Epilepsy News Shining a light on epilepsy Epilepsy Ireland Issue 70 Autumn 2015 In This Issue: • New publications & children’s colouring book • Story: How horses helped my epilepsy • Medication update: Valproate & Lyrica • Can teenagers be trusted to take their medication? contents Note from the editor 3. News Update Another busy summer draws to a close and preparations are stepping up a pace for the big event of the year, the National Conference 2015. This year we travel to Killarney, conference date Saturday October 3rd. It promises to be an outstanding event with a wonderful line up of speakers and workshops. Full details can be found on the back cover. For other upcoming events in your region please check out page 14. 4. Yay or Nay - Can Teenagers Be Trusted to Take Their Medication? 5. Valproate & Lyrica updates 6. Personal Story by Aileen Gardiner 8. New Publications 10. How horses helped my epilepsy by Laura Hall We would also draw your attention to page 8 – 9 which has full details of three 11. Epilepsy Ireland Fun Day 12. Fundraising new Epilepsy Ireland publications, which we are sure you will find both informative and useful. This issue contains two personal stories – Aileen Gardiner shares her experience of epilepsy surgery (page 6 -7) while Laura Hall shares her very personal experience working with horses (page 10). We hope you enjoy them both and find some inspiration. We are looking forward to seeing you in Killarney in October. 2015 John Kirker Prize Winner 14. Regional Events From left to right Mr. Donncha O’Brien, Consultant Neurosurgeon, Beaumont Hospital and Children’s University Hospital, Temple Street, who specialises in epilepsy surgery; Dr. Mark McCormack, John Kirker Prize Winner 2015; Dr. Ronan Kilbride, Consultant in Clinical Neurophysiology and Epileptologist, Beaumont and Mater Hospitals, Dublin. Front cover inage: Lacey Ellison from Dublin, enjoying our new educational colouring book for children whose parent has epilepsy. Dr. McCormack’s study is entitled “A genome-wide meta-analysis of aromatic anti-epileptic drug induced maculopapular exanthema” Calling all dog owners! Neil Powell is a PhD student in Queen’s University Belfast who is researching the reported ability of some dogs to predict seizures in their owners or a family member. Neil is looking for people who have frequent seizures and who also own a pet dog to take part in the study. The dog must be a pet dog not a trained seizure-alert dog. 249 Crumlin Road, Dublin 12. D12 RW92 Tel: 01 4557500 Fax: 01 4557013 Email: [email protected] Web: www.epilepsy.ie Registered Charity Number: 6170 Do you have frequent seizures? Do you also own a pet dog? Would you like to Design and layout by What Box? Creative. Printed by Doggett Print & Design 2 If you would like to take part you can contact Neil directly at: help with research into how [email protected] pet dogs respond to their owner’s seizures? News update A 3D-printed epilepsy drug and PPS number but will not contain clinical information. Epilepsy patients on the EPR will begin using the IHI later this year. http://goo.gl/eKIiH3 Can music help in epilepsy? The FDA in the US has approved the first ever 3D-printed drug and it’s for epilepsy! Spritam, by Aprecia Pharmaceuticals is a formulation of the common epilepsy drug Levetiracetam. 3D printing is used to print layers of the powdered drug, bind each layer together, resulting in a porous formulation that rapidly disintegrates with a sip of liquid. The formulation, which will be available in the US in 2016, may be of particular benefit for patients who have trouble swallowing pills, and for parents in ensuring adherence in children. It is already being discussed as a ‘game changer’, paving the way for a new range of personalised treatments that can be ‘printed’ at home. http://goo.gl/obhtJU Epilepsy EPR will trial new IHI numbers New American research has found that the brains of people with epilepsy react to music differently from the brains of those who do not have epilepsy. Using EEG, researchers at Ohio State University recorded brainwave patterns while participants listened to intermittent periods of music and silence. While significantly higher levels of brainwave activity were recorded in all participants while listening to music, the activity in people with epilepsy tended to synchronize more with the music, especially in the temporal lobe where music is processed and where approx. 80% of seizures originate. The authors told the American Psychological Association annual meeting that “music could potentially be used as an intervention to help people with epilepsy” in conjunction with traditional treatment. http://goo.gl/E9rhbL EpSMon mobile app tracks epilepsy risks available on iPhone) at sudep.org/ epilepsy-self-monitor. Positive effects of epilepsy selfmanagement programmes A new study published in the journal Epilepsia has found that epilepsy selfmanagement programmes can be “a promising intervention from multiple perspectives, particularly in relation to disability management”. 83 chronic epilepsy patients were recruited for the study and assigned to either the PACES self-management programme or to ‘treatment as normal’. PACES involved an eight-week programme of group meetings, co-led by a psychologist and a trained peer with epilepsy, one evening per week for 75 minutes. Topics included medical, psychosocial, cognitive and self-management aspects of epilepsy and optimising epilepsyrelated communication. The study found that participants who undertook PACES improved relative to controls in terms of their ability to self-manage, with these positive effects continuing after six months of follow-up. Why not check out Epilepsy Ireland’s STEPS self-management programme and find an upcoming course near you? http://goo.gl/RcY7YR New drug trial for PCDH19 Epilepsy HIQA has launched the new Individual Health Identifier (IHI) system which will see everyone in the country issued with a unique, lifetime number to help with tracking through health and social care services. The Epilepsy Electronic Patient Record (EPR, pictured) is one of three existing databases that have been chosen to trial the system before it is rolled out extensively. The EPR is part of the National Epilepsy Clinical Care Programme and facilitates the sharing of clinical information on over 5,000 people with epilepsy. The new IHI aims to improve patient safety and communications between health professionals. It is expected to contain the person’s name, photo, signature, DOB, security questions UK charity SUDEP Action has launched a self-monitoring smartphone app that brings life-saving knowledge straight to your fingertips. The Epilepsy Self-Monitor (EpSMon) app allows users to assess their epilepsy and SUDEP risk every three months and prompts them to see their doctor if their risks increase. The app also suggests simple ways people can lower their risks if it is something they can change. The app asks the user a series of questions about their epilepsy, their seizures and their well-being, then analyses the answers to provide basic advice. The analysis can then be further discussed with the user’s healthcare team. Check out this essential app (currently PCDH19 Epilepsy is a condition of severe seizures, autism, intellectual disability and other symptoms which are all caused by a mutation of the PCDH19 gene on the x chromosome. Both boys and girls can be born with this mutation but only girls suffer from the symptoms of the condition. Up to 10% of all girls that begin having seizures before the age of 5 may have PCDH19 epilepsy. Now, an international team, led by Prof. Jozef Gecz from the University of Adelaide has made a breakthrough discovery in treating the disorder. The team report that children with PCDH19 are deficient in a hormone called allopregnanolone and trials have already begun to test the effect of a synthetic form of the hormone. It will be the world’s first clinical trial to test the therapy, which will aim to delay the onset of seizures in order to reduce the effects of associated autism and intellectual disability. http://goo.gl/y0iFMc 3 Yay or Nay – Can Teenagers Be Trusted to Take Their Medication? Negative feedback and raised eyebrows from teenage friends can be very persuasive. If lacking in information, a teenager might not understand how important medication is. They may be in denial. After having a few years without seizures they might be tempted to secretly stop taking an anti-epileptic drug, under the delusion that it is no longer needed. Fear of sideeffects can also be a deterrent, with hormonal mood swings being unfairly attributed to the little tablets. Some teenagers have a bad reputation for trying illegal drugs. But can they be relied on to take the ones prescribed to them? Epilepsy News columnist Maria Carty-Mole debates both sides of the argument. That’s Mental The teenage years are a tricky time in physical, psychological and educational development, when parents have to start handing responsibilities over. No adolescent appreciates Mam and Dad dictating how they should dress or how late they can stay up, and the same applies to how they should take their medication. Having adults persistently reminding you to do something can make you want to do the exact opposite, and what a parent calls ‘protecting’, a fed up offspring may label as ‘pestering’ or ‘nagging’. This can result in a refusal to take tablets – an act of rebellion, resisting the orders that come from authority figures, be they parents, carers or doctors. It’s just an alternative way of testing limits and gaining a sense of self-control. Another reason why a teen might not be keen is the classic fear of being stigmatised. “All teenagers just want to be the same as their peers,” says Maria Keegan, Children’s Neurology Clinical Nurse Specialist. “This proves challenging for the girls and boys with epilepsy who may have to remain on anti-epileptic medication for life. They can be bothered that they have the condition, and would often say to their parents or carers that they just don’t want to be taking tablets.” 4 Most of all, when looking at this age group we have to make sure not to declare skipping medication as rebellion or denial if it’s just pure, genuine forgetfulness. A younger teenager’s organisational skills might not be fully developed yet, and a combination of school, part-time jobs, socialising and hobbies mean that teens live distracting lifestyles. As do most of us, in fact. Some people can never be trusted with medication administration, no matter how old they are. “I’m 40 and I still find it hard to Like, Totes remember, even though I’ve been taking But wait a second: isn’t this all just a tiny medication for over 25 years!” says Lydia. bit patronising? I remember being 14 and “I also forget if I’ve even taken them!” This a man telling me that I was ‘surprisingly common dilemma explains the popularity mature’ for my age. I thanked him of calendars on fridges, pill boxes on graciously for his compliment, but secretly bedside tables, and reminder apps on I was disgusted by his condescending smartphones. manner. There are many cringing Now, if you’ll excuse me, it’s nearly 8 misconceptions about teenagers, and isn’t o’clock… the idea that they are unable to follow treatment recommendations just another ageist stereotype? Sarah, 16, certainly thinks so. “I remember to take my meds every day and night,” she says indignantly. “It’s not fair to say that ALL teenagers aren’t able to take their medication – some are capable of remembering.” She makes a good point. Young people mature at various rates, and to make a sweeping statement about all teenagers at once rather than take it on a case-by-case basis is surely inaccurate. Maria Keegan agrees that every case is different. “When parents should start to hand over the responsibility of remembering to take medication depends on each child’s intellectual ability, maturity, and their understanding of their diagnosis.” An understanding of the diagnosis is significant. The main incentive for taking medication is being very aware – and scared – of what the consequences will be if we don’t bother. Teenagers are capable of recognising the importance of AEDs, particularly if they have guidance from a qualified adult who they trust and who can answer questions and remove confusion. Good family support is also a bonus. Yay or Nay…what do you say? Yay: “I have always remembered since I was 11. My thing was that if I didn’t take my meds I would have a seizure and who wants that? So I got into the habit real fast.” – Alex Nay “As a teenager I missed a LOT of meds. Oftentimes I would remember and just be too lazy to walk to the next room to get them.” – Sophie “Nobody can be trusted to take meds, no matter what age.” – Charlie Names have been changed at participant’s request. New Valproate patient educational materials Following the European Medicines Agency (EMA) decision in late 2014 relating to strengthening the warnings on the use of valproate in women and girls, Sanofi (the manufacturer of Epilim) have distributed new educational materials about the risks associated with the drug in female children, women of childbearing potential and pregnant women. The materials have been approved by the Health Products Regulatory Authority (HPRA) and have been sent to health professionals including neurologists, psychologists, GPs, family planning centres and others. In addition to a guide for prescribers, the materials also consist of a patient information booklet (which the doctor can give to the patient) as well as a patient information form/ checklist which can be used to guide discussions between the doctor and patient and which can be stored on the patient file. Epilepsy Ireland welcomes this move, which was mandated by the EMA in November last. We hope that increased dialogue and more informed decisions can now be made around the risks involved around valproate and pregnancy. A recent online survey conducted by Epilepsy Ireland of 131 women/ parents of girls taking Valproate found that awareness of the issue was quite poor and that discussions were not yet commonplace between health professionals and patients. For example, of the 52 respondents who had appointments with their medical professional since the EMA ruling, only 8 said that the new restrictions had been discussed. Only 3 of the 131 people surveyed had been proactively contacted by their medical team (phone call, letter etc.) in the same period. Epilepsy Ireland and the other members of the Fetal Anti-Convulsant Syndrome (FACS) Forum - Disability Federation Ireland, Genetic and Rare Diseases Organisation, Medical Research Charities Group and the Organisation for AntiConvulsant Syndromes Ireland – will continue to work to raise awareness of the risks. Be informed of the risks: http://bit.ly/1e4u886 Download the new materials: http://bit.ly/1HUpzFj Update: Following a recent meeting between the FACS Forum and HPRA, Epilepsy Ireland will repeat the Valproate survey later in the year. This will help to identify if the materials that have been distributed by Sanofi are having the desired impact on awareness and if they are leading to improved doctor-patient communication on the issue. Keep an eye on our Facebook page and on epilepsy.ie. Important Information for people with epilepsy taking the drug Lyrica (Pregabalin) The current packaging used for Lyrica 50/100/150mg. Please continue to check that you receive the same packaging in the pharmacy from month to month and query any changes. The anti-epileptic drug (AED) Lyrica, whose generic name is pregabalin has recently come off patent for use in epilepsy. This means that generic versions of pregabalin can now be marketed in Ireland and at least one generic version is currently available. The medication is not classified as “interchangeable” by the Health Products Regulatory Authority, which means that the original branded version cannot be substituted with a generic version. However, Epilepsy Ireland encourages everyone currently taking Lyrica for their epilepsy to be vigilant in ensuring that you continue to receive the same version as you have previously. Whether you are taking Lyrica or another AED, please follow our three step guide to ensure that substitution does not occur: 1. Insist that your prescriber writes your AED prescription using the regular brand name, not the generic name. 2. Insist that your prescriber hand-writes “do not substitute” beside the name of each of your AEDs every time he/ she writes your prescription 3. At your pharmacy, check your medications immediately to ensure that they are exactly the same as the ones you received last time. If they are not, insist that they are changed back. Unlike in most other treatment areas, there are serious evidencebased concerns regarding the safety of substituting a branded AED with a generic version of that drug and even greater concerns around switching from one generic AED to another from time to time. Epilepsy Ireland maintains our long-standing position that epilepsy drugs should not be substituted under any circumstances. Please note that our advice applies to people who are taking Lyrica for the treatment of epilepsy. Lyrica also has a number of other indications outside of epilepsy. As always, the concern with substitution of AEDs is regarding the switching from one version to another, rather than any concern over the generic drug itself. If you have only recently been prescribed pregabalin and have only ever received a generic version of it, then you should continue to take only that specific version in future and ensure that you are not switched to another generic version or to the branded version. Please contact your local Epilepsy Ireland office or your medical team if you have any concerns. Generic Substitution: http://bit.ly/1RDg485 5 Epilepsy Surgery and me by Aileen Gardiner When I got older and started to go clubbing it was hard to meet someone and tell them I had epilepsy without them doing a runner on me. So I stopped telling people. One night I was out with my friend Chris, we were about to go for chips when I had a seizure. Some of the customers, girls about 18 or 19 started to laugh. My friend told them I was having a seizure and they started to apologise for laughing at me as they had thought I was drunk. Chris told them they won’t be laughing next time they see someone having a seizure. They had no answer to that. When I was 24 I went to Beaumont Hospital for a Wada Test (see page 7) to see if I was suitable for surgery. Part of test meant they put half of my brain to sleep and a psychologist asked me a lot of questions; to count up to ten and checked out my memory. The test involved putting a tube into my leg through which they put medication which travels to the brain to “put half of it asleep and leave half of it awake”, the psychologist then asked me some questions also to count to ten to test my memory. After this test, they stitched my leg up and asked me the same questions. I then had to wait for the decision as to whether I was suitable for surgery. My leg was sore for about a week after the test and I had to use a stick when walking. I got a week off work. I was then asked to meet the doctors in Dublin who said I was suitable Hi there, my name is Aileen Gardiner. for surgery and that the operation, if successful, would stop me I was first diagnosed with epilepsy at the age of two. I can’t having the big seizures. There was a chance I might continue to remember what my first seizure was like because I was still just a have smaller seizures but also there was a good chance that I little baby when I got my first one. I have had to live with epilepsy wouldn’t have any more seizures. my whole life from such a young age. One day I asked my mum what age was I when I got my first seizure and what was I doing. In 2009 I went into Beaumont for the operation. When the big day came I had to fast from midnight. I was taken down to the She told me that I was outside playing in the back-yard and I theatre early next morning. I was in theatre from 8.00am until came running to her and said “mam I feel funny”. “What do you 5.00pm. When I woke up I was in some pain but after a spell in mean?”, she replied, I did not answer as I just fell down. Luckily the recovery room I came back to myself and was returned to she caught me just before I hit the floor. I had blanked out and my room. The doctors seemed happy with my results and hoped when I came to I just went to sleep because I was so tired. that I would be seizure free after the operation. I didn’t like having epilepsy as a kid because every time I had However shortly after returning home I had a big seizure a seizure in school, at my lunch break, I was brought inside to and then frequency increased. So the first operation was not sit down, and I couldn’t talk to my friends. I would also end up with cuts and bruises after my seizures. I didn’t like this as people a success. I went back into Beaumont Hospital for a second operation. Following this I did feel quite sick as a result of the would always ask how did you get that scar or how did you get anaesthetic. But after a short while I began to feel alright. I was that big blue bruise on around your eye. Half of the time I didn’t in hospital for a number of days. The doctors were again very want to tell them as it was embarrassing and I didn’t want them pleased with the results of the operation and told me I could go to laugh at me. home. I was already packed and ready to leave when my mam In fact, I hated having epilepsy as a kid. I couldn’t go horse riding and dad collected me. and once when swimming in a pool I had a seizure and nearly Since that day I have been seizure free (3 years now). I still see went under. Thankfully the life-guard saved me. As a teenager, my doctor every year for check-ups and my medication has if ever I went on a sleep over I wasn’t allowed sleep on the top been reduced. I notice that there are changes in my moods and bunk in case I had a seizure and fell. I was never able to babysit behaviour and I am not as cross or angry as I used to be. anyone else’s child in case I had a seizure and frightened them. Having epilepsy made life difficult for my family too. My dad always had to drive me to Crumlin Hospital for my appointments. My mother had to sort my medication and when I had to go into hospital for the EEG test she had to sleep on the hospital floor. 6 I am now going out with my friend Frazer for 2 years and he makes me feel very happy. My life feels complete. I would like to say a big thank you to all the doctors for all their hard work, and an even bigger thank you to my family for looking after all their care, and especially for all the driving between Borris-in Ossory and Dublin. The Wada Test Contact Corner This test is used to establish cerebral language and memory representation of each hemisphere. ROOMMATE WANTED: Hello! I’m a young woman working in Dublin is looking for someone to share a room with, preferably female. I have epilepsy and if you do too we can help each other! Would also mean lower cost on rent. I’m tidy and clean. If interested, please contact [email protected] and we will forward your details. It helps to determine if a person with epilepsy can function when the piece of brain is removed in surgery i.e. where it is suspected the seizures are starting from. The test is conducted with the patient awake. Essentially, a barbiturate (which is usually sodium amobarbital) is introduced into one of the interna carotid arteries via a cannula or intra-arterial catheter from the femoral artery. The drug is injected into one hemisphere at a time. The effect is to shut down any language and/or memory function in that hemisphere in order to evaluate the other hemisphere. Then the patient is engaged in a series of language and memory related tests. The memory is evaluated by showing a series of items or pictures to the patient so that within a few minutes as soon as the effect of the medication is dissipated, the ability to recall can be tested. If the person passes the test then they are put forward for surgery and if not then surgery is not an option. Epilepsy Ireland needs you! Would you like to share your epilepsy story? Personal stories like Aileen’s are very popular amongst readers of Epilepsy News. These stories can provide inspiration and hope for others learning to cope with their condition. So if you have a story, take the first step and contact [email protected] Information Morning, Imperial Hotel, Cork Epilepsy Ireland hosted an Information morning in the Imperial Hotel, Cork on Wednesday, 15th July. We were delighted to have guest speakers (pictured left) Noreen Teahan, cANP Paediatric Services CUH and Sandra Moloney, cANP Adult Services CUH. Noreen spoke about epilepsy specifically related to children, including triggers and treatment including VNS and ketogenic diet. She also emphasised the importance of seizure recording and outlined details which would be necessary for a Paediatric Neurologist appointment. Sandra gave an update of the Epilepsy Care Programme, the role of the cANP, Neurology services in the CUH, including the Epilepsy Monitoring Unit. She also spoke about the diagnosis of epilepsy, medication and treatment including assessment and suitability for insertion of a VNS. The feedback from the morning was extremely positive with many mentioning that they were delighted to have an up to date knowledge of the variety of services and treatment which are now available. Many thanks to Sandra and Noreen, and to Cyberonics for supporting the event 7 New Publications Epilepsy Ireland is delighted to announce three new publications designed to help people understand epilepsy better. These publications are free of charge and are available from all regional offices and for download on www.epilepsy.ie. 4. Explaining a parent’s or sibling’s epilepsy to children Talking About Epilepsy 5. Explaining to others about epilepsy Explaining a parent’s or sibling’s epilepsy to a young child can be difficult at first. It’s important to use language at a level the child can understand. The description needs to be clear but not frightening. Consideration is given in this section to addressing the issue for very young and older children. It is also important to consider who else outside the family circle needs to know about your child’s or your own epilepsy. People often do not understand epilepsy, nor will not know how it affects a person. While they may wish to help they may not fully understand how to deal with a seizure to ensure the person’s safety. This section addresses the very important issue of deciding who to tell – a simple set of questions will help guide you in choosing who you should tell 6. Epilepsy Ireland resources This booklet is divided into six sections: 1. Explaining epilepsy to a child It is recommended that adults talk to children about epilepsy, whether the epilepsy is the child’s or the adult’s. Talking to children about epilepsy helps them to be involved and can make things easier. This is best done in a calm, relaxed manner, but how does one go about explaining epilepsy? This first section provides a clear guideline as to how best approach explaining epilepsy in a clear and concise manner. The final section outlines other Epilepsy Ireland resources which can help explain and talk about epilepsy. A review of these resources is on page opposite. Download: http://goo.gl/RDNxgf Epilepsy and School: Frequently asked questions 2. Talking to children about their own epilepsy This section addresses three important questions that any parent might ask: • Why tell your child about their epilepsy? • When is the best time to tell your child? • How should you tell your child? Following this brief introduction advice is given to help parents explain epilepsy to younger children aged 3 to 7 and a separate piece on telling older children, aged 8 to 12. Advice is given on how to cover such topics as – Talking about seizures; Talking about tests and Talking about medication. The section also includes a handy Key Points summary. 3. Talking to a teenager about their epilepsy The main emphasis here is to encourage teenagers to gradually take an active role in managing their epilepsy. Parents need to be aware of any potential implications of their teenager’s lifestyle, education and career choices, particularly as the teenage years are times when a young person is striving for increased independence. Key issues include: • Lifestyle choices • Getting the balance right between having fun and staying safe • The importance of keeping a seizure diary Whether your child is starting school for the first time, or returning to school, as a parent you will need to consider what the school should know about their epilepsy. Most children with epilepsy will have positive experiences of school but problems can arise so it’s good to have thought about how to deal with them. Parents often have concerns about what to tell the school and when. A big worry can be how the school will handle seizures. This is an understandable worry. This new booklet deals with common concerns parents raise and gives suggestions for dealing with the school. As well as addressing the most frequently asked questions, seizure management procedures are given for tonic clonic as well as non-convulsive seizures and also advice for managing seizures on the school bus and for people in wheelchairs. Download: http://goo.gl/rh1wnA 8 School Support: Epilepsy Ireland’s “Epilepsy Awareness Presentation” is designed to help staff understand epilepsy and the proper management of seizures should a child/ student have a seizure while in school. All our service staff can provide a presentation on request. In 2014 EI staff delivered epilepsy awareness presentations to 1,866 teachers and students as part of our Education Programme. Epilepsy Ireland Resources When Mummy Gets Dizzy and Daddy Falls Down Younger Children (aged 3 to 7) Check the online store at epilepsy.ie • “My Parent has Epilepsy” ID card: This card can be carried by the child and contains contact details, next of kin details, medication list, GP name, signs of seizures and first aid guidelines. • My Lights Go Out: a story book for young children with epilepsy or for young children whose siblings have epilepsy - available for purchase online €8.95 • When Mummy Gets Dizzy and When Daddy Falls Down: a poetry and colouring book for children who have a parent with epilepsy – available free (for parents who have epilepsy) Older Children (aged 8 to 12) • The Interactive Illustrated Junior Encyclopaedia of Epilepsy: Windows version CD-ROM, edited by Richard Appleton – available for purchase online €16.65 – Epilepsy Ireland members €11.65 (limited stock) • Everything a Child Need to Know About Epilepsy: a book by Dr C Yemula and Dr F Besag available for purchase online €9.65 For all the Family Epilepsy Ireland member Orla Ellison with her daughter Lacey (left) and friend Brooke trying out the new colouring book This poetry and colouring book is written to support parents with epilepsy when explaining their epilepsy to young children. The poems have been written based on simple common features of both complex partial and tonic clonic seizures. The pictures can be coloured by the child, which will help reinforce their learning. Thank you to Geraldine Dunne, EI’s National Information Officer for writing the poems and to Philip Elliott for the wonderful illustrations. Download: http://goo.gl/rh1wnA • Action Zone Game: a family board game to learn about epilepsy for 2 or more players aged 5+. Available from EI Head Office, post & packaging €5.00 • Epilepsy Ireland Smartphone App: The Android app is always to hand to record your child’s seizures and to help in encouraging teens to take an active role in their epilepsy. Free of charge from the Playstore and coming soon for iPhone. For Schools • Managing Chronic Health Conditions at School: This is a very useful resource, which was developed in conjunction with the Department of Education. Epilepsy Ireland, the Diabetes Federation of Ireland, the Asthma Society of Ireland and Anaphylaxis Ireland contributed to the publication. Information about epilepsy, seizure management guidelines and templates for care plans are all included. A hard copy was distributed to all primary schools copies are now only available as a PDF download from www.epilepsy.ie a 9 minute video clip explaining epilepsy is also available for viewing on the epilepsy website and on our Youtube channel, BrainwaveEpilepsy. 9 How horses helped my epilepsy be forever grateful. His name was Billy, and he was the cheekiest little pony I had ever seen! I was a 12 year old who had epilepsy, with no confidence and not the best horse rider. Little did I know that within two years I would be almost seizure-free. My name is Laura Hall. I am 18 years old and I have epilepsy. I was diagnosed when I was 7, I only ever had a few tonicclonic seizures but I had countless partial seizures. It really affected my confidence, I was nervous of doing anything in case I had a seizure. The one place where I felt completely at ease was around the stables. I know it might sound crazy but I truly believe that horses cured my epilepsy. I was told that I couldn’t horse ride until I was a year seizure free and when I did it would have to be supervised. However, I was a determined 8 year old girl who loved horses. For some reason I never had a seizure on a horse, or around horses. Hippotherapy and therapeutic horseback riding is a new state of the art therapeutic approach to treat some of the most ailing neurological conditions such as autism, multiple sclerosis, cerebral palsy, Parkinson’s disease, behavioural problems, learning disabilities, emotional problems and many others, each showing incredibly positive results. Horses have been utilized as a therapeutic aid since the ancient Greeks used them for those people who had incurable illnesses. It is very hard to explain the “magical” power that horses have, but I think that horses have extraordinary healing powers. I was lucky enough to live in a rural area with lots of horses around. We owned competition horses but we also had some rescued horses that needed healing too. Horses change the way you think about yourself. Through this silent communication I was able to build up my self-esteem and confidence. A few years later I was given a loan of a little rescue pony from a family friend, to whom I will 10 Billy and I had a fantastic connection, when we were together he was an absolute saint. However, being a typical cheeky 13.2hh pony when I wasn’t around, he usually acted the maggot. Throughout the week, he would usually jump out of his field, or open his stable door and head straight for the feed room, he would chase horses that were twice his size and I cannot forget the day my mother went grass-skating (similar to ice-skating) as he dragged her through two fields while she attempted to bring him in to the stables. But you had to love him! We had an indescribable bond that I could never explain; he would follow me around the fields and would never shy away from anything that most horses would. Over the years that I had him, we competed at RDS Dublin Horse show, the IPS Championships in Cavan and many others. The fact is, riding has also enhanced my emotional growth well beyond my years, and it has affected my social life as well. I used to have a great deal of anger which was a side effect of the medications I was on. I frequently lashed out at others who did not deserve it. Through my riding, I developed emotional self-control. Horses are highly intelligent and sensitive creatures, and can always detect the feelings of riders. So, I decided to run a horse-show fundraiser for Epilepsy Ireland because I wanted to give something back and because I wanted to raise awareness among the people I’ve been competing with for years. We managed to raise over 2,000 euro in just one day! Of course, without the help of Epilepsy Ireland and the support of my family and friends I wouldn’t be who I am today. I wouldn’t be the person I am now if I had never developed epilepsy. I may never have pushed myself to prove anything, may never have achieved the things I have so far. I strongly believe, as do many others who specialise in epilepsy, that stress is a major contributory factor to seizures. Being able to relax and stay stress free is thus very helpful and for me it was in the saddle. By Laura Hall Hippotherapy is a form of physical, occupational and speech therapy in which a therapist uses the characteristic movements of a horse to provide carefully graded motor and sensory input. A foundation is established to improve neurological function and sensory processing, which can be generalized to a wide range of daily activities. Unlike therapeutic horseback riding (where specific riding skills are taught), the movement of the horse is a means to a treatment goal when utilizing hippotherapy as a treatment strategy. Derived from the Greek hippos (horse), “hippotherapy” literally refers to treatment or therapy aided by a horse. The concept of hippotherapy finds its earliest recorded mention in the ancient Greek writings of Hippocrates. However, hippotherapy as a formalized discipline was not developed until the 1960s, when it began to be used in Germany, Austria, and Switzerland as an adjunct to traditional physical therapy. In Germany hippotherapy was treatment by a physiotherapist, a specially trained horse, and a horse handler. The theories of physiotherapy practice were applied; the physiotherapist gave directives to the horse handler as to the gait, tempo, cadence, and direction for the horse to perform. The movement of the horse was carefully modulated to influence neuromuscular changes in the patient. The first standardized hippotherapy curriculum would be formulated in the late 1980s by a group of Canadian and American therapists who traveled to Germany to learn about hippotherapy and would bring the new discipline back to North America upon their return. The discipline was formalized in the United States in 1992 with the formation of the American Hippotherapy Association (AHA). Since its inception, the AHA has established official standards of practice and formalized therapist educational curriculum processes for occupational, physical and speech therapists in the United States. http://www.americanhippotherapy association.org/ Family Fun Day - Dublin Zoo - July 11th The Family Fun Day to Dublin Zoo was a great success with a record turnout of 135 people attending. Funding for the event was made possible by the generous donation of the late Caroline Dollard, who had epilepsy herself, and her husband Adrian Dunne who raised funds for Epilepsy The zoo volunteers helped with maps, information and guided Ireland after her passing. Caroline, who loved life, wanted tours for our group. They brought so much to the enjoyment of the day and a big thank you to the entire education department the money she raised to be used to provide an opportunity at Dublin Zoo for arranging this for our members. A lovely lunch for families to come together in a fun environment. Adrian attended on the day with his niece and nephew and said he was was enjoyed by all in the Meercat Restaurant. delighted to see Caroline’s dream come true and see families We mustn’t forget the birthday celebration for Lorcan Walsh who enjoying their day, it meant a lot to him, hopefully we can very kindly shared his yummy cake. continue to make this happen in the future. Left: Adrian Dunne, centre, who raised funds for the event Right: Epilepsy Ireland volunteers gave their time to come and help out on the day. A big thank you to Tammy Long and David O’ Hara, they did a great job on the day. We hope to see you both again at events in the future. 11 Fundraising Upcoming Cork Gala Ball for Epilepsy Ireland Saturday, November 28th, 7pm Montenotte Hotel Tickets €30 Please support the Gala Dinner Dance in aid of Epilepsy Ireland in Cork, organised by EI members the Murphy family. Tickets are just €30 and a great night of music, craic and and spot prizes is in store. Call Stephanie on 083-1873079 for more information and tickets. Brainteaser Quiz Night The ever popular Brainteaser Quiz Night with Rick O’Shea returns in November. Hope to see you on Thursday November 19th at DTwo, Harcourt St. Contact Ashley at 01 4557500 to reserve your table. €40 per team. All Cash Mega Raffle EI members and supporters have raised over €90,000 in crucial funds for Epilepsy Ireland in the past four years through the annual raffle. Tickets for the 2015 raffle are enclosed with this issue and are just €3 per each, with almost €3,000 in prizes to be won. Thank you for your support! Christmas is coming! Keep an eye on epilepsy.ie and our social media pages for details of the 2016 Epilepsy Ireland calendar and our new range of Christmas cards, available from October. Call for Volunteers Can you help Epilepsy Ireland just a few hours a year by volunteering for our annual churchgate collections in your area? Volunteers are needed countrywide – please contact Barbara at 01 4557500 to find out more. thank you Saddle Up cycle raises €15,000 for Epilepsy Ireland Brenda & Brendan, and to all the organisers, volunteers and sponsors who supported the cycle. Plans are already underway to organise an even bigger Saddle Up for Epilepsy in 2016 so stay tuned for news on epilepsy.ie and our Facebook page. Pint of Science festival supports Epilepsy Ireland The first ever Saddle Up for Epilepsy cycle, which took place on St. Valentine’s Day in Co Mayo has raised €15,266 for Epilepsy Ireland. The brainchild of Mayo-woman Brenda Quigg to mark International Epilepsy Day, the inaugural cycle attracted over 250 leisure cyclists who cycled over three different routes in Co Mayo to raise awareness of epilepsy and funds for Epilepsy Ireland. In June, event organisers Brenda Quigg and Brendan Quigley presented Epilepsy Ireland’s Peter Murphy with the proceeds. A huge thank you to 12 A big thank you to Dr Niamh O’Sullivan and the organisers of the brilliant Pint of Science Festival who selected Epilepsy Ireland as their beneficiary charity for this year’s series of events. The festival aims to bring science and research into social settings where the public can engage openly and informally with researchers. Over 80 Irish researchers took part over 3 nights and monies raised from collections at the venues will be used to support Epilepsy Ireland’s research activities. Trip to Tipp cycle Thank you to Dion McKeown and all the cyclists who took part in the recent Trip to Tipp 250km cycle marking the 125th anniversary of the Cobh Pirates Rugby Club. The cycle raised a brilliant €3,100 for our work. Well done guys, we really appreciate your fantastic efforts! Tour de Gaggs 2015 Cork Marathon The sixth annual Tour De Gaggs cycle from Cork to Roscommon took place in June in memory of Alan Gallagher. Over 40 people took part again this year either by cycling the 300km route or by providing one of the many supports needed for the cyclists. A huge thank you to the Gallagher family and all involved for their fantastic ongoing support of Epilepsy Ireland. Sincere thanks to Ann Joyce, Headford, Co. Galway who recently made a generous donation to Epilepsy Ireland on behalf of her parents Tom & the late Kathleen Walsh from Dunmore, Co. Galway. Many thanks to everyone who contributed to the fundraiser. The donation will be used to enhance community activities in the region. To Hell and Back Dublin Women’s Mini Marathon Margaret, Michelle, Margaret & Caroline at House after the mini marathon. Thank You Ann Thank you to our supporters to who braved the rain soaked Cork streets in June for the Cork City Marathon. Pictured are Jennifer Callinan, Susan Cullen & Harry Walsh from McCutcheon Halley Walsh Planning Consultants who raised over €1,400 for our work. Thanks guys for your amazing support and to everyone who made a donation. Emma’s charitable haircut Well done Richard Murphy, Dylan Doran, Stephen Wildes, Shane Nolan & Joseph Long who undertook the Hell & Back Challenge in June. Richard and co raised a hell of a lot of money too - €1,030. They call it Ireland’s toughest 10k and judging by the pic, we’d say that’s accurate! Conquering Croghan Hill Thank you Esme, Emilie and Kerrie A massive thank you to all our runners and walkers who took part in the Women’s Mini Marathon in June. We hugely appreciate all the support (especially given the horrendous weather on the day!) and we were delighted to welcome our ladies at our postevent reception in House on Leeson St. Congratulations to everyone! A special thank you to young Emma Rochford who got her lovely long hair cut to raise funds for Epilepsy Ireland. Inspirational Emma raised a fantastic €474 for Epilepsy Ireland and also donated her cut hair to the Rapunzel Foundation. A big thanks to Frank Kenny, Darren Cahill, John McNamara & Davy Conroy who took part in the punishing Croghan Hill Challenge this summer in Offaly. They raised a fantastic €1,000 for our charity. 13 News & Events East region (Co’s Dublin, Kildare, Wicklow) Contact: Ina Murphy, Community Resource Officer, Epilepsy Ireland, 249 Crumlin Road, Dublin 12. Tel: 01 4557500. Email: imurphy@ epilepsy.ie. Office Hours: Mon, Tue & Wed, 10am - 6pm; Thur 1.30pm - 6pm Upcoming Events Dublin: STEPS Epilepsy SelfManagement for People with Epilepsy Carmelite Community Centre, 56 Aungier Street, Dublin 2. Tuesday September 29th October, 6th, 13th, 20th, 27th & November 3rd. 10.00am – 1.00pm Dublin: STEPS Managing Your Child’s Epilepsy – Parents Programme Carmelite Community Centre, 56 Aungier Street, Dublin 2. Thursday October 1st, 8th, 15th & 22nd , 10am – 1pm Dublin: STEPS Epilepsy SelfManagement for People with Epilepsy Carmelite Community Centre, 56 Aungier Street, Dublin 2. Monday November 9th, 16th, 23rd, 30th, December 7th & 14th. 6.30pm – 9.30pm There is no fee for these courses, but it is important that you are free to complete all sessions. Contact Ina or Carina for bookings. Wicklow: Family Fun Event for members in the Wicklow Region Wicklow Bowl & Kidzone Wicklow Town - www.wicklowbowl.ie Saturday October 17th 4.30pm to 7.00pm Light refreshments will be provided. The event is suitable for all ages, to book a place please contact Ina or Carina. south east (Co’s Kilkenny, Carlow, Waterford, Wexford and South Tipperary) Contact: Joan Ryan, Community Resource Officer, Epilepsy Ireland, c/o HSE, St. Joseph’s, Waterford Rd, Kilkenny. Tel: 0567789904. Email: [email protected]. Office Hours: Mon, Tue, Wed 10am 5.30pm; Thur 10am - 2pm Upcoming Events Cashel: Epilepsy Information Evening for Teachers/SNAs 14 Halla na Feile, Canopy St., Cashel Tuesday 29th September 7.00pm No charge. Places limited so booking essential. Cashel: Outreach Service Cashel, Co Tipperary (venue to be confirmed) Tuesday 29th September Time: 2.00 – 5.30pm Outreach is by appointment only, please contact Joan to book appointment. Clonmel: Epilepsy Information Evening for Teachers/SNAs Clonmel Park Hotel Tuesday 7th October 7.00pm No charge. Places limited so booking essential. Clonmel: Outreach Service Community Resource Centre, Kickham Street, Clonmel Wednesday 7th October Time: 2.00 – 5.30pm Outreach is by appointment only, please contact Joan to book appointment. Waterford: Support Group (Provisional) Venue: To be confirmed Wednesday 23rd September 7.30pm Kilkenny: Support Group Epilepsy Ireland Office, Kilkenny Tuesday 20th October 7.30pm Cork Address: Epilepsy Ireland, 35 Washington Street, Cork. Tel: 021 4274774 South Lee & West Cork: Niamh Jones, Community Resource Officer. Email: [email protected]. Office Hours: Mon & Tue 8am- 4.30pm; Wed & Thur 8am – 1pm North Lee & North Cork: Mary Lawlor, Community Resource Officer. Email: [email protected]. Office Hours: Tue, Wed, Fri 9.30am -5.30pm; Thur 1.30pm - 5.30pm. Upcoming Events Cork: Support Group for Parents of Children with Epilepsy Bishopstown GAA Club Wednesday 16th September, 21st October and 2nd December 2015 7.30pm Cork: Evening Echo Ladies Mini Marathon Centre Park Road, Cork Sunday 27th September 2015 1.00pm You can now register either by completing the application form in the Evening Echo or you can enter online at www.eveningecho.ie/ minimarathon/. Sponsorship cards and t-shirts can be collected from the Cork office. Cork: STEPS Programme for Adults with Epilepsy Imperial Hotel, Cork Mondays September 7th, 14th, 21st and 28th and October 5th and 12th 7.00pm - 10.00pm Cork: Family Fun Day Bishopstown GAA Club Sunday 15th November 1.00pm – 4.00pm Mallow: Parents Support Group Venue: Ross House, Mallow Date: September 15th Time: 10.30am Loretta Kennedy, CRO Epilepsy Ireland and Ber Ryan, CNS Early Intervention Team. Charleville: Outreach Clinic St Joseph’s Foundation, Charleville September 15th 2015 3.00pm Toolkits and one to one appointments may be booked in advance. mid-west region (Co’s Limerick, Clare & North Tipperary) Contact: Anna Kelly, Community Resource Officer, Epilepsy Ireland, Social Service Centre. Henry St. Limerick. Tel: 061 – 313773. Email: [email protected]. Office Hours: Mon 9.30am - 5pm; Wed 9.30am - 5.30pm; Thur 12.30pm - 5pm; Fri 11.30am - 4pm. Upcoming Events Limerick: Group Toolkit morning Monday 14th September 10.00am - 12.30pm Contact the Limerick office for further details. Limerick: Parents STEPS Programme Limerick Education Centre Wednesday September 2nd; 9th; 16th; & 23rd Prior booking essential with the Limerick Office Limerick: Information evening for Teachers and SNA’s Kilmurray Lodge Hotel Wednesday, 21st October 7.15pm. No charge, but please contact Anna to book. Kerry Contact: Kathryn Foley, Community Resource Officer, Epilepsy Ireland, Glenwood, Park Road, Killarney, Co. Kerry. Tel: 064 6630301. Email: [email protected] . Office Hours: Mon- Fri 9am - 2.30pm. Upcoming Events Kerry: Self-Management Programme for people with epilepsy Wednesday 4th November for 6 consecutive Wednesday mornings 10am-12.30pm. Killarney: Support Group Meeting for people with Epilepsy Wednesday 26th August; 23rd September; 21st October; 24th November 10.30am-12.30pm Kerry: Support Group Meeting for parents of children with Epilepsy Wednesday 16th September; Tuesday 20th October; Tuesday 1st December; 10.30am -12pm. Kerry: General Hospital Outreach Kathryn is available to meet with you prior to or after your hospital appointment on Monday morning. Tralee: Outreach Service Monday afternoons- Please contact Kathryn if you would like to meet in the Tralee area. Midlands (Co’s Offaly, Laois, Westmeath & Longford) Contact: Margaret Bassett, Community Resource Officer, Epilepsy Ireland, c/o Carers Association, Market Square, Tullamore, Co. Offaly. Tel: 057 9346790. Email: mbassett@epilepsy. ie. Office Hours: Mon, Tue, Wed & Fri 10am - 2.30pm; Thur 9am - 5pm. Upcoming Events Tullamore: STEPS programme Commences 16th September - One evening per week for 6 weeks, now enrolling 7.00pm Tullamore: Teachers/SNAs Information Evening OCIL Clonminch Rd, Tullamore Wednesday 17th November 7.00pm sharp No cover charge but early booking essential. north west (Co’s Donegal, Sligo & Leitrim) Contact: Agnes Mooney, Community Resource Officer, Epilepsy Ireland, Grand Central Complex, Floor 2B, Canal Road, Letterkenny, Co Donegal. Tel: 074 9168725. Sligo Office: Epilepsy Ireland, 2C Castle House, Castle Street, Sligo. Tel: 071 9141858. Email: [email protected]. Office Hours: Mon, Tue, Wed 9am - 5pm; Thur 9am - 1pm. Upcoming Events Sligo: STEPS programme for parents of children with epilepsy. St Michaels Family Life Centre, Church Hill, Sligo Monday 7th 14th, 21st & 28th September 6.00pm to 9.00pm Places are limited so please contact Agnes to book a place. Sligo: Outreach Service Sligo Office, Castle House, Castle Street, Sligo Monday 7th September, 11am to 1pm Monday 28th September 2pm to 3.30pm Outreach is by appointment only, please call Agnes to make an appointment. Letterkenny: STEPS Programme for parents of children with epilepsy Station House Hotel Monday 9th, 16th, 23rd, & 30th November 6.00pm to 9.00pm. Places are limited so please contact Agnes to book a place. Letterkenny: Epilepsy Awareness and information for Teachers and Special Needs Assistants Station House Hotel, Letterkenny, Co. Donegal. December 2nd 7.00pm - 8.30pm Places are limited, so please book a place by calling Agnes Wednesday June 10th - 11.00am 12.30pm Outreach is by appointment only please contact Agnes to book your appointment. western region (Co’s Galway, Mayo, Roscommon) Contact: Edel Killarney, Epilepsy Ireland, Westside Resource Centre, Seamus Quirke Rd, Westside, Galway, Tel: 091-587640. Email: ekillarney@ epilepsy.ie. Office Hours: Mon-Wed 8.30am 4.00 pm; Friday 9.00am - 1.00pm Upcoming Events Galway: Parents STEPS Programme Westside Resource Centre, Galway Tuesday September 29th – Tuesday October 20th 11.00am – 1.30pm Mayo: Teachers Epilepsy Awareness Evening Mayo Education Centre, Castlebar, Co. Mayo Tuesday October 6th 7.00pm Galway: Teachers Epilepsy Awareness Evening Galway Education Centre, Cluain Mhuire, Wellpark, Galway Tuesday October 13th 6.30pm Galway: Women & Epilepsy Event Menlo Park Hotel Galway Wednesday, 21st of October 2015 10.00am – 3.00pm north east region Online Support Groups September 1st Sept, 7.00pm, Parents Support Group 8th Sept, 7.00pm, General Support Group 16th Sept, 11.00am, General Support Group 22nd Sept, 7.00pm, General Support Group 29th Sept, 7.00pm, Parents Support Group October 6th October, 7.00pm, General Support Group 14th October, 11.00am, Parents Support Group. (Co’s Louth, Meath, Cavan, Monaghan) Contact: Noreen O’Donnell, Community Resource Officer, Epilepsy Ireland, Unit 1a Partnership Court, Park Street, Dundalk, Co Louth. Tel: 042 – 9337585 Email: [email protected]. Office Hours: Mon, Tue & Wed 9am - 6pm. STEPS - Learning to live well with epilepsy For some people with epilepsy, it can be a challenge to learn to manage epilepsy and create fulfilling positive lives with the condition. There is so much information, but what is relevant? How do I make my way through the healthcare services? Are there others with epilepsy that I can talk to? It takes time to understand epilepsy, emotionally adjust, and make changes in life to manage the condition. With this in mind, Epilepsy Ireland developed the STEPS (Support & Training in EPilepsy Self-Management) Programme to help to support people with epilepsy to manage their condition and also to gain skills to improve their overall ‘wellness’ and quality of life. The course is being run in a number of locations across Ireland, bringing people with epilepsy together in a structured group environment over a number of sessions. The groups are facilitated by epilepsy Ireland Community Resource Officers, who have many years of experience supporting and providing information for people with epilepsy and their families. In small groups, people will learn about their own condition and its management, as well as learning about the healthcare system for people with epilepsy, preparing for their neurologist visit, first aid for seizures, understanding triggers and symptoms and broader lifestyle and safety issues. As well as this, we take a broader approach to self-management, looking at managing moods and thoughts, managing diet, sleep and exercise, understanding and managing stress, and planning for the future. If you are interested, check dates for STEPS in your area in the listings above. STEPS offers a great opportunity to: • Meet others who have epilepsy and learn from each other. • Find out more about how to manage one’s own epilepsy • Learn about each aspect of epilepsy management • Understand actions which improve selfmanagement • Learn strategies for developing overall well being • Become confident in managing epilepsy. There is no fee for this course, but it is important that you are free to complete all sessions. The STEPS programme is available for people with epilepsy and also for parents of children with epilepsy. 15 National Conference 2015 Embracing Epilepsy: Current issues for adults, parents and families Saturday October 3rd | Malton Hotel, Killarney Conference Rates Early bird (before July 31st) €20: Epilepsy Ireland members €30: non-members Standard rates: €30: Epilepsy Ireland members €40: non-members Includes: Morning refreshments, Lunch, Conference pack Speakers: Bookings Epilepsy and the family: learnings from research with parents, families & children Dr Joan K Austin Distinguished Professor Emerita, Indiana University School of Nursing Call us at 01 4557500 Book online at Epilepsy and the Adolescent Dr Sophia Varadkar Consultant Paediatric Neurologist, Great Ormond St Hospital, London Venue: The Malton Hotel, Killarney Current Issues for Adults with Epilepsy Dr Helena Moore, Consultant Neurologist, Bons Secours Hospital, Tralee Interactive Workshops: Workshop for teenagers with epilepsy Facilitated by Dr Marcia Ward, Clinical Neuropsychologist, Headway Services & Niamh Jones, Community Resource Officer, Epilepsy Ireland Health Issues for adults with epilepsy Facilitated by Sinead Murphy, Epilepsy Specialist Nurse, Beaumont Hospital/Epilepsy Ireland & Sandra Moloney, cANP Epilepsy, CUH Parenting children and teens with epilepsy Facilitated by Maria Keegan, Paediatric Neurology Clinical Nurse Specialist & Dr Marcia Ward, Clinical Neuropsychologist, Headway Specialist Nurse Appointments: available by reservation epilepsyconference2015.eventbrite.ie Located opposite railway station. Special room rates available from the Malton at 064-6638000. Wheelchair accessible. Parking available. See www.epilepsy.ie for more info Supported by grants from: GlaxoSmithKline Cyberonics www.epilepsy.ie 01 4557500 www.facebook.com/epilepsy.ie @epilepsyireland [email protected] CHY: 6170
© Copyright 2026 Paperzz