Otago Multiple Sclerosis Society www.msotago.org.nz Phone: (03) 455 5894 Toll Free: 0508 MS OTAGO (0508 67 68 246) 8 Baker Street Caversham Dunedin 9012 Multiple Sclerosis Otago SAY GOODBYE TO NEGATIVE SELF-TALK! Manager Tania McGregor 021 1659 440 [email protected] Field Officer Jo Smith 027 296 5254 [email protected] Health Support Officer Pam Macdonald Patron Dr John Mottershead Have you ever taken a few moments to really listen to the language people use when describing a chronic illness or disability such as MS? The way we use language can alter our perception of an illness or disability. Using terms such as “suffering” or “struggling” or “battles with…..” characterizes a disease in a way that can make it seem unbearable and perhaps not worth living through. This type of language and negative thinking is unproductive and disempowering. Why Negative Language and Negative Self-Talk is Disempowering? Only 10% of our mind is conscious while 90% is unconscious. The conscious mind is our analytical, rational and logical mind and is said to hold our temporary memory. The unconscious mind is the opposite being irrational and is where we form habits and our beliefs. The unconscious mind is just like a robot as it takes everything we say literally and personally. When you listen to the words people use they are telling you a lot about their world. When we use negative phrases such as “I have no purpose in life” these are messages that we are telling our unconscious mind which will form how we view ourselves. Listen very carefully and pay attention to the words you are using. Our thoughts and self-talk create our reality. Negative Thoughts Have Physical Effects Our thoughts, memories and emotions are not only part of our mental programming but they affect our bodies. We assign emotions to the memories recorded in complex stings of nerve cell wired together. Connections between our nerves cells are strengthened when they are repeatedly stimulated in a process called “long term potentiation.” Through associative learning our brains are programmed not only by ordinary experiences but also by extreme circumstances. Trauma can change the structure and function of the brain and may create an automatic response in the form of anxiety or fear. Otago Multiple Sclerosis Newsletter ~ June 2014 How can Occupational Therapy assist someone with MS?.................Page 7 Interview with Wayne Kettle.....................Page 12 Dorothy Newman Scholarship............Page 21 Powerhouse fruit and vegetables.............Page 22 Page 1 Our thinking affects our bodies, especially thoughts that have become patterns that don’t serve us well. For example, putting yourself down is an old habit built on old information. Old emotions like despair, low self-esteem and self-pity give us a chemical boost of neuropeptides that guides our perception of our new choices. Cancel Old Thoughts and Substitute Powerful Ideas DO you want to feel better? Stop engaging in negative self-talk. Prune away you old negative programming and plant new seeds for your current circumstances. Positive thought strings create new systems in the brain, producing the new chemical associated with emotional changes. It is vital to remember that your thoughts, emotions, beliefs and physicality are intertwined. Negative selftalk can make you feel unmotivated and physically ill. Move your mind to a new way of being. Here are five ways to shift to positive self-talk: 1. Check your state of mind. Choose your own attitude and emotions. Don’t accept another person’s outlook on life. Focus your intentions in the present moment. Because we have choices, our experiences begin in the mind. As within, so without. Be consciously aware of what you want to create. 2. Focus on today. Step away from old memories, past relationships, and hurts. Attend to the present. Find joy in what you bring to the world. Take a deep breath, stay centred, and remind yourself that your presence is a gift. 3. See the big picture. In the universal equation, today is but a blink in time. You are not permanently stuck in difficult moments. You can move through them with ease and grace. You can do this without depleting your energy reserves by making a commitment to doing so. Remember, life moves all too quickly. Make each day count and quit wasting your energy on negative thoughts, unproductive thinking, and who said what to whom ten years ago. 4. Release negative expectation. Focus on what YOU can do to contribute to a better world and not what others expect you to do. Pace yourself. As you practice positive expectation, you’ll find that better circumstances will be naturally attracted to you. Have faith in the process. 5. Be thankful. There is no better way to change your energy then to turn up the volume on gratitude. If you are thankful for what makes you happy, by the Law of Attraction, the universe will provide you with more to be thankful for. Be generous and say thank you to those in your life who care, to your Higher Power, and to yourself for being an individual spark of Divine Power. Your natural state is unlimited abundance, so be thankful for all you are. Be thankful for and your journey. Experiencing success through a positive mental attitude begins when we retire negative perceptions and break the addiction of old emotional states. Doing these things is a choice that requires persistent effort. Let go of self-criticism and move forward. When a challenge arises, change your thought process to include more thoughts of gratitude, unconditional love, self-appreciation, freedom, and joy. That’s the foundation of a new and better reality. References: Cattelan, L. (2014). Stop Negative Self Talk Now! by Linda Cattelan. Evan Carmichael Business Coach www.evancarmichael.com/Business-Coach/6541/ Stop-Negative-Self-Talk Lambeth, L. C. Two Faces of Lydwina. Proctor, R. C. (2011). Stop Negative Self-Talk:Five Ways to Build Confidence and happiness. Growth Through Transformation www.charleneproctor.com/articles-by-charlene/ stop-negative-self-talk DISCLAIMER: The information in this newsletter is for the purpose of informing people about multiple sclerosis, events and interesting reading. The contents of this newsletter neither indicate nor reflect the views of the Otago MS Society. You should not rely on any information produced in this newsletter in place of a visit, consultation or advice of a doctor or other qualified health provider. Page 2 Otago Multiple Sclerosis Newsletter ~ June 2014 Benefit Information (as at May 2014) Disability Allowance: Benefit Information (as at May 2014) Disability Allowance is an income supplement intended to assist people on benefits or low incomes who have additional costs that result from aDisability long term disability or health condition. Allowance: Your disability/health condition must be expected to last longer than six months. Disability Allowance is an income supplement intended to assist people on The amount you receive is based on your actual in the casethat of assistance with costs where or healt incomes whocosts have(except additional costs result from a heating long term disability it is based on the difference between your actual costs and the average cost for a person to heat their home). Your costs are added up for the whole year and then divided by 52 to give a rate which is paid weekly. Your disability/health condition must be expected to last longer than six months. If your income is below the limit, you receive up to $61.38 a week depending on your costs. Above the limit, Thegreater amount based on your actual costs (except in the case of you are not eligible. If your costs are thanyou this,receive submit is them anyway. In some cases you may be eligible coststhose where it iscosts. based on the difference between your actual costs and for Temporary Additional Supportheating to help with extra for a person to heat their home). Your costs are added up for the whole year and Examples of disability related costs are: 52 to give a rate which is paid weekly. • Pharmaceutical charges and nicotine • Alternative treatment If your income is below thereplacement limit, you receive up to $61.38 a week depending on y products • Ambulance fees and subscriptions the limit, you are not eligible. If your costs are • Power, gas and heating greater than this, submit them • Authorised consumables (hearing aid batteries, cases you may be eligible for Temporary Additional Support to help with those ex • Rental equipment continence supplies that are not funded, etc) Examples of disability related costs are: • Special foods • Alternative treatment • Telephone – in some cases • Counselling • Ambulance fees and subscriptions • Transport - counselling • Day care for the elderly disabled • Authorised consumables (hearing aid batteries, continence supplies that are n Clothing • Transport - disability • Gardening, lawns and outside •window cleaning • Counselling • Transport - personal health • Gym and swimming pool fees • Day care for the elderly disabled • outside Vitamins,window supplements, herbal remedies and • Medical alarms • Gardening, lawns and cleaning minerals • Gym and swimming pool fees • Medical fees • Medical alarms • Medical fees You will be required to provide ‘evidence’ (receipts or quotes) for each cost you are applying for, and a medical • Pharmaceutical charges and nicotine replacement products practitioner will need to sign the Disability Allowance application in support of each of the costs you are • Power, gas and heating requesting assistance for. • Rental equipment Income cut-out points for Disability Allowance (for non-beneficiaries): Income cut-out points for Disability Allowance (for non-beneficiaries): • Special foods • Telephone – in some cases • Transport - counselling Income limit (Gross per week) • Transport - disability Single 16 - 17 years $516.13 • Transport - personal health Single 18+ years $607.36 • Vitamins, supplements, herbal remedies and minerals Married, civil union or de facto couple (with or $900.57 without children) You will be required to provide ‘evidence’ (receipts or quotes) for each cost you Sole parent 1 child and a medical practitioner will$719.82 need to sign the Disability Allowance application in • Clothing of the costs you are requesting assistance for. Sole parent 2+ children $758.39 Reference: Information kindly supplied by Zena Pidgen, Social Worker located at ISIS. Reference: information kindly supplied by Zena Pidgen, Social Worker located at ISIS. We do have a fact sheet available explaining a number of different benefits available which we are happy to provide a copy of for you. Please contact our Field Officer Jo Smith on (03) 4555 894 ext 4 or email Jo at [email protected] We do have a fact sheet available explaining a number of different benefits available which we are happy to provide a copy of for you. Please contact our Field Officer Jo Smith on (03) 4555 894 ext 4 or email Jo at [email protected] Otago Multiple Sclerosis Newsletter ~ June 2014 Page 3 New knowledge about treating multiple sclerosis New information that could lead to improved treatment of multiple sclerosis (MS) has been uncovered by Victoria University of Wellington scientists. A study carried out at Victoria, and recently published online in the international scientific journal PLOS ONE, holds promise for patients suffering from secondary progressive MS, an advanced form of the disease, which causes nerve degeneration leading to impaired vision and coordination, and eventually, paralysis. The study focused on understanding how a new MS drug, MIS416, developed by the New Zealand biotech company Innate Immunotherapeutics, is able to help patients with secondary progressive MS, a form of MS with few effective treatments. The team of scientists includes Dr Anne La Flamme, an Associate Professor in Victoria’s School of Biological Sciences and head of the MS Research Programme at the Malaghan Institute of Medical Research, PhD student Madeleine White, and Dr Gill Webster from Innate Immunotherapeutics. “We know this drug works, but we are not sure why. This study has helped us understand the pathways that are driving the disease and how the medication alters the immune system, giving us a better idea of why MIS416 works as well as insight into how to treat patients and predict who will do better on this sort of medication,” says Dr La Flamme. Most people believe MS revolves around T cells, says Dr La Flamme, but the Victoria study reveals that targeting other cells in the central nervous system can significantly reduce advanced forms of MS. Reference: Fuseworks Media, 3 February 2014 Research into MS and quality of life The possible role of psychological stress in the aetiology and progression of MS has been debated for decades. It has been suggested that major stressful life events may somehow cause damage to the CNS or provoke dysfunction of the immune system, which could lead to the development of MS. It has also been hypothesised that stress may induce a disruption of the blood–brain barrier, resulting in T cell entry into the CNS and development of MS. This study looked at the association between major stressful life events and the development of MS using death of a child or a spouse or marital dissolution as indicators of severe stress to test these theories. Two cohorts were created based on all Danish men and women born between 1950 and 1992. One cohort was made up of all persons who became parents between 1986 and 2010 and a second cohort was made up of all persons who married be-tween 1968 and 2010. Both cohorts were followed for MS between 1982 and 2010. They then looked at the association between major stressful life events and the risk of MS. The results showed that bereaved parents experienced no unusual risk of MS compared to parents who did not lose a child. Divorced or widowed people were not at an increased risk of MS compared with married people of the same sex. There-fore this study does not provide an association between major stressful life events and subsequent MS risk. Reference: Authors Nielsen NM, Bager P Source: J Neurol Neurosurg Psychiatry 7 March 2014 doi: 10.1136/jnnp2013-307181. Page 4 Otago Multiple Sclerosis Newsletter ~ June 2014 SNOW DAY POLICY Given the recent weather in the deep South we thought it best to clarify what we do if there is a group scheduled in Dunedin. If it’s snowing, or the roads are icy and unsafe the group will be automatically cancelled. We recommend that you stay at home and keep warm. You may wish to check on the television channels 1 and 3, as they often have weather updates, or your preferred radio station, we will endeavour to either text or phone members to advise you. Otago Multiple Sclerosis Newsletter ~ June 2014 Page 5 Telling people you have MS We hope that this may assist you with deciding who to tell and take you through some of the different reactions you might get and some suggestions about how to deal with them. Getting started Telling people that you have MS can be a very difficult thing to do. Accepting the diagnosis yourself is hard, let alone having to break the news to others. Being able to open up about something sensitive takes courage and practice. If you find it hard talking about personal issues, there are techniques that can help. Try writing down what you want to get across to the person you are telling, or doing some role-playing with someone you trust beforehand. Dealing with adversity can strengthen a relationship, as well as cause difficulties. Many people with MS say they remember this as the time when they found out who their true friends were. Who to tell Many MS symptoms such as fatigue are not outwardly visible. It can be difficult and frustrating trying to explain to people how you are affected and how debilitating the symptoms can be. You may find it helpful to direct people to the MS Society website to have a look at different symptoms and how they can affect you, this will save you having to explain everything yourself. Dealing with different reactions People may deal with the news in a number of ways. For you, the way they deal with the news may be helpful or not so helpful. Some people may panic whilst others will be surprisingly calm. People who don’t know much about MS will have lots of questions that you might not be able to answer. They might assume that you’re an expert on MS when in fact you know little more about it than they do. Other people may avoid you because they don’t know what to say. They don’t know how to deal with you having MS, so they choose not to. This can be very hurtful, and it’s hard not to take it personally. Some people will go out of their way to help. This may have the opposite effect, making you feel frustrated or even useless. Try to explain to the person that you will ask for their help if you need it, but that you want them to treat you the same as they did before they knew you had MS. Whatever a person’s reaction, talking about it with them can be really helpful. “It is a very personal thing, your health, but I don’t see why I shouldn’t be upfront. I’m not embarrassed about my MS; it’s a fact of life.” There is no reason why you should feel pressured to tell everyone you know that you have MS, or share that information immediately with strangers. Your health is a personal thing, and only you will know how you want to handle things. However, if people are aware of your condition and how it affects you then they may be better placed to offer their support if and when you need it. Page 6 Try to look at people’s questions objectively and don’t take them personally. Encourage people to talk openly to you about your MS and about how it makes them feel. Often, you can only do this once you have come to terms with the diagnosis yourself so only talk to people when you really feel ready. References: Multiple Sclerosis Society UK. (April 2014). Telling people you have MS. www.mssociety.org.uk/ms-support/emotional-support/ living-with-ms/telling-people-you-have-ms Otago Multiple Sclerosis Newsletter ~ June 2014 How can Occupational Therapy assist someone with MS?? Occupational Therapy is a health profession that aims to increase quality of life through making changes to your usual “occupations”. Occupation is not just about work! It may include showering, dressing, cooking, driving: any activity that you need or want to do. Occupational Therapists work in a range of settings including acute wards, rehab wards, outpatients and the community. Occupational Therapy can offer a range of education and assistance depending on an individual’s needs. Types of intervention that may be helpful for someone with MS include: • Fatigue Management – This could include education about fatigue for clients and their families/significant others. Practical strategies to minimise fatigue so that you have more energy to do the things you enjoy. We can help you identify triggers that exacerbate fatigue and ways to overcome these. • Cognitive Rehabilitation – Cognition includes attention, memory, processing, thinking and problem solving amongst many other vital brain functions. Occupational Therapy may include a formal cognitive assessment to identify areas of difficulty. From this we will work alongside you to identify specific practical difficulties and develop solutions e.g. using a diary, cell phone reminders, education for family and friends, written prompt cards. • Leisure and community involvement – We can discuss your previous and current interests and look at strategies to maintain these e.g. large print books, ipad Aps, raised gardening beds. We can assist you to be linked in with appropriate community groups if desired e.g. senior net, falls prevention programmes, craft groups etc. • Sexuality - Occupational Therapists can discuss relationship difficulties and sexual concerns. We can provide support, information and practical advice and make referrals to other agencies as needed. • Mobility and equipment - Some Occupational Therapy services can provide assessment and provision for wheelchairs and seating. This may include a power chair if indicated. Occupational Therapy can support you to complete an application for a scooter if appropriate, assess your car transfer techniques or refer for a formal driving assessment (likely to require private funding). Occupational Therapists also assess for a range of equipment to aid everyday living e.g. shower stools, chair raisers, toilet frames etc. • Work – Occupational Therapists can complete an assessment of your existing work environment and make recommendations depending on workplace demands e.g. an assessment of your workstation, fatigue management at work. • Housing Modifications – Occupational Therapists are able to complete an assessment to determine if you are eligible for housing modifications e.g. level access showers and ramps. • Relaxation and stress management – Occupational Therapists can teach a range of formal relaxation strategies such as diaphragmatic breathing, visualisation and progressive muscle relaxation. We can also assist you to identify lifestyle factors that may be enhancing stress and anxiety. • Team work – Occupational Therapists often work as part of a wider team and can make referrals to other agencies as indicated e.g. Physiotherapy, Social work, District Nursing etc. If you feel Occupational Therapy may assist you, please contact our Field Officer Jo Smith on (03) 4555 894 ext 4 or email Jo at [email protected] Reference: written by Lana Van Lierop, OT at Dunstan Hospital. Lest We Forget - It is with great sadness that we acknowledge the passing of Jim Gutsell who was a member of our Society; our thoughts are with his family and friends during this time. Otago Multiple Sclerosis Newsletter ~ June 2014 Page 7 MS & the Importance of Exercise & Physical Therapy It’s tempting to avoid exercise when you have MS. You might think that you’ll wind up feeling fatigue, discomfort and pain. But it’s just the opposite: Lack of exercise leads to de-conditioning that over time reduces your functional abilities and leaves you feeling worse. Exercising regularly, on the other hand, helps to preserve your mobility and reduce your fatigue. Physical activities may also help improve muscle spasms, balance and coordination. Work With a Physical Therapist: It’s very helpful to work with a physical therapist if you have MS. At MS physical therapy, you learn the safest ways to exercise for your symptoms and condition. Over the first few sessions, the physical therapist gets to know you and your limitations. Then, you receive an individualised physical therapy plan that challenges you, not strains you. The physical therapist teaches you a variety of stretching and range-of-motion exercises and muscle strengthening techniques. Your therapist also shows you how to use adaptive equipment. Ease Into Your Workout: Your physical therapist will likely recommend starting slow and working your way up to a faster pace or more repetitions. To avoid overheating (a common problem for people with MS), you’ll also get this advice: • • • • Choose a cool spot to exercise. Wear breathable clothing and cool cloths on your neck. Have a fan pointed directly at you. Drink plenty of cold water. Types of Exercise: Your tailored exercise plan may include the following: Range-of-Motion Exercises; Involuntary muscle spasms (spasticity) are a common issue for people with Multiple Sclerosis. The legs are the most often affected, and some people also experience the MS hug, when tiny muscles between the ribs tighten up. Stretching exercises can help improve the spasticity: Stretches maintain the length of your muscles, preserving flexibility. Balance and Coordination Exercises: Doing balance and coordination exercises improve mobility and reduces the risk of falling. Your physical therapist will demonstrate proper form and technique. Aerobic Exercise: Many people with MS can do aerobic exercise, if they are careful to avoid overexertion. Your physical therapist will pinpoint the exercises and pace that is right for you. Swimming, water aerobics, walking and biking are generally well-tolerated. Muscle-Strengthening Exercises: Strengthening your muscles will help you avoid weakness and poor mobility down the road. It’s important to work with your physical therapist to learn proper technique so you avoid injury. By keeping up with physical therapy and exercise, you’ll feel better and ease your symptoms for a better quality of life. Reference: By R Elizabeth and C Kitchen MS & the Importance of Exercise & Physical Therapy, from Health Communities. www.healthcommunities.com/multiple-sclerosis/ms-exercise-physical-therapy Page 8 Otago Multiple Sclerosis Newsletter ~ June 2014 A LASTING LEGACY We all have a different way we want to leave our mark on the world. As little as 1% of your estate will make a lasting difference to the Otago Multiple Sclerosis Society, which will enable us to continue supporting, providing services and education to people with Multiple Sclerosis and other neurological illnesses. A gift in your Will is one way to leave a lasting legacy that continues long after you are gone. HOW DO I MAKE A BEQUEST? A bequest is made through your Will. If you already have a Will, all you need to do is add a codicil (supplement), which amends part of the Will. You are able to place conditions on any bequest, but since your bequest is likely to be received far into the future, it is more beneficial if its terms are as general as possible. We recommend that you seek legal advice from your Solicitor when adding a bequest to your will. SAMPLE BEQUEST I give $_________________ or _____________ % of my estate to the Otago Multiple Sclerosis Society (Inc) to be applied for its general purposes. A receipt taken by my trustees as being given on behalf of the beneficiary will be a complete discharge to my trustees for this legacy. Room Hire Available The Day Room which is located at 8 Baker Street, Caversham, DUNEDIN is available to hire for your next board meeting, training session, group meetings, or function. This versatile inviting room can be set up in a variety of individual needs; seating is currently available for a maximum of 50 people. Our venue is completely wheelchair friendly including the ablution area which also has a disabled friendly shower unit. Our heat pumps provide a warm and inviting atmosphere on cold days, and on hot days our sliding windows provide some much needed cooler airflow. Our premises are located in a quiet suburban neighbourhood, near main bus routes, street parking, and also off street parking is available. Bookings are available during some weekdays, most weekends and evenings. Should you wish to view our venue please contact Tania on (03) 4555 894 ext 2 to arrange a time to visit. The hiring fee contributes towards the continued work of the Otago Multiple Sclerosis Society in the community. The Otago Multiple Sclerosis Society and the Brain Injury Association would like to present .... ‘The Health Passport’ By Shonelle Eastwood Where: Our Society 8 Baker Street, Caversham When: Thursday 3rd July 2014 Time: 7.00 pm A gold coin donation is appreciated To reserve a seat please contact your Field Officer Jo Smith on 455 5894 ext 4 or email [email protected] The Otago Multiple Sclerosis Society and the Brain Injury Association would like to present .... Otago Multiple Sclerosis Newsletter ~ June 2014 Speech and Language Therapy By Marg Sharpe Where: Our Society 8 Baker Street, Caversham When: Thursday 7th August 2014 Time: 7.00 pm A gold coin donation is appreciated To reserve a seat please contact your Field Officer Jo Smith on 455 5894 ext 4 or email [email protected] Page 9 Guide to Winter Wellness The herbs here can ease coughs, congestion, and sore throats, and some may help prevent illness altogether. (As always, talk to your doctor before trying new remedies, particularly if your symptoms are severe, if you take medication, or if you have a chronic health condition.) Echinacea A go-to herb for colds, this plant (Echinacea purpurea and E. angustifolia) may help support your immune system to fight viruses. The root leaves, and flowers are all medicinal. How to use: Take 1/2 to 1 teaspoon of tincture (herbal extract) every two hours until symptoms are gone. Echinacea also comes in tea blends. Elderberry The classic form for elderberry (Sambucus nigra) is a tasty syrup: European studies have shown it to be helpful for seasonal flus (talk to your doctor before using it for H1N1, or swine flu). How to use: Follow package directions for the syrup at the first sign of symptoms. Goldenseal For short-term use only, goldenseal (Hydrastis canadensis) can help to clear up bacterial infections and restore the respiratory system lining after a bad cold. How to use: Goldenseal is very bitter, so stick to tinctures or capsules. Use small doses of this potent herb. Safety note: Pregnant women and those with hypertension should not use goldenseal. Elderflower The flower form of the elder plant (Sambucus nigra) can induce sweating, which may help reduce fever. How to use: Look for elder in cold formulas. To make a tea, pour boiling water over a teaspoon of dried elderflower. Leave for 10 to 15 minutes, then strain. Drink up to three cups per day. Or make a tea that combines elder, echinacea, and a pinch of peppermint. Ginger A cup of tea made with ginger (Zingiber officinale) can help ease congestion and warm the body, which helps your system, fight infection. Its anti-inflammatory properties make it a good sore-throat remedy, too. How to use: Simmer fresh or dried ginger for 20 minutes; strain and add a touch of honey and a squeeze of lemon, if desired. Incorporate ginger liberally into stir-fries and soups. Slippery Elm A sore-throat soother extraordinaire, slippery elm (Ulmus rubra) products are high in “mucilage,” a substance that coats the throat and helps relieve coughs. How to use: Look for slippery elm lozenges at health-food stores; follow package directions. To make a tea, simmer 1 tablespoon dried slippery elm bark per cup of water; strain and drink. Thyme Loaded with antibacterial compounds, fresh or dried thyme (Thymus vulgaris) is a cold season powerhouse. How to use: Use fresh or dried thyme in stews and soups. To make a steam, pour near-boiling water into a pot. Add a pinch of fresh or dried thyme, turn off heat, and create a tent by draping a towel over your head and the pot. Breathe in steam for five minutes. Page 10 Otago Multiple Sclerosis Newsletter ~ June 2014 Astragalus Astragalus (Astragalus membranaceus), which has been used for centuries in Traditional Chinese Medicine, may help to strengthen the body against illness when used over time. How to use: Take astragalus in tincture or capsule form throughout the cold and flu season. You can also incorporate dried astragalus slices into soups or rice; remove the astragalus before serving. Eucalyptus With antibacterial and expectorant properties, eucalyptus (Eucalyptus globulus) can loosen congestion and help you breathe easier. How to use: Pour near-boiling water into a pot. Add a few drops of eucalyptus essential oil, turn off heat, and drape a towel over your head and the pot. Breathe for five minutes. Safety note: Do not use essential oils internally. Eleuthero Also known as Siberian ginseng, this well-studied herb (Eleutherococcus senticosus) can help your body resist the effects of stress and boost your immune system. How to use: Take in tincture or capsule form, or make an immunity chai by blending eleuthero with cardamom, ginger, and cinnamon. Simmer for 20 minutes and strain; drink two to three cups daily. Mullein Mullein (Verbascum thapsus) has expectorant and soothing properties that make it a cough treatment supreme. How to use: For coughs, try mullein tea: Pour a cup of boiling water over a tablespoon of mullein leaves; leave for 20 minutes and strain. Add honey and lemon to mask the bitter taste. Treat ear infections with drops of oil infused with mullein and garlic. Tulsi Believed to boost overall health, tulsi (Ocimum sanctum) also known as holy basil contains antiviral and antibacterial compounds. It may help prevent illness when used over time. How to use: Tulsi makes a delicious tea; look for it in packaged form or brew your own with loose tulsi. Aim for two to three cups daily. Yin Chiao This centuries-old Chinese formula stars a number of immune-boosting herbs and can help ease cold symptoms such as sneezing and congestion. How to use: Use at the first sign of illness; follow package directions or consult with a TCM practitioner. Sage Common culinary sage (Salvia officinalis) can help to ease sore throats and dry up sinuses. How to use: For a sore throat, make a strong tea by pouring 4 ounces of water over 2 teaspoons of dried or fresh sage. Cool to room temperature. Gargle until the mixture is gone. Repeat three times daily. For drippy sinuses, drink a cup of regular-strength sage tea. Licorice Licorice (Glycyrrhiza glabra) has immune-boosting and throat-soothing properties that make it an excellent addition to cough and cold formulas. How to use: For coughs, make a tea that combines mullein leaf with a pinch of licorice. Safety note: People who have high blood pressure should avoid this herb or use the deglycyrrhizinated form (look for “DGL” on packaging). Reference: www.wholeliving.com/136113/15-natural-remedies-winter-season#27716 Otago Multiple Sclerosis Newsletter ~ June 2014 Page 11 Interview with Wayne Kettle the ‘Muscle Therapist’ Wayne has worked with many of our clients over the last 18 months and has attended many of our groups in Dunedin, has travelled to Central Otago and has presented at one of our Guest Speaker / Educational Evenings. We have had some amazing feedback on Wayne’s work and thought it was about time we interviewed Wayne and found out more about his unique technique of Positional Release Therapy. What is positional release therapy? Positional Release Therapy is a technique that shortens the muscle by altering the position of the body to release the muscle. What’s the difference between deep tissue therapy and positional release therapy? Deep tissue therapy forces the muscle to release which is very invasive. Positional Release Therapy helps the muscle to release itself which helps muscle fibres reset without the pain. Why is it good for people with MS? Positional Release Therapy is good for people with MS because it is non-invasive, though I do have to find the sore spot first with the flat part/pads of my fingers. What if I can’t get onto a massage table? I do have a small step stool you can stand on. Quite often I will help the client on to and off the table, or you can be treated while sitting on a chair Everyone using a health or disability service has the protection of a Code of Rights. An independent Commissioner promotes and protects these rights under a New Zealand Law called the Health and Disability Commissioner Act 1994. Your rights when receiving a health or disability service: 1. To be treated with respect. 2. To be treated fairly without pressure or discrimination. 3.The right to independence. What if I am in a wheelchair? (you could come to the Otago MS Society who has wheelchair access and have treatment) You can be treated in your wheelchair which I do quite often if you find it too difficult to get out of your wheelchair, but this may have some limitations. Just check with me first. Please contact Wayne on 027 683 4443 or email [email protected] Page 12 and 4. To receive a quality service and to be treated with care and skill. 5. To be given information that you can understand in a way that helps you communicate with the person providing the service. 6. To be given the information you need to know about your health or disability; the service being provided and the names and roles of the staff; as well as information about any tests and procedures you need and any test results. In New Zealand, people are encouraged to ask questions and to ask for more information to help them understand what is going on. How many sessions would I need? That depends on the client. Some people need only two half hour sessions and some may need more. After that maybe have three weekly / monthly sessions of half hour duration. Do I have to come to your rooms? No, not at all. I do house calls, which suits some people. I can also use one of the rooms at the Otago MS Society. dignity 7. To make your own decision about your care, and to change your mind. 8. To have a support person with you at most times. 9. To have all these rights apply if you are asked to take part in a research study or teaching session for training staff. 10. The right to complain and have your complaint taken seriously. Otago Multiple Sclerosis Newsletter ~ June 2014 FUNDRAISING ITEMS AVAILABLE FOR OUR SOCIETY 2014 DIARY PENS (with a pull out calendar) A number of our members have purchased these for gifts already, and some have them available to pass onto others. Please note that these pens are inexpensive at only $2.00 per pen. We have had professionally made display boxes to hold our pens, and you may know of a business that would be happy to support our Society by having one of these on their premises, if you do then please contact Tania on (03) 4555 894 ext 2. MS OTAGO DESIGNER EARRINGS Many of you have seen the lovely MS Otago earrings that some of us wear. As we had a number of very positive comments made about these earrings we asked Kismet Jewellery if they would have some more made especially for our Society. We thought it was an excellent opportunity to raise awareness of MS, raise the profile of our Society, and to generate some income. To those of you who have purchased a pair of earrings thank you!, and we now only have 12 pairs available so we have reduced the cost of these earrings to $ 10.00 a pair!!!! These would make a lovely gift for someone. If you wish to purchase a pair please contact Tania on (03) 4555 894 ext 2. BULK TOILETPAPER STILL AVAILABLE Thank you to all of those who have already purchased some toilet paper. Stock supplies of toilet paper are literally walking out the door! Be in quick and order yours now. They are $20.00 per pack which include 45 rolls. If you wish to purchase a pack please contact Tania on (03) 4555 894 ext 2 to arrange a time to collect yours. Please note that all the above fundraising is part of the Otago Multiple Sclerosis Society Fundraising Programme. Otago Multiple Sclerosis Newsletter ~ June 2014 Page 13 Visit to The Otago Rescue Helicopter Headquarters On Thursday 8th May the Men’s Group were given a tour of the Otago Rescue Helicopter Trust headquarters. After being welcomed, we were escorted into a board room, overlooking the helicopters, and given a short presentation of the history of the Trust, and an in-depth description of how the Trust has evolved. If you would like to be part of our MEN’s group who meet monthly please contact our Field Officer, Jo Smith on (03) 455 5694 ext 4 or email [email protected] There are three helicopters, and I was amazed to discover that while the shells of them are early 90s, they’ve had many, many upgrades. Each upgrade has to be certified, so just putting in a new light on the outside, can cost up to $40,000. We were then given the chance to go out and look inside the helicopters. It was amazing being able to have such a good close up view of these amazing machines. I’m sure I wasn’t the only one who was secretly hoping they were called out whilst we were there, so we could see them in action. It’s also made me appreciate what they do, even more. I know next time they are asking for donations, I will put my hand up. Thanks Otago Rescue Helicopter Trust for having us, we had a great time, and would have happily spent much longer with you, given the chance. A huge thanks to the Otago Rescue Helicopter team from John, John, Paul, Roy, Denis, Ross, Glen, Mel, Denise and of course our Field Officer Jo. Written by Mel Hogue DunedinPrint ltd Inspiration Design Innovation Proud to sponsor MS Otago Page 14 For all your print requirements please contact: P: 477 8213 E: [email protected] 297 Vogel St, Dunedin 9016 Otago Multiple Sclerosis Newsletter ~ June 2014 3 Good reasons to make a will and ensure it’s up to date 1.Make sure assets go to the right people 2.Be sure your family is taken care of 3.Prevent family disputes While no one likes to think about dying, having a will and making sure it is up to date is very important and allows you to control how your assets will be distributed when you die. This ensures that the people close to you benefit from your assets. A will lets you make decisions about your funeral, as well as the distribution of assets such as money, or smaller items like jewellery. By having an up to date will you may reduce any family friction that could otherwise occur. It also lets you choose the guardians you would want for your children. Administering an estate where there is no will can be expensive. Ask yourself whether any of the following has happened recently that may affect your will: Do you have children whose marital status or personal situation has changed? Have you had a child or grandchild? Have you bought a house or any other major asset? Have you set up a family trust? Have you received an inheritance or another sum of money? Have you changed your mind about passing special items of significance to certain people? Is the executor of your will still appropriate? Do you wish to make a bequest to a charity? It’s only right that you get to decide what you want done with your assets when you pass away. If you don’t have a will or your will is not up to date, you lose that power. By making sure that your will is in order, you will ensure your wishes are carried out, safeguard your beneficiaries and add to your own peace of mind. Making an appointment with a Trustees Executors Trust Manager is as simple as dialing our 0800 number below. Ensure your wishes are recorded. Contact us today. 0800 Trustees (0800 878 783) Email [email protected] Or visit www.trustees.co.nz The Otago Multiple Sclerosis Society and the Brain Injury Association would like to present .... Pain Management By Louise Parr-Brownlie BHRC Where: Our Society 8 Baker Street, Caversham When: Thursday 11th September 2014 (to be confirmed) Time: 7.00 pm A gold coin donation is appreciated To reserve a seat please contact your Field Officer Jo Smith on 455 5894 ext 4 or email [email protected] Otago Multiple Sclerosis Newsletter ~ June 2014 Page 15 What do you do if you are experiencing . . . PAROXYSMAL SYMPTOMS You may experience a temporary worsening of symptoms in the following Heat (try cooling down) Recent surgery Dental treatment Increased stress Vaccinations Infections and fever These symptoms may worsen and then get better on and off over a period of time and usually do not require treatment. They are most commonly a reactivation of old symptoms that you may have experienced in a previous relapse. CONTACT/VISIT YOUR GP For the following problems it is best to visit your GP/Local Doctor: Fever Viral infections Colds and ‘flu Influenza Sleep deprivation Mild depression Urinary tract infections (these may be silent without symptoms) Gut / tummy infections Constipation CALL THE NEUROLOGY CLINIC If new or worsening symptoms occur past 48 hours please call the Neurology Nurse on 03 4709286 for advice. If they are not available contact your GP. Examples of symptoms include: Weakness of limbs Changes in vision (for example double vision, blurred vision, colour changes, pain on eye movement Altered sensation (pins and needles, tingling, burning pains) in new areas Severe fatigue, which is not helped by rest Worrying injection site reactions / Medication side effects Sudden changes in memory or mood GO STRAIGHT TO EMERGENCY Very rarely, emergency situations may occur but these are not common at all. In the unlikely event that these situations occur, or if you cannot contact MS clinical staff and you are worried, presentation at your local hospital emergency room is appropriate: Falls with injury Sever limb weakness, falling to one side, unable to walk Sudden loss of vision Difficulties breathing Severe pain on eye movement Severe dizziness/balance issues Reference: MS Neurology Nurses SDHB. Page 16 Otago Multiple Sclerosis Newsletter ~ June 2014 Cadbury Dunedin Marathon Preparation Evening held 10 June 2014 On Tuesday night despite the foul weather all day we had approximately 70 people attend the event, which was fantastic we thought! Our keynote speaker was Ken Hodge who is Professor of Sport and Exercise Physiology, and Sport and Exercise Science at the School of Physical Education here in Dunedin. Ken has long been one of New Zealand’s leading sports psychologists, and he had a number of great ideas which will hopefully enable the athletes to achieve the best possible result on the day. Geoffrey Anderson (our main Physiotherapist) provided an update on injury prevention, and Megan Gibbons spoke about effective nutritional plans. Dave Stinson from Caversham Harriers outlined his training programmes which he hopes will get everyone prepared for the start line for the Full or Half Marathon runs, and Half Marathon walks. We ALWAYS run this seminar 3 months BEFORE THE EVENT so that you can build up safely and avoid risking injury. This year’s CADBURY DUNEDIN Marathon will be held on the 14th September 2014, AND should anyone wish to know more about this event please go to the website www.dunedinmarathon.co.nz. This year we were very happy to continue supporting The Otago Multiple Sclerosis Society, with the event raising $ 126.00 from the gold coin entry. WE AGAIN had another lovely pair of Mizuno shoes worth $200 from The Frontrunner to give away on the night, AND I’m sure they will come in very happy to the lucky recipient! On behalf of the Society I would like to thank Barbara and her team for their ongoing support and donation to our Society from hosting this year’s event. Written by Barbara Anderson – owner Caversham Physiotherapy We have our Annual Street Appeal confirmed for Friday 5th September 2014, and I have a number of sites confirmed around, Dunedin, Oamaru, Balclutha, Alexandra, Wanaka and Cromwell that need to have some wonderful willing volunteers look after the site for an hour or two or more if you like! Please note that we are allocated only 1 day a year where no other organisation/s are able to collect. This enables us to raise the profile of Multiple Sclerosis, our Society, and some much needed funds all at the same time. It would be greatly appreciated if you could please let me know as soon as possible if you are willing to assist with the appeal. I can be contacted either by phone (03) 455-5894 ext 2 or email [email protected] I look forward to receiving your support!!! Otago Multiple Sclerosis Newsletter ~ June 2014 Page 17 Staff News Well if you are anything like me and it feels like in just a blink of an eye you wonder how we have managed to reach the middle of the year, rest assured you’re not alone! The mornings and evenings have been rather cool but I am really enjoying the amazing days we are having. The Society is ticking along nicely with Jo and myself constantly on the go with various appointments to attend, visiting clients, and organising groups and educational evenings. Jo continues travelling to the various regions and I recently returned from 2 days in Christchurch for National business of which is always full of interesting and robust discussions. I am currently focusing on our Annual Street Appeal which has been confirmed for Friday 5th September 2014. I have written to numerous clubs and schools asking for their support and assistance with the various sites I have confirmed in Dunedin, Oamaru, Balclutha, Alexandra, Cromwell and Wanaka, I have yet to receive a response from the majority of them, but there is still plenty of time, so I haven’t quite activated the panic button just yet. I would however, like to extend the invite to all, if you are able to spare a couple of hours on Friday 5th September 2014, that would be greatly appreciated as unfortunately we do not have an unlimited amount of volunteers to call on. This is a great opportunity for us to raise the awareness of MS in our community, whilst at the same time raising some much needed funding. I have started to compile a list of willing volunteers that I hope to be able to have stationed at the various sites dotted around Dunedin and further afield. So if you can help or know of people who would be willing to help the Society please contact me directly, I look forward to hearing from you! Jo and I are still occasionally asked by some of our members and clients for assistance in helping them with gardening, housework, and odd jobs. Unfortunately we have been unable to find a “willing person or persons” to be able to assist you in this way. Again, I ask if there is anyone out there or if you know of someone who may be able to help our clients and members out from time to Page 18 time, to please get in contact with either Jo or myself. On the home front, the girls are in full swing with their winter sport, and there never seems to be shortage of homework for either of them, and quite often both Hannah and Tania McGregor Manager Katelin come and ask for some help for one subject or another. It’s been rather a long time since I had to do algebra and even then it certainly wasn’t my best subject! The school holidays are fast approaching which they are looking forward to, so this means I will need to think of some things to keep them occupied maybe even some extra jobs may be an idea, but I can just hear the moaning and groaning already. Given the weather has been quite settled of late it has given me the opportunity to be able to potter outside in the garden, but there never ever seems to be enough hours in my day to get everything done that I want to, given the shortest day has now passed, the days will start becoming a little longer and daylight savings won’t be too far away, which means that before too long summer will be here, and I cannot wait! Otago Multiple Sclerosis Newsletter ~ June 2014 Staff News Hello team. I hope you are all keeping warm and well. I cannot believe how this year is just flying by; before we know it we will be planning our Christmas get together! I have now been with the Society for 18 months and enjoying every aspect of my role as Field Officer for MS Otago. Every single member/client of the Society has touched my heart in one way or another. You all inspire me and I am so grateful for all that have let me into their lives and who have shown sometimes the vulnerable side of living with MS and the challenges that poses for not only the individual with MS but their families and wider support networks. Many of you may be aware that I have a Degree in Social Services endorsed in Counselling and this is my area of strength. I have well developed interpersonal skills and am naturally a great listener. Sometimes just having someone to listen to you can have a positive effect on how you view a certain situation and help you find solutions or ways to move forward. I am available to be a listening ear! I am passionate about working with people with Multiple Sclerosis and I am always looking at ways of being able to build on my own knowledge base and share any new findings with my clients. If you come across information that you feel others would be interested in feel free to contact me either by telephone or email. Our Educational evenings have been proving to be a great success with many interesting guest speakers. Everyone is welcome to attend and these are open to the wider community as a way of being able to generate awareness of MS and to provide Jo Smith a holistic way of living. Field Officer We have been working alongside the Brain Injury Association to be able to deliver these evenings. On a more personal note, both my boys aged 6 and 8 are enjoying school and are doing well. My youngest Oliver is playing Soccer this season and has a real passion for team sports. Joshua’s strength is more individual sports and is enjoying trampolining and has also just started guitar lessons. My husband and I are so very proud of growing boys who seem to amaze us with their courage and strength every day! Take care and keep warm this winter and before we know it spring will be here! Winter is starting to be felt with these colder days . . . makes us think of food to warm us. As my Scottish grandmother would have said it will warm the cockles of your heart. It’s a time to take care of ourselves and hope we can get through the winter without colds and flu. Keep warm. Pam Macdonald Health Officer On behalf of Tania, Jo, Pam and our members, we would like to sincerely thank our wonderful volunteers Jean, Margaret and Charity for their continued support assisting us with our Tuesday Social group, their kindness and warmth is appreciated by us all, and we look forward to seeing them every week. Otago Multiple Sclerosis Newsletter ~ June 2014 Page 19 Brain Training Games – Should we or shouldn’t we??? Companies hawking brain-training games have enjoyed massive success in recent years. Joe Hardy, the vice president of research and development at Lumosity - one of the most well-known of these companies - told The Scientist in an e-mail that his firm has more than 50 million users. These ventures bank on consumers’ expectations of cognitive benefits from brain training, but the scientific evidence to date suggests that the games do little beyond make people better at the specific tasks involved in game-play. “Psychologists have been trying to come up with ways to increase intelligence for a very long time,” said D. Zachary Hambrick, a professor of psychology at Michigan State University. “We’ve been interested in increasing intelligence for almost as long as we’ve studied intelligence, which is over a century.” Psychologist Randall Engle’s group at Georgia Tech has previously shown that working memory capacity is highly correlated with complex learning, problem solving, and general attention control. But he pointed out that this correlation does not mean that by increasing working memory capacity, fluid intelligence can be increased. “This idea that intelligence can be trained would be a great thing if it were true,” Engle said. In 2008, scientists at the University of Michigan and the University of Bern in Switzerland published a paper in PNAS that concluded training for just 10 hours on a working memory task known as the adaptive dual n-back task, which appears in some forms in commercial brain-training software, could improve some measures of fluid intelligence—that which is behind the ability to solve problems. The researchers uncovered something unusual: evidence for far transfer— performance on a reasoning task improved after practicing a working-memory task. While near transfer—training on a task that leads to improvements in identical or similar tasks—is fairly common, far transfer had been observed only rarely. The researchers also described a dosage effect Page 20 of training on the dual n-back task. “The longer you train, the bigger the impact is,” said coauthor Martin Buschkuehl, who is now the director of education research at MIND Research Institute, a nonprofit organization in Irvine, California that has created game-based mathematics software available in elementary schools across the U.S. When Engle’s group tried to repeat the findings of the 2008 PNAS paper, “we totally failed to replicate the . . . study,” he said. For the paper that resulted from their efforts, which was published in 2012 in Journal of Experimental Psychology, the researchers taught the same working memory tasks, in which participants were presented with stimuli one right after the other and are asked to recall which occurred a certain number of times previously, to one group of young adults; an adaptive visual search task to a second group; and no task to a control group. The researchers assessed the participants at the beginning, middle, and end of the training programs for measures of cognitive function, including fluid intelligence and multitasking. The groups that practiced the n-back and the visual search tasks improved their performance on those tasks specifically, but the team found no positive transfer to the other cognitive abilities they tested. “If it’s too good to be true, it probably isn’t true,” said Engle. He suggested that the 2008 study and others like it that have shown the benefit of training tasks may have lacked appropriate controls, which his group corrected for by using the visual search task group. The dual n-back task also does not relate well to real-world cognition, he said. Engle said he has extensively used other types of tasks that better predict real-world cognition. When his team tested the far transfer of these complex working memory span tasks for a paper published in Psychological Science in 2013, the researchers found that even improvements on the performance of the complex span tasks did not transfer to increases in measures of fluid intelligence. Otago Multiple Sclerosis Newsletter ~ June 2014 Other groups have also encountered problems replicating the results of the 2008 study. Work published in 2012 in Intelligence suggested that working memory training did not improve intelligence in young adults. The participants in this study improved their performance on the training task, but the researchers found no improvements in the subjects’ fluid intelligence or working memory capacity. “Data obtained so far doesn’t seem to show that working memory capacity was expanded after working memory training,” coauthor Weng-Tink Chooi, who is now a researcher at the Advanced Medical and Dental Institute of the University Sains Malaysia, wrote in an e-mail to The Scientist. “What is more consistently observed is that improvements are noted on the trained task and other tasks that share the same specific skills/ processes engaged as the trained task.” “We take this non-replication very seriously,” said Buschkuehl. “What we now need to do is find out why some studies worked and some did not.” This month, Buschkuehl and his colleagues published a paper in Memory & Cognition, suggesting a role for intrinsic motivation and individual differences in outcomes of cognitive training. “I think it is worth going forward with cognitive training even though there are some studies that did not find an effect,” he said. A meta-analysis of the work on transfer after working memory training from researchers at the University of Oslo in Norway published in Developmental Psychology last year suggested that improvements in working memory after practicing tasks did not last over the long term. The meta-analysis also found no evidence that improvements in working memory generalize to other cognitive functions, and experts remain cautious. “I am not totally negative about the potential for brain training,” said David Meyer, a psychologist and cognitive scientist who directs the University of Michigan’s Brain, Cognition, and Action Laboratory. But he added that there are certainly vast individual differences in the effectiveness of brain training and highlighted the dearth of sound evidence for far transfer. “What the brain-training games do is help you to get better at particular, relatively limited kinds of tasks that in effect are exercised by the game,” Meyer said. “The implication on the part of the companies is that somehow you’re going to get better at everything that is mental, and there is no evidence to show that.” “Research has not been able to capture significant and actual benefits that the participants and brain-training software creators are claiming,” agreed Chooi. Meyer is optimistic that questions about the effectiveness of brain-training games can be answered empirically, but “we’re going to need an enormous amount more research than has been invested so far,” he said. Dorothy L Newman Scholarship Applications for Dorothy Newman Scholarships are now open and close on the 8th September 2014. The scholarships are for studies commencing in 2015 academic year. The Dorothy L Newman Scholarship assists people who have been diagnosed as having MS and as a result are unable to continue in their present employment, who need to change their employment and undergo a course of retraining in order to do so. Applicants will be required to explain in a statement in their application the reasons why they chose their course of study, how they intend to use their qualification on successful completion of their course and the likelihood of employment following the course. If you wish to find out more about this scholarship please contact our Field Officer Jo Smith on (03) 4555 894 ext 4 or email Jo at [email protected] Otago Multiple Sclerosis Newsletter ~ June 2014 Page 21 What are ‘powerhouse’ fruit and vegetables? Suddenly this leafy green vegetable is a health super star, thanks to it topping a list of ‘powerhouse’ fruit and vegetables. A new study defined powerhouse fruit and vegetables as containing 10 per cent or more of our daily requirements of 17 essential nutrients, including calcium, iron, folate and vitamins A and C. 1. Watercress The study’s author, Jennifer Di Noia, gave watercress a nutrient density score of 100, making it the top performing powerhouse vegetable. Put it on your shopping list right now! 2. Chinese cabbage Chinese cabbage, a brassica popular in Chinese cooking, scored just shy of 92 on the nutrient density scale. 3. Chard Chard, a leafy green vegetable with often brightly coloured stalks, is as healthy as it is good looking. 4. Beet greens Don’t toss the leaves of your beetroot! This powerhouse vegetable deserves a spot in your salad. 5. Spinach No surprise that the study found that spinach is a nutrient-dense vegetable. 6. Chicory Liven up your next salad with colourful radicchio leaves - a member of the chicory family. 7. Lettuce Two types of lettuce rate in the top 20 powerhouse fruit and veg: leaf lettuce was seventh on the list, while Romaine lettuce followed at ninth. 8. Parsley Not only is parsley a rich source of antioxidants, the common herb scores high on the list. 9. Collard greens We all know we should eat our greens - specifically collard, turnip and mustard greens which are all bonafide powerhouse vegetables. 10. Kale If you were expecting kale, the super food pinup, to top the powerhouse veg poll, you’d be disappointed. Don’t ditch your kale smoothies entirely though - the on-trend veg scored a respectable 49 on the nutrient density scale. Reference: The Sydney Morning Herald – Sarah Berry Life & Style reporter. Page 22 Otago Multiple Sclerosis Newsletter ~ June 2014 The Otago Multiple Sclerosis Society gratefully acknowledges the past and present support of St Kilda Community Sports Society The Marsh Family Trust ANZ STAFF FOUNDATION Dunedin North Lions Otago Multiple Sclerosis Newsletter ~ June 2014 Page 23 monday 1 tuesday wednesday July 2014 2 Tuesday Social Group Education Evening @7pm 7 8 Social Group Tuesday Mosgiel Group Social Group 14 9 15 Tuesday Social Group 21 22 Tuesday Social Group 28 29 thursday 3 10 friday 4 5 saturday 6 11 12 13 sunday Men’s Group 16 17 18 19 20 23 24 25 26 27 30 31 Tuesday Social Group monday August 2014 tuesday wednesday thursday friday saturday 1 23 4 5 Social Group Tuesday Social Group 11 18 8 15 22 29 9 10 15 16 17 23 24 30 31 13 14 Mosgiel Group Men’s Group 20 21 Tuesday Social Group Balclutha 27 Tuesday Social Group Social Group 8 Education Evening @7pm Tuesday Social Group 26 monday 7 12 19 25 1 6 2 22 Central Otago Central Otago 28 29 3 wednesday thursday 4 9 10 Tuesday Social Group Mosgiel Group Men’s Group Tuesday Social Group 23 Tuesday Social Group 30 Tuesday Social Group 5 friday ANNUAL STREET APPEAL AWARENESS WEEK Tuesday Social Group 16 Oamaru September 2014 tuesday 11 Education Evening @ 7pm 6 saturday 7 12 13 14 17 18 19 20 21 24 25 26 27 28 31 sunday sunday
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