News from Aotearoa/New Zealand and the Pacific Islands

There was a follow up segment on Radio New Zealand today because there was so much response to yesterday's discussion on ME. The host interviewed Ros Vallings. Ros is the only doctor specialising in ME in NZ. The item will be available from the same link as I gave above.

Ros did very well in the fairly short segment. The host said that someone had said that this is 'one of the least socially acceptable diseases' which he found sad. Ros felt that this was a little bit over the top. Generally, she was quite upbeat about things. She said that knowledge of the illness is improving due to research being done around the world including at a number of prestigious universities. She did acknowledge that a lot of GPs aren't conversant with the illness but that they can't know everything about every illness. She suggested that a lot of doctors around New Zealand do deal with it very well.

Ros prefers the term CFS/ME. She gave a good explanation of symptoms and talked briefly about real physical differences. She suggested that the immune stays in overdrive after, normally, a virus.

Regarding treatment she said that there is no quick fix cure and treatment is focused on providing the body with the best chance to recover. She did stress that exercise is a problem and has to be approached very carefully and gently. She said that 20 to 30% of people recover to the point where they can lead a normal life, although acknowledged the difficulty around making statements on recovery.

Asked about acupuncture, she said that some patients report that it helps while others say that it makes them worse. She felt that it was important to find an acupuncture practitioner who is well educated about the illness. Hmm.

Asked about the Lightning Process, Ros was more accepting of it than I would have liked. She said that it is a psychologically based treatment and can help some people if they have underlying psychological distress. However, no psychological therapy can actually cure this illness. There was absolutely no talk about GET or CBT; I think the approach here in NZ is much more of relatively benign neglect.

Ros has endorsed the 'Towards Wellness' course in Tauranga. She feels that it educates and validates people with the illness.

Asked about the greatest needs, Ros said research and funding for research. And education of people generally.

Again discussing the scepticism that doctors and family and friends can have, Ros noted that, if you go back a good few years MS was regarded as psychological until there was better understanding of the physiology. She said 'We are just lagging behind the times with this illness.

So, all in all, a pretty positive and useful interview on New Zealand's national radio.
Yes Ros does what she can with very little time. I think the whole nomenclature thing in terms of ME. ME/CFS or cfs/ME has to do with whatever country one is trying to make an impact in. There is an explanation of this in the 2017 Pediatric Primer, with contributions from several people, including Ros Vallings.

https://www.frontiersin.org/articles/10.3389/fped.2017.00121/full
 
Compared with what ME specialists say in other parts of the world, I wouldn't complain.


For sure!
But isn't that rather typical of clinicians?


If I were a consulted physician, with my current experiences, I would have said the same (with exception for benzodiazepines, maybe). They can't propose too radical ideas, as for instance CBD or cannabis edibles).



This is good news. Warren Tate may be right or wrong on certain points, but he for sure has insights.
Many people are hoping that we can get approval for cannabis. Many patients are doing it on their own, the old fashioned way. I used to do it this way until I went back to Oregon US for awhile, and there was a good medical program. The problem in NZ has always been that people might get arrested! Hopefully that may change in 2020.
In terms of the information sheets, Anzmes updates them as able. I am not a medical expert so I can only update the ones that are more general in tone. As usual Ros has to do most of the work because she is our only specialist who is currently well enough to practice. I am hoping that before long the science in the field will be catapulted toward the moment when none of the ME organisations around the world have a reason to exist at all! I don't think I will live to see it, but it would be wonderful.
 
Metlifecare Senior New Zealander of the Year 2019 finalists named
The three finalists for the Metlifecare Senior New Zealander of the Year have been announced. They are Sir Mason Durie, Dr Bill Glass and Dr Rosamund Vallings. The winner will be announced at the New Zealander of the Year gala event on 13 February.



"highly regarded global expert" hmm

https://www.metlifecare.co.nz/NZOTY-2019-Finalists
I have met many of her colleagues personally at a conference in San Francisco in 2014, as well as corresponding with some by email, and I can tell you that in my opinion, she is very well-regarded internationally. See the 2017 pediatric primer for example, as well as the International consensus criteria for ME, which distinguishes ME from CFS in terms of the research available at that time. Please send me a message if you want the links to the documents I mentioned. They are available free online, as opposed to the one put out by the IACFS/ME. I think you still have to pay for that one, but I am not a big fan of that group anymore anyway. There will be a new summary of the Invest in ME conference available soon online. I am happy to help in any way I can.
 
I put it into this thread for the same reason @Subtropical Island points out, it's primarily of local interest. But I don't have any strong feelings about it so feel free to copy to a new thread if you think that would be best.

Just to be sure, I reread the email I received and the introductory information for the survey. To me both do read as being directed specifically at people living within the SDHB area. Though there's nothing in there that specifically states that others can't comment, but I suspect that's because it didn't occur to them anybody would think of it.

Maybe some Kiwi from another region could try to request a link, being honest about their location of course, to find out?

Also, a submission from a national organisation like ANZMES should be acceptable I should think. I've forwarded my survey invitation email to them and also to the local ME association MEISS.
Anzmes has already submitted for the first round, so that is good. I am not sure if MEISS has submitted yet but I can find out.
 
Wendy Matthews in Whitford, Auckland is behind this. Yes, as @Daisybell said, the trust is in it's infancy, but very determined, and is developing strategy, action steps and contacts, etc. I think one of their first initiatives is to provide a meal service.

Wendy is a pwME (severe at the moment), and a member of committee on ANZMES. She organised and presented a petition to parliament in 2012 for better support & care for pwME. I can't put my finger on a link to that right now. I don't doubt that the respite will eventuate - she sees things thru. I think they have a possible location. Sorry a bit vague.
I think Wendy's effort in this is called the Rest Assured Respite Charitable Trust. I hope it is a great success!
 
This worries me, as our local pain clinic believes that the pain of ME/CFS & fibromyalgia is brain handling messages incorrectly.

https://www.stuff.co.nz/national/he...nal-cost-but-new-zealand-lacks-an-action-plan

"Chronic pain is complex and needs a complex response. That might mean assessment of pain conditions, prescribing medication, coordinating rehabilitation, performing medical procedures ... [and] co-operating with other healthcare professionals.
More hospital-based multi-disciplinary pain clinics around the country would stem the rising cost and impact of chronic pain on New Zealand.
We've got the research that points to a model that works and a way to make that a reality throughout the country," he said.
Shipton met with Health Minister David Clark on Thursday to discuss the national pain strategy. He had also fielded interest from ACC, Pharmac and Treasury."

and

"What is chronic pain?
* Chronic pain is defined as any pain lasting more than three months
* It's different to acute pain, which is a normal sensation that alerts us to possible injury
* Chronic pain is thought to occur when nerves become over-sensitive and send warning messages to the brain even when there is no injury, or the original injury causing pain has healed
* The pain can be shooting, burning, aching or electrical in nature and can lead to discomfort, soreness, tightness or stiffness
* There is no one specific test or scan that can diagnose persistent pain, so it can often take some time to determine what is going on"

I think I will send to ANZMES and see if they will get involved in discussions.
Hi Rose, I am on committee but I haven't noticed that yet. The thing with Anzmes is that if we broaden our scope too much to include all the conditions that our members suffer from, we risk diluting out resources in terms of lobbying MOH for people who have been diagnosed with ME. This is sad, and I wish it were different, but we so far have to focus on ME alone. Maybe that will change in the future. We do have information sheets on other co-morbid conditions and you are always welcome to ring the office or email and talk to Debbie, who is our national coordinator and does a find job, in my opinion. At one point the Arthritis Foundation was very active and had good funding but that may no longer be the case. Sadly. I know that people with FM and other conditions attend our local support group meetings in the Waikato. I am actually too ill to attend them myself. I am not sure if other neurological charities might be able to delve into the issues with chronic and neuropathic pain. I hope so.
 
Hi @Ravn, I wrote an email to the President of ANZMES on 2 April with detailed comments and suggestions but I haven't had any reply.

I made a draft of a revised version with the idea that it could be a starting point for a letter from members of our local patient group. It has actually now been circulated to members as an alternative letter, along with the ANZMES one. I would have preferred to see it worked on a bit first. But, as one of our committee members commented, it may be more about the number of letters that are received than the content. I think ANZMES are seeing this as a way for preparing the ground before a meeting with the Health Minister.

I agree with MyalgicE that personal stories are useful. A mother's story was the catalyst for the productive relationship we now have with our District Health Board. So perhaps some of the letters can include personal stories and, for those of us with less energy and creativity, we can just send template letters to contribute to a sense of ME/CFS being a significant problem.

I'm copying my draft here. Feel free to make whatever use you wish of it.

Sender address. .............................................................
........................................................................................
........................................................................................



Date:


To ...................................................................................

Parliament Office
Private Bag 18888
Parliament Buildings
Wellington 6160



Dear .......


I suffer from Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), a disease acknowledged by the United States Centres for Disease Control and Prevention as 'chronic and debilitating’ with systemic effects including immune and cellular metabolism problems. After the first two years of illness, rates of recovery are low. As well as being disabling, this disease is common. It is estimated that around 20,000 people in New Zealand have ME/CFS, 5 times as many people as Multiple Sclerosis. Studies have found that ME/CFS is the most common cause of disease-related long term absence from school.

Many families are struggling to cope with this disease which often hits suddenly after a viral illness. Parents have to give up work to look after sick children. Most adults with ME/CFS are unable to work and the rate of suicide is high. The illness is a substantial burden on the families directly affected and our communities. Using an American estimate of the societal cost of this illness of around NZ$24,000 per person per year, the cost in New Zealand is nearly NZ$500,000,000. Despite all this, ME/CFS has received very little government attention and knowledge of the disease is poor among doctors.


Both the Australian and United States governments have recently acknowledged the lack of any effective treatment for ME/CFS and the need to provide better care. This year both those governments have funded research and conferences to further the understanding of the biological basis of ME/CFS and to find biomarkers and treatments. We have researchers here in New Zealand who are working on ME/CFS, including a team led by Professor Tate, an eminent biochemist. However, they receive very little government funding and mostly rely on donations from the ME/CFS community.

It is difficult for those who need home care to access it. Currently care for people with ME/CFS is funded under the Long Term Support - Chronic Health Conditions scheme of the District Health Boards, but the District Health Boards have many funding priorities. Instead care for people with ME/CFS care should be provided through the Disability Support Services scheme.


I hope that, as ME/CFS Day approaches on 12 May, you will consider how various government agencies can work to better help people with ME/CFS and provide hope. I look forward to your reply.

Yours faithfully,

…………………………………………………………..
So sorry ANZMES was behind the times with this. We were focused on our media release for ME Day. We just this morning sent in our reply and I am hoping that the Listener will still publish it. I thought the other replies were great! I managed to see some photos of them. I am too ill to buy the magazine from a shop and too poor to subscribe! I am sure many here are in the same boat.
 
Update:
Received a couple of replies, one from the editor and one from ANZMES, but no new info and no answers to my specific questions (what guidelines exactly, who else is involved, any possibility for patient input). So no further ahead. I did suggest ANZMES ask Dr Vallings, seeing she's their medical advisor or something in that line, but I don't think they have done so.
Our editor of the MP, has had some personal setbacks from time to time. She is alway very apologetic about not being able to attend to everything. I know her personally and I find her one of the most conscientious and hard working people I know. She served as Prez of Anzmes for many years while her husband edited the MP and now we are very happy to have her back on the job - for some years now! Sometimes I can hardly believe so much time has passed since I first became involved with Anzmes. I try to help with the editing of the MP, but I always fall short because of my congnitive disability and my lack of computer skills in terms of editing online without a Word program on my Mac. Word for Mac is very pricey but otherwise I love my Mac laptop.
 
A couple of articles in the community paper The Star (Dunedin) this week. My guess is that both articles were supplied copy, the first by the local support group, the second by Prof Tate.

A bit of an oops! in the first article. It states that "people did not often present any physical symptoms" when what they undoubtedly meant was "no obvious outward signs".

Careful readers will also notice a discrepancy in optimism between the two pieces. The support group article gives the impression a biomarker is not far away, Prof. Tate sees it as somewhat further off yet.

Overall ok articles though I think Prof. Tate's piece will go over the top of the head of the general public and I wish they put some things more into perspective, like Stanford getting a 5 million dollar grant. To the uninitiated that probably sounds much more generous than it is.

https://www.thestar.co.nz/digital-edition/?edition=STR_2019_05_09
pages 21-22
Yes, I am afraid that it may have been a rush job, because of the deadline for ME Awareness Day. MEISS wears multiple hats. The article by Prof Tate was very good in the Star I think, and yes - he needs much more funding. I think the people with Open Medicine Foundation have money for good PR. I always try to emphasize the work of Prof Tate as well as the work at Griffith Uni in Australia. Perhaps they don't have as much money for PR - I don't know. But they are also hard at work on a biomarker. I think competition between scientists is a good thing. From where I sit, it looks like they might be spurred on by knowing others may beat them to the finish line. But I have no idea, really. I am just an armchair fan of science. Also, I think it is important to give hope to people who have been in despair for so many years. Like me!
 
When is the second round coming up? I can't remember. I am referring to the round after the first submission.
You will have two chances to send us your ideas.
  • Phase 1 (January to May 2019)
    Your feedback in this phase can help the review panel understand how our health and disability system is working now. You can also help identify the most important changes that need to happen to make the system work better and more fairly for everyone in New Zealand. Once the review panel has completed its research and studied all the suggested changes, it will prepare a report of its findings.
  • Phase 2 (August to November 2019)
    The first draft of the review panel’s report is due to be completed in August this year. You can read a copy of the draft report. Then you can give your feedback on that report to help the review panel make it even better.
https://systemreview.citizenspace.com/review/health-and-disability-system-review-plain-english/
 
I always try to emphasize the work of Prof Tate as well as the work at Griffith Uni in Australia. Perhaps they don't have as much money for PR - I don't know. But they are also hard at work on a biomarker. I think competition between scientists is a good thing.
I, too, tell everyone about Prof Tate's work, whether people want to hear it or not :D

Not so sure how I feel about Griffith. Obviously I really hope they're onto something. However, they have a history of over-hyping small studies and their biomarker is always just around the corner... an has been for some significant amount of time. As I understand it they do get a bit of money, at least within the Australian context. Which of course is still far too little all round.

As for competition, personally I think cooperation is more helpful at this stage of research. Later, once we have biomarkers and enough knowledge of pathophysiology to get big pharma interested, then competition might help speed things up.
 
@Marylib Welcome to the forum by the way! It's good to have a representative from ANZMES here. When, like me, you're housebound at the other end of the country it can be hard to see or interpret what exactly ANZMES does, just through lack of information, especially when it comes to the so very important behind the scenes work. So it's good to have somebody in the know floating around.

Also, if you haven't already done so, there's a thread called Introduce yourself where, if you wish, you could do just that: introduce yourself to forum members.
 
So sorry ANZMES was behind the times with this. We were focused on our media release for ME Day. We just this morning sent in our reply and I am hoping that the Listener will still publish it. I thought the other replies were great! I managed to see some photos of them. I am too ill to buy the magazine from a shop and too poor to subscribe! I am sure many here are in the same boat.
Check out if your local library gives you free online access to the PressReader. That would give you access to the Listener and thousands of other publications, NZ and International.
 
@Ravn thanks for the link. Just completed my submission. Since system-wide changes were particularly sought I focused a lot on more direct accountability at all lvls of the system to the end consumer (as contrasted to the brush off we receive from politicians currently). Better systems for collecting and adapting in response to consumer feedback. Better communication to consumers about available services and better accessibility of those services. Also slipped in special consideration for rural folk. And slipped in special consideration of those with hidden, under-researched and difficult-to-treat illnesses using ME as an example... stating that our experiences are a good measure of the effectiveness of the system as a whole.
 
A gem of a newsletter from 2002 NZ has surfaced that talked about 23 'MPs for ME' with the aim of promoting awareness and action, and changes to WINZ policy. :thumbup: File attached. A shame that the energy and intention from that time, did not continue.

In an initiative headed by Alliance health spokesperson Phillida Bunkle, the Government has accepted ME/CFS as a physical illness and a policy will be developed around the way Work and Income manages the needs of people with the condition.

Acting Social Services and Employment Minister Ruth
Dyson, who is also the Associate Minister of Health, made
the announcement on May 12, the International ME
Awareness Day. As well as opening up the way for better
access to Work and Income, Ms Dyson agreed to ensure that
the disability allowance is available to help buy dietary
supplements and alternative therapies.

SUPPORT FROM MPs. In addition, 23 MPs have joined a
loose association of “MPs for ME” with the aim of promoting
awareness and action. Some support groups have already had
invitations from MPs in this group for meetings to discuss
their needs.

The “MPs for ME” are Jim Anderton, Tim Barnett,
Georgina Beyer, Sue Bradford, Phillida Bunkle, Kevin
Camp bell, Chris Carter, Steve Chadwick, Helen Duncan,
Ruth Dyson, Jeanette Fitzsimons, Grant Gillon, Liz Gordon,
Joe Hawke, Jonathan Hunt, Judy Keall, Sue Kedgley, Winnie
Laban, Sandra Lee, Nanaia Mahuta, Jill Pettis, Matt Robson,
Dover Samuels, Judy Tizard.

MEETING AT THE BEEHIVE. On Wednesday May 15,
a number of members of our Wellington Support Group
gathered in the Beehive foyer to meet with several of the
MPs and to present them with blue ribbons and copies of the
recent report by Britain’s Chief Medical Officer of Health.
Deputy Prime Minister Jim Anderson, Ruth Dyson, Phillida
Bunkle and Sue Kedgley addressed the gathering.
Later that day Phillida Bunkle spoke in Parliament about
the lack of recognition, treatment and specialised facilities for
ME, citing statistics and recommendations from the British
report. She said ME sufferers in New Zealand had struggled
to have their condition recognised, often when their illness
made the struggle almost impossible.

As a result, Government has acknowledged that ME is a
“proper” illness with a physical basis, and agreed that
improved diagnostic approaches and treatment must be
introduced. Ms Dyson has also obtained agreement at the
highest official level for fairer and more appropriate
guidelines for Work and Income caseworkers in dealing with
ME clients.

The WINZ agreement, ratified at the highest level, is as follows:
1.To develop policy for the way in which
WINZ manages the needs of people who
have ME/CFS.
2.This will include provision for adequate access to
WINZ offices.
3. Appropriate guidelines for facilitating recognition and
interact ion between WINZ personnel and persons with ME.
4. Access to Disability Allowance for the purchase of dietary
supplements and access to alternative therapies for persons
diagnosed with this illness. (This happens in some centres,
and from some WINZ offices, but up till now there has been
no consistent policy).
It is important that the impetus be kept up with
submissions and contacts with all MPs. Phillida Bunkle
intends putting in more effort up until the election, and
hopefully afterwards another MP will take over the job of
heading the MP network.

APPRECIATION. “ME patients and their families
throughout the country are immensely grateful to Phillida
Bunkle for this effort, and to Ruth Dyson, for pushing
through the changed WINZ guidelines, and we are grateful
to all of you who made submissions on this matter,” says
Jacqueline Steincamp, Information Officer of the Canterbury
ME/CFS Group.

Jackie Steincamp has been involved for many years with
efforts to achieve recognition of the problems of ME
sufferers, through her work with the group and her
publications, and she liaised with Phillida Bunkle over her
parliamentary initiative.

IN THE MEDIA. On ME Day, Jackie and other members
of the Canterbury group took part in a televised documentary
on TV One. Also on ME Day, two members of our
Wellington Group, Moira Aberdeen and Annie Freitas, who
presented a comic stage show, “The Chronic Ills”, during
the Fringe Festival last year, were interviewed on the One
in Five programme on National Radio.
(Continued on next page)
They spoke movingly about their experiences with ME and
about their use of humour to help them through the
difficult times.
News of the meeting with MPs in the Beehive was
broadcast during Checkpoint on National Radio the same
evening and some of our members were interviewed. During
the following week ME was one of the subjects discussed on
the radio talkback show Newstalk ZB.
Dianne Cooper managed to phone in with advice of our
website and mobile phone number. She immediately tried to
contact Diane Nicol, who holds the phone, to warn her she
might receive calls, but was already too late, as calls were
stacking up. They came from all over the country and each
caller was referred to the nearest support group.

EXPRESSING OUR THANKS
Thanks are due from our Wellington group to everyone
involved in the ME Day initiative, including Jackie
Steincamp, our own James Eaton, who acted as local
organiser, and all the Members of Parliament who have
given their support.[QUOTE/]
 

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