The Survivor Newsletter: Autumn 2006
Post Polio Support Group at the Dáil
Post Polio Support Group Talks to the Joint Committee on Social and Family
Affairs, Dáil Éireann
Tuesday 3rd October will be long remembered as the day of statements about
loans and gifts but, before the big debate, the Post Polio Support Group had
its own drama with Joan Bradley making a presentation to a committee of TDs
and Senators highlighting the problems of Polio Survivors. The following comments
give a flavour of the meeting.
Ms Joan Bradley, Deputy Chairperson, Post Polio Support Group
The focus of the Post Polio Support Group has been, since its foundation,
to assist polio survivors to live with as much independence and dignity as
possible. In this regard, we have worked with Departments and their agencies
to address the medical, housing and other needs of polio survivors. This arises
because of the extra cost of living associated with their disabilities. We
are heartened that a cost of disability payment is being discussed and that
the Minister for Finance is being encouraged to introduce such a payment in
the forthcoming budget.
We are concerned about the social isolation of polio survivors and its link
to lack of mobility. We know that the cost of travel, where appropriate transport
is available, militates against taking up employment. We believe that access
to the free travel scheme would greatly assist polio survivors in playing their
full part as citizens of this State. We are deeply concerned about our members
as they face the winter as the cost of oil, gas and electricity soars. Increased
intolerance to cold is a symptom of the late effects of polio and as such access
to the free fuel scheme would greatly assist our members to meet their heating
needs.
We have come here today to ask that this committee act as an advocate on
behalf of polio survivors. I respectfully request that it ask the Department
of Social and Family Affairs if it has any understanding of the ongoing serious
hardship being endured by our members.
The committee might also ask what practical and effective steps that Department
will take to alleviate our members’ difficulties. The State has not sufficiently
supported people who have the late effects of polio.
Deputy Finneran, Fianna Fáil, Longford-Roscommon: I thank the Chairman and
the committee secretariat for meeting the Post Polio Support Group. This came
about when constituents of mine were refused travel passes even though they
suffered from polio in the 1960s and, in many cases, had to give up their employment
on account of the debilitating effects. None of the free schemes are available
to them on the basis of having had that condition. They must qualify under
some other heading. Today is a watershed. I hope this committee will resolve
the issue. I call on the Government to start by providing travel passes to
all of these people. I am convinced this group has been totally neglected by
the State.
Deputy Stanton, Fine Gael, Cork-East: I agree with the group on all
of the issues raised. There is no justification for not meeting its needs.
Does the rate of progression of the condition vary from one individual to another€
The group’s excellent report on the late effects of polio states between 3,000
and 4,200 survivors have developed the condition or will in the near future.
I take it from the presentation that the condition has not been recognised
as a long-term illness. That would be an issue for the Joint Committee on Health
and Children rather than this committee.
Mr. Hugh Hamilton, Chairperson, Post Polio Support Group
The number of polio survivors is in the region of 7,000. It is acknowledged
internationally that approximately 60% of these may suffer the late effects
of polio. This is somewhere between 3,000 and 4,000 in Ireland.
Deputy Finneran, Fianna Fáil, Longford-Roscommon: I hope the Departments
of Finance and Social and Family Affairs listen to the call of the delegation.
Given the financial position in which the State finds itself, it would be negligent,
as it has been for the past 40 years, not to respond in a positive way to polio
victims. The most basic aspect to consider is to ensure people have the opportunity
to travel. I know many people affected had to give up work at an early stage
because they were not in a position to travel. Some of them cannot now drive
a car. Public transport and a free travel pass are a must for them.
Those affected should be entitled to all free schemes and included in the
long-term illness provisions. I am glad this committee has given the delegation
an opportunity to be heard. I hope we will keep it on our agenda and pursue
it, particularly during the next two months and until consideration of the
Finance Bill 2007. This is the most genuine case I have come across during
my 16 or 17 years in the Oireachtas. It shows neglect not only by the present
Government but by every Government since the 1960s.
Deputy Callanan, Fianna Fáil, Galway East: I compliment Deputy Finneran
for making this case and the Chairman for allowing it. The committee is in
full support of the request because members know several polio victims. The
group is not asking for much and the Minister should grant it.
Senator Terry, Fine Gael: I thank the witnesses for coming before us
and presenting their case. I support them and will do whatever I can to progress
the matter. Ms Bradley mentioned she had to reduce her working hours. If someone
must give up his or her job because of the onset of the late effects of polio,
is he or she entitled to social welfare benefits€ Does he or she qualify for
long-term illness benefits in that situation€ Is someone in that situation
regarded the same as anyone else who got sick, such as a cancer sufferer, and
had to give up work€
Chairman, Deputy Willie Penrose, Labour, Westmeath: That
was a very useful presentation. I commend the delegates for their clarity and
succinctness. The committee will make a formal recommendation to the Minister
for Social and Family Affairs urging him to:
- Initially consider the granting of free travel to polio sufferers.
- It will
also draw his attention to the fact that polio sufferers as a group are finite
in number and recommend that they be included in the household benefits package
in the forthcoming budget.
- Furthermore, we will forward a transcript of today’s
meeting to him to demonstrate that there is cross-party support for the recommendation
presented to us, as well as a copy of the presentation provided by the delegates.
- We hope, as a result, the group will be in a much better position by this
time next year.
AND SO SAY ALL THE MEMBERS OF THE POST POLIO SUPPORT GROUP
Chairman’s Update
As Jim Costello mentioned in our last copy of the Survivor, he has retired
as chairman and I have been elected by the board in his place. It is virtually
an impossible task to follow a person such as Jim, with all his dynamism, enthusiasm
and boundless energy which he put into the position, working throughout the
day, seven days a week, totally dedicated to improving the welfare of Polio
survivors. However, I will do my best and would ask all members to be patient
– but please no comparisons!
Fortunately, although Joan has retired as secretary, she is now deputy chairperson,
which is tremendous for me and Paula has replaced Joan as secretary. Jim thankfully
has agreed to be on the executive committee, so I assure you that both Jim
and Joan will still always be in the front line of all that is happening in
the group.
In the last couple of months, it was reluctantly decided that the room in
the Carmichael Centre could no longer accommodate our three person staff. As
of last August we have fortunately found new offices in the Capel Building,
Mary’s Abbey, which is just off Capel Street, beside the LUAS. We have now
moved to Unit 319, Capel Building, Mary’s Abbey, Dublin 7.
Our membership continues to expand and it is anticipated that the end of
the year will show an increase for 2006 of 15%. This is good news and is a
direct result of media coverage which has been received in the last 12-24 months
and particularly during the AGM in Cork this year. It does of course mean that
there are more people availing of services and aids and appliances, which we
provide and fortunately with our increased executive staff of Eamonn, Karen
and Ursula, we are able to fulfil a large amount of the requests.
Enclosed in this issue of the Survivor please find notice of an EGM to be
held on 30th November 2006 at Unit 319 Capel Building, Mary’s Abbey, Dublin
7 at 11.00am, to alter our Articles of Association concerning the election
of new directors. At the moment, a director can be proposed 3 days before the
AGM, which does not give the board the oppurtunity of circulating their details
to all our members. We will be seeking that it should be changed so that any
new director must be proposed 5 weeks before the AGM. All members are welcome
to attend the EGM, but if you are unable to come please use your proxy vote.
Hugh Hamilton,
Chairman
PPSG was able to offer a small grant for chiropody to those who requested
it this year. We hope that all those with medical cards have applied for the
three or four free treatments to which they are entitled.
Polio Stories Project
The Polio Stories Project is nearing completion, thanks to all the participants
and our editor, Nuala Harnett. We had hoped to launch the book in Cork at the
end of the year, but due to financial constraints – and a certain amount of
commonsense when looking at the logistics of this situation – we now hope to
launch the book at the AGM in May 2007. The book will be called Polio and Us.
Coming to terms with Post-polio Syndrome.
Call for study volunteers
St Thomas’ Hospital London are currently looking for people who have been
diagnosed with Post-polio Syndrome by a health professional. Taking part will
involve filling out 3 questionnaires over a period of 6 months. No travel
to London is necessary.
(You are not eligible if you have previously attended, or will be attending,
the PPS rehabilitation programme at the Lane-Fox Unit, St Thomas’ Hospital
in London).
If you are interested in learning more about this study, please contact Vivian
Auyeung, Dept. of Psychology, King’s College, London SE1 9RT, UK.
Tel: 0044 207 848 6790 or Email: vivian.auyeung@kcl.ac.uk
Post Polio Support Group, Ireland. Supporting PPS research.
From the Editor
Hello all, Autumn is here again and the newsletter is bursting with the harvest
of happenings in the Post Polio Support Group over the last few months. We
have some great articles for you in this issue, including information on Sleep
Apnoea (Page 12). We have a great report of the goings-on in the Southern region
with some interesting photos (Page 5), and David Bray has given us permission
to print his Polio Story (Page 15), just to give you a 'taster' of our book
Polio And Us, which will be launched at the AGM, May 2007.
Our new offices are really lovely; do drop in if you are passing. Please
note the new address details and phone numbers on page 2. You will note that
we have a very nice new logo (Page 1), and finally, just to let you know that
the next issue of The Survivor will have a new ‘design concept’ so be prepared!
Thanks to Karen and Shane for their help in getting the newsletter to publication.
If you have any items you think would be of interest to our readers, please
send them to me, and I will do my best to print them in the next issue.
Enough from me, have a good read!
Paula Lahiff
Editor
Fundraising
Raffle news
The Prize-winners of the PPSG Raffle 2006, which took place on 3rd October,
at the Esplanade Hotel, Bray, Co. Wicklow, are:
1st Prize: 2 nights for two at the Clarion Hotel and Spa, Cork.
Maureen O’Sullivan, Carrigaline, Cork.
2nd Prize: 4 green fees at Mount Juliet Golf Club, Co. Kilkenny.
M. Nolan, Dublin 7.
3rd Prize: Voucher for €250 and treatment for health spa at Deerpark Hotel,
Howth, Co. Dublin.
Brenda Cooney, Rosculligan, Cavan.
4th Prize: Voucher for €250.
Ms. Fox, St. Fintan’s High School, Dublin 13.
5th Prize: A case of wine.
Julia Robertson, Kells, Co. Meath.
6th Prize: Dinner for two at the Ballymacscanlon Hotel, Dundalk, Co. Louth.
Jenny Barry, Ennis, Co Clare.
The Fundraising Committee would like to take this opportunity to thank the
above sponsors of these excellent prizes, to our members, their families and
friends for generously supporting the raffle, which raised almost €8500 and
to extend our congratulations to the prize-winners.
Marathon News
To date the Dublin Flora Women’s Mini Marathon, held last June, has raised
sponsorship of over €14,000. Your generosity is much appreciated. It is not
too late to send outstanding sponsorship monies or donations (no matter how
small) to the Office (to their new address). Enquiries to Anne Burns, phone
01 4534150, email: boyneabu@eircom.net
The Evening Echo 25th Women’s Mini Marathon, Cork, in association with Voluntary
Health Insurance, took place on 24th September. The ever energetic Evelyn Wainwright
with her tireless team, including Sunny Osburn, Shiela O’Sullivan, Noreen and
Finbar Bruen, Geraldine Mooney, Peggy Brennan and Noel Magnier put in marvellous
preparatory work to make this a successful fundraising event for the PPSG,
including "Recruitment Days" at the Lough, Cork City, which received welcome
coverage with a photograph in the "Evening Echo". A hearty thank-you to all
involved. After the monsoon flash flooding of the previous day, that Sunday
turned out to have a marvellous Mediterranean feel with sensational warmth
and sunshine.
According to Evelyn all our supporters there looked great in the new red
PPSG t-shirts and fleece jackets, while other supporters appeared sporting
the blue t-shirt previously in use. A great day was rounded off with welcome
refreshments enjoyed at Jurys Inn, whose staff treated our Group with utmost
courtesy. Participants in the marathon for the PPSG were presented with special
parchment scrolls to mark 2006 being the 50th anniversary of the Polio epidemic
in Cork. If you know of anyone who did not yet get their scroll, do not hesitate
to let Evelyn know (see her contact details below), who will be only to willing
to get it to them. Thanks are due to Tools for Living for lending us scooters.
Even if you were not in a position to be involved in the marathon for the
PPSG you can still use the sponsorship card issued to members in the Cork/Kerry
area. Sponsorship raised or donations (no matter how small) can be sent to
the Office (new address). Enquiries to Evelyn Wainwright phone/fax 021 4847313,
mobile 086 8829267, email: evelyn99911@hotmail.com
The Limerick Women’s Mini Marathon, sponsored by the "Irish Examiner", in
association with Limerick 95FM, took place on Sunday 8 October at 2.00pm, news
on that to follow. Enquiries to Tom Clifford mobile no. 087 2259083 email:
tomclifford@eircom.net.
Sponsorship cards are available for the Adidas Dublin Marathon which takes
place on Bank holiday Monday 30 October at 9.00am. Enquiries to Anne Burns.
Funds raised for the PPSG in recent months through other local events, including
the Jumble Sale organised by Patricia Milburn in Westmeath and a sponsored
walk by Carmel Gibney’s brothers and friends in the Bray area are much appreciated.
Collections
Barbara McDonagh with PPSG members and friends, and in sub tropical temperatures,
had a very successful cash collection on the streets of Galway City on 14 July.
Successful cash collections were also organised by Evelyn Wainwright with
PPSG members and friends in Ballincollig Shopping Centre, Cork on 17 & 18
August. The PPSG are grateful to the management and staff of the shopping centre
for facilitating the collection and for the courtesy shown to our collectors.
The Fundraising Committee wish to thank all who were involved with the collections.
In Dublin, it is hoped to have a cash collection at Superquinn, Sutton Shopping
Centre on Thursday 2 November. If you, a family member or friend are in a position
to volunteer some time to help with this collection, (even for about an hour),
perhaps you could contact Philo Mullaney, phone 01 8321629, mobile 087 2269980,
or by email: philomullaney@hotmail.com
It is hoped that members will not be too disappointed it has been decided
not to produce PPSG Christmas cards for sale this year. This is due to increased
costs of production and postal charges.
Funds raised go directly for the benefit of our members, principally towards
grants for bathroom adaptations. Please contact any member of the Fundraising
Committee or the Office if you have any new ideas for fundraising and thank
you all again for your generous support to date.
Athlone/Midlands group
Convenor: Sean Mulligan
Mobile: 087 2053821
Venue: Creggan Court Hotel
Area: Westmeath, Roscommon
Meets twice yearly.
The Annual Dinner took place. It was a very successful event with 21 people
attending. It was nice to see the younger generation there as well. We had
some great country music after the meal, and our members were not shy in giving
us a bar of a song! Photos in the next issue.
If you live in this area and would like to attend these meetings, please
give Sean a call.
Bray group
Convenor: Belinda Redmond
Tel/Fax: 01 2860251
Email: redmond286@eircom.net
Venue: Esplanade Hotel, Bray.
Areas: North Wicklow, South Dublin.
Meetings: Meets first Tuesday of every month from March to October.
It was decided to have the end of year Dinner on 5 December again at the Esplanade
Hotel, Bray. If you would like to attend, please contact Belinda Redmond as
soon as possible.
If you live in this area and would like to attend these meetings, please give
Belinda a call.
Limerick Group
Convenor: Tom Clifford
Tel: 061 375115
Email: tomclifford1@eircom.net
Venue: Kilmurray Lodge Hotel, Limerick.
Areas: Limerick; Clare; N. Tipperary
If you live in this area and would like to attend these meetings, please give
Tom a call.
Galway group
Convenor: Bridie McMahon
Tel: 094 9540285
Mobile: 087 9580567
Email: sbmcmahon70@eircom.net
Venue: Menlo Park Hotel, Galway
Meetings: Meets on the first Wednesday of every second month from March to
September
Held an Outreach meeting in Ballina in September to facilitate our members
from Mayo and Sligo. It was well attended and a good night was had by all.
The Annual Dinner will take place on 24th November at the Greyhound Track,
Galway. If you would like to attend please let Bridie McMahon or Barbara McDonagh
know as soon as possible.
If you live in this area and would like to attend these meetings, please
give Bridie a call.
Enniscorthy group
Convenor: Ann O’Kelly Guerin
Tel: 053 9132633 or Povl Thim053 9421857
Email: aguerin914@hotmail.com
Venue: Riverside Hotel, Enniscorthy
Areas: South Wicklow, Wexford, Waterford.
Meetings: First Monday of every month
If you live in this area and would like to attend these meetings, please give
Ann or Povl a call.
Newbridge group
Convenor: Paddy Moyles
Tel: 059 9141283
Venue: The Keadeen Hotel, Newbridge
Areas: Carlow Kildare.
Meetings: Meets quarterly.
Next Meeting Date:
24th October 2006
If you live in this area and would like to attend these meetings, please give
Paddy a call.
Portlaoise group
Convenor: Paddy Fitzpatrick
Tel: 0505 46738
Mobile: 086 396 1131
Venue: Heritage Hotel, Portlaoise
Areas: Offaly, Laois, Kilkenny.
Meetings: First Tuesday of every second month
Meeting Dates:
7th November 2006 (Venue to be confirmed)
A dinner has been arranged for 23 November at the Bridge House Hotel, Tullamore.
If you would like to attend, please let Paddy Fitzpatrick know as soon as possible.
If you live in this area and would like to attend these meetings, please give
Paddy a call.
Letterkenny Group
Convenor: John Mangan
Tel: 074 9137465
Venue: Clanree Hotel, Letterkenny
Area: Donegal, Derry
Meetings: The group may meet in the New Year. You are welcome to contact John
Mangan if you have any ideas for a meeting.
If you wish to contact John Mangan, please do so at the phone number above.
Note: The following article was taken from the Muscular Dystrophy Newsletter
June 06
GP Medical Cards
It has just been announced on 26th June, that the basic income guidelines
have been increased, meaning that more people will be entitled to the GP Visit
Card. This card entitles you to free visits to your GP, but not to free medication.
According to the Department of Health, since the change the GP Visit Card
should be available to the following people with typical outgoings and the
following income after tax and PRSI:
- A couple with two children earning about €1,200 a week, €63,400 a year.
- A
couple with four children earning about €1,580 a week, €82,160 a year.
- A single
parent with one child earning about €1,000 a week, €52,000 a year.
- A single
person with no dependants earning about €426 a week, €22,152 a year.
The above income examples are before outgoings such as mortgage and rent
costs, childcare costs, and travel to work costs, are taken into account when
calculating income thresholds for a GP Visit Card.
One application form is used for both Medical Cards and the GP Visit Card.
The HSE will assess you for a Medical Card in the first instance, and if your
income exceeds guidelines you will then be assessed for the GP Visit Card.
To get more information or to apply for the card, phone the HSE infoline
on 1850 24 1850, contact your local Health Office or check www.hse.ie/en/GPVisitCards
Modernising the logo
Every member should, by now, have received a postcard giving the contact details
for the new offices for the Post Polio Support Group. The front of this card
contained an, as yet, unfamiliar design. In fact this card launched the new
Group logo.
We worked with an expert designer to develop it, an interesting experience
in itself. We showed him what we were using at the moment, the "Conquering
the Polio Legacy" leaflet, the current logo and "The Survivor". He told us
that the strongest card we had was the name of the Group. He said it was a
RONSEAL name – It did exactly what it said on the tin – it said what we were
here to do, as a Group, to Support people experiencing Post Polio syndrome.
He said, however, that in this day of the internet and international communication
generally, we should really have the name Ireland in the logo to distinguish
us from post polio support groups in other countries.
He felt that it was important to have continuation and connectivity with
the older logo while presenting the clean lines more often seen in logos these
days. The use of the blue colour does this in an obvious way but the ribbon
is drawn also to reflect the "whole world" or "horizon" feel of the older logo.
What do you think of the new logo?
Let us know by e mail to info@ppsg.ie or drop a note to the new office at Unit
319, Capel Building, Mary’s Abbey, Dublin 7.
PLEASE remember the Post Polio Support Group in your Will, or request donations
to Post Polio Support Group in lieu of funeral flowers...
All bequests will be put to very good use.
THANK YOU
Some Great Tips …
(Thanks to the Ring Ring Leaders for the following tips which I learned at
the training weekend in Portlaoise – Editor)
- If you enjoy walking, but find that a walking stick unbalances you somewhat,
buy a pair of spring-loaded walking poles, and be like the veritable hill-walker.
They are very trendy and you can stride out with everyone else who is walking
for the good of their health! They are available from any reputable sports
shop and fold up into a handy carry bag which you can sling across your shoulder
when not in use.
- If you find that your Polio leg takes on a life of its own
when in the swimming pool and floats around all over the place, then buy
some ankle weights and strap these around your ankle with a Velcro band before
you get into the pool and they will keep your leg weighted down and easier
to control. You may have to experiment a bit to get the right number of weights
required.
- Did you know that if you are a member of a swimming pool, you can
reclaim the VAT on your End of Year Med 1 Form – just ask the pool manager
to write you a letter to say that you are availing of hydrotherapy. This
can cut 21% off the quite expensive cost of pool membership.
- If you would
like a cuppa in front of the TV, but find that by the time you get from the
kitchen to the sitting room carrying the cup, most of the tea has slopped
into the saucer, make use of a simple trolley on wheels, put everything on
the trolley and just wheel it in – no spills and you can pretend you are
Mrs. Doyle from Fr. Ted. Go on! Go on! Go on!
Update on Ring Ring Phone project
On 15th of September, ten of us travelled to Portlaoise for a training induction
weekend on the Ring Ring Phone project.
The course was facilitated by Keith Oulton, family therapist and psychologist
and Brenda Heffernan, peer counsellor. We are pleased to announce that we now
have eight leaders for this project and they cover the four areas of HSE West
(Tom Gallery and Christina O’Connor), HSE Dublin and Mid-Leinster (Leo Dempsey
and Joan Bradley), HSE South (Peggy Brennan and Muiris Ó’Criostóir) and HSE
Dublin and North East (Anne Shanahan and Joseph Flynn). Leaders will undertake
to phone each member in his/her group once a month and, with their permission,
put them in contact with each other. Over the weekend, we looked at communication
skills, listening, information giving and the various stages of a telephone
call.
It made for a very interesting and thought-provoking weekend, with lots of
shared experiences and tips, varying opinions and a lot of humour. The enthusiasm
of the leaders’ participation deserves a special mention and they are raring
to get started.
Thanks are due to all to who took part and who helped to make the weekend
a huge success. A follow up session will take place in the near future.
If you are still interested in being involved in this project, please let
us know.
New Offices for the Post Polio Support Group
The office in the Carmichael Centre has become inadequate for the requirements
of the Group. With three fulltime staff and directors working there from time
to time it was not possible to run an efficient office because of the lack
of space.
The Group has rented office space in the Capel Building. We now have the
capacity to do more work on behalf of Polio Survivors and we can provide opportunities
from time to time to members who wish to do voluntary work to support the Group
at the new office. We even have a spare desk with its own computer, now there’s
posh! We have a small meeting room and our Committees can now meet at the office
which streamlines everything.
The office is on the site of the former St Mary’s Abbey which gave its name
to Mary St and Abbey St and also Capel St which was called after the capella
or chapel. The chapter house of the abbey is the only remaining building of
the site and is on view at certain times. Our office is built on the site of
the abbey infirmary where the monks tended to the sick. The delivery entrance
is on Little Strand Street a reminder that in those days this was the seaside
and boats would sail up to the abbey with the tide.
The Capel Building is a new office block at the junction of Capel St and
Mary’s Abbey beside the LUAS line between Tallaght and Connolly Station. It
is between the Jervis stop and the Four Courts. The entrance is on the Mary’s
Abbey side. There is no parking provided for visitors but metred parking is
available around the block. The street joining Ormond Quay Upper and Mary’s
Abbey, East Arran Street, often has parking available and can be accessed by
car from Ormond Quay Upper. There is a Blue Badge parking space on Capel Street
just after McQuillan’s Tool Shop.
We will still keep our ties with the Carmichael Centre and the wonderful
people who have helped so many voluntary organizations get started. As you
get bigger they let you leave and make space in the nest for a newly developing
organization. Good luck to our successors!
SLEEP APNOEA
Recent studies have shown that Polio Survivors are 30% more likely to suffer
from sleep apnoea than the rest of the population. The following article is
summarised from the Irish Sleep Apnoea Trust Website www.isat.ie which gives
lots of good information on this condition. Remember, as with all medical conditions,
always follow your doctor’s advice. Editor
What is Sleep Apnoea?
A layman’s definition of Sleep Apnoea is ‘the cessation of breathing during
sleep’. When breathing stops the levels of oxygen in the blood begin
to drop. After a short time the lack of oxygen causes a reflex response. This
response forces open the airway with a loud snort, maybe gasping breaths and
loud snoring. There may also be kicking and flailing of the arms.
There are three different types of sleep apnoea: obstructive, central and
mixed.
Obstructive Sleep Apnoea
Obstructive Sleep Apnoea (OSA) is
the most common.Central Sleep Apnoea and Mixed Apnoea are rare. Obstructive
sleep apnea is caused by the obstruction and/or collapse of the upper airway
(back of throat), usually accompanied by a reduction in blood oxygen saturation,
and then an awakening (arousal) to activate breathing again. This
is called an apnoea event.
Why?
There are a number of factors:
- Extra or loose tissue in the back of the throat, such as large tonsils,
large uvula, large tongue or long/floppy soft palate.
- There may also
be an obstruction/obstructions at the base of the tongue, turbinate problems
or nasal blockages.
A decrease in the tone of the muscles holding the airway open.
Central Sleep Apnoea
Central Sleep Apnoea is defined as a neurological condition where there is
a cessation of all respiratory effort during sleep (the brain forgets to instruct
the body to breathe), usually with decreases in blood oxygen saturation levels.
The person is aroused from sleep by an automatic breathing reflex, so may end
up getting very little sleep at all. Note that Central Sleep Apnoea, which
is a neurological disorder, is very different in cause than OSA, which is a
physical blockage - though the symptoms are very similar.
Mixed Apnoea
Mixed Sleep Apnoea, as the name suggests, is a combination of Obstructive
and Central Sleep Apnoeas’.
How do I know if I have it?
One of the best people to help you answer this question is your spouse/partner. People
with sleep Apnoea generally have the following symptoms: -
- Loud, frequent and irregular snoring: The pattern of snoring is
associated with episodes of silence that may last from 10 seconds to as long
as a minute or more. The end of an apnoea episode is often associated
with loud snores, gasps, moans, and mumblings. Not everyone who snores
has apnoea, by any means, and not everyone with apnoea necessarily snores
(though most do). This
is probably the best and most obvious indicator.
- Your spouse/partner indicates
that you periodically stop breathing or appear to be choking during your
sleep, or gasp for breath (witnessed apnoeas).
- Excessive daytime sleepiness: Falling
asleep when you don't intend to. This could be almost anytime you are
sitting down, such as during a lecture, while watching TV, while sitting
at a desk, and even while driving a car. You may have sleep apnoea
or another sleep disorder. Even
if you don't literally fall asleep, excessive fatigue/tiredness could be
a positive indicator.
- Body movements often accompany the awakenings at the
end of each apnoea episode, and this, together with the loud snoring, will
disrupt the spouse/partner’s sleep and often cause her/him to move to a separate
bed or room.
- Forgetfulness, that is, effecting the short term memory, also
a difficulty in concentrating, focusing and completing repetitive tasks.
Bouts of irritability and depression are common. If working, a disimprovement
in performance over a period of time.
What should I do if I think I may have sleep apnoea?
As with most medical questions, if you have any doubt, the best thing to
do is see your doctor. Unfortunately, many doctors are not very knowledgeable
about sleep disorders. The ISAT website contains a list of recognised sleep
centres where proper treatment is available. A referral from your doctor
will be required. If you think that you have a sleep disorder (are aware
of a number of symptoms) do not be afraid to tell your doctor that you want
a referral to a sleep clinic.
Is Obstructive Sleep Apnoea dangerous and what are the effects?
Absolutely! In rare cases, apnoea can be fatal. Think about it! It
is something that makes you stop breathing something you consider not to be
dangerous? It has also been linked to high blood pressure and to
increased chances of heart disease, stroke, and irregular heart rhythms (arrhythmias). Unfortunately,
not all of the long-term effects of untreated sleep apnoea are known, but specialists
generally agree that the effects are harmful. If nothing else, the continual
lack of quality sleep can affect your life in many ways including depression,
irritability, loss of memory, lack of energy, a high risk of auto and workplace
accidents, and many other problems. Medical Research indicates that people
with untreated Sleep Apnoea are more likely to die ‘before their time’.
This is not something to ignore or trifle with. While it isn’t usually
immediately dangerous, don’t take it lightly. If you think it will go
away by itself - don’t - It won’t.
What treatments are available?
There are only a few effective treatments for OSA. They fall into several
categories: weight loss, surgery, dental appliances, and a breathing-assistance
device. The most popular and most effective is the latter one, the use
of a device which delivers air under slight pressure to the airway by way of
a nasal mask. There are several types of positive airway pressure devices
including, CPAP, Bi-level positive airway pressure, and responsive and ‘smart’
airway pressure devices. They are all variations on Continuous Positive
Airway Pressure, or CPAP.
Breathing-assistance devices
Continuous Positive Airway Pressure (CPAP)
“Nasal CPAP” is the treatment of choice for most people with obstructive and
mixed apnoea. It is the most reliable and effective treatment in most
cases. Hundreds of thousands of CPAP devices are now in use treating obstructive
sleep apnoea worldwide. An added advantage with this treatment is the
elimination of snoring.
It involves using a small air blower device connected via a hose to a nose
mask you wear while you sleep - much like a regular oxygen mask, with straps
to keep it in place. Essentially, this devices blows air into your nose
to keep your airway from collapsing and creating an obstruction by increasing
the air pressure in your airways. It isn’t as unpleasant as it sounds
- most people get used to the sensation fairly quickly.
Admittedly, having to wear a face mask to bed isn’t the most attractive thing
in the universe. Most bed partners are usually happy to live with that
rather than snoring! And it is infinitely preferable to the effects of apnoea,
both the fatigue and the other physical effects (additional strain on the heart). The
exact results vary, but a great many people report significant changes in their
lives when they start using CPAP - they feel more awake, more alive - “like
a whole different person”, in some cases.
Is there anything I can do myself?
It is wiser and safer to get professional treatment. You can use the
techniques below, in consultation with your sleep specialist/doctor, while
your treatment progresses. Sleep Apnoea is a disorder and as such cannot
be cured, it can however be managed efficiently. There are several things
doctors suggest you do that can greatly alleviate it:
- Weight loss
- If you’re overweight, lose it!
- Smoking
- Quitting might help your sleep apnoea in addition to its countless
other health benefits, by returning lung capacity to normal.
- Alcohol
- Eliminate alcohol in the evening. Alcohol depresses your breathing
reflexes and significantly worsens sleep apnoea.
Allergies and respiratory infections:
Consult your physician for medications to treat these which will not interfere
with sleep/cause congestion.
Funding the gap in the Disabled Persons Housing Grant
We are always keen to explore new ways of helping Polio Survivors.
It has once again come to our notice that some Polio Survivors have incurred
considerable expense as a result of their disabilities which may be causing
them severe financial hardship. This has been particularly true in cases
where building work has been necessary to make homes accessible, generally,
and provide accessible bathrooms, in particular. We know that the Disabled
Person’s Grant (DPG) is useful but it often leaves a funding shortfall after
the work is complete.
We know that some Polio Survivors can handle the shortfall but some cannot.
We would like to assist people who find themselves in severe hardship. This
is not as easy as it may seem, as we are constrained by systems of accountability
which do not permit us to make direct payments to Polio Survivors.
We are approaching things, as follows: Firstly, the person must be prepared
to apply to their Local Authority for the DPG. To speed up this process, PPSG
will often contract an occupational therapist to assess the member’s needs
in relation to the building work needing done. Under normal circumstances,
the person has to wait until this is arranged by the local authority and HSE.
The occupational therapist’s report is then submitted with the DPG application
to the local authority, by the member. Hearing back from the local authority
can take anything from a few months to much longer, depending on the area in
which the member lives.
If the member’s application is successful, the member will need to apply
for a loan from a Credit Union or similar to finance the shortfall of the DPG
(this grant often covers up to 90% of the cost of the building work, leaving
the member liable for the remaining 10%). The member should then complete the
work and apply to PPSG for assistance to alleviate hardship.
A PPSG panel will then consider how it can assist those in debt and undergoing
severe hardship as a result of costs of disability. It will have limited funds
and may decide to pay none, all or part of the outstanding loan. Any payment
authorised by the panel will be paid directly to the lending institution to
be credited to the specified loan account.
We have spoken to quite a number of you who are currently engaged in this
process and would ask you to keep us posted on any developments. Please contact
the office for any new enquiries on this project.
Spiritual Corner
"Dear Soul, most lovely of created things"
In the last edition of The Survivor, we were reflecting on the real presence
of Jesus within us. I was making the suggestion that one way to truly experience
his presence is to focus on your body and tightly grip your body, until you
become entirely conscious that Jesus is indeed within your physical frame.
Now I am going to present what St. John of the Cross had to say about this
reality in his book, The Spiritual Canticle.
“Dear soul, most lovely of created things, you who long so much to know where
your true love is, in order to find him and be united with him: learn that
you yourself are the room in which he dwells, the nook, the secret place in
which he hides; for it gives you great peace and joy to realize that everything
good, everything for which you hope, is to close to you that it lies within
you, or rather that without it you cannot exist.” (The Spiritual Canticle 1:
7-8.)
I love that piece by St. John of the Cross. There is such a soft gentleness
in it starting with that lovely phrase “Dear Soul”. Clearly John saw every
single person as precious and was profoundly aware that the only reason why
God lives within us is because he sees each one of us as precious and loves
us in a way that is totally beyond our imagining, leading even to his death
on a cross. In the eyes of God, each of us is a king or a queen, but much more
than that, a friend. John the Evangelist described God in that memorable phrase,
“God is love”. Why not sit down and feel the warmth of that love nestling against
your own heart. Believe. Don’t just think about this. Stay there until you
feel the warmth of his presence. Feel. For too long we have ignored our feelings
in prayer.
Fr. Michael Golden.
My Polio Story
by David Bray
I regard myself as a very lucky man.
It is true that at the present time I suffer from or have medication to control
post polio syndrome, stroke, high cholesterol, hypertension, and diabetes,
but I have led and continue to lead a very full life.
Apparently it was noticed I had difficulty starting to walk and I was diagnosed
aged about one with polio-myelitis affecting my left leg, primarily my left
foot and toes. Obviously at that age I knew nothing of this, and I certainly
do not recall the treatment of being dunked in a salt water bath and having
an electric current passed through it. Had I received this treatment through
a more personal part of my anatomy I am sure the memory would have stuck with
me even at that age! So this was my first piece of luck.
I do remember tripping over my left foot frequently as a young child, and
having to prise out pieces of gravel from the palms of my hands and my knees.
The polio had atrophied the tendons in my foot leaving the toes locked in a
forward position, and I was unable to raise or lower them. This is why I tripped
continually. Around about 5 or 6 years of age I had an operation to my left
foot. I was told some years later that the surgeon noticed the tendon to my
big toe had slight movement, so he freed it and split off two or three slivers
and fastened them to the remaining toes allowing them all to move. Not very
far, but enough to stop me tripping. This was by far the biggest piece of luck
in my early years.
I have always loved sport, and at the various schools I attended I was lucky
enough to be chosen to play football, rugby and cricket for my school houses,
and even to play football for one school. However, as I got into my teens I
began to get chosen less and less frequently, and this is when I realized that
the physical effect of the polio was to have more effect on me in adulthood.
So I decided to join the army to see if I could handle the physical demands
there.
When I attended for my medical, the doctor took one look at my large flat
left foot (my plate of meat) and rejected me. I had never begged anyone for
anything in my life before, but I begged him to grade me physically fit. As
he must have seen how much it meant to me, much to my surprise, I found myself
classified fit for the infantry. To be able to do what I wanted was another
stroke of luck.
So I joined the light infantry regiment of my home county and completed my
three year engagement. It was not easy. I had the sense not to join the Royal
Marines or the Parachute Regiment, but perhaps I should have joined a line
regiment because the heavy infantry drill at 108 paces per minute would have
been easier on my leg. In basic training after every hours drill on the parade
ground at 140 paces per minute, my left leg was numb below the knee for several
minutes. Again I was lucky that my leg could take it and did not let me down.
After discharge I tried various jobs, and eventually settled for work in
a solicitors’ office as I had proved to myself I could handle a physically
demanding occupation. However, I did play table tennis for some years and joined
a tug of war team. Then in late middle age I was made redundant. But again
I had another stroke of luck. The agency found me work as a self employed solicitors’
locum. The pay is 2–3 times better than that of an employed clerk. As I said
I am a lucky man.
So for the last 8 years of my working life I carried out this work. What
I did not realize is that this is a most stressful occupation. I travelled
all over England and Wales, wherever there was an extended temporary vacancy.
I never knew what emergencies I would find, in what state the work load would
be, how friendly the staff and partners would be, and what the clients would
be like. If the work was near home the travelling hours were usually long,
my meals omitted or poor and greasy. If accommodation was needed, this was
usually poor, and again the food uninspiring. My health suffered, without me
realizing it, and I developed hypertension, high cholesterol, and type 2 diabetes.
Finally I had a right sided stroke, which has also slightly affected my memory,
but again I am lucky as I am left handed.
My nap hand of medical problems was completed, when the traumatic effect
of the stroke caused post polio syndrome to rear its ugly head, affecting my
legs and lower back. But again I am so lucky. My wife Ruth, has been an absolute
treasure making sure that I take my medication, follow my diet, get enough
exercise, and generally looking after me.
Despite everything I am such a lucky man.
Southern Region
Summer Outing to Fota
Described so well by one of the participants - Sheila
This is a little thank you for the great day we had in Fota last Sat. In spite
of the awful weather it really was most enjoyable. When we arrived at Fota
House we were greeted with beautiful apple pie & cream, quite lovely cakes,
scones and plenty of hot tea.
We scattered around the house taking in each room with an audio visual history
which was really interesting as we were able to see and hear the actual people
who had worked there. We floated through the rooms, danced in the Dance room
and quite forgot the rain teeming down outside.
Little novelty items were on sale, not in the least tacky and before we knew
it, it was time for our meal in the “Elm Tree”. This is where I decided we
should have a little Magical Mystery Tour! Apparently Evelyn thought we had
taken off to some distant country, but, you know, we did turn up exactly on
6pm in the Elm Tree where Eileen became very chatty with a lovely young Polish
waiter! Unfortunately he was already married but still we live in hope!
Chill Out Day and Mini Marathon
Described by our hard-working Regional Rep/Convenor for the Southern Region
– Evelyn Wainwright
The Chill Out Day on 23rd September was a great success in spite of terrible
weather, with about 35 members attending. In the morning we were shown some
ways of remembering people’s names and this was very enjoyable and a bit of
fun, and in the afternoon, Joan Bradley gave us an update on Polio happenings
in her usual inimitable style and was available for anyone who needed to talk
with her. The day finished off with tea at 4.00 p.m. followed by Mass. Many
thanks to Michelle and Geraldine for all their help in getting people up and
down for the meals and collecting the money, etc.
Failte Ireland accessible accommodation scheme
How many times have you rang somewhere and been reassured that a particular
venue is accessible and when you get there it’s anything but? This is especially
frustrating if you’ve planned a weekend break and have travelled to your destination.
Failte Ireland has launched the ‘Validated Accessible Scheme’ (VAS). It has
been in operation the last couple of years and provides information on registered
and approved accommodation for those with special needs. This means that a
particular hotel, for example, is assessed by Failte Ireland and graded according
to its degree of accessibility.
The scheme has four categories:
Category 1
Accessible to ambulant people capable of climbing flights of steps with a maximum
height between landings of 1.8 metres.
Category 2
Accessible to ambulant people with mobility impairments but capable
of climbing three steps.
Category 3
Accessible to wheelchair users including those who can transfer
unaided to and from the wheelchair.
Category 4
Accessible to all wheelchair users including those requiring assistance
to transfer to and from the wheelchair e.g. carer / partner.
The list is continually updated as and when accommodation providers join
the scheme. To view various hotels in Ireland in their accessibility categories,
visit www.ireland.ie, click ‘Accommodation’, then click ‘Validated Accessible
Scheme’.
The Irish Wheelchair Association also provides some details on accessible
accommodation in Ireland. You can contact their Information Department on 01
818 6455.
Mission Statement:
POST POLIO SUPPORT GROUP
To create awareness and provide information regarding the Late Effects of
Polio among Polio Survivors, statutory agencies and the wider medical profession,
and to work to ensure that Polio Survivors have all needs relating to their
condition met.