Dementia garDen in full bloom - HSE
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Hea th
staff magazine of the IRISH HEALTH SERVICE vol. 14 | issue 18 | summer 2019
Eamonn hit
for six on
Dementia
marathon garden in
trail
Galway paramedic
full bloom
completes unique Reminiscence the theme of
feat in Tokyo People’s Choice Award winner
features general news you section lifestyle
Welcome to the
latest edition of
Health Matters
This edition we sat down with the new HSE
Director General Paul Reid, who took up his
role last month.
He shared with us his vision for the future
of Irish health service, and stressed that we
must use Sláintecare as the roadmap to ‘move
forward in a unified strategic direction’.
He highlighted the vital role technology will
play in the reform of our health service and
said patient care will suffer if we do not invest
heavily in it.
He also praised the ‘can-do’ attitude from HSE
staff that he has already met with up and down
the country.
Killinthomas Lodge in Kildare opened in
October 2016 to support four ladies who
have an intellectual disability and are living
with dementia. The focus in Killinthomas is to
support the individuals to live in their community
throughout their dementia journey through to the
end of their life. All four moved from congregated
settings to their beautiful new home.
We speak to Martina Leigh, Clinical Nurse
Specialist in Ageing Care for People with an
Intellectual Disability at the Muiriosa Foundation,
who leads the interdisciplinary dementia team
that set up the house to be environmentally
Contents
supportive to living well with dementia.
Pat O’Connor talked to us about her sister
Sheila, who is one of the residents living in the You Section Features
house, and the differences the move has brought
6 In Bloom 28 NIMIS milestone
to both their lives.
Reminiscing in the dementia garden Two million requests handled
Our cover story features paramedic Eamonn
8 Paul Reid 30 Mobile computing
Baxter who has the unique honour of completing
New director general looks forward Enhancing patient care
all six of the marathon ‘majors’, earning himself
10 Supporting women 31 Voices connect for mental health
a very rare medal. Eamonn immediately passed
Day of the midwife Mullingar choir
this medal on to young Jonah Murphy, who
11 Steps to health 32 Positive patient experience
Eamonn helped save from cardiac arrest when
Staff challenge Ennis is the winner
he was just seven weeks of age.
12 Pride of the Coombe 34 Dental records project
If there’s anything you would like to see
Bernie is master Live in 221 locations
included in the magazine or if you have any
13 Skin cancer nurse 36 Data dictionary
other feedback, you can contact us at
Roscommon appointment One source of truth
healthmatters@hse.ie
14 Six majors winner 37 Tackling obesity
Thank you to all those who have sent in
Eamonn hands over his medal Unique community nursing initiative
contributions to this edition and I hope you find
16 Kidney transplant 38 Individual Health Identifier
plenty of interesting reading in it.
Paramedic shares his story Huge benefits
Joanne 18 Life on the list
Gordon speaks out
38 Find the missing millions
Hepatitis C in Ireland
Weston
Joanne Weston,
19 Life-saving holiday
Mark a hero
40 Transform your body and mind
Cutting back on alcohol
20 Values in Action 41 Maximising green space
Editor
Bumper bootcamp Lourdes hospital project
22 MARIO a unique guest 42 Survey findings
This magazine is produced by the Assistive dementia robot Hospital-acquired infections
HSE Communications Division 24 Supporting individuals 43 Brush my teeth
Enriching lives in their home Website for people with disabilities
Publishers: Celtic Media Group 26 Virtual lung clinic 44 Asthma and COPD
www.celticmediagroup.ie
Keeping patients out of hospital Free adviceline
Feedback: Send your feedback to 27 Under the weather 45 Communicating clearly
healthmatters@hse.ie It can happen in summer too A patient’s view
74
16
HEALTH MATTERS SUMMER 2019
46 22
14
46 See the care, be the care
26
Person-centred approach
48 High-tech hub
Patients the priority
49 Triple P
Making happier parents and children
50 Alcohol liaison nurse
Tackling the problem
2019 summer health matters 
Contents
News
51 Ark ambassadors
Big welcome for rugby stars
52 Leadership skills
UL Hospitals programme
52 Life-saving work
Control Room awards
53 Primary care centre
huge boost for Cork northside
54 Smoke-free
Athletics Ireland initiative
55 End-of-life care
24
Flagship project
56 Pigmented lesion clinic
Official opening in Kerry
55
56 Martin honoured
NAS head gets alumni award
57 Transition Year students
Finding our Future
57 Volunteer anniversary
Extended role in UHG
58 Training event 65 Gynaecology initiative
Reducing neonatal brain injuries Cutting wait lists
59 Physio-led pessary service 66 Study days
Unique in HSE Colorectal department in UHW
60 Key priorities identified 66 Hurling tops hit list
All-staff day at Office of CIO Sports-related injuries
61 Protect again measles 67 Quality and Safety in
Before you travel healthcare
62 Collaborate and innovate International forum
HBS conference 68 HBS Estates toolkit
63 Assisted Decision-making Capital projects delivery
78 An update
64 Staff records
NISRP goes live in East
65 Tallaght Hospital
69 Snuggle stories
Success in Waterford
70 Prostate cancer
Information sessions for patients
Digital music project
16
health matters summer 2019
HEALTH MATTERS SUMMER 2019 online
Sites we like www.hse.ie/hepc
www.brushmyteeth.ie
Lifestyle
70 Snack swap
Make the healthy choice
72 Hospital food
New policy launched
74 Healthy Ireland launch
60pc of adults overweight
76 Boccia win
Ballytivnan show resilience
76 Donegal artwork www.gov.ie/HealthyIreland
Artist thanks hospital staff
77 Food waste prevention
Save money too
78 Multicultural Celebration
Limerick full of colour
www.smartstorecooking.com
51
2019 summer health matters 
You
Section
Sti m ul ating the senses in the ga rd en
Reminiscence, nature and e
quality of life for people
ighlighting the importance and
H
value of what is remembered and
not what is forgotten was the aim
of the dementia-friendly garden at
this year’s Bloom Festival.
For Dr Suzanne Timmons, Clinical Lead for
Dementia at the HSE’s National Dementia
Office, the Dementia: Understand Together
campaign’s ‘Memories are Made of This’ 1950s-
themed show garden was about facilitating
the therapeutic benefits of reminiscence. She
explained how gardening can play such a vital
role in helping people with dementia.
“For many people with dementia, recalling
memories from years gone by is often easier
than remembering more recent events. We also
know that reminiscing has a positive effect on
the quality of life of people with dementia. By
stimulating the senses, whether it’s seeing a
High Nelly bike, or smelling a rose, or touching a
daisy, or listening to a GAA match on the radio,
the aim is to whisk the person back to days of joy
and contentment,” said Suzanne.
“The Dementia: Understand Together
campaign has been part of the Bloom festival
by Bord Bia for three years and this year our
garden aims to build on the gardens that have
gone before. Previously, we have emphasised
the health and social benefits of getting out and aspect of the garden and will roll their sleeves is tolerated as everyone is very fond of them and
about in the garden, and the focus this year is on up and get stuck in whereas other residents would hate to see them leave.
stimulating reminiscence.” enjoy the relaxation aspect of the garden when “Residents have also enjoyed indoor planting
The garden, named after the song made sitting out in it, often with their families. The of window boxes and pots. The residents have
famous by 1950s crooner Dean Martin and maintenance work is mostly carried out in the commented on the enjoyment and waited
the creation of award-winning designer Robert courtyard garden which has raised flower beds anticipation of watching the plant break through
Moore, took people back in time to when for ease of access. The flowers in the garden the soil from seed and this has also required an
gardens not only provided food for the soul, but were chosen for their sensory stimulation, establishment of a routine to water and monitor
food for the table too. It featured a manicured some for sound, some for smell and others for the plant each day.”
formal space with box hedges and tea roses touch,” said Sharon. Sharon explained the value of helping people
emblematic of the era, as well as a practical fruit “There is also a kitchen garden section in the with dementia to keep up their hobbies and
and vegetable patch that provided much of what courtyard garden where edible plants are grown interests, including gardening.
was on the menu in people’s homes at the time. and this always promotes reminiscence about “When we discuss hobbies and interests with
Many of the treasures from the 50s featured vegetables that in the past would have be grown people we are talking about activities that people
in the garden were inspired by the reflections of in every home. The larger garden also has life- have chosen to make time for in their life. This
members of the Alzheimer Society of Ireland’s size models of a cow and calves and a pig in it is because it provides a meaningful, usually
Bloomfield Social Club in Dublin who engaged which again become a focal point for discussion enjoyable experience that the person can fully
with the team in a series of workshops to inform and reminiscence as most of our residents would engage in. People have said to me that when
the design and content elements of the garden. have kept animals. The animals also give a sense they are engaged in their hobbies time tends
Sharon Richardson, Senior Occupational of familiarity to the garden which is enjoyed by to ‘run away on them’. This is very different to
Therapist, sees the value in the dementia- the residents and their visitors alike and always the experience we have for carrying out tasks
friendly garden in St Patrick’s Hospital, generates conversation. There are also two that we know need to be done. This is why it
Carrick-on-Shannon. She said being out in the rabbits that have made this garden their home is essential for us to know what a meaningful
garden and in nature can give people differing and are always being spotted by our residents activity is for the person living with dementia
experiences, highlighting the value of the garden which always creates great interest. This is so that they can be supported to continue to
environment in the dementia unit. posing a bit of a problem for the growth of plants engage in this,” she said.
“Some residents enjoy the maintenance as all the plants are being eaten by them but this “When supporting a person living with
health matters summer 2019
Top Tips to Stimulate
exercise improves
Reminiscence in
Your Garden
with dementia
• Find the Scent of a Rose. There is nothing
like the scent and elegance of an old tea rose
to transport you back in time. Why not consider
planting one in your garden later this autumn?
• Hit the right note. Why not incorporate fea-
tures such as wind-chimes to gently usher you to
a world of peace and tranquillity? Or perhaps put
in a gramophone in your back shed and throw a
few shapes with Elvis Presley on the deck?
• Be cool as a cucumber. Remember when
you’d pop out to the back garden for a head of
lettuce, a handful of onions or some rhubarb?
Why not install an easy-to-manage vegetable
patch? You can start with a small raised bed in
your sunniest spot.
• Seek the object of the exercise. Do pink
flamingos take you back to a bygone world? Why
not resurrect your mischievous gnomes and place
them around the garden? They are sure to give
you a warm feeling and become a real talking
point for visitors.
• Have the Midas touch. Remember the feeling
of those daisies and how you plucked each petal
as a child – ‘she loves me, she loves me not’?
Other flowers and plants that are sure to conjure
up golden memories include lupins, delphiniums,
primulas and, garden favourite, geraniums.
dementia, it is very important to know what –September in 2018 with plans to roll out
interests the person has at that time and similar walks later this year as the feedback
whether enthusiasm towards a certain hobby was so positive. Dún Laoghaire Rathdown
has remained or indeed new interests have Sports Partnership provided a walking leader
been developed. The important factor is that who led the group in a warm up before the
the hobby/ interest remains enjoyable and walk, pointed out nature along the way,
achievable for the person so that they can encouraged the group to stretch at various
continue to fully engage in it. This may mean intervals throughout and finished the walk with
looking at parts of the activity that the person a cool down. Michelle took photos of nature
can engage in rather than the completion of the and shared them with the group afterwards.
whole activity. It does not then become the focus These photos were enjoyed by others who
to complete the activity but to enjoy the taking could not attend the walks but were interested
part in that piece of the activity.” in staying connected.
Clockwise from left: Dr Ciara Kelly,
Understanding the value of exercise, Dr “The walks were very sociable with everyone broadcaster, and Dementia: Understand Together
Michelle Hardie Murphy, HSE Health Promotion mingling, chatting and sharing stories in a campaign ambassador, whose mother was
and Improvement Officer collaborated with the casual normal way. It was simply a group of diagnosed with dementia, before passing away in
Living Well with Dementia (LWwD) Project HSE people out walking, enjoying nature and each 2017, Ciara’s son Blaise, aged nine, his best friend
Lily Bateman-Cullen, also aged nine, with Adrian
Community Healthcare East, and Dún Laoghaire other’s company,” said Michelle. Cullen, Dean Martin tribute artist; the ‘Memories
Rathdown Sports Partnership to organise are Made of This’ garden at Bloom, winner of the
dementia-friendly walks. On an ongoing basis, People’s Choice Award; and (l-r) Emer Begley, Senior
MORE INFORMATION Project Manager, National Dementia Office, HSE;
LWwD run a weekly activities programme to
Dr Suzanne Timmons, Clinical Lead, HSE National
encourage people with a diagnosis of dementia For more information on the Dementia: Dementia Office; Dr Ciara Kelly; Dr Stephanie
to keep up their interests and prevent social Understand Together campaign, including O’Keeffe, National Director, Strategic Planning &
isolation. Families had shared an interest in a service-finder detailing county-by-county Transformation, HSE; Robert Moore, award-winning
dementia supports and services available, garden designer; Marie Killeen, General Manager,
joining a walking group. visit www.understandtogether.ie or Office of the National Director, Strategic Planning
The walks, advertised as “Walk and Talk”, Freephone 1800 341 341. and Transformation, HSE; Dr Emer Coveney,
took place in Cabinteely Park from August National Programme Manager, Age Friendly Ireland.
2019 summer health matters 
You
Section
New Di rector Gene ra l
‘We must focus on
long-term plan to
move us forward’
aul Reid took up his new role What is your vision for the
P
of HSE Director General on May health service?
14th and is looking forward to The organisation has had a lot of ups and
working with all staff to improve downs over the last decade, and we are facing
our heath service under the numerous challenges. My vision for our health
Sláintecare Action Plan 2019. service is to focus on longer-term planning and
He has extensive experience working in the use Sláintecare as our roadmap to move forward
public service. Before taking on this role, Paul in a unified strategic direction.
was Chief Executive of Fingal County Council
for over five years. He joined the Department My top three priorities to achieve this vision are:
of Public Expenditure and Reform as the 1. Delivering quality patient care
Chief Operating Officer. In this role, he led the Patients are at the centre of all that we do
development, implementation and oversight of and I want to support staff in ensuring that the
the Government’s reform programme across experience of the patient and the people who use
the civil and public service. our services are paramount to everything we do.
Although Paul’s background is in General We must focus on those core projects that
Management, during his time in Fingal County support us in delivering this aim, projects that
Council he worked closely with Community are delivering the highest quality patient care.
Health Organisations and Primary Care Centres We need to continue to seek feedback from our
on community initiatives and planning projects. patients and take action in the areas where we
In 2017, Paul was asked by former Minister can improve.
We can only provide
of State for Mental Health and Older People, 2. Transitioning to a new model of integrated the highest quality
Helen McEntee to be Vice Chair of the National care
Task Force on Youth Mental Health. Paul is Our health service could not function without
care by working together
currently a member of the Advisory Council on our dedicated and professional staff who provide across all areas from acute
Sláintecare, working closely with Laura Magahy care to patients and service users. We can only
on the implementation plan. Paul is delighted to provide the highest quality care by working
to primary care to our
be taking over the helm of the HSE. together across all areas from acute to primary support services
“I am a passionate public servant and am care to our support services.
delighted to now be working in a health service We must strive to ensure that the valued work
with such a diverse group of staff, professionals our staff do is cherished, and we should proudly As DG, what do you want for
and managers. I am very much looking forward tell everyone about it. our HSE staff?
to working with you all to build on the great We must tell our stakeholders and the public I have read carefully the results of the HSE
work already happening to deliver a good about all of the good work we do. We need to staff surveys and only 51pc of staff who
quality service to our patients and service take every opportunity to show the positives of completed the Your Opinion Counts Survey
users.” our health service. In doing this we can work to 2018 are optimistic about their future within
Health Matters sat down with Paul to get to improve and change the issues that need our the organisation. Only 37pc feel there are
know more about him and talk about his future attention. Through this process we will build opportunities for career progression. And whilst
hopes and vision for the HSE. public and stakeholder confidence in the HSE’s both metrics have improved since 2016 I want
ability to manage the health service well. them to improve further. It’s not acceptable to
What is the most important 3. Building confidence to invest in our future me that staff feel this level of pessimism about
objective for you coming into We have an immediate priority to stabilise our their future in our health service. We need to do
your new role? finances and focus on eliminating wasteful costs. better at looking after our staff.
That patients and service users experience This will involve: I want to ensure that we strongly value
quality care when they interact with our health • strengthening our financial controls right and cherish the huge commitment of our
service. This has to be central to all that we do; across the organisation, staff to deliver a good quality health service.
otherwise we’re failing people at a very basic • agreeing our priorities, and And we must broadcast this message to the
level. Throughout my career, providing a quality • demonstrating good value for money. stakeholders and public that we serve.
service to the public has always been my focus If we value the role that everyone who works
and that won’t change. By prioritising initiatives By stabilising our finances we will build the in the HSE plays, we will remain focused on our
that improve patient care and safety, values our confidence of our key stakeholders and make objectives and ensure that we build the trust and
staff, and gets value for money, we will have a a stronger case for further investment in the confidence of our key stakeholders including the
health service we can be proud of. Sláintecare reform plan. public, government and staff.
health matters summer 2019
Clockwise from main pic: Paul Reid chats with Roisin Guiry, HSE
Communications Division, in the the Dementia: Understand Together campaign’s
‘Memories are Made of This’ 1950s-themed show garden at Bloom; the new
Director General on his visit to St Luke’s Hospital in Kilkenny to review patient
feedback and experiences from the National Patient Experience Survey with HIQA
CEO Phelim Quinn.
What are the biggest foundation of integrated care. It will drive I’m in work mode I give it all of my attention
challenges we face as an efficiencies across the system that will and when I’m at home I do the same. I‘m
organisation? improve our patient experience. Our Ehealth married and have two grown up children
I believe the biggest challenge we face is strategy and Digital Roadmap are key to the so I understand the challenge for parents
the shortage of suitably qualified health implementation of our future requirements trying to give enough attention to both work
care workers, and this is a global issue. The in this area. and family life. Unfortunately we tend to
World Health Organisation estimates that sacrifice family time for work but finding a
the global shortage will reach 18 million by What one thing has balance between both is hugely important.
2030. This is staggering. impressed you the most
We need to invest in our workforce to about the HSE since taking up Can you tell us something
safeguard our future. We can begin this by your role? about yourself? what are
retaining our current workforce, keeping our What has impressed me the most is our your interests, hobbies
healthcare graduates here, and attracting staff’s commitment to deliver quality health outside of work?
our graduates abroad back to work in the services. Since taking on this role I have Well from Monday to Friday I stay in Dublin
Irish health service. We can only achieve visited services across the country and it’s so and then as soon as the weekend hits I head
this by making the HSE a great employer. evident to me the level of dedication and ‘can to Leitrim. So that transition is a big part of
An employer that values and cares for staff, do’ attitude staff have. I had some exposure switching from work to family mode for me.
will have engaged staff. Engaged staff feel to this being a member of the Advisory I love golf, although my handicap may not
a profound connection to their work and Council for Sláintecare but I didn’t grasp the demonstrate this!
organisation; they drive innovation and will full extent of the professionalism and range
move the organisation forward. We can’t of skills we have on the ground. Any final thoughts
ignore staff retention issues, staff are vital to Other than to say I am really looking forward
the future reform of our health service. Work/life balance is to getting out and about. I will be visiting
important for our health services across the country and meeting as
What role do you see and well-being – how do you many staff as I possibly can over the coming
technology playing in the manage stress and balance weeks, and I welcome any input from staff
reform our health service? work and family priorities? on how we can do better and keep improving.
Technology is vital to the reform of our I am a big supporter of work/life balance, I will keep staff updated on our progress
health service. Investing in it is crucial it’s so important in this age of Smart regularly through the monthly DG message
otherwise we will be running to stand still technology and the 24hr news cycle. I and other channels.
and the quality of patient care will suffer. manage stress by keeping everything And finally, I can promise that I will work
Projects like the Electronic Health Record in perspective as much as I can, and by hard on behalf of staff to reform our health
(EHR) will allow us to increase capacity making a conscious effort to give my best service and make it something that we all
in an already creaking system. EHR is the to whatever role I’m in at the time. So when can truly be proud of.
2019 summer health matters 
You
Section
In terna tio na l Da y of the Mid wi fe
‘It’s all about supporting
women and their choices’
idwives from all over the world
M
have celebrated International
Day of the Midwife on May 5th
since 1991.
To celebrate the day, midwives
from Cork University Hospital (CUMH), South
Tipperary General Hospital (STGH), University
Hospital Kerry (UHK) and University Hospital
Waterford (UHW) have shared their experiences
of the profession.
The aim was to raise the profile of the
Brid Galvin, UHW. Carmel Byrne, STGH. Chloe Ferriter, UHK. Margaret Higgins, CUMH.
midwifery profession by featuring real midwives
talking about the profession in a positive light.
All four maternity units are part of the Maternity
Directorate of the South/South West Hospital
Group (SSWHG).
Margaret Lyster, Clinical Midwife Manager
at UHW, said, “It’s the diversity of midwifery,
in terms of the role and people you meet, that
I love. As many of our couples are non-Irish
nationals with a language barrier and no family
here, it is very fulfilling to offer them the care and
support they need in their journey of childbirth.
“You are meeting women at a very vulnerable Margaret Lyster, UHW. Marie Walsh, STGH. Norma Kissane, UHK. Ruth Evans, CUMH.
time and it’s all about supporting them and
facilitating their choices where possible. It’s working as a midwife 30 years on. before, during and after delivery. It’s a privilege to
rewarding to know you’ve done a great job “I love the variety and continuity of care. In be part of such a special event in a woman’s life.
through the ongoing gratitude and recognition a relatively small maternity unit like South In Kerry these women are often our neighbours
you receive.” Tipperary General Hospital, you get to work and friends, our future, we must support and
Ruth Evans, Neonatal Manger, CUMH, has been with women across our antenatal, labour and empower them to have a positive, safe, high-
working with premature babies for over 25 years. postnatal wards. Educating and advocating for quality experience in our unit in Tralee,” she said.
“The best part of the job is saying goodbye to women is so important. Our antenatal classes can Brid Galvin, staff midwife, UHW, explained, “I
a ‘preemie’ who has thrived under the care of be very empowering for first-time parents.” love the autonomy of the role and being able to
our unit. Their time in intensive care is difficult Chloe Ferriter, newly qualified midwife at offer women your knowledge and support during
and when they leave, there’s still another two or University Hospital Kerry, said, “Helping people a very vulnerable time.
three months of work to get them independent, is important to me and one of the main reasons I “For me the best part is seeing new life come
off oxygen and feeding properly. There’s a sense became a midwife. into the world – it’s such a privilege. While it can
of pride when they leave and you know you’ve “It’s amazing being part of a real happiness be very challenging, it’s also very rewarding to
done a good job.” that is unique to women. It’s rewarding to build see a women through pregnancy and birth and to
Carmel Byrne, lactation consultant, South a special, trusting relationship with each woman have a safe, happy mother and baby at the end.”
Tipperary General Hospital, said, “I have always while creating a warm and calm environment Margaret Higgins, Domino midwife, CUMH,
been interested in promoting, protecting and for the baby to be delivered in. The best part is cares for low-risk women during pregnancy, birth
supporting breastfeeding. I was inspired to empowering women, being their advocate to and the post-natal period ensuring continuity of
specialise in breastfeeding after my time facilitate a safe birth and witnessing the change care and, above all, choice for each woman.
working in Australia where breastfeeding rates from a woman or couple to a family unit. As a “Through education and support, we give
are high at approximately 95pc. I have witnessed midwife, I feel very privileged to be a part of the women the skills and confidence to have a
first-hand the many benefits of breastfeeding birthing experience for each woman I support.” natural birth and an early transfer home, where
to families, society and the environment. Norma Kissane, Clinical Midwife Manager, at we continue our support. It’s hugely rewarding to
If a woman chooses to breastfeed, I find it UHK, has worked as a midwife for over 28 years. facilitate and empower a woman’s choice.
very fulfilling to help her achieve that goal. “I originally trained as a general nurse and “As you journey with them through pregnancy
Breastfeeding is a learned skill, which some decided to further qualify as a midwife due to the and birth, you develop a special rapport with
mothers and babies find challenging. However, passion I had for women’s healthcare. I wanted to each and every one.
with appropriate assistance and support, most of make a difference with my skills and experience, “It’s wonderful to welcome many of them back
these challenges can be overcome.” to keep our mothers safe and give babies the for their second and third babies through the
Marie Walsh, Clinical Midwife Manager, South best start in life possible. For me, the best part is DOMINO scheme here at CUMH. It’s something
Tipperary General Hospital, said she still loves the positive nature of the job, caring for women to be very proud of.”
10 health matters summer 20193,000 more pa rti cip an ts in 2019
Steps to Health
challenge in full swing
his year’s Steps to Health assessments to staff taking part in the co-ordinators containing your step counters,
T
challenge is in full swing at Challenge. Perhaps five weeks won’t make participant and co-ordinator guides, posters
present. Now in its third year, a huge difference to your health facts and and badges. So a huge thanks is due to those
we have 9,400 staff members figures but it will benefit you if you continue staff pictured here.
taking part. That’s 3,000 more on after the five weeks, turning it into a And of course it wouldn’t happen without
participants stepping out daily than we had full time habit alongside eating healthier. our team co-ordinators who register all of
last year. Perhaps we could tempt the staff in you, and keep you inspired and motivated
Apart from walking with colleagues and Monaghan to continue it until the year end throughout the challenge. So a big shout
family and friends, staff have also been and check the results then? out to your team co-ordinator and you can
organising many other activities during the Peter Dineen, our staff blogger, has nominate them for a prize at the end of this
Challenge to build awareness and increase given us a smile or two as he takes to the year’s challenge. Watch our newsletter for
physical activity as well as healthy eating. highways and byways in Cork striving to more details before the end of the Challenge.
More importantly, staff are also telling us of avoid dogs and melting from his exertions!
the fun they are having and the new friendships If you have missed it, check out our website
that are being made at work. All of this is very www.hse.ie/stepschallenge
important to create a happy and Behind the scenes every year, we have From left to right: Meagan Hanley, Healthy
Eating Active Living Programme; Muiriosa Ryan, Social
healthy working environment some very busy elves in our Steps
Media & Digital Analytics Lead; Agatha Lawless,
as well as looking after our project team who registered Project Manager, Healthy Eating & Active Living
mental health. over 660 teams, organised the Programme; Edel McNamara, Senior Community
Staff in the email broadcasts, newsletters, Dietitian; Clodagh Armitage, Physical Activity Co-
Ordinator; Caroline Murray, Health Promotion Officer;
physiotherapy department competitions and our website.
Norma Deasy, Campaign Manager, Communications.
at Monaghan Hospital They also sent out the Missing from photo Adrienne Lynam, Project Manager,
kindly offered free health Challenge packs to our team Staff Health & Wellbeing.
Golden celebrations in community nursing unit
Tommie Walsh and his dear wife Annie celebrated their 50th wedding have two daughters, Mary and Florence, and many grandchildren who
anniversary in Plunkett Community Nursing Unit, Boyle, Co Roscommon come to see their granny!
recently, surrounded by their family, friends and staff from the Nursing Unit Annie came to Plunkett CNU in February 2018 and has since enjoyed
where Annie lives. living in a community of friends and staff. She enjoys knitting, chatting
Annie grew up in Cartron, Lough Allen, Co Roscommon and attended to other ladies from the Boyle area and is visited daily by her family and
Cartron National School. Annie was good at needlework in school and friends. Annie finds Plunkett Community Nursing Unit friendly and helpful.
enjoyed dress-making, farming and house-keeping in her earlier years. Her family comment that her mobility has improved considerably since
Tommie and Annie, met in the Mayflower dance hall, Drumshambo, she has come to live in Plunkett CNU. Florence Walsh said, “Thanks to
Co Leitrim which was a popular place to socialise at the time. They were all the staff In Plunkett Community Nursing Unit who helped make our
married in Arigna Church and lived in Tullytawan, Ballyfarnon. The couple afternoon special. As always doing a fantastic job.”
2019 summer health matters 11You
Section
Mas ter athlete pu ts in the ha rd w ork
Bernie pride of the coombe
ernie White is the super-
B
efficient supervisor of the
Coombe Women & Infants
University Hospital’s
Administration Office. She’s also
one of Ireland’s Master athletes with more
medals and awards than her mantelpiece can
accommodate.
“I was brought up eating and drinking
athletics. My whole family have been involved
in sports ever since I can remember and
from an early age I was encouraged to take
up athletics. As a child I was taking part in
track and cross country events and always
featured in the top six in the Dublin Juvenile
Championships,” said Bernie.
“Definitely I’m driven and always have been.
What you see is what you get whether it’s in
sport or work. I’m a very straight talker and a
very pragmatic person. I just get on with things.”
Getting on with things is Bernie’s trademark.
In her more than 20 years working in the
Coombe, Bernie has faced her fair share of
trials and tribulations. A work accident left her
with a permanent back injury and stopped her
running for five years, breast cancer came and
was beaten, and plenty of injuries along the
way have left their marks from competing in
Irish and European Championships.
Bernie is one of nine children in a very close
knit family and she was born in Dublin in 1965.
Her athletic career has been inspired and
helped by her close friendship with her coach
Emily Dowling, one of Ireland’s best known
athletes. Emily was the person who did much
to help Bernie develop self-belief and self-
confidence. As she waited at the starting line
for every competition, Bernie would chant to
herself, ‘If you believe you can do something, it
will come easily.’
And it did. Travelling to countries including
Denmark, Poland, Spain, Portugal, Germany,
Finland and England, Bernie has notched
up scores of medals and made many
friends. She believes her finest achievement
is her performance in the 800 metres in
the European Outdoor Championships in In her early years as a Master athlete, currently a coach with the Dublin Striders
Denmark in 2004 where she ran her personal Bernie’s weekends and much of her annual Club and she now enjoys coaching girls and
best of 2 minutes, 18 seconds and point 72 of leave was spent taking part in national boys from Under 10 and Under 19 up to junior
a second. Heartbreakingly, she came fourth, competitions across the country. The 800 level in track and field and cross country. The
having been robbed of third place – and a metres is her favourite distance but she organising skills she displays in her job in
medal - by a GB runner who shaved in ahead has regularly competed in 400m, 1500m the Coombe were particularly useful in 2011
by just 200th of a second!! and 3000m. Medals are, of course, a good when Bernie effortlessly put together a week
But revenge is sweet and just two years outcome of any competition and back in 2007, long sports activity camp for youngsters
later, Bernie was able to reverse the positions she arrived home from Nenagh one day with aged 8-12 which was booked out almost
and put the same runner into fourth place a number of silvers for the 800m and 3000m immediately by grateful parents!
while she picked up the bronze medal in and a gold for the 1500m. Bernie’s big competition days may be
another 800 metres competition in Poland in a In more recent years, injury and surgery a distant memory but the training never
time of 2.20.04. has led to a different shift in focus. Bernie is finishes. She’s out and about doing speed
12 health matters summer 2019Roscommon appoints
Ireland’s first
specialist skin
cancer nurse
Bernadette Finneran, born in Manchester
and living in County Roscommon for the last
30 years has been appointed as a Registered
Advanced Nurse Practitioner (RANP) in
Plastic Surgery at Roscommon University
Hospital (RUH).
Bernadette is the first RANP specialising in
skin cancer in Ireland and is only one of three
RANP posts in Plastic Surgery nationally.
RANPs are the highest level of clinical
experts in the nursing profession in Ireland
today. She has over 20 years of nursing and
surgical experience behind her.
Bernadette began the journey to advanced
practice by completing an advanced
dermatology course in King’s College
London in 2014. She then completed a two-
year post graduate medicine programme Being a RANP
in Clinical Dermatology and obtained a
first-class honours Master’s Degree. She then
allows me to
undertook a higher diploma in Advanced develop as an independent
Practice with prescribing and was awarded
first-class honours.
autonomous practitioner
Bernadette’s role involves the assessment, and strive for continuous
diagnosis and treatment of pre-malignant
and malignant skin lesions. She is fully
improvement and
trained in dermoscopy, an invaluable tool excellence in practice
in the assessment of skin lesions which
enhances accuracy of diagnosis with
increased sensitivity and specificity for the and early intervention and diagnosis offers
detection of early melanoma. Bernadette optimal care for the patient. Bernadette
gained invaluable experience in pursuing recognises that prevention is far better
her specialised field in the UK and Austria to than cure and takes an active role in health
ensure that optimum safe care is delivered promotion strategies. She introduced annual
to the patients she cares for. During her time Safe Sun Awareness Days for staff and
in the UK, Bernadette also trained in areola members of the public and worked with Club
micropigmentation - a specialised technique Rossie and the Roscommon senior football
which essentially signifies the end of a long team to raise skin cancer awareness with
road for breast reconstructive patients by children last summer.
recreating a three-dimensional artificial Deirdre Jones, consultant plastic and
nipple. This allows these patients to feel reconstructive surgeon at RUH, said, “I am
whole again and signifies the end of their very supportive of the development of the
cancer journey. RANP role and of its potential to improve
“Being a RANP allows me to develop as access to care for patients with skin cancer.
an independent autonomous practitioner RANPs require the best available clinical
sessions a couple of evenings a week, when and strive for continuous improvement and and academic training to allow them to
she’s not coaching her beloved juveniles. Even excellence in practice. I am qualified to practice autonomously. Bernadette sought
in winter, there’s no let up and Bernie can be assess and examine skin lesions, diagnose out an excellent course of study in the UK
found pounding the streets close to home on and prescribe treatments, perform excisional and showed enormous commitment and
dark, wet evenings. skin biopsy and wound closure and provide dedication to graduate at the top of her
To Bernie, this is all about running for discharge and health promotion advice. All Master’s Programme. She, along with our other
pleasure and to keep herself fit. And yes, of this is under the clinical governance of RANPs in Plastic Surgery, Amanda O’Halloran
to get back into top form and possibly give Deirdre Jones, who is an inspirational mentor and Deirdre Conlon, makes a massive
those competitions another go if her injuries always striving for and achieving clinical contribution to our service in Roscommon
allow her. Her colleagues in the Coombe are excellence and I feel very privileged to be a University Hospital and this involvement is set
incredibly proud of Bernie’s achievements and member of her team,” explained Bernadette. to increase with the introduction of RANP-led
are keeping their fingers crossed that the day The incidence of skin cancer is increasing clinics and Photo Triage.”
arrives when new medals will adorn her neck.
2019 summer health matters 13You
Section
Ea mo nn co m pleted the six ‘majo rs’
paramedic gives
marathon medal
to boy he saved
t is not often that you win
He has been a great
I
a prestigious prize and then
immediately give it away. But for little fighter and it
Six Star marathon medal winner
Eamonn Baxter, he could think
was thinking of him that got
of only one person that he wanted to have that me around the course,
very special award.
56-year-old Eamonn has been a paramedic
I wasn’t letting him down
with the HSE for the past 22 years, based out
of the University Hospital Galway. overweight and his blood pressure was high.
Three and a half years ago, he saved Jonah “The reason I took up running back in 2011
Murphy’s life when the tiny baby went into was that I was overweight at over 90kg and
cardiac arrest aged just seven weeks. This my blood pressure was raised. I bought a
July, he will be celebrating his fourth birthday cross trainer and a treadmill and started
thanks to Eamonn’s interventions. walking quickly on it and over time I started
Eamonn visited Jonah and his family to hand to jog and then run. My weight has dropped to
over the very special early birthday present 72kg and my BP has also dropped,” he said.
when he returned to Ireland having completed “My first 5k was the Darkness into Light
the Tokyo Marathon in Japan. and then I worked up to 8k and then just kept
By crossing the finish line in Tokyo in March, going, I suppose.”
Eamonn earned himself the unique Six Star Eamonn’s gruelling training regime also has
marathon medal. Tokyo was his final world a unique twist – he does it all on his treadmill.
marathon ‘major’, after previously completing “I know most people would be horrified to
the 26.2 mile courses in London, Berlin, have to do all their running on a treadmill. But
New York, Boston and Chicago. The medal is I suppose I don’t know any other way. When I
awarded to participants who have completed took up the running, I used the treadmill all the
all six of the major marathons. time and it just became second nature,” he said.
There are only 92 of these medals in Ireland “When I started back in 2011, I could barely you have to respect the heat. The humidity
and just under 5,000 worldwide before the break into a jog. So I used the treadmill to there was a big challenge, as it saps your
London Marathon last month. try to build up my strength and stamina. I energy. It was my slowest of the six, coming
“A friend had told me about the six majors. eventually got fitter and fitter and it became over the line at four hours and eight minutes.
I had done Berlin at that stage and had much easier. Working the shift work of 10-12 “London is great but very congested,
qualified for Boston. So that was two done and hours as I do as a paramedic, it is much easier whereas Berlin is a lovely flat course. There
then I had the other four kind of in my sights. to walk in the door at any hour of the day or was one part of it where there was a road
I thought it would be a great thing to aim for. night and just hop on the treadmill. I followed with a big cathedral at the end of it and you
And always in the back of my mind was the my training plan around my work schedule could have sworn you were running down the
little lad Jonah,” explained Eamonn. thanks to my trusty treadmill.” University Road in Galway,” he laughed.
“I really wanted to do it for him. I didn’t want The training and running events also give He finished Berlin in a fine time of 3.29:53.
to tell him or his parents about it in case I let Eamonn an outlet to distress and switch off The unique medal win wasn’t the end of
them down by not getting them all done. But from work. the marathon effort for Eamonn. He recently
once I had just Tokyo to go, I approached his “The life of a paramedic can be very tough so completed his 25th marathon in Limerick
mum and dad and asked if they were okay it can be great to come home and get on the – where he started it all at his first marathon
with me running it for Jonah and wearing his treadmill. It immediately clears the mind and back in 2013.
picture on my t-shirt. They were delighted. makes sure I’m not thinking about work,” said “It was exactly six years to the day that I ran
“After I came home, I dropped by the house the Galway paramedic. my first marathon so I thought that I better
for a visit to give Jonah my medal. He was He said it was tough to choose which of the not skip it!”
thrilled with it – and wasn’t letting go. He has big six was his favourite. Running 26.2 miles doesn’t get easier but
been a great little fighter and it was thinking “In all my marathons, Japan was my first Eamonn has his own way of making sure he
of him that got me around the course. I wasn’t wet one which is mad considering how many I doesn’t hit the famous ‘wall’ at 20 miles.
letting him down.” have done back home here in Ireland without “Those last six miles are all about mental
What is even more amazing about Eamonn’s any rain. In New York, it is an iconic course but strength. In fact, I usually look forward to
achievement is the fact that he only started there’s a lot of waiting around beforehand. those last six miles. I just break it down into
running back in 2011 because he was Boston is a very tough and hilly course and smaller races. Six miles is just a 10k like
14 health matters summer 2019the first one I did in Clifden. Then when I’ve
another mile done, I think ‘ah sure this is just
the 8k Streets of Galway run.’ If I think about
it like that, then it’s much easier to manage.
Once you get half way round then you know
you have more behind you than you have in
front of you.”
TOP AND ABOVE RIGHT: Eamonn Baxter with his
Six Majors medal which he was awarded recently
after he completed the Tokyo Marathon. ABOVE:
Eamonn with Jonah Murphy and the special medal
that he handed over to Jonah to keep.
2019 summer health matters 15You
Section
TRANSPLANT
‘without my
not be able
s a paramedic Jason
A
McKenna is used to being a
lifesaver. But, according to the
Monaghan man, every single
person has the potential to
save multiple lives if they agree to become
an organ donor.
13 years ago, Jason himself received the
gift of life when he had a kidney transplant.
In expressing his gratitude to his donor,
Jason, who is now 40 years old, said, “Organ
donation can mean different things to
different people. As a transplant recipient, to
me organ donation means an extended and
normal life and being able to enjoy things
that people take for granted. It also means
the freedom to travel, to feel healthy and to
make decisions without the constraints that
constant medical care apply.
“Without my transplant I could not have
the life that everyone takes as the norm,
nor would I have been able to pursue my
career in pre-hospital care and commit to
the level of education I have achieved.
“I would not have the energy that my four-
year-old daughter expects from me and it’s
her energy that reminds me every day how
life-changing, and how life-saving organ
donation really is.”
Jason attended the national launch of
Organ Donor Awareness Week 2019, by
the Minister for Health, Simon Harris,
which was held at the Mansion House in
Dublin. The annual campaign, which took
place from March 30th until April 6th, is
organised by the Irish Kidney Association
new stamp will create more public awareness about organ donation
An Post has issued a special national postage can happen. Carrying an organ donor card is organ donation. When the stamp is scanned
stamp highlighting the importance of organ another clear sign, as is having this information by a smart device with the Cee App installed,
donation to the lives of people living in Ireland. included on your driver’s licence. users will be redirected to the www.hse.
One of Ireland’s longest surviving heart Prof Jim Egan, Director HSE, ODTI, said, ie/organ-donation web page.
donor recipients, An Post staff member, Andy “I’d like to thank An Post for the creation of Organ Donation and Transplant Ireland
Kavanagh and double lung transplant recipient, this special stamp. It will create more public (ODTI) was established to provide governance,
David Crosby, who is preparing to run his third awareness about organ donation. It is only integration and leadership for Organ Donation
full marathon in honour of his donor, were at because of the generosity of the Irish public and Transplantation in Ireland. The Office is
the GPO, Dublin to launch the special stamp. that patients can receive the life-saving dedicated to saving and improving lives by
An Post is joining with the HSE’s Organ treatment of an organ transplant. Our message improving organ donation rates in Ireland.
Donation Transplant Ireland (ODTI) to ask the is simple: Organ Donation Saves Lives.”
Irish public to talk with family about their wish Designed by Zero-G, the stamp and first day
to be an organ donor #havethatconversation. cover feature an hourglass timer to represent
Jsaon McKenna, Advanced Paramedic, NAS, with
Talking to family about being an organ donor is the precious nature of time and the gift of life Pat Smith, Operations Resource Manager, NAS, at
the most important step in ensuring your wish passing from one person to another through the organ donation stamp launch at the GPO.
16 health matters summer 2019TRANSPLANT
y transplant I would
to live a normal life’
Without my Emergency Department of the Beaumont
Hospital where he was connected to a
considered for living donation, although he
was initially hesitant about putting them
transplant I could dialysis machine. He spent almost three through it. Eventually he came around to
not have the life that weeks in Dublin and by coincidence was
discharged on the same day he had
the idea but in January 2006 he hit another
health setback and ended up back in
everyone takes as the originally booked his flight to visit home to hospital.
norm, nor would I have celebrate the new Millennium.
After nine months of dialysis at Cavan
It was soon after this that another
donor kidney became available. He was
been able to pursue my General Hospital, he got news that a donor successfully transplanted in April 2006.
career in pre-hospital kidney had become available. Unfortunately,
the transplant was not successful and
Jason finally decided to tell his story after
seeing an appeal on the Facebook to coincide
care and commit to the failed almost straight away. Complications with Organ Donor Awareness Week.
level of education I have left Jason in a critical condition and it was
thought that he might not pull through.
“It is such an important thing for
somebody to do. Organ donation is literally
achieved Jason thankfully recovered and he lifesaving. Your donation could help a
remained positive while waiting for a second number of people, save or transform their
donor kidney to become available. lives. I would encourage anyone who is
(IKA) and supported by the Organ Donation “I think I was able to stay positive through unsure about whether or not to become an
Transplant Ireland (ODTI). it all because I had youth on my side. I was organ donor to check out the Irish Kidney
The focus of Organ Donor Awareness in my 20s and although I was going through Association website or Facebook page to
Week is to remind individuals to talk to their dialysis, I still felt energetic. I met plenty of read the stories of people who, like myself,
families about their organ donation wishes people in their 50s and 60s doing dialysis have had transplants, and family members
and keep the reminders of their decision too who weren’t able to do the things that who donated their loved ones’ organs. It
available by carrying the organ donor card other people their age were doing. But I certainly puts it into perspective,” he said.
permitting Code 115 to be included on their was working full-time, doing nights at a Jason, who works with the National
driver’s licence and having the ‘digital organ security company while I got my dialysis Ambulance Station and is stationed at
donor card’ APP on their smartphone. during the day. I was able to have a normal Castleblayney statiom, said he enjoys the
In December 1999, as a 20-year-old living life. And sure for me, kidney problems and fact that he gets to help many people every
in New York, Jason’s kidney began to fail hospitals were normal for me. My kidney day at work.
and he was told he would have to go on issues started when I was six months old so “I spent so much time in hospital when I
dialysis immediately. He had been working I always had to work my life around those was younger that I always said that I might
illegally in the US on building sites so could hospital visits and stays. It was all normal as well stay there! I really love my job,
not afford the medical care there and took for me,” he said. every day is completely different,” he said.
the next available flight home. Jason went back on dialysis for another Jason’s interest in pre-hospital care
When his plane touched down at five-and-a-half years. By 2005 his family was sparked in 2005 by a friend who was
Dublin Airport, Jason was rushed to the members had started the process of being pursuing it as a career.
“I did a first responder course. Then
I got a part-time position driving for a
private ambulance company. Then I did
my Emergency Medical Technician (EMT)
training in 2007 and joined the National
Ambulance Service in 2011,” he explained.
Having worked as a paramedic for
several years, he continued his studies
in the University of Limerick and then
onto University College Dublin where
he completed the Advanced Paramedic
programme in 2018. Coincidently, one of his
jobs was working with Lifeline Ambulance
Service which transports transplant teams
and coordinators around the country. He
has also brought patients to Dublin for
heart and lung transplants.
13 years on, Jason said he still
appreciates how lucky he was to get a
second chance at life thanks to his donor.
2019 summer health matters 17You
Section
TRANSPLANT
Gordon Ryan, who
works in the Digital
department of the HSE
Communications Division,
tells the story of the
double-lung transplant
that saved his life
‘Life on the
transplant list
was survival
mode and
uncertainty’
In July 2013 I received a life-saving double transplants in 2006 and I was first assessed the call that suitable lungs were available and
lung transplant. This was because of the for transplant there in September 2008. I felt the operation went ahead.
genetic condition Cystic Fibrosis (CF) which I there was a better chance of getting it at the Since my transplant, life has transformed.
battled for many years. Though diagnosed as time in Newcastle where Irish CF patients were Simple things matter most like being able to
a baby, I remained quite well until my early previously transplanted. The option to go on breathe again and hop on a bike. I was able to
twenties. Unlike many others with the condition, either list was there until the Dublin unit found fly for the first time in six years and visited New
I experienced a very normal hospital-free its feet, but you could only go on one list. York. I completed a Diploma in Radio Production
childhood and adolescence. Life on the transplant list was survival mode and worked with local radio before taking on
This all changed radically for the worse just as and uncertainty. Keeping going was all that a Masters in Journalism and freelancing as a
I was finishing University in 2002. I found myself counted. Time was the biggest enemy because researcher with TV3 for a while.
on the flat of my back in Vincent’s University you did not know how much of it you had left. Last year, I applied for a communications
Hospital (CF center) with a severe lung infection. The doctors only advise people to go on the position through the HSE’s Gradlink program and
That initial six-week admission was a steep transplant list when they believe you’ll live got accepted. I now work on the Digital Content
learning curve in the realities of CF. It meant longer with a transplant than without it. team within the Digital Division and it has been a
heavy duty intravenous antibiotic treatment, People used to ask me, ‘When will you get your hugely positive experience. There is a lot to learn
daily airway clearance (physiotherapy technique) transplant?’ The answer was you were living in in digital. We design and publish accurate and
to clear the sputum clogging the airways in the hope and might never get it. I saw good friends accessible health information for the public on
lungs, increase in daily medications and nebs, of mine pass away before they ever got onto the new website HSE.ie.
learning about resistant bugs and to top it off a the list, several died on the list waiting for lungs Recently my manager involved me on a new
diagnosis of CF-related diabetes! that never came. They were amazing people in project about organ donation. We met with
I had to catch up fast and come to terms with their twenties and thirties, full of life, personality, Organ Donor Transplant Ireland (ODTI) to plan
a serious illness which others were coping with hopes and dreams to whom life randomly dealt a how we develop our content. Who arrived into
since childhood. Thus began the merry go round very lousy card. the meeting, none other than my lung transplant
of endless hospital admissions. It was difficult I was placed on the Newcastle list on June 1st consultant Professor Jim Egan, who now heads
adjusting to living with CF when all I wanted to 2010. At this stage, life was merely an existence. up ODTI. The look on his face was priceless! He
do was forget about it and get on with life like my When not in the hospital, I was striving to keep looked after me for several years throughout
peers in their mid to late twenties were doing. myself well and out of it. By 2012 I was fully my transplant journey and now here we found
For a few years, I played it down, pretending to oxygen dependent and my final lung function ourselves in a work meeting together. It was a
myself and others everything was fine but the test read 12pc. surreal moment.
repeated lung infections and hospital visits were I returned to Vincent’s hospital for the last time The gift of organ donation never ceases to
intruding more. My attitude towards it eventually in February 2013 by which stage I couldn’t even amaze and I would strongly urge everybody to
changed when an experienced nurse said to me, get upstairs and breathing was impossible. A sign up. I cannot conclude without mentioning
‘For you CF guys it’s not about getting better, bi-pap (non-invasive ventilator) strapped around the hero of my story - my donor. A young man
it’s about keeping well.’ That insight definitely my head did the work of my lungs and I was in his early thirties who died accidentally, he
proved a turning point as it helped me accept my confined to my hospital bed hoping for a miracle. and his family’s selfless act of generosity saved
long-term situation and control what I could by Having reached the point where I’d lost faith and transformed my life. I am eternally grateful
looking after myself better. with Newcastle, I switched over to the Irish list at to them and strive to make the most of the
The Mater began performing CF lung the eleventh hour that July. One week later I got opportunity given to me, in his honour.
18 health matters summer 2019You can also read
