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THE EPILEPSY REPORT OCTOBER 2008
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THE EPILEPSY REPORT OCTOBER 2008
Editor
Denise Chapman
Contributing Editors
Russell Pollard, Dr Frank Vajda,
Fiona Tito, Robert Cole.
Contributors
Marg Callaghan, Fiona Cochrane,
Gavin Dimitri, Mark Francis,
Alison Hitchcock, Dr Saul Mullen,
Jaya Pinikahana, Sue Stubbs,
Prof John Willoughby, Dr Ashley
Walton, Dr Wenzhi Wang.
Photography
Dreamstime.com
Print Pegasus Print Group
The Epilepsy Report is published
by Epilepsy Australia Ltd
818 Burke Road
Camberwell VIC 3124 Australia
Tel: 03 9805 9111
epilepsy@epilepsyaustralia.net
www.epilepsyaustralia.net
Views expressed and information
included herein do not necessarily
reflect official policies of Epilepsy
Australia. Articles covering
medical aspects are not intended
to replace competent medical, or
other health professional advice.
All content is copyright and may
not be reproduced without prior
permission. Contributions are
welcome. The Editor reserves the
right to edit content for reasons of
space or clarity.
Epilepsy Australia Affiliates:
Epilepsy ACT
Epilepsy Queensland Inc
Epilepsy Association of SA/NT
Epilepsy Association of Tasmania
Epilepsy Foundation of Victoria
Epilepsy Association of WA
1300 852 853
PLUS
Special feature
Marg Callaghan
the personal experience of
SUDEP
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WELCOME
Russell Pollard, whom many readers will know,
has decided
that the time has come for him to take up new personal
challenges. Russell has been the Executive Officer of the
Epilepsy Foundation of Victoria (EFV) for the past 13 years, and
the Executive Officer of Epilepsy Australia since its inception in
2000.
An educationalist, the need for quality information about
epilepsy for people with epilepsy was always a priority. Russell
was the driving force behind many successful publications
including Sudden Unexpected Death in Epilepsy: a global
conversation, Epifile: an epilepsy management manual and
The
Epilepsy Report. All lasting legacies to his commitment to the
epilepsy community.
The needs of people with epilepsy were always paramount
to Russell. On service delivery, he lifted the bar by ensuring
all counsellors obtained professional qualifications in solution-
oriented counselling and he initiated the development of the only
nationally accredited training course in epilepsy in collaboration
with Victoria University.
Russell always saw the ‘big picture’. He led with passion
and enthusiasm, nationally and internationally, and his many
achievements include bringing Australian epilepsy associations
together as Epilepsy Australia and lobbying tirelessly for a strong
national voice for epilepsy. Instrumental in forming the Joint
Epilepsy Council of Australia (JECA), his active promotion for
qulaity social research into epilepsy led to the first Australian-
wide survey of people with epilepsy. Armed with the results of
this survey (and a lobbyist pass), he took the concerns of people
with epilepsy to our politicians and policy makers. The newly
formed Parliamentary Friends of Epilepsy is a testament to his
determination to give ‘epilepsy’ a voice where it matters.
While he has passed on the baton, he is not lost to us. His
passion remains and he will continue to assist the epilepsy
community where he can.
Editor
National Epilepsy Helpline
Dr Wenzhi Wang
researching stigma in
China
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Gavin Dimitri
achieving lifelong
goals after
epilepsy surgery
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CONTENTS
Research at Flinders: part 3
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The facts on epilepsy & light
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Informing our Parliamentary Friends
3
Improving children’s memory
12
What is SUDEP?
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From the reading corner
30
face2face
with Graeme Shears
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Midazolam: emergency treatment
22
Medical students learn about epilepsy
7
Epilepsy & depression: research review
27
Epilepsy & alcohol
26
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Fiona Cochrane:
the making of Rachel: a
perfect life
T
he first official meeting of the
Parliamentary Friends of Epilepsy
was held 18 September at Parliament
House.
In his welcome address to fellow
parliamentarians, members of the Joint
Epilepsy Council of Australia (JECA)
and to the those in attendance whose
lives have been affected by epilepsy,
co-convenor Mark Coulton MP, spoke
of the need for all parliamentarians to be
better informed of the medical and social
impact of epilepsy.
At the launch of the Parliamentary
Friends of Epilepsy in May, JECA
outlined only very briefly, the impact
that epilepsy has on the lives of many
Australians. We asked for their help then
by making sure:
when matters of health care are
debated, that the decision-makers
consider epilepsy and its impact;
when matters of resource allocation are
considered, that epilepsy is in the mix;
and
when priorities are considered, that
epilepsy is not left behind, once again
in the shadows.
At this latest meeting JECA provided
more than an outline of the impact
epilepsy has on people’s lives. Guest
speaker Marg Callaghan related her
family’s experience with epilepsy and
the untimely death of her son Matthew,
aged 26, to Sudden Unexpected Death
in Epilepsy (SUDEP). Unfortunately,
her story is not unique, and for the
Parliamentary Friends in attendance it
brought home the fact that epilepsy can,
in certain instances, be fatal: a fact of
which many were unaware. (Marg’s
address to the meeting is reprinted in
full on page 5.)
Mortality in epilepsy is an issue
that is rarely talked about. In her
opening address, JECA Chair Jacinta
Cummins, said “When we think of
the big killers in Australia we think,
rightly, of cancer and heart disease.
But around 300 Australians die every
year from epilepsy-related causes,
many preventable, and around 150 of
these deaths are due to SUDEP.” Our
Parliamentary Friends were quite taken
aback by these figures.
Jacinta went on to say “Australia
can do better to support the needs of
people with epilepsy by recognizing that
epilepsy is still in the shadows within
our health system and that needs to
change”.
In presenting JECA’s Vision and Plan
of Action, Dr Lindsay Vowells, President
of Epilepsy Australia, said “JECA is
keen not to just lump a problem at the
feet of Government – we are also keen to
engage in a discussion on the solutions.
“We also accept that responsibility
for the issues we face, is not solely
the domain of the Government. It is
incumbent on us, on JECA, to facilitate
a partnership with the health sector,
Government, the not-for-profit sector,
the philanthropic sector and possibly
industry.
“But to do that, we need a shared
vision, a shared vision which will see, by
2012, an Australia that better supports
the needs of people with epilepsy”.
In closing, Dr Vowells said “We have a
vision and a plan on how this vision can
be achieved. We know the time is right
for a concerted push to bring ‘epilepsy
out of the shadows” - why? Simply
because as a nation we are not doing
enough”.
Co-convenor Jill Hall MP spoke on the
vision and the issues it raised – the need
for inclusive employment, the prevalence
of stigma and the issue of men’s health in
Sharing our
vision with our
Parliamentary
Friends
light of Marg Callaghan’s address. She
also talked about how health services are
not structured to deal with the needs of
people with epilepsy.
Jill suggested several ways that the
Friends could gather information on
epilepsy – one of which could be to
conduct a hearing similar to those
conducted by the Health & Ageing
Committee and proposed to explore
these options before the next meeting.
Co-convenors Jill Hall MPand Mark Coulton MP addressing the meeting
Our Vision
By 2012, Australia will have:
an improved understanding of
the impact this condition has
on Australia, its people and its
economy
an appropriate proportion of
our world-class research effort
targeted to the better diagnosis
and treatment of epilepsy
communities that are increasingly
aware of epilepsy, what it is,
how to manage it, so that people
with epilepsy can live without
stigma and be active community
participants
workplaces that are informed, free
of stigma, and support those with
epilepsy to remain in employment
health services that reflect world’s
best practice in promoting the
right care by the right health
professional
support provided to people with
epilepsy and their carers so
that they are assisted in their
pursuit to manage their condition
and actively participate in the
community.
Robert Mittan
on how to
‘beat bad seizures’
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