great time to spend by<br />
Perth’s many bodies of water – the coast, rivers and estuaries.<br />
During <strong>Bunuru</strong>, the white flowering gums are in full bloom –<br />
look out for the ghost gums, marri and jarrah trees.<br />
Editorial Working Group<br />
Nicola Washington, Tony Millar, Emily Ace and<br />
Nicolette Murphy.<br />
Contributors<br />
Geoff Hutchinson, Carol Chong, Dajana Tesevic,<br />
Vanishree Chetti, Denise Vogels, James Beckett,<br />
Tracey Hockey, Misty Reinkowsky and Crystal Chan.<br />
Client Engagement Department<br />
Our experienced teams will provide you with<br />
personalised support throughout your service journey<br />
with MSWA. From helping you to access funding, to<br />
working with you to get the most from your selected<br />
services, our trained staff are here to help.<br />
For more information, please contact 9365 4888.<br />
Our services include:<br />
• Counselling, Peer Support and Health Education<br />
• Community Support & In-home Care<br />
• Dietetics<br />
• Occupational Therapy<br />
• Outreach<br />
• Physiotherapy<br />
• Social Welfare<br />
• Speech Pathology<br />
• Nursing<br />
• Support Coordination<br />
Nursing Support<br />
Our Neurological Liaison Nurses are usually the first<br />
point of contact after the neurologist’s diagnosis.<br />
Community Nurse: 9365 4888<br />
Monday to Friday (8.00am - 4.00pm)<br />
Outreach at MSWA<br />
If you live in Perth, Rockingham, Bunbury or Albany and<br />
are interested in a trial to experience the Outreach<br />
community, get in touch via outreach@mswa.org.au<br />
Employment Support<br />
The MSWA Employment Support Service is the only<br />
specialist employment service for people living with<br />
multiple sclerosis and other neurological conditions in<br />
Western Australia. Our team can help you to stay<br />
in your current job or find employment in the open<br />
labour market.<br />
Please call: 1300 865 209<br />
See all our supports and services at mswa.org.au<br />
Switch to <strong>Bulletin</strong> online today!<br />
Help us reduce our environmental impact by going<br />
digital and connect with more engaging content.<br />
Email us at marketing@mswa.org.au to sign up.<br />
PHOTO: Dylan Alcock<br />
Acknowledgement of Country<br />
In the spirit of reconciliation, MSWA acknowledges the<br />
Traditional Custodians of the many lands and language<br />
groups of Western Australia, and their connections to<br />
land, sea and community. We pay our respect to their<br />
Elders past and present, and extend that respect to all<br />
Aboriginal and Torres Strait Islander peoples today.<br />
2 3
From our CEO<br />
It feels too late to say Happy New<br />
Year but given this is our First<br />
<strong>Bulletin</strong> of 20<strong>24</strong> it is appropriate.<br />
For those who celebrate Chinese<br />
New Year, wishing you Gong Xi Fa<br />
Cai also, as we welcome the Year<br />
of the Dragon.<br />
It is also the Noongar season of<br />
<strong>Bunuru</strong> which is the second summer<br />
and the season bringing heat<br />
and little rain. We have definitely<br />
experienced this with an unusual<br />
number of extremely hot days,<br />
all of which affect everyone, but<br />
particularly those with MS and other<br />
neurological conditions. Hopefully<br />
as we head into April, it will cool<br />
down and we will see more rain. I was<br />
looking at our Noongar calendar in<br />
the office and it says it’s a time for<br />
long days fishing by the river.<br />
Inherent in that is community.<br />
This is something we have been<br />
reflecting on and discussing with<br />
our Client and community co-design<br />
committee. How do we recapture<br />
that sense of community that<br />
defined the MS Society in those<br />
early years? This is something we<br />
look forward to discussing with you<br />
in this period, getting your views on<br />
and expanding our efforts.<br />
Aligned with this is our commitment<br />
to co-design. Our co-design<br />
committee is now well established,<br />
and whilst we have a way to go<br />
to truly capture the essence and<br />
benefits of co-design, we have made<br />
very good progress. Using that as<br />
a foundation, we hope to now move<br />
forward to working with this core<br />
group to leverage the ideas and<br />
input of our wider advisory group<br />
and our full community.<br />
Having recently spent a couple of<br />
hours with one of the breakfast<br />
groups our Clients have formed,<br />
I was humbled yet again by how<br />
much you can learn from people<br />
who live with neurological conditions<br />
day in and day out, if you just stop,<br />
listen and truly appreciate their<br />
perspective. Thank you to those<br />
of you who invited me and were so<br />
open, kind and constructive.<br />
Our goal with co-design is to truly<br />
leverage the impact in a way that<br />
addresses the needs of both our<br />
Clients and community. I look<br />
forward to seeing this progress in<br />
the next six months and welcome all<br />
and any ideas that come out of it.<br />
In this period, we are also looking<br />
forward to engaging closely with<br />
our peak body, MS Australia, and<br />
the State and Federal governments<br />
to enact the recommendations<br />
from the Royal Commission and<br />
the NDIS review. In essence, we do<br />
think the NDIS review heard the real<br />
problems and agree largely with the<br />
recommendations. However, as they<br />
say, the devil is always in the detail.<br />
It is this detail in timing and<br />
allocation of supports between<br />
State and Federal governments<br />
that we are most focused on. We<br />
agree with the sentiment of personcentred<br />
care and capacity-based<br />
funding, but how that is done and<br />
when is really critical.<br />
I know the respective governments<br />
are also very keen to do this on a<br />
co-design basis and that means if<br />
you want to have a say, you should<br />
be able to. We will keep you posted<br />
on the opportunity to do so as we<br />
hear more.<br />
It was also a privilege to start this<br />
year with MSWA's inaugural art<br />
exhibition, hosted at the Mega Home<br />
Lottery Grand Prize Home.<br />
The depth of talent within our Client<br />
community never ceases to amaze<br />
us, so we were extremely proud to<br />
share your art with thousands of<br />
members of the public, so they could<br />
appreciate your creativity, too.<br />
It was a great joy to meet some of<br />
the artists during the home opens -<br />
I even managed to match some of<br />
the work on display! I look forward<br />
to meeting even more of you when<br />
the exhibition continues at Wilson<br />
Outreach in April.<br />
In January, I was completely blown<br />
away by the generosity of one of<br />
our late Clients, Ross Kennedy, who<br />
made a substantial gift in his will for<br />
the benefit of MSWA and our Clients.<br />
It was a privilege to meet his<br />
brother, Bruce, who worked<br />
tirelessly to ensure his brothers<br />
wishes were fulfilled.<br />
As an organisation, it is our sole<br />
purpose to support people living<br />
with neurological conditions, and to<br />
learn our team made such a positive<br />
impact on Ross' life filled us with<br />
great pride. Thank you, from the<br />
bottom of our hearts.<br />
Melanie Kiely CEO, Bruce Kennedy and Senior Events & Partnership<br />
Officer Danna Guzman.<br />
On a last note, we are aware that you<br />
might want to know more about our<br />
teams, our people and our leaders.<br />
In this edition, we profile our<br />
Deputy Chair Liam Roche. Our team<br />
have interviewed Liam and I am sure<br />
you, like me, will enjoy reading<br />
his interview.<br />
Melanie Kiely<br />
MSWA CEO<br />
4 5
Member & Client Services<br />
Welcome to the <strong>Bunuru</strong> / <strong>Second</strong><br />
<strong>Summer</strong> edition of our Member &<br />
Client Services <strong>Bulletin</strong>.<br />
As featured on our front page,<br />
a number of our Clients had the<br />
opportunity to showcase their<br />
incredible creative skills at the<br />
MSWA art exhibition in March.<br />
Take a look at page 30 to see some<br />
of these incredible pieces and book<br />
your place at the People’s Choice<br />
Award festivities on 21 May.<br />
NDIS News<br />
The final report of the Independent<br />
Review into the NDIS was published<br />
in December, listing four key<br />
review areas.<br />
• A unified system of support for<br />
people with disability<br />
• Markets and support systems<br />
which empower people with<br />
disability<br />
• Stewardship of the unified<br />
ecosystem<br />
• A five-year transition<br />
A more detailed update is provided<br />
by Geoff Hutchinson on pages 12<br />
and 13, and the QR code below<br />
provides an easy read of the review.<br />
It is important to note that these are<br />
recommendations and are still to be<br />
accepted by government, along with<br />
clarity on what will form the five year<br />
transition plan and what will be the<br />
priority. We look forward to seeing<br />
the next steps and a clear action<br />
plan for what is agreed.<br />
What’s coming up<br />
Tysabri Subcutaneous Injection<br />
Our nursing team will now be<br />
accepting referrals to administer<br />
the Tysabri Subcutaneous Injection<br />
since it has been approved on the<br />
PBS. We will be initially using our<br />
Wilson service centre as the base<br />
site for Clients referred for their fourweekly<br />
injection. This will also give<br />
Clients the opportunity to engage<br />
and connect with others while<br />
visiting our Wilson Centre.<br />
If you would like more information,<br />
you can call our nurse support line<br />
to speak to one of our nurses on<br />
9365 4888 or 1300 097 989.<br />
You can also read more about<br />
this on page 8.<br />
Meet our nominees<br />
The finalists and winners will be announced on 18 May at the WA Disability Support Awards Gala Dinner, and we are<br />
keeping our fingers crossed for our team.<br />
Randall Rooney<br />
Innovation in Service Delivery<br />
Melissa Coombs<br />
Emerging Leader<br />
Employment<br />
Services team<br />
Excellence in Rights Promotion<br />
NDS Disability awards<br />
I am proud to announce we have<br />
a number of our team members<br />
nominated for the WA Disability<br />
Support Awards 20<strong>24</strong>.<br />
As always, your feedback is important to us, so if you have anything you<br />
would like to share please contact us at feedback@mswa.org.au.<br />
Nicki Washington<br />
Chief Client Operations Officer<br />
6 7
Nursing<br />
MSWA plays key role in providing<br />
improved access to Tysabri®<br />
As of 1 February 20<strong>24</strong>, the<br />
federal government approved<br />
subcutaneous natalizumab<br />
(Tysabri®) for individuals with<br />
relapsing remitting MS (RRMS)<br />
under the Pharmaceutical Benefits<br />
Scheme (PBS).<br />
Before this, Tysabri® was only<br />
available as a monthly intravenous<br />
infusion administered in a hospital or<br />
infusion clinic.<br />
As part of the implementation of<br />
the Tysabri® subcutaneous<br />
injection, MSWA will play a key role<br />
in setting up access to this service,<br />
as other clinical settings such<br />
as hospitals and GP clinics put in<br />
place processes to receive<br />
patients ongoing.<br />
MSWA Research Coordinator Julia<br />
Tran sat down with MSWA Clinical<br />
and Residential Services Manager<br />
Vanishree Chetti and MSWA<br />
Neurological Liaison Nurse Rochelle<br />
Brown to chat about the new form<br />
of Tysabri®, the role MSWA will play<br />
in accessing this treatment option<br />
and what that means for improving<br />
access to people with RRMS.<br />
What does the new form of<br />
Tysabri® mean for people<br />
with MS?<br />
Vanishree Chetti: The main<br />
advantage is shorter service<br />
time. This announcement means<br />
individuals with RRMS will now have<br />
access to a nurse to administer the<br />
Tysabri® injection at our MSWA sites.<br />
The entire process is shortened<br />
from being a couple of hours long<br />
to just a one-hour service. We will<br />
be complete pre- and post-checks<br />
before and after the administration.<br />
Rochelle Brown: Clients are<br />
required to have two subcutaneous<br />
(under the skin) injections, each<br />
containing 150mg. This is because<br />
it would be uncomfortable for<br />
the Client to be administered 2ml<br />
subcutaneously as a single dose.<br />
(Tysabri infusion is 300mg).<br />
Where can a Client<br />
access Tysabri®?<br />
Vanishree Chetti: MSWA nurses<br />
have been trained and educated<br />
on the new administration of the<br />
injection. If we receive a referral,<br />
Clients will be requested to initially<br />
come to the MSWA Wilson services<br />
centre, but we will also have trained<br />
nurses at the Butler and Bunbury<br />
services centres.<br />
Where a Client goes for the<br />
administration of Tysabri depends<br />
on their neurologist’s referral – this<br />
could be the GP, hospital or MSWA<br />
service centre.<br />
What is the cost of accessing<br />
Tysabri® injections at MSWA<br />
Rochelle Brown: There will be no<br />
cost for administration of Tysabri®.<br />
MSWA provides help to individuals<br />
living with MS which includes<br />
assistance with the administrations<br />
of various immunotherapies.<br />
Vanishree Chetti: MSWA has always<br />
supported individuals living with<br />
MS, which includes assistance with<br />
the administration of the various<br />
Immunotherapies.<br />
What is the most important<br />
information someone should<br />
know about Tysabri®?<br />
Rochelle Brown: To guarantee the<br />
integrity of the medication, cold<br />
chain must be maintained from the<br />
point of manufacturing to the<br />
point of administration. This is why<br />
your MSWA nurse will ask you to<br />
collect your Tysabri® injections<br />
from the pharmacy on your<br />
way to your appointment at an<br />
MSWA service centre.<br />
Vanishree Chetti: It is important that<br />
individuals complete pre-checks<br />
(blood work) prior to coming in and<br />
know their results.<br />
As this is a new treatment form of<br />
Tysbari, MSWA has ensured the<br />
appropriate clinical governance is<br />
in place, including robust training of<br />
our nursing staff, to ensure the safe<br />
delivery of this treatment.<br />
If you are new to the drug, then<br />
the first few injections will be<br />
administered in the hospital to<br />
ensure there are no adverse<br />
reactions. Individuals can then<br />
be referred to an MSWA nurse<br />
for ongoing administration at<br />
an MSWA site.<br />
If after those couple of doses there<br />
are no adverse reactions, individuals<br />
will transition into the community<br />
where MSWA Nurses will then<br />
continue the administration of the<br />
injections at an MSWA site. We will<br />
be providing an interim solution<br />
until additional health services are<br />
on board too.<br />
It is a good initiative, and it is how<br />
MSWA can help the MS community.<br />
This interview has been edited<br />
for clarity. This transcript is<br />
for informational purposes<br />
only and is not a substitute for<br />
professional medical advice<br />
or treatment. Personalised<br />
consultations are essential for<br />
optimal care so it is important<br />
for individuals with MS to<br />
discuss with their medical<br />
team to identify the most<br />
suitable treatment for their<br />
specific situation.<br />
Register your<br />
interest in<br />
PLATYPUS<br />
In November 2023, MSWA in partnership with MS Australia announced<br />
the first-ever adaptive clinical trial seeking to reverse the neurological<br />
damage caused by primary progressive multiple sclerosis (PPMS).<br />
Known as PLATYPUS, the $4 million trial is due to commence in 20<strong>24</strong>.<br />
The multi-arm, multi-stage design will test two repurposed drugs<br />
simultaneously, providing timely results about whether the treatments<br />
are working.<br />
The clinical trial process requires significant applications to ethics,<br />
governance and regulatory authorities for approval. When these<br />
approvals are met, study sites in Australia may start recruiting people<br />
living with MS into the trial.<br />
If you are interested in participating, please register your interest<br />
via the MS Australia website (link below) to be notified when<br />
recruitment commences.<br />
www.msaustralia.org.au/platypus/<br />
8 9
Research<br />
MS Australia funds WA research<br />
Get involved in neuro research<br />
MS Australia announced funding for 17 cutting-edge projects as part of their latest $4.5m grant round, made possible<br />
through support from MSWA and MS Member Organisations across the nation.<br />
This includes three West Australian researchers and their projects to commence in 20<strong>24</strong>:<br />
Dr Stephanie Trend of The<br />
University of Western Australia,<br />
who aims to determine what is<br />
triggering immune reactions in<br />
people with MS. Robust evidence<br />
shows that a specific type of<br />
immune cell, known as B cells,<br />
are important to cause attacks<br />
of MS. This project involves using<br />
laboratory-made proteins that<br />
mimic natural antibodies, to identify<br />
and study the targets for B cells,<br />
including parts of Epstein-Barr<br />
Virus (EBV), which is known to be<br />
important in the development of<br />
MS. Identifying the specific targets<br />
recognised by B cells in MS may help<br />
to diagnose the disease, identify<br />
those at higher risk of MS, and<br />
develop targeted therapies to be<br />
used in the future.<br />
Dr Mark Hackett of Curtin<br />
University, who is investigating a<br />
compound called 'cuprizone' which<br />
has been found to induce damage to<br />
the brain that is similar to MS.<br />
This is due to its ability to bind<br />
strongly to copper, preventing it<br />
from reaching the brain where it is<br />
needed for energy production and<br />
healthy brain function.<br />
Congratulations<br />
to all the 20<strong>24</strong> funding<br />
recipients, we look<br />
forward to seeing<br />
your progress!<br />
You can view the full details<br />
of MS Australia's 20<strong>24</strong><br />
Research Grant<br />
Announcement<br />
through this<br />
QR code.<br />
Dr Belinda Kaskow of Murdoch<br />
University, for her work in<br />
unravelling underrepresented<br />
immune cell complexity in MS.<br />
This project will investigate killer<br />
immunoglobulin-like receptors (KIR),<br />
which are found on certain immune<br />
cells and help control immune<br />
responses. It will study which genes<br />
are present in an individual, when<br />
those genes are expressed, and<br />
what cell types express them. This<br />
project will compare this between<br />
people living with MS and people<br />
living without MS to understand the<br />
differences in the KIR repertoire<br />
in MS. Understanding how KIRs<br />
impacts the balance of the immune<br />
system in MS will lead to better, more<br />
targeted immunotherapies for MS in<br />
the future.<br />
MS Genetics Study<br />
The Menzies Institute for Medical<br />
Research needs your help to<br />
investigate the Epstein Barr virus<br />
(EBV) strain that may play a crucial<br />
role in developing multiple sclerosis<br />
(MS). Volunteers are needed for an<br />
Australia-wide study which aims<br />
to identify specific markers in the<br />
blood associated with onset and<br />
progression of MS.<br />
To volunteer, or find out more<br />
information, contact Postdoctoral<br />
Research Fellow Chhavi Asthana,<br />
on (03) 6226 4226 or via Chhavi.<br />
Asthana@utas.edu.au<br />
MS and food preparation<br />
Aged Care Survey<br />
The Perron institute is collaborating<br />
with the Department of Health<br />
to better understand people’s<br />
experiences, particularly those<br />
with neurological conditions, with<br />
palliative and end-of-life care in<br />
Residential Aged Care Facilities<br />
(RACFs) across WA.<br />
If you had a family member or friend<br />
die in an aged care facility in WA<br />
between 2021 – 20<strong>24</strong>, Perron would<br />
appreciate your perspective<br />
to help improve<br />
end-of-live services.<br />
Access the survey<br />
through the QR code.<br />
Be first to access InforMS online portal<br />
Do you have MS and someone who assists with your food preparation?<br />
Curtin University researchers would like to speak to people with MS, and those who assist<br />
with their food preparation, about their views on diet and what could help them eat well.<br />
Other than contributing to research which could improve the lives of people like you living<br />
with MS, you and your carer will receive a supermarket gift voucher in thanks for your time.<br />
For more information, contact Dr Rebecca Russell on<br />
9266 3160 or email MSDietProject@curtin.edu.au<br />
Finding Your Stride<br />
Do you have MS and regularly run<br />
or jog?<br />
A team of researchers at James<br />
Cook University are looking for<br />
volunteers to record their running<br />
habits over a four-week period.<br />
The team is interested to know if<br />
there is any relationship between<br />
your running habits and your MS<br />
signs and symptoms.<br />
If you have multiple sclerosis,<br />
and are interested in<br />
participating, please<br />
scan the QR code.<br />
A new online MS health portal called InforMS is being developed by MS Australia in collaboration with<br />
researchers from the Menzies Institute of Medical Research and Monash University, people living with MS,<br />
HealthCare Software, and other partners.<br />
InforMS is a ‘one stop shop’ to view and track your MS health information with your care team, record your own<br />
health outcomes over time, manage your health through setting goals, link evidence-based MS education and<br />
see options to participate in MS research and clinical trials.<br />
All Australian MS Longitudinal Study participants will be invited to try it as part of a research study in<br />
mid-20<strong>24</strong>, so get involved if you have not yet already at https://www.msaustralia.org.au/amsls<br />
10<br />
11
Client Engagement<br />
New NDIS to bring major<br />
changes… potentially.<br />
One of the most frightening words<br />
in the English language<br />
is ‘potential’.<br />
‘Potential’ has the potential to be<br />
great, the potential to be special,<br />
the potential to be life-altering<br />
or regrettably, the potential to be<br />
terrible. Everything is on the table<br />
when people insert ‘potential’ into a<br />
sentence. But what makes this word<br />
so scary is that we often must wait<br />
to find out if something reaches its<br />
potential or not.<br />
Take the 329-page report that was<br />
the final deliverable of the recent<br />
National Disability Insurance<br />
Scheme (NDIS) Review. Potentially,<br />
the recommendations within the<br />
report provide a five-year roadmap<br />
for a scheme that gets back to<br />
basics and becomes client-centred,<br />
with costs under control to ensure a<br />
viable scheme into the future.<br />
While the recommendations have<br />
the potential, we still don’t know<br />
which ones will be accepted, what<br />
legislation will get through and<br />
what the final product will look like.<br />
Nevertheless, we now know more<br />
about the NDIS vision than we did<br />
previously, so what are the major<br />
outcomes potentially impacting<br />
your NDIS?<br />
The NDIS can’t do it<br />
alone.<br />
One of the biggest ideas to come<br />
out of the review was that the NDIS<br />
can’t do it alone and called on both<br />
State and Federal Governments<br />
to invest in ‘foundational supports’<br />
to assist people with disability<br />
outside the NDIS. This has been a<br />
critical concern for many years, with<br />
93 per cent of disability funding<br />
going into the NDIS, despite only a<br />
small proportion of the 4.4 million<br />
people in Australia with a disability<br />
supported by the scheme. As the<br />
report authors state “you can’t fix<br />
the NDIS without fixing everything<br />
around it”, so the introduction of<br />
foundational supports would see<br />
mainstream services (like health,<br />
mental health and education)<br />
become more accessible as part<br />
of a connected system. This would<br />
allow access to some services<br />
outside the NDIS structure more<br />
efficiently and sustainably. The<br />
'NDIS or bust' approach has been<br />
a pebble in the shoe of the scheme<br />
since its inception, slowing things<br />
down and making the journey quite<br />
painful. More support outside the<br />
scheme is a great thing.<br />
This ‘connected system’ concept<br />
leads to further recommendations<br />
around the way mainstream services<br />
interact with the NDIS. This includes<br />
allowing NDIS participants who<br />
turn 65 to receive funding support<br />
through Aged Care and the NDIS<br />
at the same time, and improved<br />
access to aids and equipment.<br />
MSWA has been an active advocate<br />
for the needs of those outside the<br />
scheme for some time, so ensuring<br />
everyone is supported would be<br />
a big outcome. Research by the<br />
Melbourne Disability Institute found<br />
that non-NDIS programs spend the<br />
equivalent of $33 a year on services<br />
for those with disability outside the<br />
Scheme. That must change.<br />
Scheme navigation<br />
Another significant change<br />
within the report is the<br />
proposed replacement of<br />
Support Coordination, Local<br />
Area Coordination (LAC) and<br />
Psychosocial Recovery Coaching<br />
(PRC) services with a concept<br />
called Navigators. Navigators<br />
would be responsible for assisting<br />
both NDIS participants and those<br />
outside the scheme to connect<br />
with mainstream services,<br />
navigate the NDIS application<br />
process, and connect to services.<br />
Unlike the existing system, where<br />
a set number of hours is provided,<br />
Navigators would support everyone<br />
from diagnosis onward, coming in<br />
and out of people's lives as their<br />
needs require, to allow for flexible<br />
support. Furthermore, Navigators<br />
would operate independently<br />
from service providers, ensuring<br />
nationally consistent governance,<br />
service information, monitoring,<br />
and training. Everyone is getting<br />
their own NDIS sherpas it seems.<br />
This is big, and I can see the<br />
potential, as having one person on<br />
hand to help you navigate your way<br />
around all the different elements as<br />
your needs change would be helpful.<br />
However, the Local Area Coordinator<br />
experience has not been great,<br />
and this is a significant role with<br />
significant scope for someone<br />
who may not understand individual<br />
conditions or situations, which<br />
may lead to uneven participant<br />
experiences.<br />
Overall, this is a good concept that will<br />
help improve access to support and<br />
lessen confusion for everyone. The<br />
report also signals the potential end of<br />
Plan Managers thanks to a new digital<br />
payments system, but this seems<br />
to be a long-term change – a relief<br />
for the 1000+ active plan manager<br />
companies across Australia.<br />
Budget management<br />
A recommendation I did enjoy was<br />
that plan allocations should be<br />
set at the whole plan level, rather<br />
than line-by-line. This means that<br />
budget-setting would focus on<br />
a person’s support needs and<br />
provide a flexible budget (based on<br />
assessments), allowing services<br />
to go where they provide the<br />
most benefit. This all leads to the<br />
recommendation that the NDIS<br />
adopt a trust-based approach to how<br />
people use their budgets. While this<br />
sounds excellent, a concern about<br />
this new flexible approach is the<br />
introduction of ‘Needs Assessors’<br />
who are responsible for setting these<br />
wonderful new budgets. Minister<br />
Shorten was quick to clarify Needs<br />
Assessors are completely different<br />
from the ‘Independent Assessors’<br />
floated a couple of years ago, but the<br />
job description sounds pretty similar<br />
to me. Still, more flexibility is a good<br />
thing no matter how you look at it.<br />
The report also suggests that the<br />
National Disability Insurance Agency<br />
(NDIA) delegate pricing oversight to<br />
the Department of Social Services<br />
and the Independent Health<br />
and Aged Care Pricing Authority<br />
(IHACPA). Furthermore, the Review<br />
recommended that a new pricing<br />
and payment structure moves<br />
away from a uniform approach to<br />
better account for varying costs,<br />
such as supporting individuals with<br />
higher levels of complexity, regional<br />
differences, staff training and other<br />
associated indirect labour expenses.<br />
This is significant as the current onesize-fits-all<br />
pricing approach fails to<br />
allow providers to adapt to individual<br />
needs as they change, bringing a lot<br />
of promise.<br />
Improved governance<br />
One change that may not impact<br />
your plan on a day-to-day basis, but<br />
will have an impact on the quality<br />
of services, is the introduction of<br />
risk-proportionate regulation. For<br />
a variety of reasons, many NDIS<br />
providers are choosing to remain<br />
unregistered, which means that<br />
they are not held to the same quality<br />
and safeguarding standards as<br />
registered providers, such as MSWA.<br />
For a scheme designed to provide<br />
funding and services to, at times,<br />
vulnerable individuals, having a<br />
significant portion of your providers<br />
operating without the same<br />
rules is cause for concern. The<br />
proposed approach would require<br />
all providers to be registered<br />
and would provide mandatory<br />
compliance across all services<br />
provided under the scheme.<br />
The report also recommends all<br />
providers comply with NDIS practice<br />
standards, which currently is not the<br />
case. This is a win, as compliance<br />
is a lot of work for an NDIS provider,<br />
but it's also the only way we can<br />
ensure the safety of all participants.<br />
There are many, many other<br />
suggestions across the novel-length<br />
report, including governmentcommissioned<br />
Specialist Disability<br />
Accommodation (SDA), increases<br />
in early support for children outside<br />
of the scheme and the creation of<br />
a new Disability Intergovernmental<br />
Agreement (IGA) aimed at getting<br />
governments to work together.<br />
Overall, the report has done a<br />
great job of looking at all aspects of<br />
the disability sector and providing<br />
clear suggestions that (in my<br />
opinion) would improve things<br />
for participants, their families,<br />
and providers.<br />
So, what does it<br />
all mean?<br />
Well, nothing for now. The<br />
recommendations outlined in the<br />
review are well thought out, have<br />
obviously considered feedback<br />
from participants and have the<br />
potential to improve the lives of<br />
millions of people. But for now,<br />
all we’ve got is ‘potential’. The<br />
next steps are equally important<br />
in getting the Federal, State and<br />
Territory Governments to agree to<br />
these recommendations, have the<br />
NDIA implement them unchanged,<br />
find qualified people to fill these<br />
important roles, and ensure client<br />
outcomes remain the goal while we<br />
do all the above. Potential can be a<br />
killer; however, potential can also<br />
be exciting. For the moment I am<br />
excited by this report and the vision<br />
of the NDIS it represents.<br />
Geoff Hutchinson<br />
Manager Client Engagement<br />
12<br />
13
MSWA News<br />
Counselling<br />
Susan shores up<br />
WA's voice<br />
A different approach<br />
to happiness<br />
Susan Hyde has stepped up to the plate for Western<br />
Australia, becoming the state representative in the MS<br />
Australia National Advocates Program.<br />
The program aims to lift the voices of people with lived<br />
experience and their carers, meaningfully contributing to<br />
the peak body’s advocacy agenda.<br />
This includes engagement with media, speaking<br />
opportunities at public events and discussions with<br />
members of parliament, relevant policy/decision makers<br />
and special interest groups.<br />
Susan’s passion for people motivated her to take up the<br />
mantle, with a strong background in advocacy through<br />
her work in the New Zealand Police and WA Justice<br />
system.<br />
“I’ve previously done this type of work for prisoners,<br />
where my job was around reintegration, and I also did a<br />
lot of victim support work with the police,” Susan said.<br />
“I like people, I like working with people and I like being<br />
able to help people – plus I’ve always had a bit of a knack<br />
for networking.”<br />
Diagnosed with remitting-relapsing MS in 1995, Susan<br />
was determined to keep up her active lifestyle, running<br />
and cycling whenever she had the opportunity.<br />
While working as a Prison Officer in early 2016, Susan’s<br />
symptoms worsened, and she was diagnosed with<br />
<strong>Second</strong>ary Progressive MS. This resulted in an early<br />
retirement in 2022, despite her best efforts to keep<br />
her role.<br />
Drawing on her experiences, Susan is determined to help<br />
others through advocacy and networking, with a focus on<br />
employment, inclusion, accessibility, and a prime goal of<br />
raising public awareness.<br />
“I have had MS for 30 years and I believe there is not a<br />
huge awareness of what MS is and what it stands for,”<br />
Susan said.<br />
“Accessibility is a big focus for me, and this role is a<br />
chance to get that out there, make the public aware and<br />
break down the barriers that exist to be more accepted.”<br />
Susan is particularly excited about the PLATYPUS trial<br />
announced in December 2023, and showing others living<br />
with the condition what can be achieved when you set<br />
your mind to it.<br />
“Many people who have silent diseases and illnesses<br />
think that because they have got it, they can’t do things,”<br />
she said.<br />
“I saw this as a role that I could strive to do, and make<br />
those people believe they can do those things, too.<br />
“It is an exciting prospect and hopefully I do WA proud.”<br />
Susan encouraged anyone wanting to know more about her<br />
advocacy work to contact her at susanhyde@xtra.co.nz<br />
or come along to the Rockingham Peer Support catch<br />
ups she runs monthly. If you have a query that she cannot<br />
answer, she will point you in the right direction.<br />
If you are interested in the Peer Support Group Susan<br />
runs, you can contact her on the above email, or join<br />
the Facebook group Mobile Socialites Rockingham.<br />
The group meets for lunch the last Saturday of each<br />
month. Full details can be found on the Facebook group.<br />
The start of the new year is always a good time<br />
for reflection and taking stock, setting goals and<br />
intentions; all of which can help maintain motivation<br />
levels and fill ourselves with a renewed sense of hope<br />
for what is to come. While this can have a positive<br />
impact on your wellbeing, it can also be problematic<br />
when met with a type of ‘if – then’ or ‘all or nothing’<br />
thinking. This is what psychologists refer to as the<br />
‘Arrival Fallacy’ – the idea that when you get to the<br />
‘finish line’ only then you will be ‘happy’.<br />
As easy as it is to say we shouldn’t think this way, reality<br />
is that we all get caught up thinking along these lines.<br />
Take a few moments and think about your own narratives<br />
around happiness, filling in the below blanks with the<br />
times when you have set a goal or intention for yourself<br />
and found yourself saying the following;<br />
I’ll be happy after I do__________________________________________.<br />
I’ll be happy when I achieve___________________________________.<br />
I’ll be happy when I accomplish______________________________.<br />
With the above thinking, what happens when you don’t<br />
achieve your goals? It is all too human to lose motivation<br />
for our goals, especially with the days becoming hotter<br />
and longer, many people struggle with heat related<br />
fatigue, and sleep disturbances or fall sick. The problem<br />
with the Arrival Fallacy is that when we don’t achieve our<br />
goals, we beat ourselves up and end up with feelings of<br />
unhappiness and low self-worth. We label ourselves as<br />
‘failures’ or ‘losers’.<br />
So how do we establish a more healthy and productive<br />
relationship to happiness?<br />
1. Shift your Focus<br />
One way is to shift your focus – rather than focusing on<br />
the end outcome/goal, we focus on the process along the<br />
way. When we allow ourselves to think about the journey<br />
towards our goals, it helps shift your attention away from<br />
linking achievement to how you feel about yourself, and<br />
instead encourages you to think about what else you<br />
gain on the way. Below are some questions to help you<br />
think about the journey, rather than just the outcome:<br />
- How is this process benefiting me?<br />
- What am I gaining?<br />
- What makes me happy right now?<br />
2. Focus on the Now<br />
Gratitude: it may sound crazy but cultivating gratitude<br />
for the things that bring us joy and improve our wellbeing<br />
can increase our overall levels of happiness and feelings<br />
of worthiness. Not only does it make us realise what we<br />
already have in our lives, but it also challenges the Arrival<br />
Fallacy that we must achieve X goal to be worthy and<br />
worthwhile human beings. At the end of the day, you are<br />
enough as you are.<br />
3. Set More Goals<br />
According to experts in the field, creating more goals that<br />
are linked to different areas in our lives can help us shift<br />
our energy, attention, and focus in a more balanced way.<br />
As per Tal Ben-Shahar in the New York Times, “if you're<br />
consistently stretching yourself, even with accessible<br />
micro-goals, you'll be less likely to succumb to that empty<br />
but-what-do-I-do-now feeling”. Having many goals can<br />
encourage people to not over focus on one area of their<br />
lives at the expense of others, creating feelings of stress<br />
and emptiness.<br />
When you view your levels of happiness through a more<br />
holistic lens, you get closer to living a more satisfying and<br />
values-connected life.<br />
You deserve to enjoy where you are right now.<br />
Sidrah Khan<br />
MSWA Counsellor<br />
14 15
Nursing<br />
Continence matters:<br />
Part one<br />
Following on from our Hydration series, let’s now talk about<br />
continence and how much it matters to your wellbeing.<br />
What is incontinence?<br />
Incontinence is defined as the accidental or involuntary<br />
loss of urine and faeces and can range in severity from a<br />
small leak to total loss of bladder or bowel control.<br />
Incontinence isn’t life threatening, but it can have a huge<br />
impact on a person’s physical and mental health. In some<br />
cases, this can lead to additional issues such as low<br />
self-esteem, social isolation, anxiety, and depression.<br />
Common forms of urinary<br />
incontinence:<br />
Urge<br />
incontinence<br />
Stress<br />
incontinence<br />
Mixed<br />
incontinence<br />
Functional<br />
incontinence<br />
Nocturia<br />
Post<br />
micturition<br />
incontinence<br />
An involuntary loss of urine<br />
associated with a sudden and strong<br />
urgency to urinate.<br />
Leaking of small amounts of urine<br />
during activities such as coughing,<br />
sneezing, laughing, walking and lifting.<br />
A combination of both urge and<br />
stress incontinence.<br />
Also known as disability associated<br />
incontinence, which occurs when<br />
the person’s bladder and/or bowel is<br />
working normally but they are unable<br />
to access the toilet. This may be due<br />
to a physical or cognitive condition.<br />
When you have to wake up during the<br />
night to pass urine. It is a common<br />
problem that becomes more<br />
common as we get older.<br />
Known as micro-dribble, this can<br />
occur when men lose a small amount<br />
of urine after emptying their bladder.<br />
Neurological conditions affecting<br />
Urinary Incontinence<br />
• Multiple Sclerosis.<br />
• Parkinson’s disease.<br />
• Dementia<br />
• Cerebral vascular accidents<br />
• Cerebral palsy<br />
• Multiple system Atrophy<br />
• Stroke<br />
• Spina bifida<br />
Neurogenic bladder:<br />
What does it mean?<br />
Neurogenic bladder is the term for what happens when<br />
neurological (nervous system) conditions affect the<br />
way your bladder works. There are two major types of<br />
bladder control problems linked to neurogenic bladder.<br />
Depending on the nerves involved and the nature of<br />
the damage, your bladder becomes either overactive<br />
(spastic or hyper-reflexive) or underactive (flaccid or<br />
hypotonic).<br />
What are the symptoms of a<br />
Neurogenic bladder?<br />
The most common symptom of neurogenic bladder<br />
is being unable to control urination. Other neurogenic<br />
bladder symptoms include, a weak or dribbling urinary<br />
stream. frequent urination (urinating eight or more times<br />
daily), urgency (a feeling or need to urinate immediately),<br />
painful urination (which may mean there is a urinary tract<br />
infection), and urinary leakage.<br />
Neurogenic Bladder<br />
management and treatment<br />
Your care will depend on what is causing<br />
your symptoms and how serious they are.<br />
There’s no cure for neurogenic bladder,<br />
but you can manage and control your symptoms.<br />
If you have an overactive bladder, you may need to:<br />
• Train your bladder. You can do this by squeezing<br />
your pelvic floor muscles during the day or<br />
when you need to pee (Kegel exercises).<br />
• Hold it, if you can. Delayed voiding is when you wait<br />
a few minutes to urinate after you feel the urge. The<br />
goal is to extend this time to a few hours.<br />
• Go to the toilet at scheduled times throughout the<br />
day. You might avoid accidents if you urinate at<br />
certain times of the day.<br />
• Take medicine. Some medications can relax bladder<br />
muscles and stop spasms.<br />
• Keep a healthy weight. Extra body mass can add<br />
pressure to your bladder.<br />
• Change your diet. Things like caffeine, alcohol, spicy<br />
foods, dairy, artificial sweeteners, chocolate, and<br />
citrus fruit can irritate your system.<br />
• Use electrical stimulation. A device under your skin<br />
sends electricity to the nerve that controls your<br />
bladder. These painless pulses help stop overactive<br />
signals that tell your brain to pee.<br />
• Get Botox if needed. Your doctor can inject this<br />
neurotoxin into your bladder to temporarily stop it<br />
from contracting too much. If you have problems<br />
emptying your bladder or have urinary tract infections<br />
often, this treatment isn't an option.<br />
If you have an under active bladder, you may need to:<br />
• Schedule your bathroom visits. You might need to<br />
pee/urinate every 3 to 4 hours, even if you don’t feel<br />
the urge. After you urinate, wait a few minutes and try<br />
again.<br />
• Use a catheter. This long, thin tube helps drain your<br />
bladder. You may need to use it a few times a day. In<br />
some cases, it may need to stay in all the time.<br />
• Have surgery if needed. If other treatments fail, you<br />
could need a procedure or device to help you urinate.<br />
Where to find more information:<br />
Continence Foundation of Australia provides<br />
free, confidential information and advice<br />
about incontinence and can also direct you<br />
to local services.<br />
1800 33 00 66 (Monday – Friday, 8am to 8pm AEST)<br />
www.continence.org.au<br />
Neetu Kainth & Dee Lucey<br />
Continence Nurse Specialists<br />
16 17
Social Welfare<br />
Decision-making capacity<br />
Advance Health Directive<br />
Enduring Guardian with authority<br />
People make countless decisions every day. They<br />
can be deeply personal and are often informed by<br />
your values, your experiences and people closest to<br />
you. If you have the ability to make reasoned decisions<br />
for yourself about your personal, financial and legal<br />
matters, you are considered to have ‘legal capacity’.<br />
This is a complex legal concept that varies in<br />
different circumstances and can change over time.<br />
Adults are presumed to have full capacity unless<br />
shown otherwise.<br />
It can be scary to think about losing capacity and being in<br />
a position where you are unable to make or communicate<br />
decisions for yourself. If you or a loved one have a<br />
neurological condition that causes cognitive decline,<br />
you may have already considered or experienced this<br />
possibility. However, it is something that can happen<br />
suddenly and unexpectedly to anyone, regardless<br />
of disability. Although these discussions can be<br />
understandably difficult, talking about it can help prepare<br />
you for a future whereby a trusted individual can help<br />
make decisions for you.<br />
Figure 1. Summary of EPG and EPA key aspects<br />
Who can make it/be appointed?<br />
EPG<br />
EPGs & EPAs<br />
While you have full capacity, you can appoint your<br />
preferred substitute decision-makers and prepare legal<br />
documents that record your preferences for personal,<br />
financial and legal matters. These documents are<br />
known as an Enduring Power of Guardianship (EPG) and<br />
an Enduring Power of Attorney (EPA). They specify the<br />
decisions your substitute decision-maker can make and<br />
the circumstances in which they can act.<br />
The State Administrative Tribunal (SAT) also plays an<br />
important part in this process. Its role is to bring the EPA<br />
into effect where necessary by making a declaration that<br />
the donor does not have legal capacity. The SAT can also<br />
make orders revoking or varying the terms of an EPA,<br />
or recognising a power of attorney created in another<br />
jurisdiction as an EPA in WA.<br />
Once someone has lost their capacity to make decisions<br />
and can no longer create an EPA, the SAT can also hear<br />
an application for an administration order.<br />
Anyone 18+ with full legal capacity<br />
EPA<br />
Advance Health Directives<br />
An Advance Health Directive (AHD) is a legal document that<br />
records the treatment and care you consent to in specific<br />
circumstances. It will only be used by health professionals<br />
if you are seriously unwell or injured and are unable to make<br />
or communicate decisions about your care.<br />
Your AHD sits at the top of what is known as the “hierarchy<br />
of treatment decision-makers”. If you lose capacity but don’t<br />
have an AHD, or a situation arises that isn’t covered by your<br />
AHD, health professionals will go down the hierarchy to find<br />
the first available adult who is willing to make the treatment<br />
decision. If your preferred substitute decision-maker is<br />
further down the hierarchy, you may want to consider<br />
making an EPG and appointing them as your enduring<br />
guardian to make them the next point of contact.<br />
What next?<br />
Guardian with authority<br />
Spouse or de facto partner<br />
Adult child<br />
Parent<br />
Sibling<br />
Primary unpaid caregiver<br />
Other person with close personal<br />
relationship<br />
Figure 2. Hierarchy of Treatment Decision-Makers<br />
We know this topic can feel rightfully overwhelming, but speaking with your trusted family, friends and/or health<br />
professionals can help you gather your thoughts on making an AHD, EPG or EPA to ensure you choose your decisionmaker.<br />
Given their importance in communicating your life choices and preferences if you are ever unable to do so<br />
yourself, they require time and careful consideration to prepare. Please see below for details on the free advisory<br />
services and resources (including step-by-step guides and the relevant forms) available for anyone ready to start the<br />
process or wanting more information.<br />
Candice Preston<br />
Support Coordinator<br />
What types of decisions can<br />
the substitute decision-maker<br />
make?<br />
Personal, lifestyle, medical, and/or<br />
legal proceedings<br />
Financial and<br />
property matters<br />
Figure 3. Resources for making an AHD, EPG or EPA<br />
Online Resources<br />
Advisory Services<br />
When does it come into effect?<br />
Only when you lose legal capacity<br />
– can be temporary or situation/<br />
decision-specific<br />
Immediately OR when SAT<br />
determines you have lost legal<br />
capacity<br />
AHD<br />
https://www.healthywa.wa.gov.au/AdvanceHealthDirectives<br />
DOH WA Advance Care<br />
Planning Information Line<br />
Ph: (08) 9222 2300<br />
ACP@health.wa.gov.au<br />
How is capacity determined?<br />
GP or medical specialist capacity<br />
assessment OR a SAT hearing (if<br />
uncertain)<br />
Only through<br />
a SAT hearing<br />
EPG<br />
EPA<br />
www.wa.gov.au/organisation/department-of-justice/office-of-thepublic-advocate/enduring-power-of-guardianship<br />
www.wa.gov.au/service/justice/civil-law/enduring-power-of-attorney<br />
Office of the Public<br />
Advocate<br />
Ph: 1300 858 455<br />
opa@justice.wa.gov.au<br />
18 19
Introducing…<br />
Life not limits<br />
You’ve more than likely seen our Thrill Seeker Chris, or remember our Social Butterfly<br />
Susan, but we know everyone has a story to tell, so we want to hear yours!<br />
Jump online or scan the QR code to submit your Life not limits story for your<br />
chance to be featured in <strong>Bulletin</strong>, on our website, or maybe in our next ad.<br />
Name: Susan Finlay<br />
Identifier: Social Butterfly<br />
Living with Spinocerebellar Ataxia<br />
“I do Hydro on Mondays, I love the<br />
warm pool! I find it a bit easier than<br />
physio. I also do walking laps with my<br />
social support and my friends – we<br />
go to the local pool and do that too."<br />
Susan, known fondly as a<br />
social butterfly, finds her joy in<br />
connections, creativity and art.<br />
Visiting friends throughout the week,<br />
at the local pool, shopping centre or<br />
community programs.<br />
Name: Chris McEncroe<br />
Identifier: Thrill Seeker<br />
Living with Gullain-Barré Syndrome<br />
Chris, a self-proclaimed thrill seeker, found his passion<br />
for kart racing after being diagnosed with Guillain-Barré<br />
Syndrome, where nerve sheath loss overnight impacts<br />
the peripheral nervous system. He recalled waking up one<br />
morning, not being able to move.<br />
Chris modified his kart himself with some assistance from<br />
his carers to be hand controlled. "Funnily enough, karting<br />
has boosted my upper-body strength, serving as rehab and<br />
promoting mental wellbeing."<br />
20<br />
21
Client Contributions<br />
Letting my voice be heard<br />
MSWA Client Lyndal Hunt shares her personal framework which has helped<br />
her navigate a 28-year journey with MS.<br />
On a Stormy Sea<br />
When the waves of the sea became bigger<br />
And the wind started to blow at storm strength,<br />
The boat didn’t sail anymore<br />
And it rocked in the waves<br />
Bobbing up and down in the water….<br />
Gert Strydom, 2014<br />
At the age of 25, my diagnosis with multiple sclerosis (MS)<br />
in 1996 rocked me from my moorings. All that I had hoped<br />
for in my life had been dealt a cruel health blow. Since my<br />
diagnosis, I have experienced, and continue to experience,<br />
life in a way that I could not have imagined possible.<br />
V - Values and beliefs<br />
After receiving the diagnosis, I was confronted with<br />
not only my world having changed, but the image I had<br />
of myself had also been altered. I have learnt to take<br />
the time to reflect on who I am at my core, as reflection<br />
provides the opportunity to be mindful of my values. I<br />
believe values are simply a set of individual beliefs that<br />
motivate a person to act one way or another, guiding<br />
behaviour like an inner compass.<br />
Personally, I believe that MS is a disease of the body,<br />
that over the spirit it has neither jurisdiction nor rite of<br />
passage. I also believe that, just as it takes a crew to sail<br />
and maintain a vessel, it is important to have a circle of<br />
trusted carers and medical professionals and to know<br />
the different roles they each play. For me, travelling<br />
through life with a neurological condition has naturally<br />
meant my neurologist is a necessary part of my crew.<br />
Equally, I believe it is important to be prepared to let go of<br />
beliefs that no longer hold true and change my crew to<br />
meet my need accordingly.<br />
• What are my core values and beliefs?<br />
• How have/are my needs changed/changing?<br />
• What are the different services medical<br />
professionals provide?<br />
• Who do I need on my crew?<br />
Navigating my way through unchartered waters, as<br />
the captain of a questionable vessel travelling towards<br />
an unknown destination, my world had undeniably and<br />
irrevocably changed.<br />
My experiences have helped generate a simple<br />
framework, to help me hear the sound of my own voice<br />
when navigating through the systems and institutions that<br />
have become a part of my world. The V.O.I.C.E framework<br />
is a simple tool that continues to help me keep my journey<br />
with MS in perspective, while living a more present,<br />
integrated and satisfying life.<br />
O - Open minded. Observant. Objective.<br />
I have found it important to live in the present and be open<br />
minded and objective when it comes to my physical care.<br />
From personal experience, symptoms of neurological<br />
conditions can mirror other things, especially when being<br />
viewed from an "able bodied" perspective. It is important<br />
therefore to be open-minded, observant and objective<br />
(rather than close-minded, blinkered and subjective),<br />
asking questions both to reach and to understand any<br />
information received (neurological sensations, physical<br />
symptoms, diagnoses) and guidance given.<br />
It was through this mindset that I became aware<br />
of the specifics of my changing needs and change<br />
my crew accordingly. Members of my current crew<br />
include my primary carer (daily ongoing care and<br />
support), GP (scripts and referrals), medical specialists<br />
(neurologist, PMC – Baclofen pump maintenance); MSWA<br />
(physiotherapy, nurses – SPC changes, counselling),<br />
and government (TUSS, pension, NDIS). Once again,<br />
by remaining open minded, observant, and objective,<br />
I was able to make pragmatic decisions when<br />
outsourcing different activities to compensate for<br />
your physical limitations.<br />
• Am I being realistic or am I seeing things from an<br />
"able-bodied" perspective?<br />
• Am I willing to listen to and to hear other people,<br />
consider new ideas, suggestions, and opinions?<br />
• Am I speaking with and listening to the right people?<br />
I – Integration<br />
From personal experience, this has been both the most<br />
important and challenging stage to accommodate.<br />
Multiple sclerosis is an intensely private disease. The<br />
precise impact it will have on your life journey is as<br />
unique as you are. Integration is therefore an important<br />
port to dock at for reflection.<br />
Reviewing my journey so far, paying particular attention<br />
to any changes to my sense of self, my motivations and<br />
decisions brought about through being open minded,<br />
observant and objective. I reflect on my experiences and<br />
learn from any lessons. Giving myself permission to be<br />
sick, to have special needs, to require, request, receive,<br />
and accept help. Integration is about living in the present,<br />
enjoying the treasure in the journey over simply reaching<br />
any destination. It is forever a dynamic process, changing<br />
and evolving over time.<br />
• I am mindful of what informs my inner narrative<br />
(as this is the inner compass).<br />
• The core of who I am and how I see the world and<br />
my place in it may need recalibrating. For example,<br />
what no longer fits? Which beliefs no longer hold<br />
true to me?<br />
C – Context<br />
Over time, I have discovered it is important to know<br />
and understand where I am in the expanse of services.<br />
Take a proactive interest in what a specific service<br />
has established and can provide. Multiple sclerosis is<br />
a multifaceted disease which requires support across<br />
many disciplines. When the only tool you have is a<br />
hammer, every problem can look like a nail. For me it<br />
was important that I seek information from more than<br />
one source and to be curious. A good starting point for<br />
neurological conditions can be MSWA.<br />
• Do I know who is on my support radar and why?<br />
• Do I know exactly what specific services are<br />
available and what they offer?<br />
• Be prepared to ask questions to understand how<br />
the services best fit my needs.<br />
E – Encounter<br />
The great thing about any relationship is that it is only<br />
actually alive in the encounter. This is no different when<br />
travelling with MS, through the systems and institutions<br />
that are now a part of your world. I have personally<br />
found some of these encounters to be quite confronting,<br />
especially when receiving information from different<br />
professionals and service providers. I have found that<br />
whatever part is played in the relationship, it’s important<br />
that both parties are speaking the same language and<br />
that you both feel understood. For me it was important to<br />
assess that we were both navigating towards the same<br />
destination, so find a crew that is, then set sail. It’s okay to<br />
take time, look around and find the right people.<br />
• What institutions exist and want to support me?<br />
• Who do/don't I trust and why?<br />
• Who can I comfortably work with?<br />
• Be prepared to engage<br />
As my MS journey progressed, the validity of my personal<br />
reality within the systems and institutions that are now<br />
part of my world were tested due to various reasons.<br />
The V.O.I.C.E framework helps guide me to keep my<br />
journey with MS in perspective, so I don’t lose sight of<br />
myself in the process. I developed the framework to<br />
empower myself, as a unique individual, to serve as a<br />
reminder that I do indeed have a voice.<br />
It is important not to think about myself in terms of what I<br />
have lost, rather – I am the person I am today because of<br />
the journey I am travelling. In finding my VOICE, it brought<br />
me peace and strength. The winds will always blow, and<br />
the waves crash but there will always be a way forward in<br />
the present, living an integrated and satisfying life.<br />
I let my V.O.I.C.E be heard.<br />
Lyndal Hunt<br />
MSWA Client<br />
22 23
Client Contributions<br />
The Survivors’ Coffee Group<br />
“You are just allowed<br />
to be in your moment,<br />
for as long as you need<br />
and know that you are<br />
supported.”<br />
We catch up regularly in our<br />
favourite café in Joondalup. Well,<br />
not regularly as in weekly but, you<br />
know, every few months or so<br />
when we felt we had something to<br />
talk about. There are four of us: we<br />
call ourselves survivors, because<br />
each one of us had battled several<br />
illnesses but what we have in<br />
common is multiple sclerosis (MS).<br />
We initially met at an MS exercise<br />
group which eventually folded but<br />
we had so much in common by that<br />
time and knew so much about what<br />
each other was going through, that<br />
we wanted to keep meeting.<br />
I’m one of the four, Rosy – and<br />
there’s Hillary, Jane, and Lynette.<br />
We’re all a similar age, in our sixties,<br />
and we swap stories of what we’ve<br />
been through and what we’re going<br />
through. Nothing very exciting really<br />
because we’re not ageing all that<br />
well, so no fun stuff for us, but we all<br />
have our memories of things that<br />
we’ve done, and love to share them<br />
(sometimes repeatedly) and all have<br />
a good laugh.<br />
I think the best thing about this<br />
group is the way we cling to each<br />
other when we meet and when we<br />
say our goodbyes.<br />
These hugs are just amazing and so<br />
affirming. They make you feel like you<br />
really belong, which is something<br />
MS does not normally do. People are<br />
frightened when they hear you have<br />
it and they don’t know what to say or<br />
what to ask, especially families, so<br />
there’s not much discussion when<br />
others are trying to brush it away.<br />
But this group is amazing. No one<br />
fears asking the tough questions or<br />
to see you cry when you are at your<br />
lowest. We’ve all been there and its<br />
comforting to know that no one is<br />
going to try to step in and solve it for<br />
you as some family members might<br />
try to do. You are just allowed to be<br />
in your moment, for as long as you<br />
need and know that you<br />
are supported.<br />
Our conversations are varied and<br />
many, and always include lots of<br />
laughter. We talk about which movies<br />
we’ve seen, where we’ve been and<br />
how we are.<br />
Conversations about movies are<br />
hilarious and often can go like this -<br />
“You know that movie? With that<br />
gorgeous blond guy and with that<br />
girl – you know, the funny one!”<br />
So, we check Google, and we say –<br />
“Where did you go to see it? What<br />
day was it on? Was it this? Was it<br />
that? Ahh yes THAT movie!”<br />
This sort of conversation, which<br />
might seem crazy to anyone else, is<br />
normal for us and has us in stitches<br />
because we all do it!<br />
Many of us have battled for years<br />
with unknown and undiagnosed<br />
symptoms. Take me for example.<br />
I was in and out of hospital for<br />
nearly twenty years with a variety of<br />
illnesses such as a perceived stroke,<br />
labyrinthitis, muscle spasms, etc.<br />
In 2010 I was told I had had a minor<br />
stroke. At that time my kids were<br />
concerned they did not know enough<br />
about my doctors, my illnesses, my<br />
scripts etc. that they asked me to<br />
note it all down so they would be able<br />
to provide information to doctors<br />
when I couldn’t. In 2018 I had optic<br />
neuritis and on examination, MRIs<br />
etc, I was told that I had MS and,<br />
because I had noted down all that I<br />
had gone through (thanks kids), the<br />
neurologist was able to say I had had<br />
it for years.<br />
MS is such a misunderstood<br />
disease and often comes with<br />
other autoimmune diseases. I have<br />
several other autoimmune issues,<br />
and so do my friends. It’s so hard<br />
trying to determine which disease is<br />
causing what. And it’s startling that<br />
several of my MS friends have had<br />
breast cancer. Not saying that it’s<br />
caused by MS or has anything to do<br />
with it, but how unlucky is that?<br />
Back to our survivors’ coffee group<br />
– we all treat ourselves to a muffin or<br />
a slice, and, no, we don’t feel guilty.<br />
Where once upon a time we would<br />
be watching our weight, we now<br />
acknowledge that life is for living and<br />
enjoying, though we do (sometimes)<br />
admit to extra exercise during the<br />
week…when we can.<br />
Exercise is such a strange thing<br />
when you have MS. You know that<br />
it will help ease the stress on your<br />
muscles, but you get so utterly<br />
tired. It is called fatigue, and oh my<br />
gosh, is it debilitating. I don’t think I<br />
ever really understood what fatigue<br />
was before, but I do now. It grabs<br />
your muscles and your brain and<br />
turns everything inside out and still<br />
expects you to perform your normal<br />
duties – but you can’t. Brain fog takes<br />
over and if you thought you knew<br />
what you were doing you are proved<br />
wrong, in many (often embarrassing)<br />
ways and on many occasions.<br />
But you need to provide a normal<br />
presentation. After all, you don’t want<br />
people to pity you or to ask you too<br />
many questions. Why should you<br />
have to continually validate yourself<br />
to others? I was once told to ‘mix<br />
more water with it’ because I tripped.<br />
And yes, I had a drink in my hand<br />
but I hadn’t touched it yet, so I was a<br />
tad offended, especially as it was a<br />
friend of my daughter who I thought<br />
knew what I was going through. But I<br />
think many MS people face that kind<br />
of criticism. Apparently, we have a<br />
walk which from behind looks like we<br />
are drunk (I’ll drink to that!).<br />
I often hold onto walls and sway<br />
around because my balance is out<br />
or because I am feeling unsteady on<br />
my feet. But why do people have to<br />
judge,<br />
and why do you feel you have to<br />
explain yourself?<br />
Our survivors’ coffee group allows<br />
us to be normal. It enables us to<br />
be strong and to assert ourselves<br />
when necessary because, together,<br />
we are a force to behold. We love<br />
life, we love each other, and we love<br />
surviving in our own individual ways.<br />
Rhonda Adamsam<br />
MSWA Client<br />
(Names of people have been<br />
changed in this story)<br />
<strong>24</strong> 25
Our People<br />
A multifaceted experience<br />
of multiple sclerosis<br />
MSWA Client Kim Koeman recently sat down with us to<br />
share her diagnosis journey, unfortunate predicaments<br />
she has experienced and her inspiring outlook on life.<br />
Read on to find out how the right employment support<br />
and a zest for life continues to make this incredible<br />
woman excited for the future against all the odds.<br />
“Leigh was just an absolute wealth of knowledge and<br />
took the time to explain the NDIS process and organise<br />
appropriate work support through them for me,” she said.<br />
“Following my diagnosis, my brain was not in a good<br />
space, and I didn’t understand any of it.<br />
For a prolonged period of time, Kim had several<br />
symptoms that appeared in her daily life. She was<br />
affected by narcolepsy where she would just suddenly<br />
fall asleep, had irritable pins and needles, and couldn’t<br />
stand the heat. She would fall and trip over nothing, had<br />
terrible memory and sadly, constant pain.<br />
“I was so lost; Leigh just dove in, saw right through me,<br />
patiently took a bit of control for me and helped me<br />
navigate everything top to bottom.”<br />
Kim’s major symptoms saw her strength and balance<br />
plummet, her eyesight deteriorate and a strong aversion<br />
to heat was developed.<br />
Multiple doctors brushed it off and explained it away as<br />
mental health issues, laziness or some sort of ploy she<br />
was pulling to attempt ceasing work. Ironically, work has<br />
always been a major motivator for Kim.<br />
“Unfortunately, getting this kind of response from<br />
medical professionals is a normal experience for a lot of<br />
us,” she said.<br />
“I was working for quite a while through all these<br />
symptoms, not knowing what was really happening to me<br />
and not getting the right support I needed.<br />
“Suddenly, major symptoms occurred over a week, and I<br />
had to undergo an MRI which led to my multiple sclerosis<br />
diagnosis in 2019.<br />
“I felt quite vindicated when I was finally diagnosed. Along<br />
with the MS diagnosis, I was also diagnosed with ADHD<br />
and functional neurological disorder (FND).”<br />
After her long-awaited diagnosis, Kim joined MS support<br />
groups on Facebook where one of the members<br />
mentioned and recommended MSWA’s Employment<br />
Support Services (ESS) Manager Leigh McCaffrey and<br />
how his team could offer great support integrated with<br />
work.<br />
Kim decided to heed this advice and proceeded to<br />
contact Leigh which subsequently opened up multiple<br />
support avenues for her.<br />
“Suddenly, it felt like everything was collapsing. I wanted<br />
to continue working for Chorus, but I couldn’t be out on<br />
the road or in people’s homes anymore with the heat<br />
and I couldn’t do personal care anymore with the loss of<br />
strength,” she said.<br />
Fortunately for Kim, both community service provider<br />
Chorus and MSWA’s ESS team jumped in to help her<br />
transition to an office-based role.<br />
Describing her employer’s and Leigh’s support as<br />
hugely compassionate, Kim leaned into the new role<br />
and became an active participant in the office. She was<br />
also soon able to partly work from home with the right<br />
supports provided by the ESS team through the NDIS.<br />
“Honestly, if I hadn’t met Leigh and received the support<br />
from the ESS team, I don’t know what I would have done.<br />
They have been integral in ensuring I can continue<br />
to do what I enjoy while appropriately managing my<br />
conditions,” Kim said.<br />
While she received effective support from MSWA and<br />
her employer, Kim unfortunately experienced challenging<br />
predicaments while going about her daily life.<br />
In one instance while at a major Perth event, she went past<br />
a long line-up in the restroom to use the disabled facility. A<br />
young staff member then proceeded to call her out publicly<br />
as someone who did not need to use the accessible toilet.<br />
Understandably frustrated but still patient, Kim responded<br />
to the staff member that disability was multifaceted and<br />
did not only look like a person in a wheelchair.<br />
“Strangers that barely know me are the ones who’ll come<br />
up and question me about why I’m there or what I’m doing<br />
as if I need to justify myself to them,” Kim said.<br />
“My only message to these people is – you don’t always<br />
know what someone’s going through.<br />
“Disability doesn’t always show itself. It’s not always<br />
presented with someone in a wheelchair. It could<br />
look like a smile on someone’s face. It could look like<br />
a well-dressed human being, someone going to work<br />
or looking after their children or going to school.<br />
It could be hidden, and you’d have no idea.”<br />
With a strong belief that people should assume the best<br />
about others not the worst, Kim also had some words of<br />
wisdom to share about keeping spirits up while managing<br />
a disability.<br />
“After I was diagnosed, I started reading theories –<br />
people say go on this diet, read this book, do this, don’t do<br />
that,” she said.<br />
“But honestly, the best thing is to keep active and<br />
continue to have a purpose in your life and a sense of<br />
self-worth, whether it’s through work or volunteering.<br />
“Having a connection with other people in the community<br />
gives you a profound sense of purpose, and when you’re<br />
focused on giving back to someone else, you have less<br />
anger and negative energy to spend on yourself and your<br />
condition.<br />
“Of course, I understand the fatigue that comes with<br />
keeping busy, but when you’re doing something for<br />
someone, it takes that self-ruination and transforms it<br />
into the joy of giving to others. That's how I feel about<br />
working.<br />
“Whatever it is, I still have gratitude. It could have been so<br />
much worse. I don’t sit around and be miserable, I grasp<br />
life. I still want to work and travel and have many plans for<br />
my future.”<br />
Thank you for sharing your story with us, Kim.<br />
You are an inspiration!<br />
26 27
Client Our People Contributions<br />
“Love conquers all”<br />
The remarkable<br />
story of John and<br />
Pauline Campbell.<br />
For most, one diagnosis in a lifetime can,<br />
understandably, be more than enough for a<br />
person to handle.<br />
But for the remarkable 84-year-old Pauline, two powerful<br />
forces have helped her to take on multiple sclerosis, a<br />
stroke and breast cancer in her stride: faith and love.<br />
It was 1985 when Pauline first noticed symptoms, working<br />
as a sister across surgeries in Applecross and Yangebup.<br />
“I didn’t realise what was wrong, because I wasn’t walking<br />
straight,” Pauline said.<br />
Multiple tests and five years on, Pauline originally<br />
received an incorrect diagnosis of motor neurone<br />
disease. After a second opinion, it was determined<br />
Pauline had MS.<br />
“Now I’m left with weakness in my right leg, and I don’t feel<br />
that good in my right arm. Nothing terrible, I can stand up,<br />
but I don’t have any balance whatsoever,” Pauline said.<br />
“It hasn’t affected me terribly; I can do most things. I<br />
can empty the washing machine and put it in the dryer. I<br />
shouldn’t, but I can – you find ways around to do things.<br />
“But I have strong faith, and it’s been very helpful for me<br />
on my journey.”<br />
Her husband of 32 years, John, is also a huge pillar of<br />
support in her life. He credits his 20-year career as a<br />
chef in the Navy as the perfect training to take good care<br />
of Pauline.<br />
“He’s a wonderful man, he does everything I can’t do,”<br />
Pauline said. “When we got married, he knew I had MS<br />
but despite that, he married me.”<br />
“Love conquers all,” John professed.<br />
Their love story is quite the tale, with John having<br />
answered Pauline’s personal ad in the local newspaper<br />
in 1985.<br />
“Pauline had written ‘lonely nurse seeking tall, dark<br />
handsome guy’ so I wrote back and was one of 70 other<br />
replies,” John remembers. “I thankfully made it into a little<br />
group of positives in Pauline’s list.”<br />
Pauline took the opportunity of her youngest of three<br />
daughters being away on school camp to meet her top<br />
four bachelors.<br />
“I met a guy on Saturday afternoon, but I didn’t like him at<br />
all. All he talked about was himself!” Pauline recalls.<br />
“On Saturday night, I arranged to meet a gentleman and<br />
he had a carnation in his lapel. We were supposed to<br />
meet in Hay St mall, and when I got there, I saw this little<br />
old grey headed man and I thought ‘oh he’s too old for<br />
me!’ So, I turned around and went home. I felt awful, but I<br />
did it anyway.<br />
“On Sunday, I met this other man. He was a nice man<br />
actually; he was a saxophonist.<br />
“But on Sunday night, I met John and I liked him. We<br />
walked all around Fremantle looking for a coffee shop<br />
and nothing was open! I had mentioned that I went<br />
dancing, and where I used to go to dance, and he picked<br />
up on it and was waiting for me there when I got there!<br />
“And from then on... the rest is history.”<br />
“Now we’ve been married 32 years,” John said proudly.<br />
A survivor in every sense of the word, Pauline hasn’t let<br />
her health battles stop her from travelling the world with<br />
John by her side.<br />
“Three years ago, Pauline was 80 and she had never seen<br />
the Great Barrier Reef,” John explained.<br />
“It was fantastic how people helped Pauline in the<br />
wheelchair while we were there. This young man took<br />
charge of Pauline and said ‘leave it all up to me’.<br />
“We’ve actually been in a couple cruises, all in the<br />
wheelchair, they are very good and accessible.”<br />
As well as far north Queensland, the couple have<br />
travelled to Penang and New Zealand – where a threeweek<br />
holiday doubled to six thanks to a lucky windfall.<br />
“Typical Pauline said ‘I think I’ll go get some AMP shares’,”<br />
John said.<br />
“She ended up with about a thousand, from a<br />
hundred in, so we decided to extend our holiday to<br />
six weeks!”<br />
While they have been doing less travel recently as<br />
Pauline’s specialist “five-star” equipment is more<br />
difficult to bring with them, the couple enjoy their<br />
quiet life in the beautiful coastal town of Busselton<br />
and have even picked up some new hobbies.<br />
“We go twice a week for art classes. I never knew I<br />
could draw,” Pauline said.<br />
“She only started that at 80, but you never know your<br />
hidden talents!” John chimed in proudly. “I started playing<br />
the ukulele at 80.”<br />
When we met with Pauline and John, the couple were<br />
excited to be receiving a new electric wheelchair through<br />
Pauline’s HCP plan. By complete coincidence, the couple<br />
received the exciting news that it was on-board for delivery –<br />
after months of waiting – just as our interview wrapped up.<br />
“She’s resisted getting into a wheelchair all this time, because<br />
she wanted to get exercise,” John explained.<br />
“But now she’s 83, let’s face it she needs it. But she will still do<br />
her upper body exercises and we are really looking forward to it.<br />
“The MSWA Occupational Therapist came in to help teach us<br />
how to transition from a wheelchair to the shower or the bed<br />
and she did all that fantastically.”<br />
Having been put through so many challenges throughout her<br />
life, we asked Pauline what her advice would be for others to<br />
remain as positive and active as she is.<br />
“My advice to others with MS – keep up a good diet. Don’t eat<br />
anything you don’t need,” she said wisely. “I don’t each much sugar,<br />
and I eat all the right foods. Fruit and vegetables. Not much meat.”<br />
“But I also have a strong will and determination.”<br />
Of course, John backs her up in this self-assessment; “yes, she has a<br />
very strong, dogged personality,” he beams.<br />
28 29
Dietetics<br />
Social Connections<br />
Egg-cellent choices for a<br />
healthier Easter<br />
Everything Outreach!<br />
With Easter upon us, it's time to embrace the festivities while keeping our wellbeing in mind.<br />
Here are some evidence-based tips from a Dietitian for a healthful and joyful Easter:<br />
Balancing Easter treats.<br />
Let's be real – Easter without a bit of<br />
chocolate or treats is like a beach<br />
day without sunshine, it's a bit dull. It's<br />
absolutely fine to embrace the joy of<br />
Easter treats in moderation, especially<br />
when opting for quality dark chocolate. Dark chocolate<br />
not only satisfies your sweet tooth but also brings<br />
along antioxidants with potential heart-healthy benefits.<br />
Consider individually wrapped chocolates for better<br />
portion control and designate a specific time of day for<br />
your chocolate fix, like in the afternoon or after dinner.<br />
Protein power.<br />
Foods rich in protein help us feel satisfied<br />
and fuller for longer, while also supporting<br />
our muscle, nerve & immune function.<br />
Take eggs, for instance – they are a<br />
nutrition powerhouse and a fantastic<br />
protein source, while being versatile and easy to prepare.<br />
Whether you choose boiled eggs, frittatas, or tasty<br />
omelettes, you're not only treating your taste buds<br />
but also providing your body with essential nutrients.<br />
Additionally, diversifying your protein sources can be<br />
beneficial. Including meat-free options like seafood, eggs,<br />
nuts, seeds, and plant-based proteins such as legumes<br />
(chickpeas, beans, and lentils) ensures a well-rounded<br />
diet, promoting overall health and wellbeing.<br />
Nutrient-rich Easter meals.<br />
Our Aussie autumn offers a vibrant array<br />
of fresh produce. Load up on colourful<br />
fruits and veggies – these nutrient-dense<br />
foods not only contribute to overall health,<br />
supporting muscle and nerve function,<br />
but also add a burst of flavour to your<br />
Easter spread.<br />
Stay hydrated.<br />
With the warm autumn weather in<br />
Australia, staying hydrated is crucial and<br />
can help with managing fatigue. Opt for<br />
water as your primary beverage and<br />
limit sugary drinks and alcohol. If you're<br />
feeling fancy, herbal teas are a delightful and hydrating<br />
choice too. Try carrying a reusable water bottle with you<br />
throughout the day to make it easy to stay hydrated; add<br />
lemon, cucumber, or mint to your water for a refreshing<br />
twist or set reminders on your phone to take regular sips.<br />
Mindful eating magic.<br />
Practice mindfulness during meals by<br />
savouring each bite, paying attention<br />
to hunger and fullness cues. Avoid<br />
distractions such as screens and engage<br />
in meaningful conversations with loved ones.<br />
Mindful eating fosters a better connection<br />
with your body and promotes satisfaction.<br />
Active Easter celebrations.<br />
Include physical activity in your Easter<br />
celebrations. Plan activities that suit your<br />
abilities and preferences, whether it's a<br />
gentle walk, seated exercises, or enjoying<br />
some outdoor games – staying active is a<br />
fun way to bond and support your wellbeing.<br />
As you gear up for Easter, remember it's about<br />
relishing good food, good company, and good vibes.<br />
Treat yourself, stay active, and make choices that<br />
make you feel your best.<br />
Mineh Burn<br />
MSWA Dietitian<br />
Wheelchair Day at Beechboro<br />
Wheelchair Day at Beechboro was a blast! We honored International<br />
Wheelchair Day with some seriously competitive (yet super friendly)<br />
seated sport tournaments at Outreach Beechboro. Stuart nailed our<br />
version of Beer Pong (minus the beer, of course!) after a few practice<br />
shots, taking the lead. Meanwhile, Tyrone and Miles were in a tight race<br />
playing knock-the-bucket-off-its-perch, and Andrew and John showed off<br />
their bean bag splash game skills! Round two next month? Bring it on!<br />
Wilson Valentine’s Day<br />
sweeter than chocolate<br />
Our Outreach attendees had a<br />
blast making Valentine's sweets,<br />
but let's be real, most of them<br />
didn't make it to their intended<br />
recipients. Who can resist a<br />
delicious treat made with love?<br />
DIY Skills<br />
Sugar and spice and all things<br />
nice! Outreach Rockingham were<br />
treated to a wonderful incursion<br />
by Bunnings Rockingham, where<br />
Clients used their DIY skills to<br />
make spice racks. Next week<br />
we are going to enjoy using our<br />
creative skills to decorate them!<br />
Wilson OpShop Café<br />
Wilson OpShop Café kicked off the year with<br />
a bang! Huge thanks to the kitchen dynamos<br />
Justine Webb and Swee-Chin Chu, who whipped<br />
up a storm (and cream) to go with some yummy<br />
scones. Come hang out with us and taste the<br />
magic yourself!<br />
Drop us an email at outreach@mswa.org.au to<br />
find out when our café is open for business.<br />
Happy 70th Sally!<br />
For the past 16 amazing years,<br />
Sally and her husband Bryan have<br />
graced our doors, and Sally's<br />
positive spirit, warm smile, and<br />
kind heart have touched the<br />
Rockingham Outreach team.<br />
Sending warmest wishes to Sally<br />
for a wonderful birthday!<br />
30 31
Social Connections<br />
Accommodation adventures<br />
Farewell, Bruce!<br />
After 10 dedicated years, Care Support Worker Bruce<br />
Hale is headed for retirement and will be truly missed by<br />
the residents of Hamilton Hill.<br />
In 2023, Bruce was nominated by staff and Clients at the<br />
National Disability Services Awards for Excellence in<br />
Disability Support Work. You can read all about it on page<br />
20 of our last edition of <strong>Bulletin</strong>.<br />
Thank you for your amazing work Bruce, you will be truly<br />
missed.<br />
Sunshine and smiles<br />
Fern River Postie<br />
“Fantastic, I have always wanted to be a postie!” Jenny exclaimed when asked<br />
about becoming the Fern River postie.<br />
Jenny is a Fern River resident who loves spending time with people, doing<br />
something that has meaning and sharing her infectious smile. Daily, Jenny<br />
with the assistance from staff, collects her postie basket and name tag,<br />
collects the mail from the mailboxes and cheerfully delivers it to every unit.<br />
Residents enjoy their daily catch ups with Jenny and are thankful for the visitor.<br />
By creating purpose, Jenny now wakes up knowing she has a responsibility to<br />
do every day and feels that she is contributing to the Fern River community.<br />
We love your work Jenny!<br />
Margaret Doody’s brand-new look!<br />
Clients have been amazed by the summer<br />
transformation of Margaret Doody House, which now<br />
boasts a modern kitchen and refreshed landscaping<br />
throughout.<br />
Respite Manager Nelly Higginson said the changes<br />
made it so much easier for staff and Clients to access<br />
and enjoy – and was good to look at too!<br />
“It all looks so much more modern and every Client who<br />
has visited since we re-opened has loved it – there have<br />
been so many positive comments,” she said.<br />
“The Facilities Team has done a great job as usual; they<br />
even picked the most amazing splash back which we all<br />
love!<br />
“But not only have we had the kitchen done, we’ve also<br />
been working on the courtyard with some replanting, with<br />
the aim of creating a nicer environment for Clients to go<br />
out and enjoy – somewhere that looks lovely and relaxing,<br />
but also smells wonderful.”<br />
The entrance wasn’t forgotten in the upgrades, sowing<br />
the seeds for big future plans.<br />
“The idea is that when you come in in a year or so, visitors<br />
will come in through a hedged driveway to provide a<br />
grand entrance for our visitors,” she said.<br />
These are the latest in a string of refurbishments, which<br />
started with a flooring upgrade two years ago and<br />
continued with a laundry and bathroom refresh last year.<br />
“We had a lady who hadn’t visited in 12 months, and she<br />
was just blown away when she came in,” Nelly said.<br />
“Everything we do is to ensure the Client experience at<br />
respite leaves them feeling really good about their stay<br />
– it is so important to all of us and is what we strive to<br />
achieve.<br />
“It’s an amazing energy in the house, with everyone<br />
making connections and new friends. Every day there is<br />
laughing and joking, and when they leave they exchange<br />
numbers to stay in touch.<br />
“For me, this is why I do what I do.”<br />
Fern River residents are now embracing the opportunity to get some<br />
sunshine on their skin and socialise with other residents. With the support<br />
of some occasionally loud music and a whole lot of singing and dancing, the<br />
once quiet afternoons are now filled with laughter and engagement. At Fern<br />
River we are lucky enough to have easy access to the walking paths along the<br />
Canning River giving beautiful scenery and access to nature and wildlife. If<br />
this sounds like a lifestyle you would enjoy, we have room for one more! Get in<br />
touch with your Client Liaison Coordinator or email fernriver@mswa.org.au to<br />
enquire about our Fern River High-Support Accommodation.<br />
Jacqui Sheveleff<br />
Supported Accommodation Coordinator<br />
Are you interested in MSWA’s Accommodation or Respite services?<br />
We would love to hear from you!<br />
We regularly host tours of our facilities and would love to show you the amazing amenities we have to offer.<br />
Please get in touch with our teams through the details below:<br />
Accommodation: customerservice@mswa.org.au<br />
Treendale Respite: treendale@mswa.org.au<br />
Margaret Doody House (City Beach): nelly.higginson@mswa.org.au<br />
Call us on 9365 4888 and book a pre-visit to look around and ask any questions you may have.<br />
From there, a booking can be made, and funding secured. If you are a current MSWA Client and have<br />
a Client Liaison Coordinator, ask them about accessing respite.<br />
32 33
Events<br />
Our People<br />
Creating a connection point<br />
MSWA art exhibition 20<strong>24</strong><br />
Celebrating our<br />
Difference Makers<br />
West Australian artists living with neurological<br />
conditions showcased their talents to thousands of<br />
admirers as part of MSWA’s inaugural art exhibition.<br />
Hosted in the Mega Home Lottery Grand Prize Home<br />
located in Marmion, the exhibition featured 25 pieces<br />
produced by 22 artists in February and March, with<br />
visitors in awe of the quality and diversity of the work.<br />
Mixed media artist Hank Gidney, whose career has<br />
spanned 35 years as a commercial artist, designer and<br />
art director, is showing his work We got here, where is<br />
here? as part of the exhibition, a piece which tells the<br />
tales of two unique journeys.<br />
“The subject is a friend of mine, who is an indigenous<br />
artist in his own right. I came to this idea because I had<br />
also been relatively recently diagnosed with MS, and he<br />
had his own journey at that same time,” Hank said.<br />
“So, I combined both elements into one narrative. It’s mixed<br />
media because it’s a piece of photography, but it’s also<br />
about art – illustration and painting – that was created as a<br />
separate element and printed, so the two became synced.”<br />
Hank was “humbled” to know his art would be seen by so<br />
many people, and that featuring the artworks in the Mega<br />
Home Lottery house were a great way to “connect the dots”.<br />
“Sometimes we are defined or bookended by our<br />
condition, sometimes that’s a visible thing and<br />
sometimes not so," he said.<br />
“But actually, this exhibition says something very<br />
different. It says ‘actually, we are not’ we have these<br />
avenues to express ourselves away from our condition,<br />
even though it may describe our journey. I think it is really<br />
valid and special.”<br />
Malcolm Hicks travelled all the way from Bunbury for the<br />
exhibition opening which features his work Combination<br />
of Dreams which depicts a fictitious northwest WA scene,<br />
borne of his own vivid imaginings.<br />
Unlike Hank, Malcolm is a relative newcomer to the art<br />
scene, who began honing his skills after his motor neurone<br />
disease diagnosis in 2012.<br />
Hank Gidney with his artwork.<br />
“I found myself at home a bit more and took up painting<br />
then,” he explained.<br />
“When I first started, my brother gave me a picture and<br />
said, ‘I don’t want a copy of a picture, I’ve already got the<br />
photo, I want your impression of it’.<br />
“So, you can’t go wrong when it’s your impression!”<br />
Malcolm welcomed the opportunity to publicly show<br />
his work, but also to have the chance to see the huge<br />
variation in work on display from other artists.<br />
Following rave reviews from visitors, the exhibition will<br />
travel to MSWA Wilson Outreach where it can be viewed<br />
from May 6 – 21, 8.30am – 5pm.<br />
Votes have been flooding in for the People’s Choice<br />
Award, which is set to close at 11.59pm on Friday 17 May –<br />
so make sure your vote counts!<br />
The winner will be announced at the People’s Choice<br />
Award ceremony on Tuesday, 21 May at Wilson Outreach,<br />
where the exhibition closing will be<br />
celebrated with a morning tea.<br />
To secure your place, scan the<br />
QR code.<br />
We were again blown away by the<br />
outpouring of support from Clients in<br />
nominating their MSWA Difference<br />
Maker of the Year for 2023!<br />
It was another difficult decision,<br />
with Support Coordinator Talisha<br />
Gismondi and Occupational Therapist<br />
Sam Warne named as deserving<br />
finalists in this important category,<br />
with Exercise Physiologist Oliver<br />
Guttinger announced as our winner.<br />
Oliver said receiving the recognition<br />
had left him in disbelief.<br />
“Especially because it was from<br />
the Clients, it’s very humbling to be<br />
recognised by them and to receive<br />
such an honour as this,” Oliver said.<br />
Oliver credits his 13 years working<br />
for MSWA to his amazing team, and<br />
of course the Clients he works with.<br />
“The Clients are an inspiration to<br />
me,” he said.<br />
“It's nice to be able to spend that time<br />
week after week with people, develop<br />
a deeper connection and see them<br />
progressing through their lives and<br />
sharing that journey with them.<br />
“But I've also got to say that we've<br />
got such an excellent team, both<br />
in the in the Beechboro facility and<br />
at Butler.<br />
“Everyone's well respected, we learn<br />
from and are supportive of one<br />
another – that really, really makes a<br />
difference when you can come into<br />
work to know that everyone's got<br />
your back and pitch in when you need<br />
it. It makes a massive difference.”<br />
He extended his thanks to the<br />
Clients who nominated him and<br />
looked forward to “continuing to<br />
move onwards and upwards with<br />
smiles on our faces”.<br />
Congrats Oliver!<br />
Here is what our Clients had to say:<br />
“Ollie is brilliant in what he does, I always feel better after my sessions<br />
with him, he really understands neuro conditions, and has patience,<br />
empathy and respect, he is a huge asset to MSWA.”<br />
“Ollie's patience and guidance in delivering both group and<br />
personalised exercise programs ... has given me confidence in<br />
understanding how to work through the challenges that MS presents<br />
and achieve the best results possible from my mind and body.”<br />
“Each week Ollie takes great care to ensure our comfort and<br />
wellbeing as we progress through his exercise routine, with laughter,<br />
endless encouragement and ending always with a sense of physical<br />
accomplishment and well-being.”<br />
You can check out all<br />
of our winners for 2023 below:<br />
Difference Maker Award<br />
Oliver Guttinger,<br />
Exercise Physiologist<br />
Change Maker Award<br />
Melissa Coombs,<br />
Outreach Coordinator<br />
Leading with Purpose Award (Team)<br />
Rostering Team<br />
Leading with Purpose Award<br />
(Individual)<br />
Chanel Rikihana,<br />
Community Support Worker<br />
The Chair’s Impact Award<br />
James Beckett,<br />
Physiotherapy Manager<br />
Trailblazer Award<br />
Sandra Barton,<br />
Community Support Worker<br />
Values Award – Accountability<br />
Robin Braccia,<br />
Quality, Safeguarding and Risk<br />
Values Award – Difference<br />
Abi Farrah,<br />
Care Support Worker<br />
Values Award – Listen<br />
Donna Hogan,<br />
Community Support Worker<br />
Values Award – Respect<br />
Joseph Jangi,<br />
Maintenance/Handyman<br />
34 35
Our People<br />
Get to know:<br />
Liam Roche<br />
A final act of kindness<br />
This brand new series will help you<br />
get to know the MSWA team a little<br />
better! To kick us off, we spoke with<br />
Board Director Liam Roche.<br />
Liam is currently our Deputy Chair,<br />
Chair of People and Governance<br />
and a Committee Member of<br />
Audit, Risk and Finance. He is an<br />
accomplished business leader with<br />
a 40-year career in the media and<br />
manufacturing industry.<br />
Throughout his career, Liam has<br />
not only left an indelible mark<br />
on the corporate landscape but<br />
has also become an inspiration<br />
for his commitment to<br />
community service.<br />
What motivated you to join the<br />
MSWA board?<br />
When I retired at 58 years of age, I<br />
wasn’t completely ready to hang up<br />
the boots so I looked at how I could<br />
contribute to the community. A good<br />
friend of mine knew Bill Hassell,<br />
MSWA Senior Vice President at the<br />
time and he was aware that MSWA<br />
were looking for a new director, so he<br />
suggested they talk to me.<br />
I also had friends and family<br />
members living with multiple<br />
sclerosis, MSWA had a good<br />
reputation and was doing amazing<br />
work in supporting people living with<br />
MS, so I was proud to become a part<br />
of the team and have worked hard<br />
ever since trying to make a positive<br />
impact in my capacity.<br />
What is your favourite<br />
memory / achievement as part<br />
of the MSWA Board?<br />
Helping to build sustainable growth<br />
in service delivery, building new<br />
state-of-the-art facilities, and<br />
our significant contributions to<br />
research over the years. Back in<br />
2016 when I joined the Board, we<br />
delivered 460,000 hours of service,<br />
contributed $2.2m to research,<br />
our Net Assets were $26.7m,<br />
total income was $48.6m and we<br />
achieved a surplus of $4.3m.<br />
By 2023 we nearly doubled the<br />
hours of service delivered to<br />
856,050 hours, we have tripled our<br />
contribution to research to $6m, our<br />
Net Assets have grown to $102m,<br />
total income has more than doubled<br />
to $114m and our surplus was a<br />
staggering $11m, which we will use<br />
to empower the lives of people living<br />
with neurological conditions. This is<br />
sustainable growth that we can all<br />
be enormously proud of.<br />
When you have time off, what<br />
would we find you doing?<br />
When I first retired, I didn’t have any<br />
grandkids and in the next four years<br />
we had four under 4 years of age!<br />
As my daughters like to say “it takes<br />
a village to raise a child” which is<br />
code for Grandparents helping, so<br />
Karen and I spend lots of time with<br />
our grandchildren, which has been<br />
both a pleasure and a privilege.<br />
We also love travelling and enjoy a<br />
trip to either Europe or the United<br />
States every year along with regular<br />
trips to Bali and the Eastern States.<br />
We’ve been lucky to see a lot of the<br />
world and love exploring new places.<br />
What is an interesting fact about<br />
yourself people may not know?<br />
I am a keen Bridge player and play a<br />
couple of times a week. I’m a member<br />
of the West Australian Bridge Club<br />
and the Melville Bridge Club. I enjoy<br />
the intellectual and social stimulation<br />
and appreciate the logic, reasoning,<br />
concentration, and partnership skills<br />
Bridge develops.<br />
If you could imagine one thing<br />
for MSWA in 10 years, what<br />
would it be?<br />
There is currently no cure for MS,<br />
but there has been tremendous<br />
progress in the development of<br />
drugs to treat the disease. I would<br />
like to imagine a future where anyone<br />
diagnosed with a neurological<br />
condition could live a “life without<br />
limits” and not worry about their<br />
condition getting worse, thanks to<br />
groundbreaking research and the<br />
development of new treatments.<br />
Liam and his wife Karen spending<br />
time with their grandchildren.<br />
MSWA CEO Melanie Kiely graciously accepted an<br />
extremely generous donation at the bequest of the late<br />
Ross Howard Kennedy in January, who sadly passed<br />
away in March 2022.<br />
Despite the solemn circumstances, we were heartened<br />
to learn this decision was made by Ross in recognition of<br />
the significant support he received from MSWA over the<br />
several decades in which he lived with multiple sclerosis.<br />
“He wanted to recognise that generous and sustained<br />
support in his will,” said Ross’ brother, Bruce.<br />
Ross Kennedy: “A delightful gentleman”<br />
The middle child of three siblings, Ross grew up in Tuart<br />
Hill in the 50s – then the northern edges of Perth – where<br />
there was plenty of bushland to play around in with his<br />
friends from the street.<br />
Attending the local school, Ross was able to come<br />
home for lunch every day, except for when their mum<br />
volunteered at the school canteen and the trio were able<br />
to enjoy special treats.<br />
On the weekends and school holidays, Ross would spend<br />
time swimming, crabbing and fishing at the family’s<br />
holiday home in Mandurah.<br />
Ross was also a talented hockey player, a gifted artist<br />
and photographer, with a particular interest in flowers.<br />
He was also a keen collector of model trains, cars and<br />
trucks.<br />
A great lover of all things English – including his wife<br />
Shirley, The Beatles and James Bond (his car number<br />
plate was moonraker!), Ross was a quiet man with a wry<br />
sense of humour.<br />
According to his family, Ross was determined to live life<br />
and go forward in his own way. He even ordered a new<br />
stereo system to accompany him to palliative care so he<br />
could “go out in style”.<br />
“MSWA is an organisation that does a lot of good, and it<br />
is important given that they support the community, that<br />
the community supports them.”<br />
As well as donating an astounding $270,000, Ross’ estate<br />
also donated equipment, including a specialist bed,<br />
two hoists, four wheelchairs and a care alert system to<br />
benefit other MSWA Clients.<br />
In recognition of this generosity, we would like<br />
to pay tribute to Ross, by sharing a small part of<br />
his story.<br />
Ross started a cadetship at the Land and Surveys<br />
Department, where he worked until his retirement in 1996.<br />
He was universally respected for his personal qualities<br />
and his technical talents in photogrammetry and IT.<br />
Diagnosed with MS the mid-1980s, Ross received<br />
support from MSWA over several decades where he was<br />
well-regarded by the staff who cared for him.<br />
We extend our condolences to Ross’ family and cannot<br />
understate our appreciation for his selfless gift, and to<br />
Bruce for his substantial efforts as executor to make<br />
this donation possible.<br />
It is because of generosity such as this that MSWA<br />
can continue to support West Australians living with<br />
neurological conditions to live the life they choose.<br />
Interested in leaving a gift in your will?<br />
For more information, visit our website<br />
mswa.org.au/get-involved/a-gift-in-will<br />
36 37
News in brief<br />
Save the date<br />
UPCOMING EVENTS<br />
Thursday 30 May<br />
World MS Day<br />
Sunday 23 June<br />
Step Up for MSWA<br />
WA-developed drug to protect brain after stroke<br />
A groundbreaking WA-developed drug which aims to<br />
reduce brain tissue damage following stroke is now being<br />
trialed in hospitals across Australia, including Sir Charles<br />
Gairdner and Fiona Stanley hospitals in Perth.<br />
MSWA proudly contributed funding to Phase 1 of the drug<br />
trial of ARG-007, which confirmed the novel drug is safe<br />
and well tolerated in healthy volunteers.<br />
The drug was developed through research led by<br />
Professors Bruno Meloni and Neville Knuckey (Perron<br />
Institute and The University of Western Australia) at<br />
WA-based biotech company Argenica Therapeutics<br />
and will be administered by early responders in the<br />
Phase 2 trial.<br />
Read more here: https://bit.ly/3Pk49hX<br />
Portraits in time<br />
The May 50k<br />
Albany Swim<br />
Ripping up the book<br />
of life<br />
Can art change the world? This is<br />
the question explored in a recently<br />
filmed short documentary featuring<br />
Tasmanian artist and activist<br />
Lucienne Rickard, who also bravely<br />
shares her personal story of being<br />
diagnosed with multiple sclerosis.<br />
Lucienne inspires everyone she<br />
meets and is carving out an<br />
international profile as a devoted<br />
advocate for protecting endangered<br />
species.<br />
Search ‘Ripping up the book of life’<br />
by LOWCO Au on YouTube to watch<br />
the inspirational film.<br />
(Image credit: ABC News)<br />
MSWA Volunteer takes<br />
Australian Idol by storm!<br />
Andrea Omanade (or Drea) is<br />
well-known in the MSWA community<br />
by Clients and staff as a beloved<br />
and regular volunteer singer for<br />
our events.<br />
We are very proud to share that Drea<br />
made it to the top 8 of this year’s<br />
Australian Idol! What an incredible<br />
achievement. Congratulations, Drea!<br />
– we look forward to hearing all about<br />
your journey in our next <strong>Bulletin</strong>.<br />
In case you missed it, you can catch<br />
Drea's incredible performances on<br />
catch up TV via 7Plus.<br />
She also keeps her fans updated<br />
on Facebook (Search Drea) and<br />
Instagram (@dreaomusic).<br />
(Image credit: Channel 7)<br />
‘Every time it’s hot, my<br />
world goes blurry’<br />
MSWA Client Wildaliz De Jesus<br />
recently wrote two insightful articles<br />
published on the ABC News’ website<br />
outlining the impact of heatwaves on<br />
people with a disability.<br />
In the first article, Wildaliz writes<br />
from her own perspective as a<br />
woman living with multiple sclerosis<br />
and how heat has snatched<br />
moments from her.<br />
In the second article, she<br />
spoke to experts like MSWA<br />
Occupational Therapist Sarah<br />
Coutinho to understand why heat<br />
disproportionately affects people<br />
with disability and measures for<br />
more inclusive communities.<br />
To read the articles visit:<br />
https://ab.co/3vjymXk (article 1) and<br />
https://ab.co/3vjbQ0N (article 2)<br />
27 March - 30 April 20<strong>24</strong><br />
10am - 2pm<br />
Bond Store Gallery,<br />
Old Courthouse Complex on<br />
Queen Street, Busselton<br />
Did you know that MSWA Client<br />
Liaison Coordinator Kirsty Wyatt is<br />
a talented illustrator? In fact, Kirsty<br />
has an entire exhibition of her own<br />
over the Easter holidays!<br />
The exhibition consists of 12<br />
paintings and sketches celebrating<br />
the lives and contributions of the<br />
older generation of Busselton.<br />
This exhibition will not only<br />
showcase their visual portraits,<br />
but will also share the rich tapestry<br />
of their life experiences, fostering<br />
intergenerational understanding and<br />
respect within the community.<br />
Submit your article to us<br />
Wednesday 1 – Friday 31 May 20<strong>24</strong><br />
Australia-wide<br />
This May, smash your fitness goals<br />
as you help raise funds to support<br />
life-changing research into the<br />
prevention, treatment and finding a<br />
cure for multiple sclerosis.<br />
Challenge yourself to move 50 KM<br />
(The OG), 100 KM (Double Up) or 150<br />
KM (Triple Threat), in your own time<br />
and at your own pace.<br />
Take part on your own, as a team, or<br />
get your whole workplace involved!<br />
This is an opportunity to come<br />
together, to leave MS where it<br />
belongs. Behind us.<br />
https://www.themay50k.org<br />
Do you have a story about living with a neurological condition in WA that other MSWA Clients might like to read?<br />
We invite you to share your experiences with us.<br />
Email your submission to bulletin@mswa.org.au for consideration.<br />
Suggestions, complaints and compliments<br />
We want to hear from you. Your feedback helps us to understand what is working well and where we can improve.<br />
You can raise a concern or acknowledge the support an MSWA staff member has provided by telephoning 6454 3146,<br />
via feedback@mswa.org.au or writing to Quality and Compliance; Locked Bag 2, BENTLEY DC 6983.<br />
For more information, visit mswa.org.au/about-mswa/contact-us.<br />
Saturday 20 April 20<strong>24</strong><br />
8am – 5pm<br />
Albany Leisure and Aquatic Centre<br />
The MSWA Albany Swim has<br />
evolved into a highly anticipated and<br />
cherished annual community event<br />
for the Great Southern region.<br />
Now in its 12th year, the event<br />
welcomes all who live in the region<br />
and those keen for a road trip to<br />
participate in the energetic and<br />
meaningful fundraiser helping to<br />
provide vital support, services and<br />
research to Western Australians<br />
living with a neurological condition.<br />
Sign your team up today at<br />
www.mswaswim.org.au and push your<br />
limits in an exhilarating 8-hour relay.<br />
Get ready to make a splash and<br />
celebrate the joy of swimming<br />
together while making a difference.<br />
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To find out more about our services,<br />
create connections or show support<br />
for cause, visit mswa.org.au.