COMMUNITY Issue 106 - MS Ireland

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COMMUNITY Issue 106 - MS Ireland
Issue
                                                    106
                     Autumn / Winter 2019

               COMMUNITY                                   18

                                              Community News

               4                              8

World MS Day                                MS Ireland Community
COMMUNITY Issue 106 - MS Ireland
Save the Date for MS Explored

A meeting for young people living with
         Multiple Sclerosis

  Saturday, 12th October 2019
    at The Gibson Hotel, Dublin

   Guest speakers to be announced

      For more information see
     https://www.ms-society.ie/

                        RCN 20007867 | Date of Preparation: 26 July 2019 | IE02/GIL19-CNF014a
COMMUNITY Issue 106 - MS Ireland
106

                   4                   8                  18   Friends
                                                               Welcome to the
                                                               Autumn 2019 edition of
                                                               MS News.

                                                               The theme of this
                                                               issue is ‘Community’.
    World MS Day       MS Ireland Community   Community News
                                                               Throughout, we
                                                               discuss the various
                                                               roles of individuals in

 CONTENTS                                                      the MS Community in the hopes of making you aware of
                                                               the support that exists and some of the opportunities that
                                                               are available to deepen your engagement with the MS
                                                               Ireland community. From page 6-9 you can read about
                                                               some of the roles within MS Ireland’s community. Page 21
                                                               outlines some of the roles within the healthcare team.
 News                                                    4
                                                               An update on MS Ireland’s activities can be found on page
 MS Ireland Community                                    6     4. As always, we want MS News to be a place where
                                                               people living with MS have the opportunity to have their
 Reflections                                           10      voices heard. This edition features two personal stories,
                                                               on page 11 Maura Maye shares her story and how she
 My Story – Maura                                      11      became involved in the MS community through her local
                                                               branch. On page 16 Carol De Buitleir shares her story
 Care Center                                           12      in which she discusses her approach to life with MS. Dr
                                                               Rebecca Maguire shares details of the European MS
 Activism In Action                                    13      Platform Spring Conference on page 17 and on page 13
                                                               we highlight the advocacy efforts of Fiona O’Reilly.
 Conference                                            14
                                                               Professor Sabina Brennan kindly contributed to this edition
 My Story – Carol                                      16      with a piece on the importance of social inclusion, this can
                                                               be found on page 20.
 EMSP Report                                           17
                                                               In June, MS Ireland said goodbye to a beloved colleague,
 Community News                                        18      Margaret Maguire. In her role as the Clinical Care
                                                               Manager of the MS Care Centre, Margaret met many of
                                                               the members of the MS community. On page 10, there is
 Social Connections                                    20      a tribute to Margaret from her colleagues in the MS Care
                                                               Centre.
 A Quick Guide To Healthcare 21
                                                               We hope you enjoy this issue of MS News. If you have any
 Fundraising                                           22      feedback on MS News or have suggestions for what you
                                                               would like to see in future issues, please contact the editor
 Calendar & Cards                                      27      Aoife Kirwan on 01 6781612 or by email to
                                                               aoifek@ms-society.ie
 Save the Date                                         28
                                                               Ava Battles
                                                               CEO

                                                               ‘MS News’ is the magazine of MS Ireland. It exists to foster informed debate and
                                                               comment about all issues relating to MS. The view of contributors are not necessarily
                                                               those of the Society. No treatments or therapies should be attempted or products
                                                               used without qualified medical or professional advice.

                                                               Multiple Sclerosis Ireland, 80 Northumberland Rd, Dublin 4.
                                                               www.ms-society.ie | 01 678 1600 info@ms-society.ie | Info Line: 1850 233233

                                                               EDITOR & EDITORIAL
                                                               Aoife Kirwan - aoifek@ms-society.ie

                                                               ADVERTISING
                                                               Jessica Charters - jessicac@ms-society.ie Tel - 01 6781600

www.ms-society.ie                                                                                                                                      3
COMMUNITY Issue 106 - MS Ireland
NEWS                                                                                                                      106

    Website                                                       World MS Day
                                                                  A range of fantastic events were held throughout Ireland
                                                                  to mark World MS Day including coffee-mornings, get-
                                                                  togethers, vintage car shows and information days. The
                                                                  day was also marked in the MS Care Centre where
                                                                  visitors enjoyed refreshments, home-baked goodies and
                                                                  music.

                                                                  Awareness of MS in the
    On the 4th of July, MS Ireland launched our brand new
                                                                  general public
    website! The website project was a culmination of over a
                                                                  To mark World
    year of planning, research, testing and development and
                                                                  MS Day 2019, MS
    we are delighted at how our new site looks and functions.
                                                                  Ireland and Novartis
    The new website was created by Annertech who have
                                                                  commissioned a
    been working with our communications team throughout
                                                                  piece of research to
    the project. In the coming months, some more features of
                                                                  explore awareness
    the new site will be going live so watch this space! In the
                                                                  of MS in the general
    meantime you can check out the new site at
                                                                  public, including the
    www.ms-society.ie
                                                                  visible and invisible
                                                                  symptoms of MS.

    World MS Day                                                  This new research which was conducted in April 2019
                                                                  by IPSOS/MRBI, found that 93% of people in Ireland
                                                                  claim to be aware of MS and more than 44% consider
    On May 30th, MS Ireland joined people living with MS          their understanding of the symptoms and details of the
    and other MS organisations around the world to mark           condition to be poor. Almost one third of respondents
    World MS Day. Each year World MS Day takes a different        were unable to list any symptoms related to MS.
    theme. This year the theme was ‘My Invisible MS’
    (#MyInvisibleMS)                                              Although more than one third of the population (37%)
                                                                  claim to have a family member, friend, or loved one living
    The aim of using this theme was to raise awareness            with MS, and 66% of people in Ireland believe they have
    of the invisible symptoms of MS and the unseen                a good understanding of MS, there are still some key
    impact of MS on quality of life. Some of the common           aspects of the condition that remain unclear. Only 8%
    misconceptions of MS where addresses in a series of           of people identified fatigue as a key symptom despite
    'Myth Buster' images.                                         almost 90% of people living with MS reporting fatigue as
                                                                  a consequence of their condition.
    The campaign invited everyone affected by MS to share
    their invisible MS symptoms. They were given a voice to       Ava Battles, Chief Executive of MS Ireland said, “While
    express what they wanted others to know and understand        many people are aware of MS and the more visible,
    about MS, in order to challenge common misconceptions         tangible symptoms that it can cause, the effects of MS
    and help people understand how to provide the right           can vary greatly from person to person and can often be
    support.                                                      invisible to those around them. Through this research and
                                                                  our World MS Day activity we hope to raise awareness
                                                                  around the less visible aspects of MS and how it can
                                                                  impact on the day to day life of a person living with the
                                                                  condition.”

                                                                  Professor Orla Hardiman, Consultant Neurologist said
                                                                  “The research findings highlight how prevalent MS is in
                                                                  our society today with nearly 40% of the population being
                                                                  impacted either directly or indirectly by the condition. It’s
                                                                  important that as a community we educate ourselves on
                                                                  the symptoms that affect the day to day lives of people
                                                                  living with MS, especially those that are not immediately
                                                                  apparent and less visible.”

4                                                                                                             www.ms-society.ie
COMMUNITY Issue 106 - MS Ireland
NEWS                                                                                                                   106

 Carers Week                                                    New Method Promotes
                                                                Myelin Survival
                                                                Researchers at the Menzies Institute for Medical
                                                                Research in Tazmania have published a study on a
                                                                non-invasive method of promoting the survival of myelin-
                                                                producing cells. Damage to myelin, the protective
                                                                outer coating on nerve fibres in the brain can result in
                                                                symptoms of MS. The team of researchers have explored
 Thomas Mc Carthy, Communications Executive for MS              the use of ‘repetitive transcranial magnetic stimulation’
 Ireland (second from right) with Carers week partners
                                                                as a method to promote myelin production. The study
 MS Ireland was delighted to partner again this year for        showed that multiple bursts of this magnetic stimulation
 Carers Week. Events were held across the country to            method to lab model over four weeks increased the
 celebrate carers, including physical and online coffee         number of mature myelin-producing cells in the brain.
 mornings.

 In advance of Carers week, a survey was conducted
 by the Care Alliance and eleven partners, including MS
                                                                Health Service Restructure
 Ireland, which indicated that many family carers are
 unable to leave their home and rely on online supports,        On July 17th, Minister for Health, Simon Harris confirmed
 information and social connection. Over half (59%) of          a restructuring of the health service. The restructure will
 respondents indicated that they ‘often’ or ‘always’ felt       see the establishment of six new regional health areas.
 lonely or isolated with only 3% saying they could ‘always’     Each region will be responsible for the planning and
 make it to social and support events they wish to attend.      delivery of integrated health and social care services.
                                                                This move is in keeping with Sláintecare commitments.
 Speaking about the research, Zoe Hughes, Policy &              Sláintecare is a transformation programme for health
 Research Officer with Care Alliance Ireland said;              and social care services. Minister Harris said “This is
                                                                a key day for the delivery of Sláintecare and for the
 “It’s clear that the lack of on-the-ground supports like       reform of our health service." He continued that the
 respite and home care is having a huge impact on family        result of identifying the six regions which will be used in
 carers being able to take a break and seek supports –          developing structures for the delivery of integrated care
 meaning that online supports are increasingly becoming         would be clear financial and performance accountability
 vital for many of those who are isolated and lonely in their   as well as empowerment of frontline staff and delegating
 role”.                                                         authority from the HSE to the local regions.

                                                                A co-design process, involving stakeholder contribution
 Dr Una                                                         will follow in the coming months. Minister Harris
                                                                stated that he looks “…forward to engaging with key
                                                                stakeholders, including the public, patients and staff as
 Fitzgerald                                                     part of this process.”

                                                                                                    Paul Reid, CEO of
 Dr Una Fitzgerald, Principle                                                                       the HSE, Minister
 investigator of the MS Research                                                                    Simon Harris and
 Lab in NUI Galway and Director of                                                                  Laura Magahey,
 the Galway Neuroscience Centre,                                                                    Executive Director
 has secured funding to lead a consortium of researchers                                            of Sláintecare
 across Europe. Dr Fitzgerald has brought a pan-                                                    announcing six
 European team of experts together to develop devices                                               regional health
 and therapeutics aimed at treating the progressive phase                                           bodies to deliver
 of MS. The €3.9 million project will see a new generation                                          health and social
 of scientists receive world-class training in biomaterials,                                        care.
 stem cell biology, neurological disease pathology,
 biomarkers, computer modelling of cerebrospinal fluid
 flow and design of medical devices. The focus of their
 research will be slowing MS progression.

www.ms-society.ie                                                                                                             5
COMMUNITY Issue 106 - MS Ireland
MS IRELAND COMMUNITY                                                                                                106

                         MS Ireland Community
    MS Ireland is the only national organisation providing      programmes encourage people living with MS to access
    information, services and support to the MS community.      their community, use local resources and experience
    We provide a wide range of specialised services and         peer support. They also allow for continued contact
    resources on a national, regional and local level. MS       between the person living with MS and the Community
    Ireland’s community consists of many individuals            Worker without the case work element.
    including people living with MS, their families, MS
    Ireland staff, Branch members, fundraisers, volunteers,     The Community Worker continues to link and develop an
    bloggers, Board members and more. There are lots of         appropriate working relationship with the Health Service
    ways to engage with our community. The community            Executive (HSE) and other agencies relevant to a people
    exists on local, regional and national levels. We also      living with MS. We identify and apply for additional
    have an online community that follow our social media       sources of funding to help fund additional programmes
    updates and engage in our online activities. It is          e.g. respite, information days etc. We work closely with
    important to MS Ireland that our members are aware of       local MS Branches to raise public awareness of multiple
    the supportive, welcoming and diverse community that        sclerosis.
    exists. Here, a number of community members discuss
    their role in our MS Community.                               For information on how to get in touch with the
                                                                  Regional Community Worker in your area, please
                                                                  visit our website – www.ms-society.ie or call our
                                Community                         Information line which opens Monday – Friday from
                                                                  10am-2pm on 1850 233 233
                                Worker
                                Aoife Lambe
                              I am a Community Worker
                              with MS Ireland, providing
                                                                Fundraiser
                              support and information
                              to enable and empower
                                                                Robbie Haycock
                              people living with MS to
                              manage their condition so         When one of the most amazing people in my world,
                              as to have the best quality       Ciara said “Yeah, Robbie, it's MS.” the walls of
                              of life possible. There are       Beaumont Hospital seemed to blur. I didn’t know how to
                              two pillars to our work –         respond other than hug her and say “Okay. We’ll nail it”
    Individual Support Work and Community Development.
                                                                What Ciara didn’t know was that I had already reached
    Individual Support Work (case work) means that we           out to MS Ireland, who put me at ease. This helped
    respond to contact made by people living with MS and        to reinforce my belief that “Yeah, we will nail this,
    their families and complete a holistic needs assessment.    together!”
    Once needs are identified, we make the necessary
    referrals to relevant agencies. We always advocate on       I was on the MS Ireland website almost daily when I
    behalf of the person. The individual support work uses a    saw a fundraiser for a skydive! This was a bucket list
    model of intervention that is solution focused short-term   activity for me. The fundraising and social media teams
    and will prioritise those newly diagnosed with MS.          helped with everything from sponsorship cards and
                                                                t-shirts to encouragement.
    Community Development involves ensuring that
    programmes identified by MS Ireland are available           Since then I have tried to help out where I can, shaking
    regionally. Programmes include Getting the Balance          buckets at the Leinster Rugby Take-Over Day, helping
    Right, Self Management, Newly Diagnosed Days,               at the Abseil in Croke Park and pretty much anything
    Teen/Family Days and Coffee/Support Groups. These           else we could commit to.

6                                                                                                        www.ms-society.ie
COMMUNITY Issue 106 - MS Ireland
MS IRELAND COMMUNITY                                                                                             106
 While volunteering helps MS Ireland, it has also helped     and non-members, staff, volunteers and supporters
 me. I am astonished at the commitment I have seen in        at fundraising events, Branch meetings, Council,
 the people I have met at fundraising and volunteering       sub-committees, around the Board table, at research
 events. I have also been amazed at their level of           briefings and at our conferences and AGMs.
 knowledge. It is incredibly reassuring to know that there
 is a great community providing support for all those        We all have our individual personalities, strengths
 affected by this condition.                                 and weaknesses, uniqueness and differences in
                                                             age, location, gender, religion, ethnicity and sexual
 I want to thank everyone in the entire MS community.        orientation, but we come together as a diverse
 I don’t think I would have managed without your help        community under the one MS Ireland banner. Right
 and advice. Family and friends have also been an            now, after my immediate and extended family, MS
 incredible support to Ciara and I. Cheers to all the        Ireland is my number one community and I love being
 volunteers for the advice, support and laughs. With         part of it!
 your continued help, we will nail this, together!

    There are lots of opportunities available for people
    who would like to get involved in raising vital funds
    for MS Ireland. To find out more about current and
                                                             MS and Me Blogger
    upcoming opportunities visit our website
    www.ms-society.ie/get-involved/fundraise-us or                            Trevis
    email fundraising@ms-society.ie
                                                                              Gleeson
 Board Member
 Maurice
 O’Connor
 MS Ireland is directed by a board of volunteers. This
 board is made up of people, some of whom have MS
 themselves and others whose family members have
 included a person with MS. Board members come
 from varied backgrounds, have skill-sets and areas
 of expertise, all of which help to inform and direct the    Almost every person living with Multiple Sclerosis –
 organisation. I am currently a member of the Board of       either with the diagnosis or living with a person who
 MS Ireland. For me, joining the MS Ireland community        has the disease – is the beneficiary of knowledge
 started when I saw a small, very anonymous looking          gained by those who have gone before.
 ad, asking for volunteers, in a local newspaper here
 in Kilkenny. Or maybe it really started years earlier  Be it that we take a disease modifying medication that
 when I heard from one of my brothers that he had been  someone volunteered to take as a test subject, use/
 diagnosed with MS.                                     ascribe to complimentary lifestyle changes which have
                                                        gained medical acceptance over the years, read/heard
 My family and I moved to Kilkenny from Dublin in 2005, an accounting of someone’s challenges/struggles/
 and I finished working near the end of 2012, so those  successes/setbacks, had a supportive nudge, or simply
 long-standing communities were almost gone. By         an understanding shoulder; we all live our lives with
 2014, all my children had left school, and that drew   MS in a fashion which is shaped by other individuals’
 a line under my involvement with the community of      experiences with our shared malady.
 school parents. That anonymous little newspaper ad
 became my introduction to the MS Ireland community.    As a person who has taken so much from the existing
                                                        body of knowledge at the time of my diagnosis, I have
 Ever since I picked up the phone to answer that        felt it an obligation to return to that growing body as
 ad, I've been privileged to meet many wonderful        much as possible as repayment for the benefits I have
 members of the MS Ireland community, members           gained from what I term “MS Sensei”

www.ms-society.ie                                                                                                    7
COMMUNITY Issue 106 - MS Ireland
MS IRELAND COMMUNITY                                                                                                   106
    As part of the MS & Me Blog team, I am surrounded               The Information Line is open Monday to Friday
    with others who feel much the same.                             from 10am-2pm.
                                                                    All calls are transferred to a messaging service
    We all have something to share. Perhaps a story of              after hours.
    how we found our way over, under, around or through             MS Information Line – 1850 233 233
    a particular difficulty. Sometimes it’s the first time
    we’ve made personal feelings or experiences public.
    By doing so we often articulate what others have been
    living but haven’t put into words for themselves.             Blogging and Volunteering
    There is no greater satisfaction than to read a
    comment that says, “I thought I was the only one”
                                                                  Christina Mc Donald
    or “I’m going to show this to my family” because we
    strummed a shared chord. All of us at MS & Me have
    such experiences in our own lives with MS. It is a
    privilege to share with our community as we have
    been shared with.

      MS and Me blogs are posted weekly and can
      be viewed on our website -
      www.ms-society.ie/ms-and-me

                                                                                                  After my MS diagnosis
    MS Information Line                                                                           in 2016, I started
                                                                                                  writing blogs as a way

    Chris Gill                                                                                    for me to share my
                                                                                                  thoughts, feelings and
                                                                                                  experiences. From my
                                                                                                  first blog post, people
                                                                                                  started reaching out to
                                                                                                  me. I got a real sense
                                                                                                  of support from others
    The role of the Information Line can vary very much
                                                                                                  with MS and that sense
    from day to day. I answer calls, text messages,
                                                                                                  of community was
    messages that come in from social media. The
                                                                                                  really encouraging. I
    Information Line is often the first port of call for people
                                                                                                  have since become
    and serves as a signpost both to the services available
                                                                                                  part of the MS and Me
    in MS Ireland, to the HSE and other community
                                                                                                  blog team!
    services.
                                                                  I have also been involved in fundraising. After my
    We provide information on a range of topics including
                                                                  diagnosis, I held a “Jam-a-thon” night in Cavan, to raise
    entitlements, treatment options, employment issues
                                                                  funds for MS Ireland. It was good to know I was raising
    and more. We also provide up to date information
                                                                  money for a cause so close to my heart which would
    to students and health professionals who seek our
                                                                  help other people like me who are living with MS in
    support with projects.
                                                                  Ireland. I jogged the Mini Marathon, two years in a row
                                                                  for MS Ireland which was very emotional. I felt like I
    For me, the most important role of the Information
                                                                  was representing the 9,000 people in Ireland with MS. I
    Line is to provide a listening ear to people who call,
                                                                  felt so proud of myself and everyone else that took part.
    whatever their concern be it medical, emotional or
                                                                  Anytime I write a blog or do a fundraiser, I genuinely
    seeking information. The calls that come in may be
                                                                  feel like I am part of the MS community and I get a real
    from any person within the MS Community, including
                                                                  sense of belonging and being part of an amazing team.
    those living with MS, family members or friends who
    have questions or concerns, or indeed, a person newly
                                                                    MS and Me blogs are posted weekly and can be
    diagnosed who is frightened or worried. It is important
                                                                    viewed on our website -
    to me to ease concerns and be there for people when
                                                                    https://www.ms-society.ie/ms-and-me
    they need it most.

8                                                                                                          www.ms-society.ie
COMMUNITY Issue 106 - MS Ireland
MS IRELAND COMMUNITY                                                                                         106
                                                            supports and services on the ground at a local level.
 MS Support Nurse                                           We are people just like you who come together to
                                                            help those affected by MS, including family members
 Ann Gill                                                   and carers.

                                                            We try to be inclusive of everyone in our community.
 As the MS Support Nurse in the MS Care Centre, I           We foster an ethos of community and engagement
 meet with residents by appointment, on a one-to-one        on several levels. We issue newsletters by email, on
 basis. I appreciate that different people have different   our Facebook page and in hardcopy so that people
 concerns and it is important to me to address whatever     keep in contact. We are conscious that we have
 it is that someone is struggling with. People may wish     sub-communities within our community and that we
 to discuss linking in with Community Services, their       are part of a wider societal community. Examples of
 Public Health Nurse or their MS Ireland Community          sub-communities are the Coffee Mornings and Yoga
 worker. I can also link in with the MS Nurse in the        Classes and Physio Classes in our area. Each class
 hospital they attend. After our appointment and            forms bonds and becomes a community within our
 with permission from the resident, I can link in with      Branch.
 appropriate services or personnel on their behalf to try
 and access the services and personnel they need.       As part of our role within the wider societal
                                                        community, we use our bag packing and bucket
 I come from a background in public health nursing so I days to reach out to our neighbours and friends in
 understand how to access key people in the community our local areas. By our very presence, we show that
 and how to navigate services to achieve best outcomes there are people with MS living and socialising in the
 for the residents I deal with.                         local community. Newly diagnosed people come up
                                                        to us, reassured to find that there is a local Branch,
 Following their stay in the MS Care Centre I am happy some of us living with MS for a very long time,active
 to be contacted by residents in relation to any of the in the community.
 issues discussed during our appointment, assisting
 where possible.                                        Last but by no means least, we are part of the wider
                                                        MS Ireland community. As part of the East Coast
 What I enjoy most about working with the MS            Area Region, we form another Community with our
 Community is having protected time with the resident   sister Branch, East Wicklow. We share events, news
 during our appointment. This allows me to have a       and views, information and tips. This engagement
 meaningful conversation and assist in resolving issues and sharing is a real example of community in
 or concerns that matter the most to each resident.     action.

    For information on the MS Care Centre visit our         We support MS Ireland’s National Care Centre
    website – www.ms-society.ie or call the MS Care         and recently raised funds for equipment. Branch
    Centre on (01) 490 6234                                 members support MS Ireland’s Business Case to
                                                            increase funding for the Care Centre. We have a
                                                            louder voice if we all speak with a clear and united
 Branch Member                                              message. We are at our best working together to
                                                            achieve a shared goal.
 Mary McKeon                                                For me, being involved with my Branch has
                                                            provided me with a great sense of community spirit
                                                            and has provided me with friendships and memories
                                                            to last a lifetime. I would encourage anyone to get
                                                            involved with their local Branch on a level that suits
                             The Voluntary Branches         them.
                             of MS Ireland are a real
                             example of community in          For information on contacting your local branch
                             action. I am part of the         you can visit our website – www.ms-society.ie,
                             South Dublin Branch, one         call our Information Line 1850 233 233 (Monday
                             of 33 Voluntary Branches         – Friday 10am-2pm) or speak to your Regional
                             which form the backbone          Community Worker.
                             of MS Ireland, providing

www.ms-society.ie                                                                                                    9
COMMUNITY Issue 106 - MS Ireland
REFLECTIONS                                                                                      106
                                                      Our dear colleague, Margaret Maguire sadly
                                                      passed away on the 12th of June. Margaret
                                                      was the Clinical Care Manager at the MS
                                                        Care Centre in Rathgar. She was very
                                                           passionate about the MS Care Centre
                                                             and the service it provided. In her role
                                                              as Clinical Care Manager she had
                                                                ensured that the MS Care Centre
                                                                  was registered as a provider with
                                                                   the Health Information Quality
                                                                    Authority (HIQA).

                                                                       Margaret had many
                                                                       achievements during
                                                                        her career and she will
                                                                         always be remembered
                                                                         for her kindness, respect
                                                                         and dedication to others.
                                                                         When asked to remember
                                                                         Margaret, the staff at the
                                                                        MS Care Centre composed
                                                                        the following piece.

              Margaret was at the heart of the centre and all the energy flowed from her. Her
              door was always open and she always enjoyed a friendly chat. Margaret was a
              true professional and her first thought was the human and their needs. She will be
              missed for her utter dedication to the centre.

              Margaret’s ability to use her contacts to facilitate the MS Care Centre had to be
              seen to be believed. She touched the lives of residents, staff and all who came in
              contact with her. She has left a very big footprint in the centre. Margaret often stayed
              in the Centre working late into the evening but now there is no light under her door.
              Margaret’s presence however will be felt in the centre for years to come.

10                                                                                    www.ms-society.ie
MY STORY                                                                                                   106

 My Story
 Maura Maye
 When I was diagnosed with MS in 1996, I left the
 hospital with no real treatment options, just a few
 information leaflets. It was difficult but having a positive
 relationship with my MS Nurse and Neurologist helped.
 They supported me and have continued to support me
 over the past 23 years. Over the years, I have also
 received advice and support from Roseanna Duke who
 is a Regional Co-ordinator with MS Ireland.

 Since my diagnosis, life has changed in some ways but
 has stayed much the same in others. It is important not
 to lose your identity to a diagnosis. In 2006, I became
 wheelchair-bound which took some adjustment. I
 have been able to continue working on a part-time
 basis which is incredibly important to me. My work-life
 provides me with independence, social interaction and
 the chance to financially contribute to society. I find
 that it helps to maintain my sense of self-worth and
 keeps my mind sharper. Disclosing my diagnosis in the
 workplace has been very helpful for me. My colleagues
 are very supportive and I feel that if they were not aware
 of my needs they might not be sure on how best to provide
 support when I need it.

 In addition to working, 10 years ago I made the decision to join the MS Ireland Kildare Branch
 Committee. I felt that in doing so I would meet others with similar experiences. I have found
 engaging with the local branch to be a very positive and an incredibly rewarding experience.
 Fundraising for my local branch has been very meaningful to me. I am happy to know that the
 funds raised help to facilitate the purchase of essential equipment and ease financial burden of
 MS, on a local level. There is a great sense of community amongst the branch members and I look
 forward to the meetings which are held monthly. New members to the branch are always needed
 and welcomed!

 A few years ago, I made the decision to take part in the Womens Mini Marathon and have
 participated numerous times since. We are in testing times for charities. Fundraising is a particularly
 challenging element as there are often so many worthy causes for people to support. Families
 across Ireland are impacted on a daily basis by one condition or another. We are one of many
 communities who need support. It is important that MS Ireland does not get lost in the numerous
 charities that are represented at fundraising events like the Womens Mini-Marathon. When I have
 taken part, it has been along side family and friends and other supporters of MS Ireland. It is always
 uplifting to see so many people come along to support MS Ireland and the MS community.

 Twice a year, I spend a few days in the MS Care Centre. Through this I have a met great friends
 and each year we co-ordinate our stays in the MS Care Centre which allows us to pick up where
 we left off with each other on our last visit. The high standard of care, advice and support we
 always received during our week in the MS Care Centre was all thanks to the hard work and
 dedication shown to us by Margaret Maguire and staff. Margaret will be truly missed. We will
 always be grateful to Margaret and her legacy will continue. May she rest in peace.

www.ms-society.ie                                                                                            11
CARE CENTRE                                                                                                        106

 We Need YOU!
                                                             You can find contact details for your local TD’s by
                                                             visiting www.whoismyTD.com and entering your
                                                             address in the search bar and pressing ‘search’.

                                                             Let us know how you get on!
                                                             We are always interested to hear about any responses
                                                             or feedback that people get from their TDs – please
                                                             contact Aoife Kirwan, Information, Advocacy and
                                                             Research Officer by email to aoifek@ms-society.ie or
                                                             call the office on (01) 678 1612.

 Last year, MS Ireland asked our members and                  Sample Letter
 supporters to write to their local representatives asking
 them to support MS Ireland’s Care Centre Business            Dear Deputy [insert name of TD],
 Case. We also requested your support in asking your
 local representatives to attend a briefing on this issue,    My name is [insert your name]. I am writing to you
 which was held in Leinster House in October. With your       regarding a request MS Ireland forward last year for
 support we welcomed over 50 representatives and              further investment in the MS Care Centre. This vital
 their staff to this briefing. We requested an additional     funding has not yet been secured. The Care Centre
 €600,000 in annual funding to support our Care Centre.       is a state-of-the-art respite facility. Admitting and
 We explained that approval of this funding would result      welcoming 400 people from all parts of the country on
 in an additional 1,128 bed-nights on an annual basis         an annual basis, the Care Centre not only provides
 and would ensure the optimal use of this service.            people living with MS and their caregivers a break but
 Unfortunately, this funding has not yet been secured.        delivers a range of therapeutic services, neurological
                                                              assessments and social activities.
 The centre, which is situated in Bushy Park, Dublin,
 is a fully-equipped, state-of-the-art respite facility.      Due to decreased income, the Care Centre only
 Admitting and welcoming 400 people annually, the MS          opens 40 weeks per year. MS Ireland require a further
 Care Centre delivers a range of therapeutic services,        €600,000 in annual investment which would allow
 neurological assessments and social activities. It gives     them to cater for increased demand on the service.
 people living with MS, from all parts of the country, a      This would see the Care Centre open 350 days per
 chance to rest, revitalise and rejuvenate in a homely,       year, providing an extra 1,128 bed-nights annually.
 relaxing space, which is equipped for their needs.           This would allow additional people living with MS the
 It also allows carers to have a break, safe in the           chance to benefit from what the Care Centre has to
 knowledge that their loved one is being well cared for       offer. Further investment will not only support people
 in our Care Centre. Supporting carers is essential to        living with MS, it will also support voluntary carers,
 ensuring the sustainability of homecare.                     without whom care in the home would be impossible,
                                                              putting further pressure on our health system and
 We are once again asking you to join us in asking the        hospital funding.
 government to support the MS Care Centre Business
 case. By acting as a community we strengthen our             [If you have any personal details you would
 voice. You can help MS Ireland to secure this funding        like to add in support of our ask, please feel
 and help open the service to even more people living         free to write it in]
 with MS by contacting your local representative. We
 have a sample letter/email which you can use to              As a member of your constituency, I am asking that
 contact your representatives. We encourage you to            you support MS Ireland by doing what you can to help
 personalise your letter and share details of your own        secure this additional funding.
 experiences which may support our request, if you wish
 to do so.                                                    Yours sincerely,
                                                              [insert your name]

12                                                                                                    www.ms-society.ie
ACTIVISM IN ACTION                                                                                               106

 Activism in Action
                                                                          Collective advocacy is vital to the
                                                                          introduction of sustainable change.
                                                                          It is by working on achieving a
                                                                          shared vision to address unmet
                                                                          need and using a united voice that
                                                                          progress is made. Here we see how
                                                                          one person living with MS used her
                                                                          voice to inspire collective action.

                                                                          On May 8th, Fiona O’Reilly, who lives
                                                                          with MS was joined by hundreds of
                                                                          protesters who came along to support
                                                                          her demonstration outside Leinster
                                                                          House. The aim of this protest was to
                                                                          highlight inadequate home support and
                                                                          respite for people living with disabilities.
                                                                          Fiona receives 28 hours per week of
                                                                          home support. “I am wheelchair bound
                      and have two assistants come to help me twice per day. Once, to hoist me out of bed
 Fiona                in the morning, get me washed and dressed and a second visit to get me ready for bed
                      at night.” said Fiona. This is a vital service for Fiona as well as her elderly parents who
 O’Reilly             are often left to fill Fiona’s unmet care needs between the visits from the home care
                      assistants.

 Photo:               Fiona, who is the chairperson of the Central Remedial Clinic (Firhouse), Advocacy
 Mark Condren         group and Respite sub-committee also uses the MS Care Centre and says that her
 www.independent.ie   respite stays in the centre are essential as they allow her parents to have a break –
                      "Life is not easy for my elderly parents. My mother is 79 and my father is 80. My respite
                      stay gives them a much needed break". Fiona believes that the MS Care Centre
                      should be supported to increase it's hours of operation "I support MS Ireland's request
                      for additional funding to optimise the use of the MS Care Centre". "Respite care can
                      be a lifeline for some and allows families and carers the chance of a breathing space
                      while they continue to look after their loved ones" says Fiona .

                      “I know lots of people who are not receiving appropriate home support and others who
                      are not able to access appropriate respite. I felt we were not being heard so I figured
                      the best way to change this was to protest outside Dail Eireann” Fiona says of the
                      decision to organise the demonstration. Despite unfavourable weather conditions on
                      the day of the protest, Fiona and the hundreds of fellow protesters gathered to unite
                      their voices and communicate their message that people living with disabilities are
                      desperately waiting for the government to take action on their needs. Speaking on
                      organising the protest Fiona says “I tried to get myself into as many newspapers as
                      possible”. Fiona shared her story of life with MS and the challenges she faced as a
                      result of inadequate services. Her efforts paid off as newspapers locally and nationally
                      shared details of Fiona’s experience and her plans to hold the event. As a result of
                      Fiona’s efforts, hundreds of protesters, who were encouraged to wear yellow to signify
                      hope and as a show of solidarity, turned up to lend their support gaining even more
                      media coverage.

                      Fiona is currently planning her next protest on these issues for September.

www.ms-society.ie                                                                                                    13
NATIONAL CONFERENCE 2019                                                                                      106
                     Living Well with Multiple Sclerosis
                                National Conference 2019
             Saturday the                                              Radisson Blu Hotel
         21st September 2019                                          Ennis Road, Limerick

            9.00am - 3.30pm                                 Conference fee €25 Includes Lunch
                                         For enquiries contact:
                        Western Regional Office, Curragrean Merlin Park, Galway
                          Call: 091 768630 Email: western@ms-society.ie

Format of the Day:                                          The Multiple Sclerosis Society of Ireland (MS Ireland)
                                                            are hosting our Living Well with MS Conference and
9.00     Registration Tea & Coffee                          AGM in the Radisson Blu Hotel, Limerick on Saturday
                                                                         the 21st of September 2019.

         Opening address                                 The conference theme this year is ‘#my invisible MS.’
9.45     Ava Battles CE MS Ireland                       One of the many challenges for people with MS can be
                                                          the array of invisible symptoms they can experience.
         Professor Alan Thompson, Consultant             With invisible symptoms you must constantly adjust to
         Neurologist, National Hospital for Neurology   the differences between how you look on the “outside”
10.00    and Neurosurgery at Queen Square –               and how you feel “inside” and how the world reacts
         Progressive MS and the work of the              to you when you “look so good.” MS has many faces
         Progressive MS Alliance                          and can require varied responses. To understand MS
                                                        you need to become familiar with the many faces of MS
         Professor Roshan das Nair, Professor of          which greet you so you can, together with the person
         Clinical Psychology & Neuropsychology,                   with MS, have the best possible plan.
11.00    Nottingham University Hospital – Managing
         the impact of invisible symptoms                   If you would like to join us for our Gala Dinner and
                                                              MS Awards on Friday the 20th at 7.30 pm please
                                                                    indicate on the booking form over.
         Workshops
         A) Research Panel including: Dr. Claire
         McCoy, Joan Jordan & Professor Susan           Accommodation bookings are the sole
         Coote - The importance of the MS voice in
12.00                                                   responsibility of the meeting attendee(s)
         research design
         B) Dr. Jennifer Wilson O’Raghallaigh,          and early booking is advisable!
         Psychology Dept., Beaumont Hospital -
                                                        For those of you who may require accommodation:
         The importance of self management in MS
                                                        •     The Radisson Blu Hotel (061 456200) 3 wheelchair
13.15    Lunch                                                accessible bedrooms. Friday night B&B Double/Twin
                                                              rate €155.00 Single rate €145.00

         Dr. Rebecca Maguire, Psychology Dept.,         •     Greenhills Hotel (061 453 033) 2 wheelchair
         Maynooth University - The importance of              accessible Bedrooms (5 min drive to conference
14.30    psychological wellbeing when living with             venue) Friday night B&B Double /Twin rate €149
         MS                                                   Single rate €139

                                                        •     Travelodge (061 457 000) 4 wheelchair accessible
15.30    Finish & Close                                       bedrooms (5 min drive to conference venue) Friday
                                                              night Rate per room €84 (a Double & Single bed in
                                                              each room) and an extra €7.50 for breakfast
15.45    MS Ireland’s AGM

14                                                                                                 www.ms-society.ie
NATIONAL CONFERENCE 2019                                                                                  106
                        Living Well with Multiple Sclerosis
                       National Conference 2019 Booking form
 Name:                                                   Surname:

 Address:

 Phone:

 Email:

 Are you a wheelchair user?                               Yes                  No         (please tick)

 I am attending Gala dinner (€30)                         Yes                  No         (please tick)

 Special dietary or other requirements                    Yes                  No         (please tick)

 If yes please specify

 Have you enclosed conference fee €25                     Yes                  No         (please tick)

 Have you enclosed dinner fee €30                         Yes                  No         (please tick)

           Early booking is advisable as places are limited
           Cheques should be made payable to MS Ireland
           Credit card and Debit Card bookings can be facilitated on the day

           ** Have you selected your workshop?
           (A) Research Panel                                         (please tick)

           (B) Self Management                                        (please tick)

                    Please note that MS Ireland will have its AGM 15.45pm for all MS Ireland Members
                    Return completed forms on or before Friday 13th September 2019 to:
                    MS Ireland, Western Regional Office Curragrean, Merlin Park, Galway
                    091 768630 OR western@ms-society.ie

www.ms-society.ie                                                                                          15
MY STORY                                                                                                                                             106

 My Story                                                           "I now know what really matters to me and
                                                                         what’s not worth worrying about"

 Carol De Buitleir
 I became a frequent visitor to A&E for the second half
 of 2016 when I kept experiencing what I described as
 electrical shocks in my brain which would send my body
 into spasm and slur my speech. I saw a neurologist for
 the first time ever in January 2017. By the time of the
 appointment I had blindness in my right eye and was in the
 midst of what I now know was a relapse. I was admitted to
 hospital.

 Finally, getting a diagnosis was a relief but it was also a
 shock. I decided to improve my lifestyle to help my overall
 health and to compliment my treatment. I’m fortunate that
 my employer is very supportive and accommodated me
 moving to a less stressful role and a four day week. Over
 time I gave up alcohol, caffeine and meat. I began gentle
 exercise by taking up yoga and regular walks. I still can’t
 stand gyms! I’d rather be outside whatever the season. I
 did courses on mindfulness to learn to manage stress. I
 have found ways to build these into my daily life so I can
 keep up the practise. I exercise at lunchtime. I listen to a 5
 minute mindfulness morning meditation and a longer one in
 the evening – there are loads on YouTube. MS affects my            DUBLIN PHYSIOTHERAPY
 cognitive function so I place importance on rest and sleep.
                                                                            CLINIC
 I appeared to have myself sorted, except I was so busy
 doing all these things that I didn’t address the emotional                     Specialising in the management of
 side of having MS and it all came crashing down on me
 a few months ago. It’s not that I haven’t accepted that I
 have MS but I was still holding onto a lot of trauma around
                                                                           Multiple Sclerosis
 my diagnosis and the lead up to it. I had never been sick
 before other than the usual run of the mill stuff. All of it                            Hands On Treatment:
 happened unexpectedly, very fast and it was very scary.
 I used to have panic attacks if I tried to talk about what
                                                                                         Muscle Stiffness
 happened, so I stopped talking and bottled it all up instead.                               Joint Pain
 I finally got myself some help after putting it off for so long.                     Movement Re-Education
 The process is not easy but it is making a difference and
 I’m feeling better.                                                                  Spasticity Management
                                                                                        Postural Retraining
 Strangely I find having MS has shown me some good
 things about myself including perspective – I now know                                 Balance & Walking
 what really matters to me and what’s not worth worrying                             Customised Gym Program
 about. I realise I am resilient. I am more open to trying                            Home Exercise Regime
 new things (like writing this piece!). I have courage I didn’t
 realise I had – it’s amazing what you can do when you                                      Equipment
 have to. I try to have a positive outlook but its okay to feel                            Home Visits
 down too so I just go with it because I know that I won’t
 always feel that way. I try to live in the now. I keep showing     11, The Business Centre, Stadium Business Park, Ballycoolin Road, Ballycoolin, Dublin 11.

 up no matter what. My idol Dolly Parton says “If you want           Tel/Fax: (01) 8829174/5 ~ E-Mail: info@dublinphysio.ie
 the rainbows, you gotta put up with the rain”.                                          www.dublinphysio.ie
16                                                                                                                                 www.ms-society.ie
EMSP 2019 ANNUAL CONFERENCE REPORT                                                                                106

 EMSP 2019
 Rebecca Maguire
 The annual EMSP (European MS Platform) conference
 took place in Vilnius, Lithuanian in May. This event
 presented an excellent opportunity for representatives
 from MS organisations, people with MS, clinicians and
 research professionals from all over Europe to come
 together and share their ideas and experiences relating
 to MS.

 This year, the EMSP conference theme was “Digital
 Health in MS Management” and, over the course of
 two days, a number of fascinating presentations were
 delivered on this theme. Simply put, digital health is the
 use of any technology designed to improve one’s health
 and wellbeing. Digital health tools include things such
 as wearable technologies, mobile phone applications,
 and electronic health records, all of which are rapidly
 developing areas in healthcare.

 After the conference was opened by Pedro Carrascal           A number of other presentations discussed existing and
 (EMSP president) and the Lithuanian MS society, an           emerging research in the area of digital health, expertly
 interesting presentation was delivered by Ireland’s          moderated by Trevis Gleason. Marcello Moccia (Clinical
 Sabina Brennan, who discussed trends in Digital              Neurologist at UCL) presented some interesting work in
 Health, drawing on work from the Adapt Centre at             the area of ehealth in MS. He also highlighted the value
 Trinity College Dublin. Daphne Kos (KU Leuven) also          of platforms such as Twitter in enabling people to keep
 presented evidence from a wide range of e-health             up to date with MS research, but warned against the
 technologies designed to enhance quality of life in MS,      use of Google in this respect. Ignacio Aizpún (Telefonai
 however cautioned that digital health, while a potential     Disable Attention Association) also discussed an
 add-on, should not be a replacement for face-to-face         example of an app designed to help people with MS.
 rehabilitation. Nicola Bedlington (European Patients
 Forum) also highlighted some challenges relating to      Beyond individual presentations, some stimulating
 e-health, including variations in e-health literacy and  panel discussions took place, with insights from a
 digital health inequalities.                             range of experts. Topics discussed included how best
                                                          to implement digital health interventions and effective
 People living with MS were central to EMSP2019. A        policies for digital health, as well as how to improve the
 highly engaging presentation was delivered by Susanna availability and access to digital information.
 Van Tonder who, as a person diagnosed at a young
 age, shared her experiences with MS technologies and Overall, EMSP2019 was an incredibly thought-
 apps, while also highlighting the value of engaging with provoking conference, and demonstrates how the
 social networks such as Shift.ms. Another person living whole European MS community is coming together to
 with MS, Izabela Sopalska-Rybak spoke eloquently         enhance quality of life for those with MS. It is clear that
 about overcoming numerous challenges to live well        technology has vast potential in helping people manage
 with MS. Donna Nahal later delivered an inspiring talk   their MS, however there is also a lot to be learned
 detailing how she connected with others to combat        regarding how to optimise technology to meet patient
 feelings of isolation after she was diagnosed at age 17. needs.

www.ms-society.ie                                                                                                       17
COMMUNITY NEWS                                                                                                    106

 Tuam Branch                                              East Wicklow Branch
                                In the Tuam Branch we     Last year, Greystones Scribblers produced their first
                                have some budding         book – ‘First Flights’. This book of short stories was
                                artists.We have run art   produced following a Creative Writing Workshop that
                                classes over 6 weeks      was organised by the branch. On World MS Day, the
                                in autumn 2017 and 10     branch organised an evening of short stories in the
                                weeks in autumn 2018.     Glenview Hotel. Only 12 copies of this book are
                                It was a great class      available. ‘First Flights’ is priced at €10, with all profits
                                and a fantastic way of    raised going to the MS Care Centre.
                                relaxing .We left MS
                                outside the door and
                                got engrossed in our
                                art. We hope to run the
                                                          Waterford Branch
                                class again this year.                                    Pictured are members of
                                                                                          the Waterford Branch who
                                                                                          got together for a coffee
 Some of the pieces created                                                               morning in St John's
 during Tuam Branch art                                                                   College to celebrate
 classes                                                                                  World MS day in May

                                                          The Waterford Branch had over 40 members and
 Longford Branch                                          family attend their summer lunch in the Woodlands
                                                          Hotel in Waterford at the end of June. It was a very
                                 Jimmy Clancy (Event      enjoyable afternoon with entertainment and a raffle
                                 Organizer) and PJ        after dinner.
                                 Cox (Branch Chair)

                                                          Fermoy Branch
 The Longford branch in conjunction with event
 organizer Jimmy Clancy had a very successful
 “Honda 50 Run” in Lanesboro, Co Longford which
 raised over €2,000 for the branch. The event was
 supported by over 50 motorcycles of all types from all
 over the country. These people turn out week after
 week, rain or sun to raise funds for deserving causes.
 We cannot thank this amazing bunch of people
 enough. A massive thank you to all who helped on the
 day with registration, catering, provision of food and
 spot prizes and also to our great sponsors. We also
 need to mention the hall committee who gave us the
 use of St Mary’s Hall, a great venue on the banks of
 the lovely river Shannon.

 East Wicklow Branch
                              Greystones Scribblers at           Cheque presentation from The Mart to the
                              their ‘Evening of Short                      Mallow MS Group
                              Stories. Photograph
                                                          The Fermoy Branch wish to thank The Mart, Mallow
                              courtesy of Barbara Flynn
                              Photography                 for their kind donation to the Mallow MS Group.
                                                          Thanks to Jerry Leonard, staff at The Mart and their
                                                          wonderful customers for their generous support.

18                                                                                                    www.ms-society.ie
COMMUNITY NEWS                                                                                            106

 Fermoy Branch                                            Cork Branch
 Fermoy Community Health Project                          The Cork Branch would like to thank all of the
                                                          fundraisers who have helped to support the work of
 Aideen Connolly, Regional Community Worker was           MS Ireland on a local and national level. Your
 the guest speaker at the Fermoy Community Health         dedication and time is much appreciated.
 Project Health and Well Being morning, providing
 information and support to the local MS community.
 These monthly talks are provided by the local
 Community Health Worker, Jacinta Mc Cormack.                               Thanks to Claire
                                                                            Barrett who ran the
                                                                            Cork City Marathon!
                                 Easter Sunday Dance

                                 Enjoying the night in
                                 Glenville

                                 On Easter Sunday,
                                 the Fermoy Branch
                                 danced the night
                                 away at Kades
                                 Kounty, Glenville to
                                 the sounds of Finbarr
                                 Dennehy. This
                                 fantastic event was
                                 run by Liam Cahill.
                                 Many thanks to Barry
                                 and Bernice Kennedy
                                 for hosting the event.

 Great day at the 38th Annual Sponsored Galtee            Members of Dezperados with Cork Branch Committee
 Mountain Walk                                            after a fantastic concert

                                                                                                   Thank you,
                                                                                                   Ciaran and
                                                                                                   Aodh

 On Sunday, July 16th, our branch held it’s 38th annual
 sponsored walk of the Galtee Mountains. We would
 like to thank all those who joined and supports us as
 well as all those who helped to make this an
 enjoyable and successful event. The efforts put in on
 the day by all, including our volunteers, traffic and    Many thanks to MS Ireland supporters Ciaran and
 catering management, the Irish Red Cross Fermoy          Aodh who cycled from Dingle to Conor Pass 23 times
 Branch is much appreciated. Many thanks to the           amounting to over 8,000m uphill! All to help raise a
 owners who let us use their field for car parking.       fantastic €1,983 for MS Ireland!

www.ms-society.ie                                                                                                19
SOCIAL CONNECTIONS                                                                                                  106

 Social Connections                                           mood on them. But becoming isolated can actually
                                                              make things worse and have profound effects on your
                                                              physical, mental and brain health.
 Professor Sabina Brennan                                     It is absolutely critical that you stay socially connected.
                                                              Resist the temptation to withdraw when stressed. Seek
                              We all have a fundamental       support from friends, family and, if necessary, health
                              need for social connection.     professionals. Choose wisely who you will spend time
                              Humans tend to perish           with, you need support, not someone who will add to
                              in isolation. In general,       your stress.
                              people with more social
                              ties live longer, have better   Loneliness experienced over long periods may act as
                              health, are less depressed      a chronic stressor, increasing the activity and number
                              and are less likely to          of neural connections in your brain’s fear centre (the
                              experience impairment to        amygdala), putting you on high alert and keeping you
                              their cognitive functioning     in high self-preservation mode. Loneliness doesn’t just
                              than their counterparts with    make you feel unhappy, it can make you feel unsafe
                              fewer connections. We are       and interfere with your sleep, which can have a knock-
                              social creatures, being with    on effect on your health and wellbeing.
                              other people and enjoying
                              their company is great for      Try to cultivate a group of family, friends, neighbours or
                              brain health.                   work colleagues that you can regularly engage with to
                                                              exchange thoughts, ideas, worries, plans, hopes and
 Your social interactions with friends, family, colleagues,   dreams. Make mealtimes a shared occasion and an
 neighbours and strangers bring about plastic changes         opportunity for social engagement in your own home
 in your brain, affecting both its structure and how it       with your family or combine catching up with friends
 functions. Unlike the physical stress of lifting weights     over lunch or dinner. Interest groups, patient groups,
 in the gym, which ultimately builds muscle and               clubs, community groups, classes and courses are
 strengthens bones, persistent social stress, such as         great ways to meet people of all ages. Try to seek
 prolonged social isolation and chronic loneliness,           opportunities to engage with and nurture friendships
 increases wear and tear throughout your body and             with people with and without MS.
 your brain. Neglecting social activities leads to
 degeneration of the brain, something we all need to          Consider pulling together a personal support team
 avoid.                                                       to help to ward off isolation and keep you socially
                                                              engaged. It may feel like an effort sometimes to be
 In contrast, socially engaged lifestyles are associated      with friends and family, but you will reap the rewards
 with the growth of new neurons and with an increase in       in terms of your physical, mental and brain health.
 the density of connections between them (synapses).          Ask them to give you a little nudge now and then to
 Social activity increases the size of your brain and         remind you that being sociable benefits your brain
 leads to more efficient use of your brain networks. Just     health. Make sure you factor in some physical contact
 ten minutes of social interaction can boost your brain       too – don’t underestimate the importance of a hug.
 performance. We are becoming increasingly time poor          Studies show that lack of affectionate physical contact
 and the demands of modern life can fool us into seeing       is associated with higher levels of stress hormones.
 socialising as a luxury pushed to the bottom of our          But social
 to-do list. But social interaction is fundamental to brain   contact,
 health and must be factored into your life.                  like giving
                                                              someone
 Living with MS can increase your risk of becoming            a hug or
 socially isolated for numerous reasons. For example          holding their
 mobility issues might prevent you from getting out and       hand can
 about or cognitive issues may mean that you need to          lower stress
 work more from home or withdraw from the workplace           hormones,
 altogether. Stress or even depression associated             lower blood
 with your diagnosis may lead you to shut others out,         pressure and
 possibly because you don’t wish to inflict your low          reduce pain.

20                                                                                                       www.ms-society.ie
A Q U I C K G U I D E TO H E A LT H C A R E                                                                    106
                                                           A counsellor is a person with whom you can explore
 A Quick Guide to                                          ways of coping with personal difficulties. They can work
                                                           on a one-to-one basis, with couples, families or groups.
 Healthcare Professionals
                                                           Specialist Health Services
 Healthcare is provided on different levels, in the
 community and in hospital. It can be a little tricky to   Specialist health services are usually hospital based and
 know who is who and where to turn with various issues. can include:
 Here, we explain the roles of some of the key healthcare
 professionals that make up the multi-disciplinary team.   A Neurologist is a medical doctor specialising in
                                                           the diagnosis, treatment and management of disorders
 Primary Care Team                                         of the brain and nervous system. The role of the
                                                           neurologist includes assessing patients, giving advice,
 Primary care teams work in local communities. Here are prescribing disease modifying therapies & medications
 some of the roles in the Primary Care Team:               for symptom management and conducting clinical
                                                           reviews. Neurologists can also make referrals to other
 A General Practitioner (GP) is normally a first           specialities.
 point of contact for a broad range of common medical
                                                           An MS Nurse can assess physical, psychological and
 conditions. They have the ability to make referrals to
                                                           social problems and advises on the need for intervention
 specialist health services, such as neurology or urology.
                                                           by health and social services. The MS Nurse will answer
 A Physiotherapist specialises in the assessment           queries regarding medications.
 and treatment of the movement problems that may
                                                           A Radiologist is a medical doctor who is trained in
 affect the person with MS i.e. strength, joint movement,
                                                           carrying out and interpreting medical images such as
 coordination, balance and mobility. Therapy aims to
                                                           MRIs and using them to treat health problems. Reports
 improve movement and prevent any complications that
                                                           from imaging procedures are sent to the referring doctor
 can arise.
                                                           to inform decision making.
 An Occupational Therapist works to enable
                                                           An Ophthalmologist is a medical specialist that
 and empower people to maintain abilities and remain
                                                           deals specifically with the structure, function, diseases
 independent in daily activities this may involve finding
                                                           and treatment on the eye. The ophthalmologist may be
 ways to improve and/or compensate for any deficits
                                                           involved in some cases, for example if a person has
 relating to the symptoms of MS. They can advise on
                                                           experienced optic neuritis.
 adaptations or alterations to homes or specialised
 equipment such as aids and appliances to maximise         A Rehabilitation Medicine Specialist is a medical
 independence.                                             doctor who advises on effective ways to improve,
                                                           maintain or recover skills to maintain independence.
 A Speech and Language Therapist is
                                                           The Rehabilitation Specialist also advises people on the
 responsible for the assessment, diagnosis and
                                                           facilities and equipment needed for them to successfully
 management of both communication and swallowing
                                                           return to work, education or parental role.
 difficulties. They help to identify and resolve specific
 difficulties.                                             A Pain Specialist works closely with other specialists
                                                           to ensure the appropriate management of pain in people
 The Public Health Nurse is involved in clinical
                                                           living with MS who experience this symptom.
 nursing care as well as health promotion, assessment
 of needs and co-ordinating care such as personal and      A Clinical Psychologist can offer specialised
 home supports and respite.                                assessment and treatment such as the assessment
                                                           and treatment of a person’s cognitive, behavioural and
 The Community Pharmacist dispenses
                                                           emotional needs.
 medications, can offer information and explanations
 on medication interactions. They can often assist with    A Psychiatrist is a medical doctor concerned
 common health concerns.                                   with the study and treatment of persons affected with
                                                           emotional, cognitive and behavioural problems.
 A Sensory and Physical Disability Liaison
 Nurse assists people with physical and sensory            The Clinical Nutritionist provides a therapeutic and
 impairment. They provide advice, guidance and support nutritional advisory service to improve a person’s health.
 regarding service availability, care and management.
 They advise and assist with obtaining home support,
 respite and residential services.

www.ms-society.ie                                                                                                     21
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