MS UPDATE Multiple Sclerosis Society of Canada, Lethbridge & District Chapter February 2009 Relief from Pain Most people living with MS will experience some type of pain during their illness, such as burning nerve pain, electric-shock sensations or painful muscle spasms. Indeed, an estimated 72% of people will experience two or more distinct types of acute or chronic MS pain (Osterberg and colleagues. Eur J Pain 2005; 9:531-542). Several studies have shown that most people with MS live with pain on a daily basis (Osterberg and colleagues. Eur J Pain 2005;9:531-542; Svendsen and colleagues. Pain 2005;114: 473-481). Inside this Issue Making Life Easier pg. 2 Ask the Expert pg. 3 The Fatigue Ultimatum pg. 4 5 Steps to a Happier Life pg. 5 Turning Off Before Turning In pg. 6 Creating Your Sleep Sanctuary pg. 6 Client Services Update pg. 7 Brown Bag Lunch pg. 7 Young Adult’s with MS Group pg. 7 Fundraising Update pg. 8 Calendar of Events pg. 9 What is endMS.ca? pg. 10 Much of this suffering can be alleviated by the numerous treatments that are used to treat pain, so it is important to talk to your family doctor or neurologist about the options available to you. One of the keys to receiving the right pain relief is to describe your pain as accurately as possible because different types of medications are used to treat different types of pain. Before we discuss treatments, it’s important to note that few large, scientific studies have investigated medications for MS pain. Many of the medications are normally used to treat other conditions (e.g. clinical depression or epilepsy). This doesn’t mean that you have depression or epilepsy—these drugs are also effective in relieving pain. The following is a list of some of the more common medications used to treat MS pain. If one approach is not effective, another medication should be tried. The choice of the most effective treatment and the doses needed should be determined by you and your doctor. Nerve pain Neuropathic (or neurogenic) pain includes dysesthesias (e.g. electric shocks, burning, squeezing or “pins and needles”), and pain that radiates along a nerve. It also includes specific pain-related syndromes, such as optic neuritis, trigeminal neuralgia and Lhermitte’s sign. Anticonvulsants are often the first choice of paroxysmal pain (i.e. brief, recurrent attacks of pain), such as trigeminal neuralgia (facial pain). Carbamazepine is frequently used first, with phenytoin (Dilantin) added if a single drug isn’t fully effective. Side effects, such as drowsiness, coordination problems and blurred vision, can limit the use of both drugs (Solara and colleagues. Neurol Sci 2005; 25;307-310. Medications that block nerve conduction (e.g. lidocaine and mexiletine [Mexitil]) can also be effective (Sakurai and Kanazawa. J Neurol Sci 1999;162:162-168). For other types of neuropathic pain, gabapentin and pregabalin are often the first choice. A small study of 25 people with MS found that gabapentin was more (continued on page 2) Relief from Pain (continued from page 1) effective in relieving throbbing pains, pins, and needles and cramping pain rather than other types of pain (Houtchens and colleagues. Mult Scler 1997;3:250-253). Pregabalin has recently been studied in 81 people (not with MS) with nerve pain that didn’t respond to other treatments, such as a tricyclic antidepressant or other anticonvulsants (Stacey and colleagues. Pain Med, epublished March 11, 2008). Pregabalin produced sustained pain relief during the 15-month trial. There are mixed reports on the effectiveness of lamotrigine. This medication appears to be effective for paroxysmal or burning nerve pain (McCleane and colleagues. Clin J Pain 1998;14:269-270). Other studies of the drug alone or in combination with gabapentin reported that it was not especially effective (Breuer and colleagues. Clin Ther 2007;29:2022-2030; Silver and colleagues. J Pain Symptom Manage 2007;34:446-454). Potent pain relievers, such as the opioids (e.g. morphine), are generally kept as a last resort. These drugs have the potential to be habit-forming, although they are effective for central neuropathic pain in MS. Cannabis (marijuana) compounds have received a great deal of attention recently as a possible treatment for neuropathic pain. A number of small studies have suggested that cannabis compounds (e.g. Sativex, Marinol) can provide some degree of relief from nerve pain (Iskedjian and colleagues. Curr Med Res Opin 2007;23:17-24). The most common side effect is dizziness. Painful muscle spasticity The first approach for pain arising from muscle spasticity is usually to treat the spasticity itself. Regular physiotherapy and medications, such as baclofen (Lioresal), tizandine (Zanaflex) or Botulinum injections (Botox), can often relieve the problem. Nonprescription pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Motrin), may be helpful. Gabapentin has also been reported to be effective for painful nocturnal spasms in people with MS (Solera and colleagues. Mult Scler 2000;6:192-193). relieved muscle spasms and pain in people with MS, but only after 8 hours of treatment (Miller and colleagues. Mult Scler 2007;13:527-533). So this strategy will not be practical for most people. from MS Answers, MS Society of Canada, Fall 2008 Tips for Making Life Easier Do you use a recliner for a bed or for long periods? To keep the chair clean, cover it with a fitted twin bed sheet. A contoured bed sheet fits perfectly over the chair when it’s extended. Moreover, if the chair is upholstered with velour or suede-like materials, the sheet creates a smooth surface on the chair, which makes changing positions much easier. If you have trouble threading a needle, dip the tip of the thread into a bottle of clear polish. The thread will dry quickly and make it easier to get through the eye of a needle. Also, keep a mini timer in your serving basket or with your needlework to remind you to take breaks, rest, or stretch. by Shelley Peterman Schwarz from Real Living with MS, Nov/Dec 2008 A non-drug approach is transcutaneous electrical nerve stimulation (TENS) to relieve spasticity. TENS appears to provide modest benefits in people with MS suffering from low back pain (Warke and colleagues. Clin J Pain 2006;22:812-819). A separate study found that TENS Page 2 ASK THE EXPERT Q. I have experienced symptoms that I know are not attacks or serious enough to see my neurologist about. Such as sharp pains in my legs or problems with my vision that last for 2-3 days. I am not sure if these symptoms are because I am lacking something or doing something wrong, or that there is just no explanation for them. Besides rest, is there something I should do when experiencing these symptoms? A. Transient neurologic symptoms in MS may be related to symptom fluctuations, pseudo-relapses or true MS relapses/attacks and sometimes it can be difficult to differentiate them with certainty when they first appear. Some non-specific symptoms, such as pain or periods of fatigue may or may not even be directly related to MS, and should be checked out by your family physician to rule out other causes. It is not uncommon for MS symptoms to fluctuate somewhat in severity from day to day. Sometimes this is because of fatigue, stress, or other factors, such as an elevation of body temperature or with one’s worsening of previous symptoms that then settle back down to their baseline level. This does not mean that new damage is occurring. Some people certainly do find that rest helps, and this may be their body’s way of saying it needs to reenergize. No medical treatment is required for day to day symptom fluctuations. A more pronounced but transient worsening of symptoms, called a “pseudo-relapse” can also occur in MS. This can vary from a mild and transient worsening of symptoms in someone with mild relapsing-remitting MS to a more pronounced worsening of symptoms that can temporarily alter function in those with more severe disease or progressive MS. The most common cause is infection (such as a bladder infection or cold) but it can also occur for other reasons, such as a hot spell in summer. Again, this does not mean that new damage is occurring. The symptoms resolve back to baseline as the infection (or other precipitant) resolves. If the worsening of symptoms occurs in the one to two weeks after an infection however (rather than only during it), then it is much more likely that the symptoms represent a true relapse (especially common after viral infections). A distinct and persistent worsening of old symptoms can represent a true relapse. The appearance of brand new neurologic symptoms is also more likely to represent a true relapse. To be considered a true relapse the symptoms must be present on a continuous basis for at least 24 hours but the truth is that most relapses last weeks. Disabling relapses are frequently treated with corticosteroids whereas rest alone may be used if the symptoms are milder and nondisabling. It is sometimes tough to be certain if symptoms represent a true relapse if they are short-lived but it is very important that you mention to your neurologist any new symptoms that have occurred and lasted over 24 hours and whether or not any potential cause for the transient worsening could be identified (extra stress, poor sleep, etc). Short-lived, self-limiting relapses would not be treated with corticosteroids but the occurrence of multiple mild relapses may prompt re-evaluation of your disease modifying therapy. Your neurologist may be able to find subtle changes on your examination even months later if the symptoms were indeed related to true relapses. In some cases, if new disease activity is suspected, but the examination cannot determine whether or not there has been new damage, a repeat MRI might even be considered. While it would not be appropriate or helpful to switch therapy for symptom fluctuations or pseudo-relapses, if there were ongoing mild relapses and an accumulation of new lesions on MRI then a change in therapy might reasonably be considered. Dr. Myles, Associate Clinical Professor of Neurology at the University of Alberta Q. I read recently about a Canadian study showing that Rebif can be helpful for people with secondary progressive MS. Since I am in that category and have exhausted most other options, I wondered what you can tell me about this study? A. Indeed, interferons have been shown to be only modestly effective in the later stages of MS, especially of patients that are still having active relapses. None of the interferons are felt to be effective once the slow progressive phase of secondary progressive disease ensues. The “Spectrims” study of Rebif in Secondary Progressive MS (SPMS) was overall negative. However, a post-study re-analysis showed that some of the patients still having relapses and taking Rebif had slower progression. The effect was barely significant. Most MS clinicians recognize the need to ‘move on’ from interferons if indeed SPMS is evident and consider other agents today, such as Mitoxantrone or even Tysabri. However, if patients are still showing active “inflammation” in their brain or spinal cord, as evidenced by either experiencing more clinical relapses or developing a new lesion on their MRI scans, then interferon might still be a reasonable choice. Dr. Freedman, Professor of Medicine in the field of Neurology at the University of Ottawa, Ontario Page 3 The Fatigue Ultimatum “Reckless lifestyle habits” or “life-threatening laziness” causes fatigue...or multiple sclerosis? When I was first diagnosed with multiple sclerosis some years ago, I had a crazy combination of symptoms; tingling, extreme skin sensitivity on my left side, and various gait difficulties on my right side. I was determined to keep my sense of humour about these developments; however, I was still overjoyed when, after 4 days of intravenous prednisone, treatments kicked in and my gait symptoms disappeared. Believe it or not, I was actually relieved when I finally learned that the debilitating fatigue I’d experienced for years was connected to MS. Burning the candle at both ends. . . or MS? I’ve always burned the candle at both ends, and that suited me just fine for a long time. With a satisfying, although hectic, career as a teacher and with an 8-year-old child at home, there was never enough hours in the day to accomplish all the things I needed to do. Then, for several years, I started waking up in the middle of the night unable to get back to sleep or, worse, sleeping through the night and waking up bone tired, as if I’d not slept at all. I assumed that I was experiencing postmenopausal insomnia, like so many other woman in their 50’s. I wondered aloud whether I should join an online chat room with other nocturnal mommies I kept hearing about the media. I was 52 years old at the time of my diagnosis. Although I knew that my body would be slowing down during this decade, I was unprepared for such a drastic change in the landscape of my daily life. I had neither the time nor the energy to reflect on this state of affairs. I simply couldn’t get through my days without mountainous amounts of sleep. I felt vindicated when I finally understood that I’d not caused my fatigue as a result of any reckless lifestyle habits or lifethreatening laziness. I had MS. I’d unknowingly been cast as a starring actor in “The Fatigue Ultimatum.” Fatigue takes center stage For a while, I thought I was making progress. During the first few months after my diagnosis, my napping schedule somewhat resembled that of a newborn. After years of enjoying teachers’ hours—up very early, at my desk earlier that most of my colleagues did—I suddenly needed extra sleep each morning. It was imperative, not an option. Fortunately, I was on short-term medical leave and then summer vacation, so sleeping was not difficult to accommodate. In the fall, I returned to work part time, teaching only every Monday, Wednesday, and Friday. I purposely stayed home on Tuesday and Thursday. During most of the semester, I spent at least one Tuesday or Thursday in bed reading, watching TV if I could focus, and drifting off to sleep more than I’d like to admit. My life had never been so out of control. An energy spurt and then a crash During that summer, we went on vacation and I did exceptionally well. Our visiting relatives and friends allowed me needed time to rest. The fall was full of promise. I’d been granted a sabbatical from the college during the preceding year. For the first 2 months, I felt a spurt of energy, and I accomplished a great deal on my research and writing. In November, however, I suddenly crashed. My earlier nap schedule became imperative again. Fatigue—and depression—creep in on “little cat feet” After the semester break, I was back to teaching threefourths of the time. I had high hopes for the spring semester; however, fatigue, anxiety, and depression hit after only 4 weeks. By midterm, I was one of the walking wounded— tired, damaged, and moody—staggering to the finish line. I constantly worried that I’d disappoint my family and my students. One class was reading Let Your Life Speak by Parker Palmer. Palmer speaks of his own depression, and students always react positively to his honesty and his insight. I’d taught that class several times before but never in the midst of my own depression. However, rereading Palmer’s book didn’t seem to help me. Paranoia settled in like Carl Sandburg’s fog, creeping in “on little cat feet.” Knowing the poem, I prayed for the day when it “moves on.” My depression is now lifting, courtesy of a merciful antidepressant, but fatigue, also in catlike fashion, has stretched out on a favorite easy chair and made itself comfortable. It responds to human pushing or prodding with a snarl, refusing to give up its seat. Identifying relapse Although my depression has lightened, my balance is, once again, an unwelcome challenge. Before my diagnosis, I’d fall with alarming regularity, which upset my daughter. Now I’m unpredictably unsteady, but I remain vertical, teetertottering to find my footing. You’re probably asking why I didn’t immediately identify these symptoms as a relapse. I was slow to internalize that if you’ve been diagnosed with relapsing-remitting MS, you’ll experience symptoms again. Although I knew this, I’d hoped for an extended period of remission (say, 50 years?). (continued on page 10) Page 4 5 Steps to Finding a Happier Life by Elizabeth Miles, MSc, Registered Psychologist STEP 1 SELF ACCEPTANCE At the beginning of each year, we resolve to make changes armed with a renewed sense of commitment toward reaching our goals and dreams. Some, however, are motivated by a sense of not being good enough. Driven by a sense of inadequacy, we feel a need to try and reinvent ourselves, pushing to be different, becoming discouraged, and putting ourselves down if we fail. It may be that we fail to make the changes because we’re missing an important first step: accepting ourselves the way we are. Unfortunately, many of us try to make changes with constant reminders of all the things that are wrong, how we’re not good enough, or how we’ve failed. In doing so, we become our own worst enemy, demoralizing and discouraging ourselves before we even start, not realizing that negativity and self recrimination don’t lead to positive change. But, if we honor and accept who we are now we’ll know that we deserve to feel good and to have the benefits of positive change. We’ll see that we may have talents and strength to reach our goals. Wanting better health, better habits, a better life in the future doesn’t mean we can’t accept ourselves the way we are today—complete with the imperfections that make us perfectly human. SELF ACCEPTANCE LEADS TO POSITIVE CHANGE: Self acceptance is not resignation or stagnation. It doesn’t mean that we’re condoning hurtful habits, giving up our dreams, or giving in to despair. Self acceptance doesn’t mean that we don’t continue to grow, or that we’re stuck where we are. Rather, self acceptance is letting go of all the “shoulds” and facing who we are today without judgment. We’re all on a journey toward our goals, dreams, and potential. Self acceptance allows us to accept where we are at this point. We’re growing, learning, changing; we’re on our way and we can accept that it’s ok that we haven’t yet arrived at our final destination. • • Try to suspend any judgment or criticism, and just observe your struggles and reactions. Instead of putting yourself down when you notice something you don’t like, say “That’s interesting, look what I just did. I wonder why?” Make positive choices about what to say to yourself: • Self-talk that’s accepting and encouraging leads to feelings of self acceptance and empowerment while self-recrimination leads to feelings of self alienation and unworthiness. • Choose statements like “I can learn to accept myself as I am” or “I don’t have to be perfect to be a good person.” • Look for the positive truth about yourself and repeat it back to yourself as often as you can. • Try visualizing yourself as being accepted by yourself and by other people. Back up your self-talk with self-affirming behavior: • Protect yourself, nurture yourself, care for yourself. • Even if it feels strange at first, you can “fake it ‘til you make it” and learn to be comfortable with treating yourself in a kind, accepting, and nurturing way. It can be difficult, even frightening, to leave behind a life time habit of pushing or berating yourself and set out on a new road. But, self-acceptance can be your first step to a happier year and a happier life. IN OUR NEXT MS UPDATE —STEP 2: GRATITUDE from Bloom, Jan/Feb 2009, Women’s Health Resources, Calgary SELF ACCEPTANCE LEADS TO GREATER HAPPINESS AND WELL-BEING BECAUSE: 1. It frees up the energy we waste pushing ourselves into being something other than we are. 2. Self acceptance allows us to own our humanity. All humans are imperfect—wounded in some way. We can let go of the burden of denial and pretense and be who we are. 3. It helps us see our positives more clearly since the focus is no longer on what’s lacking. We can acknowledge our shortcomings without rejecting ourselves. 4. Self Acceptance allows us to move forward from a position of strength and choice rather than being stuck in a position of self recrimination and discouragement. TO PROMOTE SELF ACCEPTANCE: The path to self acceptance starts with awareness: • Take notice and observe your behavior and thoughts Page 5 Turning Off Before Turning In by Dr. Neil Gottheil We all live with some degree of stress. And when it interferes with sleep, it only makes the problem worse. “When you’re sleep deprived, your thinking is not as clear and you have difficulty problem solving,” points out Ottawa clinical psychologist Dr. Neil Gottheil. So what can help us bring anxiety levels down a notch or two? ♦ Anxiety triggers a physical response that includes tense muscles and elevated blood pressure. So try relaxing the body with techniques like progressive muscle relaxation: Take turns tensing or stretching different muscle groups, and then releasing them. Creating your Sleep Sanctuary by Dr. Rachel Morehouse ♦ Focus on slowing your breathing. Take deep breaths. The look, sound, and feel of the room around you play a key role in how well you rest. Deep, restorative sleep happens in the right environment. So what sort of setting will give you optimal rest and relaxation? ♦ Try massage or gentle yoga stretches. ♦ Distract yourself. Listen to music, go for a walk, read. ♦ Wind down before bed. Dim the lights and only do activities that are calm and quiet. “Try to tone down the sensory input in your environment,” says Dr. Gottheil. In other words, it’s not the time to rush out the report you need for work tomorrow. ♦ Total darkness. Install heavy blinds over bedroom windows to block light. ♦ Total quiet. Turn off that stereo. If you can’t control all ambient sound, wear ear plugs. Remember that not all techniques will work in all situations. Deep breathing may not be distracting enough, for example, if your mind is racing. If you learn several different relaxation techniques, you’ll have a range of tools to try. ♦ The right room temperature. You’re more likely to wake up if you’re too hot or too cold. ♦ The right bed. What matters is not whether your mattress is soft or firm, but whether it feels comfortable to you. ♦ A room that is dedicated to sleeping. That means no television, computer, video game console, or work files. “If your room is going to be for sleep, you should ban everything that is counter to sleep,” says Dr. Rachel Morehouse at the Atlantic Sleep Centre in Saint John, New Brunswick. ♦ A bedtime routine. If you always do the same things before bed—brush teeth, brush your hair, read in a cozy chair—your body will recognize these cues and start preparing for sleep. ♦ from Rendezvous, Fall 2008, Volume 8, Issue 3 from Rendezvous, Fall 2008, Volume 8, Issue 3 Page 6 Client Services Update PAL (Program for Active Living) - The brainstorm for this program was from the MS ACTIVENOW program that was developed in Edmonton. With collaboration with other organizations in the community, mostly the YWCA, the Parkinson’s Society, David Gibson from Turiya Yoga and us, we were able to launch a six week program, 2 days per week, at the YWCA starting January 13th. The plan is to have a 2 week break and then start the program again. This program will change from time to time and evolve around persons attending and adaptations from the fitness instructors at the YWCA. The program costs $40 for the 6 weeks. Subsidies are available. Young Adult’s with MS Group FOR: Young Adult’s with MS & their significant other (spouse, friend, etc.) WHEN: Wednesday, February 18, 2009 TIME: 6:00pm WHERE: MS Society Office, 724 13th St North GUEST SPEAKER: David Gibson, Med, RYT, from Turiya Yoga. David specializes in practices of Deep Relaxation, Stress Management, and Yoga of the Heart. FOR MORE INFORMATION: call Ann at 403-328-7002 or email [email protected] YADS (Young Adults Group) - This program started last Fall and again was an idea started in Edmonton and refined with the assistance of some of our members to meet the needs for our Community. We have met 4 times, 3 times at the office and once for dinner at a local restaurant. Our next meeting is February 18 at the office. David Gibson, Med, RYT from Turiya Yoga will be a guest speaker. This group is very casual and informal. BROWN BAG LUNCH GROUP – This group meets the 3rd Thursday of the month, usually featuring a speaker from the community talking on health and wellness issues. This spring we are planning on going out to lunch. Coming Soon! - FRIENDLY VISITING – This program is yet to be developed but will entail visiting person with MS in long term care facilities. For information regarding any of these programs you can phone Ann Stewart at the Chapter office, 403-3287002. Everyone Welcome Brown Bag Lunch Thursday, February 19 Noon-1pm MS Society Office 724 13 St N Guest Speaker—Amber Kubos YWCA Health & Wellness Manager Speaking on PAL (Program for Active Living) and other fitness options. Everyone Welcome Page 7 Fundraising Update Come join us for breakfast to learn more about our fabulous TeamMS Program!!! TeamMS Corporate Breakfast Create a team! Create a future FREE of MS! 2009 Enerflex MS Walk – April 25, 2009 Fort Whoop-Up, Indian Battle Park Check-in at 8:30am, Walk starts at 10:00am For more information please check out our website at: www.mswalks.ca The MS Walk is fast approaching us and we are well on our way to making it one of our best Walks ever! Keep your eyes peeled for exciting new initiatives for this year’s fundraising season!!! We wouldn’t be able to put on such a successful event without the support of our volunteers, participants, donors and sponsors. Please support our sponsors and say thanks to them for all that they do! Buffet Breakfast sponsored by Shark Club Sports Bar & Grill Thursday, March 5, 2009 - 7:15-8:15am 1814 Mayor Magrath Dr S, Lethbridge RSVP by February 27, 2009 403-328-7002 or [email protected] Learn more at www.mssociety.ca/en/events/teamms Come out and support the MS Society at Winner’s Bingo!!! 3307 3rd Ave South (behind Bridge City Chrysler) Meet our 2009 Enerflex MS Walk Sponsors Provincial Title Sponsor Enerflex (Cash) National Sponsors Brinks Chatelaine (Advertising) Student Works TeamMS Sponsor The Lounge (Media) Gold Sponsors CTV (Media) B-93 (Media) Country 95.5 (Media) Shark Club Sports Bar & Grill (Corporate Breakfast) Moxie’s Classic Grill (Cash) PixelWorks (Signage) Mocha Cabana (Elite Feet Gala) Domino’s Pizza (Food) Shoppers HomeHealthCare (Cash) Silver Sponsors Lethbridge Lodge (Prizes) Cinnzeo (Food) Pyramid Entertainment (DJ/Host) Runner’s Soul (Prizes) Shutterbug Photography (Walk Day Photography) Culligan (Beverage) Grouse Mountain Lodge (Prizes) Fort Whoop-Up Historic Site (Walk Site) Future MS Bingo events: February 11th, March 9th, April 8th, May 13th Interested in volunteering??? The MS Society is always looking for people to help us with general office duties and/or with our special events. Please contact me by phone at 403-3287002 or by email at [email protected] if you’re interested in helping out. We’re looking for people who would be interested in becoming a ‘Face of MS’ for the MS Walk and other special events. We would like to take photos of people living with MS so we can show people who they are sponsoring, raising money for, volunteering for and helping to find a cure for. Please contact me if you’re interested in becoming a Face of MS. Page 8 CALENDAR OF EVENTS February 16, Monday . . . . . . . . . . . . . . . . . . . . . . . . Family Day Holiday, Office Closed February 18, Wednesday . . . . . . . . . . . . . . . . . . . . . Young Adult’s with MS Group, 6pm MS Office. Guest Speaker: David Gibson from Turiya Yoga February 19, Thursday . . . . . . . . . . . . . . . . . . . . . . . Brown Bag Lunch, Noon to 1pm, MS Society Office. Guest Speaker: Amber Kubos, YWCA Health & Wellness Manager March 5, Thursday . . . . . . . . . . . . . . . . . . . . . . . . . . . . TeamMS Corporate Breakfast, call Leanne for details March 7, Saturday . . . . . . . . . . . . . . . . . . . . . . . . . . . . Big Band Boogie, El Rancho Convention Centre. This is a fundraiser organized by the Kinsmen Club, with proceeds to the MS Society. Details to be confirmed. March 9, Monday . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bingo at Winner’s Bingo Hall, 5:15pm March 16, Monday . . . . . . . . . . . . . . . . . . . . . . . Board Meeting, 5:15pm, MS Society Office March 18, Wednesday . . . . . . . . . . . . . . . . . . . . . . Young Adults with MS Group, 6pm, MS Society Office March 19, Thursday . . . . . . . . . . . . . . . . . . . . . . . . . Brown Bag Lunch, Noon to 1pm, MS Society Office. Guest Speaker: TBA April 8, Wednesday . . . . . . . . . . . . . . . . . . . . . . . . . . Bingo at Winner’s Bingo Hall, 5:15pm April 10, Good Friday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Holiday, Office Closed April 13, Easter Monday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Holiday, Office Closed April 15, Wednesday . . . . . . . . . . . . . . . . . . . . . . . . Young Adults with MS Group, 6pm MS Society Office, Topic: TBA April 16, Thursday . . . . . . . . . . . . . . . . . . . . . . . . . . Brown Bag Lunch, Noon to 1pm, MS Society Office, Guest Speaker: TBA April 25, Saturday . . . . . . . . . . . . . . . . . . . . . . . . . . . MS WALK, 10am, Fort Whoop-Up, Indian Battle Park, for details go online at www.mswalks.ca May 8 & 9, Friday & Saturday . . . . . . . . . . . . . . . . . . . . . . Carnation Campaign. Buy some flower’s at various venues around Lethbridge & District to support MS Research May 13, Wednesday . . . . . . . . . . . . . . . . . . . . . . . . . . Bingo at Winner’s Bingo Hall, 5:15pm May 18, Monday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Victoria Day Holiday, Office Closed Page 9 The Fatigue Ultimatum (continued from page 4) OUR MISSION To be a leader in finding a cure for Multiple Sclerosis and enabling people affected by MS to enhance their quality of life. The Multiple Sclerosis Society of Canada Lethbridge & District Chapter 724 13 Street North Lethbridge, AB T1H 2T1 Phone: 328-7002 Fax: 328-7027 e-mail: [email protected] BOARD OF DIRECTORS 2008-2009 Cathy Campbell . . . . . . . . . . . . . . . . . . . . President Bob Holmes . . . . . . . . . . . . . . . . . . . . .Vice-President Amberly Vaughan . . . . . . . . . . . . . . . . . . . Treasurer Maria Mantello . . . . . . . . . . . . . . . . . . . . . Secretary Members at Large: Jeanene Casson Murray Smith Pat Spencer Mike Durrant The fatigue ultimatum demands respect I need to remember that I didn’t choose MS fatigue as the undertow of my life in my 50’s; it chose me. I do what I can each day and try not to blame myself. Guilt can be counterproductive. “The Fatigue Ultimatum” will always demand my respect. All the important things in my life will get done but maybe not today and maybe not by me. If I move at a snail’s pace these days and catch an abundance of z’s, I can still do them with humour, style, and occasional grace. by Jeanine M Dell’Olio who is a professor of education at Hope College, Holland, Michigan from Real Living with MS, Nov/Dec 2008 What is endMS.ca? The endMS.ca campaign is raising $60 million over 5 years to support MS research in Canada. Its flagship investment is a new $20 million entity called the endMS Research and Training Network, which is intended to recruit, train, support, and retain the next generation of MS researchers in Canada. The first of its kind in the world, the endMS Research and Training Network is designed to increase the pace of discovery so that a cure can be found in the shortest time possible. Funds raised through the endMS.ca campaign represent an immediate, dedicated investment to advance Canada’s leadership positioning MS research. The premises of the campaign uses a simple formula: The best MS researchers + more MS research = an accelerated end to MS + better quality of life Newsletter by email Dory Rossiter Melissa Wilde Karolyn Harker Staff: Ann Stewart . . . . . . . . . . Chapter Executive Director Leanne Kindrat . . . . . . . . Development Coordinator Alisa Laturnus . . . . . . . . . Administrative Assistant MS UPDATE is published four times a year by the Multiple Sclerosis Society of Canada, Lethbridge & District Chapter. MS UPDATE complies with the confidentiality policy set by the MS Society of Canada. The MS Society, Lethbridge & District Chapter does not endorse products, services, views and opinions expressed herein. We reserve the right to edit all submissions. Would you like to receive this Newsletter electronically? If you’re connected to the internet, you can help save us postage costs by requesting your newsletters be sent to you by email. Call our office or send an email to Alisa at [email protected] to have your name added to our electronic mailing list. The Multiple Sclerosis Society of Canada is pleased to comply with the federal Personal Information Protection and Electronic Documents Act. Please see the MS Society web site for the full Privacy Statement: www.mssociety.ca or call 1-800-268-7582. Page 10
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