May 2011 - Volunteer Ambulance Officers Association of Tasmania
Transcription
May 2011 - Volunteer Ambulance Officers Association of Tasmania
Volunteer Ambulance Officers Association of Tasmania Incorporated Vol 15 No 4 - May 2011 Congratulations to Greg Whittington West Coast Volunteer of the Year Darryl Gerrity (West Coast Mayor), Greg Whittington, Dominic Morgan (CEO AT), Helen Wiggins (7XS Radio Station Manager) Details & more pictures on page 5 IN THIS EDITION ...... PHIL’S THOUGHTS - 'Music Adrenalin' 2 COMMUNICATION - with a person with dementia 11 HI FROM K.I. - Pam reports on the past 3 months 5 COOKING FOR ONE - losing a wife of 60 years 13 COORDINATOR VOLUNTEER STRATEGY 6 REFLECTIONS ON LIFE… from Hal Newman 15 QUEENSTOWN AMBULANCE - meet Ron & Colin 9 MOSTLY MEDICAL PUZZLE / WORD SEARCH FIRST RESPONSE - MAY 2011 - 17 I wonder if William Shakespeare was aware of the strength of music when he wrote in ‘Twelfth Night’, “If music be the food of love, play on“. Because now, over 500 years later, we are discovering how beneficial music can be for some health problems. A study has found that it makes the brain release a chemical that gives pleasure. Scientists are uncertain just why humans have developed such a refined system for music processing, and are unsure if it occurs in animals. I know that some farmers played music in the cow shed at milking time and from what I read that old favourite Mozart seems to give the best results. volunteers, they have discovered that the brain released dopamine as music was being played. This is when the brain makes decisions that make us want to tap our feet, dance, and listen in delight. Music is also used as a therapy for some mental problems and in tests at the Tel Aviv Medical Centre, for once a day on two consecutive days, doctors played either 30 minutes of music by the 18th-century composer Mozart, or no music, to 20 pre-term babies. After listening to the music, the babies were calmer and so expended less energy than the no-music group. When babiesʹ energy expenditure is decreased, they donʹt need as many calories to grow, so can gain weight and thrive more quickly One theory is that song may have evolved out of the language phenomenon called prosody, or the changing of Scientists have discovered that the brain releases tones in our speech when asking a question or making a Dopamine, which is a substance that brain cells use to statement. Also it may have evolved out of attempts to communicate with each other. As a chemical messenger, soothe infants with non-verbal sounds. However it dopamine is similar to adrenalin. Dopamine affects brain developed, it has taken many years, and with the discovery processes that control movement, emotional response, and of Neanderthal flutes in Europe suggests that a ʺmusic the ability to experience pleasure and pain. Tests instinctʺ has been developing within us for show this gives the same pleasant sensation as thousands of years. One music psychologist at the eating a tasty meal or indulging in sex. University of Cambridge, Ian Cross, thinks ʺWithout music, it could be that we would The scientists were aware that the brain did “Without music, never have become human”. this, but now through a series of tests on it could be that we would never have become human.” In the tests it was revealed that only certain music had this affect, hopefully you will have all experienced the thrill of listening to a certain passage of music that sends a shiver down your spine or makes the hairs on the back of your neck stir. And while it appears there does not need to be any vocal input, more tests are being undertaken. But as most of us have our favourite pieces of music we have the enjoyment of anticipating the part that gives us the most thrill, which must add to the excitement. The pleasure that most people get from music may explain why it is so popular around the world, even though the music of the different cultures is so varied. In case you are wondering the pieces of music that I enjoy, they are Barberʹs Adagio for Strings, Tchaikovsky’s 1812, not forgetting Wagner’s Siegfried’s Funeral March. And I find it impossible to keep my body still in the last five minutes of the “Spring” movement in Vivaldi’s Four Seasons. Listening to Classic Music on ABC all day helps to keep the dopamine flowing. And what about the unmusical person? It was found that some of the brain circuits related to music appear to be separate from the ones that deal with language and other noises in our surroundings. This discovery came about from tests with people with amusia, who have a severe type of deafness related to tone. Not being able to understand the difference with pitch in music, they have a problem with singing in tune, dancing very well and are unable to remember songs. Not able to recognise music, some reported it was just a noise and some felt stressed when listening. Luckily most have full cognitive abilities and their hearing and language are unaffected. If you listen to the latest “pop” songs you will realise that not all music has the gift to release dopamine. From my experience certain types of music, the sort I call carpenter music as it sounds like someone banging nails in, has just the opposite effect, especially if you are trying to sleep and someone has a party nearby. 2 - FIRST RESPONSE - MAY 2011 Cheers and happy listening Phil Dennis Source: • http://www.cbc.ca/technology/story/2011/01/10/ science-music-brain-dopamine.html#ixzz1Am45be8M • www.Google ON MY SOAPBOX Have you looked at the VAOAT website lately? It’s updated regularly with items of news and you can download the latest edition of First Response or look at a back issue. While you’re on the website be sure to check out our Online Shop for a range of merchandise, including clothing and the new items advertised below. An insulated mug may be just the thing if you’re sick of hearing the pager go off just as you have made yourself a cup of coffee. We would love you to share your ideas & opinions with everyone via our Forums - there are two dedicated areas, one for all VAOs and one for coordinators. All you have to do is register and then join in. Access to the Forums is restricted to VAOs and not available to the general public; we also still have a few more drink bottles & lanyards to give away to the two top contributors (for useful contributions only, of course). May 2011 marks the 15th anniversary of the VAOAT. We met at Tarraleah less than a week after the Port Arthur tragedy, three volunteers attending that meeting had been in the first ambulances to arrive at Port Arthur and as they told their stories, it seemed to give the process of unifying volunteers more purpose. And now, 15 years later, we can see so many achievements and positive changes for our VAOs. Grant Lennox, former CEO, showed his support from Day 1 and now Dominic Morgan is continuing this by meeting with the Board every three months. I’ll be seeing some of you soon at King Island and I believe the local vollies have been very busy organising a varied programme of activities. They have arranged a mix of speakers & clinical practice but they are also keen to show off their home, so we’re all in for a good weekend. Bye for now, Margaret WORKING WITH YOU FOR A STRONG COMMUNITY Newsletters like this one help to keep the community informed and strong, I’m proud to be able to assist with the production of this newsletter. Please contact my office if I can assist you in any way. 53B Main Road P.O. Box 50, Perth 7300 58A High Street P.O. Box 271 New Norfolk 7140 Phone: 6398 1115 Fax: 6398 1120 Phone: 6261 3366 Fax: 6261 1030 Toll Free Call: 1300 132 689 Email: D.Adams.MP@aph.gov.au Written and Authorised by Dick Adams, 53B Main Road, Perth, Tas. 7300 VAOAT Membership *** PLEASE NOTE *** Membership is $10 per VAO, per year and should be sent to Lesley Green, 74 Hookey Street, Rokeby 7019 If you still have any of the old forms (quoting $5) please throw them away. Marg Dennis FOR SALE Insulated Coffee Mugs ~ Torches ~ Pens • Insulated Coffee mug blue, with VAOAT logo, generous 16oz, ideal to keep your drink secure & hot while traveling. Coffee mug: $10.00 Torch: $7.50 Pen: $3.00 $18.00 per set • Torch - ‘silver’, with carabiner clip & batteries included. **Not for use when checking pupil reaction. • Pen - ‘silver’, with * Please add $8.00 per set if you would like it posted to you. To order, contact: Marg Dennis 4 Nevin Street, Rossarden 7213 Tel/Fax: (03) 6385 2147 Email: mldennis@skymesh.com.au OR go to our website Online Shop: www.tasmanianambulancevolunteers.asn.au/online_shop.php carabiner clip. FIRST RESPONSE - MAY 2011 - 3 Definitions • Critical Incident Stress Management Helping normal people get over normal reactions to abnormal events. 24 Hour Contact: 0427 181 207 Services: • • • • • • Education & information sessions Defusing & on scene support Group debriefing Individual debriefing Follow-up assistance Advice to partners, families & friends 3 Ways to Activate the Team: • Contact your communications/control room and request the CISM Programme • Contact a Programme member who is known to you • Phone 0427 181 207 direct Tasmanian Emergency Services • • • • • • • • • • • • • • • • ADULT - A person who has stopped growing at both ends and is now growing in the middle. BEAUTY PARLOUR - A place where women curl up and dye. CHICKEN - The only animal you eat before they are born and after they are dead. COMMITTEE - A body that keeps minutes and wastes hours. DUST - Mud with the juice squeezed out. EGOTIST - Someone who is usually me-deep in conversation. HANDKERCHIEF - Cold Storage. INFLATION - Cutting money in half without damaging the paper. MOSQUITO - An insect that makes you like flies better. POLITICAL CORRECTNESS - A doctrine, fostered by a delusional, illogical minority. RAISIN - Grape with a sunburn. SECRET - Something you tell to one person at a time. SKELETON - A bunch of bones with the person scraped off. TOOTHACHE - The pain that drives you to extraction. TOMORROW - One of the greatest labour-saving devices of today. YAWN - An honest opinion openly expressed. WRINKLES - Something other people have .... similar to my character lines. Rentonʹs Labels specialises in top quality short run label and traditional label printing. HOW TIMES CHANGE Our fully customizable service features: * Paper sticker printing * Vinyl stickers printing * Custom Label printing * Bumper sticker printing * Clear stickers printing * Wine & cosmetic labels * Gift tags & stickers Renton’s Labels, for: - Instant Online Quotes - Options to Pay later - Very Low Minimum Order - Free Design* - And even Free postage * We provide basic typesetting free of charge. However, we do charge extra for logo design, creation or purchase of other images. Also, there may be an additional charge if we have to improve/alter the artwork that you have provided. - from Mary Knowles 4 - FIRST RESPONSE - MAY 2011 For all of your custom label needs.... Rentonʹs Labels Phone: 1-800 736 861 or (02) 9631 3366 Fax: 1-800 679 140 or (02) 9631 2799 Email: info@rentonslabels.com.au As I write this the King Island Gathering is only three weeks away, and its organisation has taken up most of my time in the last three months. The KI Gathering Committee has worked extremely hard to produce this event and are now at the final stages of ʺtying up loose endsʺ. For those of you lucky enough to be attending, Iʹm sure youʹre going to have a great time. I hear the Queenstown Gathering Committee are also working hard to give you another great event in November, so start planning your rosters so you can attend. I recently took advantage of the new Government Travel Website, to book accommodation in Melbourne at significantly reduced prices and thought Iʹd take this opportunity to bring it to your attention. Any VAO can register to become a member, as long as you use your DHHS email address, and when booking into the hotel, take your VAO ID with you. Register by logging into - http://www.government.travel and follow the prompts. Our CVS David continues to amaze with the amount of work heʹs undertaking at AT on volunteers behalf. He will be speaking at the Gathering, bringing everyone up to date with developments so far (for those not attending there will be a report in the next e-magazine). I hope youʹre enjoying YOUR e-magazine, let me know if you have any topic suggestions or if we can improve anything. Kind regards, Pam Fanning President VAOAT Queenstown VAO Greg Whittington West Coast Volunteer of the Year & winner of the P. J. Parssey Award Greg received the P.J. Parssey Award Memorial Shield and his personnel award from Peter Geard (award organiser) and Darrell Johnson (State President of the Australian Institute of Emergency Services in Tasmania). The award was presented at a function at Hobart in late February along with the other 4 nominee’s and Institute members. Congratulations to Greg, well deserved. Ron Jones Tasmanian Emergency Service Support Association FIRST RESPONSE - MAY 2011 - 5 Coordinator Volunteer Strategy New slogan for VAOAT After 15 years, and with some regret, the time has come to change the Association’s “More than a bandaid …. slogan. More Than A Bandaid was a stroke of brilliance at the time, and has been highly successful in raising public awareness, but there is general agreement by the Board that it is time for a change. The Association has adopted the new slogan “VAOAT CARES” (for volunteers, for it’s members, for the Tasmanian public – however you want to interpret it! CARES as in … communication - advocacy representation - encouragement – support. Volunteer Leadership Opportunities Occasionally, Ambulance Tasmania has the opportunity to nominate senior volunteers for leadership training and other professional development opportunities. The principle opportunity is the four day residential Volunteer Leadership Program at the Australian Emergency Management Institute at Mt Macedon in Victoria. All arrangements and costs covered by the Attorney-General’s Department on behalf of the Australian Emergency Management Volunteer Forum. There aren’t any specific courses scheduled at present, but these courses usually fill quickly when they are announced. Other leadership development opportunities also arise from time to time. If you, or another senior volunteer in your group, would be interested in being considered for such opportunities, please send a short Expression of Interest by email to david.godfrey-smith@dhhs.tas.gov.au including: • contact details • a brief summary of your volunteer work (years, level, positions held etc.) • a brief paragraph on why you think training would be of benefit and what you think you will get out of it You can submit an Expression of Interest for yourself or on behalf of another volunteer, or feel free to forward this e-mail to anyone in your group who you think would be a suitable candidate. If you have previously submitted an Expression of Interest there is no need to submit another. Second Uniform On request, Ambulance Tasmania will now provide a second jumpsuit or two-piece uniform to any active Volunteer Ambulance Officer who has: a) completed their six month probation period, and b) reasonable justification. Normal uniform request and purchasing procedures are to be followed, so if you believe you need a second uniform (eg. due to the number of shifts you do each month, or because your shifts tend to be back to back and there is insufficient time to launder your uniform in between), please fill out a Uniform Request form and submit it through your BSO or Volunteer Coordinator. Ambulance Tasmania Staff Opinion Survey All Ambulance Tasmania staff members, salaried and volunteer, are encouraged to complete the new Staff Opinion Survey which is available online until 5:00pm on 11 May 2011. All staff are encouraged to complete the survey to ensure that every aspect of Ambulance Tasmania is represented in the results. This is your opportunity to help build a blueprint for the future. The survey will help create a comprehensive snapshot of the Service and covers a number of topics including professional development, team work, strategic direction and communication. The survey takes about 10 minutes to complete and needs to be completed in one session. Please use the ʺDONEʺ button to save your responses. The survey is anonymous. No one, including the researcher, will associate your responses with your identity. (Continued on page 7) 6 - FIRST RESPONSE - MAY 2011 (Continued from page 6) To access the survey please click on the link on the VAOAT website, on vGate or enter the following URL into your web browser: https://www.surveymonkey.com/s/5WN9K3B If you have any difficulties or questions please contact Heather on 6230 8020 or email heather.stokes@dhhs.tas.gov.au Thanks you in advance for your participation. Case Feedback Ever been on a difficult case and wondered what happened to your patient after they were taken away by another crew or after you left them at the hospital? Ambulance Tasmania has just published a “Case Feedback Request Form” that volunteers can fill out if they were directly involved in patient care and where there is legitimate reason for further information to be provided, including where the volunteer officer believes: • knowing the patient outcome at hospital will help you cope with any stress resulting from the case, or • learning the hospital diagnosis will assist development of your patient assessment and diagnostic skills, or • discussion may improve your case management and/or patient care in the future. The form can be downloaded from vGate and completed requests can be submitted to your Regional Education Coordinator. Employer Recognition Ambulance Tasmania has just finalised new Corporate Volunteering Guidelines which will improve recruitment, recognition and retention of volunteers in rural and remote communities whose boss lets them leave work to do ambulance jobs. If you routinely leave work to respond to ambulance cases, please make sure that Ambulance Tasmania knows so that they can recognise your employer appropriately. Send details by email to david.godfrey-smith@dhhs.tas.gov.au or call (03) 6230-8010. New Volunteers Ambulance Tasmania is in the process of streamlining the processing of applications from new Volunteer Ambulance Officers, and ensuring that procedures are uniform across all three regions. The refinements will include: • a new comprehensive Application Form; • permission to attend cases as an Observer once the interview is complete, while the application including the Police Records Check is being processed; • a formalised “orientation” program to be completed prior to attending Essential Skills. Details will be provided to Volunteer Coordinators and Branch Station Officers. Forgotten Your vGate Password? Most stations now use vGate to roster volunteers on-shift and track hours on-case. If you have forgotten your password, you can: • ask your Volunteer Coordinator or any BSO to change/reset your password • many stations have a second (and sometime three!) vGate Admin users – they can also change/reset passwords (their names appear in bold on the telephone list) • if you can’t fix the problem locally, your region’s Operations Support Officer can also change/reset passwords. (Continued on page 8) FIRST RESPONSE - MAY 2011 - 7 (Continued from page 7) DHHS Email Reminder All VAOs are reminded that more and more information about Ambulance Tasmania and being a Volunteer Ambulance Officer is being provided through their DHHS email account. Those who do not check their DHHS email regularly, either at the station or via the Outlook Web interface at https://mail.dhhs.tas.gov.au/ are strongly encouraged to set up automatic mail forwarding from their DHHS account to their personal email address. Instructions for setting up mail-forwarding are in the February issue of First Response (http://www.tasmanianambulancevolunteers.asn.au/downloads/FR_Vol15_No3.pdf) or can be downloaded from the Protocols tab on vGate. David Godfrey-Smith Coordinator Volunteer Strategy e: david.godfrey-smith@dhhs.tas.gov.au m: 0488-537-000 New Zealand Urban Search and Rescue Deployment Many AT staff expressed concern and volunteered to be deployed following the earthquake in Christchurch. Following a National decision to relieve the New South Wales and Queensland Urban Search and Rescue (USAR) teams, a multi-jurisdictional USAR team was formed using Paramedics and fire fighters from Tasmania, ACT and South Australia. Ambulance Tasmania was asked to provide two staff members. In addition, five Tasmanian fire fighters were part of the team. Our Paramedics were Adrian Abel and Peter James, who were led by a Victorian MICA Paramedic with international deployment experience. The 72 member team met in Sydney on Friday night (March 4th) for a briefing and were then flown by the Australian Defence Force to Christchurch on Saturday. Their deployment was for approximately 10 days before returning home. Whilst in Christchurch they lived in a tent city and received rations courtesy of the New Zealand Defence Force. To support our colleagues, AT set up the Ambulance Emergency Operations Centre (EOC) for the duration of the deployment. This allowed for receipt and dissemination of information as well as to provide support to the families of our staff. Peter and Adrian were appointed to “Bravo Watch” and deployed into the City Centre of Christchurch to complete their first mission. They describe the Christchurch city centre as being “unusually quiet”, “like a movie set”, “destroyed” and “eerie”. “Tent City” was situated in Latimer Square just on the eastern side of the city centre. There were 2 members per tent, 24 hours access to amenities and 24 hour access to a fully catered mess – both Peter and Adrian highlighted the excellent quality of the food and the vast array of choice – described as “5 star”. Both Peter and Adrian were appreciative of the continued support of their colleagues during this difficult and dangerous operation. The Ambulance Tasmania Emergency Operations Centre (EOC) - located alongside our State Communications Department - was activated to provide support, assistance and reporting during our USAR deployment to New Zealand. The initial Ambulance Commander for the incident was Acting Regional Manager (North) Matthew Eastham followed by Acting Regional Manager (South) Peter Morgan. AT Service Updates 1 & 2, 8/3/11 VAO Discussion Forums The winners of our monthly prizes (water bottle and lanyard) for Forum participation are… February - VAO Troy Donnelly (Coles Bay), No Coordinator posts; March & April - No posts. The Forum is your one stop shop to ask questions, share your ideas, express your views and get answers so please take the time to be involved. It’s a good idea to log in regularly, say once a week, to catch up with whatʹs going on…but it needs your input to work effectively. VAOAT Board 8 - FIRST RESPONSE - MAY 2011 Queenstown Ambulance - meet two of the crew VOLUNTEER MANAGER PROFILE – RON FOSS VOLUNTEER PROFILE – COLIN SPINKS • Age: 51. • Age: Close to 70 years young. • Organisation that you manage volunteers for: Ambulance • Day Job: Colin is a Retiree, who spends his spare time Tasmania. • Paid or unpaid: Paid. • How many volunteers do you manage? 20. • Location where you manage volunteers: Queenstown. • Describe the kind of tasks you undertake as a volunteer manager: Training volunteer ambulance officers to have the competence and confidence to manage medical and traumatic emergencies. • How did you get into managing volunteers? Part of my position description. • What is one of your favourite aspects of working with volunteers? Contributing to their personal development. • What is one piece of advice you might give to budding volunteer managers? Take the time to understand their motivation for volunteering and determine individual learning styles. Volunteering Tasmania eNews, March 2011 Reproduced by kind permission of Volunteering Tasmania and Ron & Colin improving his land and renovating his house. • Location where you volunteer: Queenstown and surrounding areas. • Organisations that you volunteer for: Ambulance Tasmania. • Describe the work that you do: Mainly driving and transporting patients, rostered on call, including nightshift: for example, at 1.30am the pager rang for me to meet up with the paramedic on the way to a call out. • Approximately how many hours per week do you volunteer? I have been volunteering for the Ambulance service for 11 months and during that time I have been trained at Level 1. When I am on call I have done up to 5 x 12 hour shifts a week. • How did you get into volunteering for this organisation? I started playing chess with Gordon Roberts from Health West and he suggested that I talk with Ron Foss, Queenstown Paramedic, about volunteering in the Ambulance. • One of the best things about volunteering? I have been a recluse for 7 years and this opportunity has brought me out of my shell, meeting people and socialising with the other volunteers. Even though I am not looking for recognition, the best things are the sense of worth I receive from people in the community. People say ‘Hello! How you going?’. I enjoy it and should have done it years ago! FIRST RESPONSE - MAY 2011 - 9 How Walking 10,000 Steps per Day Enhanced my Insulin Sensitivity in a Couple of Months Taking 10,000 steps per day (or walking about five miles) is extremely healthy for you. I started walking 1 month ago. I wake up every day at 5:30 and walk about 5 miles (with my pet). Iʹm so happy with myself. Recently someone asked, ʺWhat are you currently doing for exercise nowadays?ʺ I informed her about the walking, and she said, ʺYeah, but exactly what are you doing for exercise?ʺ She declared that walking does not get the heart rate up sufficiently and wonʹt do anything whatsoever to boost my overall health or my waist line and that if I wished to lose any weight, I needed a true workout. I shared with her that this 10,000 steps philosophy isnʹt new...however the 10,000 steps regimen has additionally been connected to an increase in insulin sensitivity in older adults. In a 5 years Australian analysis of nearly 600 men and women averaging fifty years age, walking a lot more steps was connected with reductions in BMI (Body Mass Index), waist to hip ratio, and insulin sensitivity. The research, authored by analysts from the Murdoch Childrenʹs Research Institute in Melbourne, was released inside the British Medical Journal (BMJ). (Available here: http://www.bmj.com/content/342/bmj.c7249.full.pdf? sid=fc7e7b28-17b4-4173-894c-b3e493b71805) The authors calculated a sedentary person who modified behavior over 5yrs to fulfill the 10,000 daily step principle might have a threefold improvement in insulin sensitivity in contrast to somebody who worked up to 3,000 steps 5 days every week. In line with the experts, the connection of step activity with improved insulin sensitivity was mostly accounted for by lower bmi. So you? Are you still reading this report? Move out and walk! 1) Have a pedometer. 2) In case you have a desk job, stand up and walk every hour. 3) Park farther away from entrances. 4) Put down the telephone, eliminate that mail, and walk. 5) Walk or jog in place during your favourite tv program. 6) Go ahead and take stairs. 7) Pacing. 8) Go ahead and take puppy for a walk. 9) Hit the shopping center. Stacy Federico About the author: Stacy Federico is posting for the <a href=ʺhttp://www.diabeticsnacks.org/ʺ>diabetic snacks foods</a> website, her personal passion blog specialized in tips to help website visitors to stop Diabetes and enhance the awareness on healthy eating. Queenstown Gathering 18-20th November 2011 Details available mid-2011. www.tasmanianambulancevolunteers.asn.au 10 - FIRST RESPONSE - MAY 2011 Communicating with a Person with Dementia “Give us time to speak, wait for us to search around that untidy heap on the floor of the brain for the word we want to use. Try not to finish our sentences. Just listen and don’t let us feel embarrassed if we lose the thread of what we say.” - Christine Bryden, author and person with dementia. Losing the ability to communicate can be one of the most frustrating and difficult problems for people with dementia, their families and carers. As the illness progresses, a person with dementia finds it more and more difficult to express themselves clearly and to understand what others say. There are many causes of dementia, each affecting the brain in different ways. Each person with dementia is unique and difficulties in communicating thoughts and feelings can be very different. Changes you might notice include: • difficulty in finding a word. A related word might be given instead of one they cannot remember • they may speak fluently, but not make sense • they may not be able to understand what you are saying or only be able to grasp part of it • writing and reading skills may also deteriorate • they may lose the normal social conventions of conversations and interrupt or ignore a speaker, or fail to respond when spoken to, and • they may have appropriately. difficulty expressing emotions People retain their feelings and emotions even though they may not understand what is being said, so it is important to always maintain their dignity and selfesteem. Be flexible and always allow plenty of time for a response. What to do • Remain calm and talk in a gentle, straightforward way. • Keep sentences short and simple, focusing on one idea at a time. • Always allow plenty of time for what you have said to be understood. • It can be helpful to use familiar names whenever you can, such as ‘Your son Jackʹ. You may need to use hand gestures and facial expressions to make yourself understood. Pointing or demonstrating can help. A warm smile can often communicate more than words can. What not to do • Do not argue. It will only make me situation worse. • Do not order the person around. • Do not tell them what they cannot do. Instead state what they can do. • Do not be condescending. A condescending tone of voice can be picked up, even if the words are not understood. • Do not ask a lot of direct questions that rely on a good memory. • Do not talk about people in front of them as if they are not there. For further information on dementia, contact the National Dementia Helpline on 1800 100 500 or visit the Alzheimers Australia web site at www.alzheimers.org.au Article supplied courtesy of Alzheimers Australia Centrelink NEWS FOR SENIORS, Spring/Summer 2010 WHY DO WE SAY? *** Infant*** Thank You to the members of the VAO unit at Wayatinah - for their very generous donation to be used to assist training of VAOs. The word we use for the young children at an early stage of development comes from the Latin infantem, noun use of the adjective with the meaning of not able to speak Phil Dennis VAOAT Board FIRST RESPONSE - MAY 2011 - 11 Connecting Australians in Singing A NATIONAL NETWORK of SINGING GROUPS for MEN & WOMEN Sing Australia is a national network of some 150 non-auditioned singing groups that focuses on fun, friendship and providing support to their local communities by “Connecting Australians in Singing”. • Nine groups in Tasmania - Hobart, Sorell, Kingston, Launceston, Devonport, Scottsdale, Bridport, Flinders Island and Campbell Town • New groups can be created wherever a core number of people are interested. We welcome everyone to sing with us regardless of age, singing experience or voice type. We believe the health and social benefits of singing together should be available to all who want it. Sing Australia is great fun and it’s easy to join. • • • • • • • • • Friendly and encouraging – all welcome No auditions OR requirements to read music No compulsory attendance Large range of songs and styles Regular national gatherings Fun performances & events Unique experiences Tours – Australia & overseas Moderate membership costs Come along and discover the fun of Sing Australia! Want to know more? CONTACT: Jill North (State Coordinator) 6267 4659 / 0427 807 779 jnorth@clearmail.com.au 1300 552 296 / www.singaustralia.com.au 12 - FIRST RESPONSE - MAY 2011 Cooking for One How do you fold a sheet on your own? Allen Saddler finds that it is the little things which can be the hardest to bear as he comes to terms with losing his wife after 60 years together. My wife died recently, and since then I have been going through the process known as grieving. I have talked to neighbours. One lost his wife a year ago and the other two years ago, and they chart my progress. They tell me that pouring out one cup of tea instead of two will feel normal in a while. I’m not sure I want it to feel normal. First of all there is the conviction that the absence is temporary. That she will be returning soon. Someone you have known for 60 years cannot suddenly disappear! This lasts for about a week. Then the reality takes over. But even then there is the business of talking aloud as though she were still around, somewhere in the house. Every day I give her a complete report on the day’s happenings. What is in the post, telephone calls, people I have seen. I reckon she needs to know. The response from friends and acquaintances follows a formula. Women put their arms around you. Men reach out and touch your coat sleeve. I have found that people are innately kind and sympathetic. ‘Keep punching,’ they say. ‘Make sure you eat something. Come in for a coffee.’ Strange the way that coffee has overtaken tea as the universal healer. I sent all her clothes to a charity shop the day after the funeral, but things keep turning up. Bits of jewellery, odd notebooks in which she had written enigmatic messages. There are things I still cannot touch. A silk scarf on a bedroom cabinet, a travelling blanket she always had on her side of the bed. The book she was rereading, The Grapes Of Wrath, is still on her bedside cabinet. Our son has her Swiss stationmaster’s watch of which she was so proud. Then there is the business of transferring our property to my name. This is just a legal process but it feels like treachery. We always shared everything. It seems odd that it all belongs to me. ‘It’ll take time,’ say my neighbours. But it’s odd going to the cinema and the theatre on my own. No one to compare notes with. No argument over the content of the piece. I have to rely on my own judgement from now on. For the first month there are things to do, forms to fill in, people to notify, but then you are into a new phase of self-reliance. How do you fold a sheet on your own? Have those trousers had it? Is that swelling big enough to go to the doctor? I’m not grumbling. We had a longer period together than most married couples. I know I’ve been lucky. When we got married it was meant to last. Strangely enough, her death has brought a new freedom. After five years of being a carer I can go anywhere, for any length of time, without worrying, and stay out late, which I’ve tried without much joy. I suppose this all comes under the term ‘grieving’, which, up to now, has been an abstract, meaningless phrase. Is it healthy? Is it a natural passage of time after which everything will fall into place? We met during the war. She was a nurse looking after 40 wounded German soldiers. As they were technically prisoners of war they had to be guarded. So I was drafted to the ward, and during 12-hour night shifts the Germans could see that a romance was taking place. So I have a life full of memories which, as a writer, I am sure I shall put to good use – that is when I get used to cooking meals for one. http://www.theoldie.co.uk How to Dance in the Rain It was a busy morning, about 8:30, when an elderly gentleman in his 80s arrived at the hospital to have stitches removed from his thumb. He said he was in a hurry as he had an appointment at 9:00 am. The nurse took his vital signs and had him take a seat, knowing it would be over an hour before someone would to able to see him. I saw him looking at his watch and decided, since I was not busy with another patient, I would evaluate his wound. On exam, it was well healed, so I talked to one of the doctors, got the needed supplies to remove his sutures and redress his wound. While taking care of his wound, I asked him if he had another doctorʹs appointment this morning, as he was in such a hurry. The gentleman told me no, that he needed to go to the nursing home to eat breakfast with his wife. I inquired as to her health. He told me that she had been there for a while and that she was a victim of Alzheimerʹs Disease. As we talked, I asked if she would be upset if he was a bit late. He replied that she no longer knew who he was, that she had not recognized him in five years now. I was surprised, and asked him, “And you still go every morning, even though she doesnʹt know who you are?” He smiled as he patted my hand and said, “She doesnʹt know me, but I still know who she is.” I had to hold back tears as he left and I thought, “That is the kind of love I want in my life.” True love is neither physical, nor romantic. True love is an acceptance of all that is, has been, will be, and will not be. Life isnʹt about how to survive the storm, but ʺHow to dance in the rain.ʺ FIRST RESPONSE - MAY 2011 - 13 ʺTHE GREEN THINGʺ In the line at the store, the cashier told the older woman that she should bring her own grocery bag because plastic bags werenʹt good for the environment. The woman apologized to her and explained, ʺWe didnʹt have the green thing back in my day.ʺ The cashier replied, ʺThatʹs our problem today, the older generation didn’t care about the environment.ʺ Back then, they returned their milk bottles, soda bottles and beer bottles to the store. The store sent them back to the plant to be washed and sterilized and refilled, so it could use the same bottles over and over. So they really were recycled. In her day, they walked up stairs, because they didnʹt have an escalator in every store and office building. They walked to the grocery store and didnʹt climb into a 300horsepower machine every time they had to go two blocks. Back then, they washed the babyʹs nappies because they didnʹt have the throw-away kind. They dried clothes on a line, not in an energy gobbling machine burning up 220 volts - wind and solar power really did dry the clothes. Kids got hand-me-down clothes from their brothers or sisters, not always brand-new clothing. Back then, they had one TV, or radio, in the house - not a TV in every room. And the TV had a small screen the size of a handkerchief, not a screen the size of the state of Tasmania. In the kitchen, they blended and stirred by hand because they didnʹt have electric machines to do everything for you. When they packaged a fragile item to send in the mail, they used a wadded up old newspaper to cushion it, not polystyrene or plastic bubble wrap. Back then, they didnʹt fire up an engine and burn fuel just to cut the lawn. They used a push mower that ran on human power. They exercised by working so they didnʹt need to go to a health club to run on treadmills that operate on electricity. They drank from a fountain when they were thirsty instead of using a cup or a plastic bottle every time they had a drink of water. They refilled their writing pens with ink instead of buying a new pen, and they replaced the razor blades in a razor instead of throwing away the whole razor just because the blade got dull. Back then, people took the tram or a bus and kids rode their bikes to school or rode the school bus instead of turning their mothers into a 24-hour taxi service. They had one electrical outlet in a room, not an entire bank of sockets to power a dozen appliances. And they didnʹt need a computerized gadget to receive a signal beamed from satellites 2,000 miles out in space in order to find the nearest pizza shop. But isnʹt it sad the current generation laments how wasteful the old folks were just because they didnʹt have the green thing back then? from Mike Donohue 14 - FIRST RESPONSE - MAY 2011 Why do men know so little about their prostate? Back when I was practising medicine, I was a regular at Sydneyʹs Long Bay jail, teaching the prisoners some basic anatomy and physiology relating to sexual matters. At first, I was a bit taken aback by how little the guys knew. But then I remembered how little I knew about my own body before I studied medicine. That said, youʹd still think that an organ that gets as much publicity as the prostate does these days would be very familiar to the half of the population that owns one. In fact, according to a 2008 survey of 503 men aged 40 to 80 in WA, 80 per cent didnʹt have a clue what the gland did. This was despite the fact that 75 per cent of them had had a previous prostate-related examination, & that about 50 per cent of them had had dealings with prostate cancer (through personal experience or when a friend had it). So here are some basic facts. The prostate gland was first described in 1536, and its cancer identified in 1853. In the US and UK, cancer of the prostate is the second most common cause of cancer deaths in men, after lung cancer. In Australian men, itʹs the second most common cancer after skin cancer and is the No. 2 cause of cancer deaths. Most prostate cancer sufferers do not have any symptoms, do not get any treatment, & end up dying from other causes. This is because cancer of the prostate can grow very slowly, and most sufferers are more than 50 years of age. In studies of men who died from other causes, autopsies show that cancer of the prostate was present in 30% of men in their 50s, & in 80% of men in their 70s. The prostate gland is about three centimetres long, and weighs about 20 grams. It is usually said to be the size of a walnut or chestnut. Itʹs located deep in the pelvis, directly under the urinary bladder, and immediately in front of the rectum. The urethra, after leaving the bladder on its way to the outside world, passes through the middle of the prostate gland. So as the prostate gland enlarges with age, it can both constrict the urethra (interfering with urination and sexual ejaculation) and bulge upwards into the bladder (giving a false sense of bladder fullness). The tissue of the prostate gland is about 5% nonglandular (with fibro-muscular components) and 95% glandular (from which cancers of the prostate arise). In the glandular part, there are some 30 to 50 little glands that secrete various fluids (collectively known as prostatic fluid) into pipes that eventually lead to the urethra. Prostatic fluid is a clear, slightly alkaline liquid with a rather characteristic smell. The alkalinity is thought to improve the survival rate of the sperm in the vagina. Prostatic fluid makes up about 10 to 30% of the volume of the semen, with about 10% coming from the vas deferens, and the remainder coming from the seminal vesicles. The prostate gland makes prostatic fluid but also has a muscular function. During ejaculation, it provides exquisitely timed waves of muscular contraction to help propel semen to its final destination. Now that the prostate is increasingly a media darling, men might become increasingly aware of its purpose. Dr Karl Kruszelnicki THE AGE - GOOD WEEKEND, August 29, 2009 Reflections on Life, Death and EMS I bought a poppy this morning and pinned it to my baseball cap. Too early in the season for some Iʹve been told. Much too late for others I know. how. No way. EMS1 will be in here in a sec to confirm.” Then to Dispatch, “We’re going to need the police here. Cancel the ambo crew.” The ghost battalion of street medics. Death by stress, suicide, or misadventure. Casualties of battles fought on the road and in their heads. Demons picked-up along the way like black-spirited hijackers waiting for a time to take control. I walked into a bedroom to find the crew looking at the body of a fifty-something-year-old woman recently deceased. She was dressed in stylish pyjamas and was wearing matching sleeping covers over her eyes. Her fingers were blue and her hands were frozen in mid-air as if she had shaken hands with Death when he had arrived. There was a plastic bag covering her hair—crinkled and crumpled and standing straight up like some macabre white plastic chef’s hat. There was an empty bottle of vodka next to the bed and several empty pill bottles scattered among the bed covers. Two sealed envelopes had been found by her brother (the L.L. Bean shirt) who had discovered the scene and had pulled the bag from her face before calling 911. Politically incorrect to imagine direct links between sudden unexpected death and life wearing the caduceus on your collar or tattooed on your shoulder. Yesterday I received news that a young firefighter/ medic had taken his own life. Another gatekeeper of the cracks who somehow managed to slip into the abyss that exists in the shadows between the ranks of fellow EMS providers. ʹHe was a gentle soul who was genuinely caring and a real pleasure to work withʹ... and he was practiced in the art of self-isolation enough to drift in ethereal misery until he finally capped his own existence. ---Jamie Flanz was murdered two springs ago. His passing had no connection to the EMS world other than the fact that his obvious state of death probably didnʹt require a streetmedic to declare the absence of life signs. He was a good medic and was a gentle, reassuring presence with many of our most senior patients. He put in many a shift at the last minute because I called and asked for his help. It is the transient and intense nature of EMS that lifesavers often come and go without much in the way of heralding their arrival or their departure. They touch lives and impact universes and then they move on to live the rest of their lives. There are, apparently, no guarantees on how long the rest of their lives will be. Maybe some of them have an inkling of sunset rapidly approaching and decide to go out flaming while others simply pull the bedcovers up over their heads. ---Almost a decade ago, I responded as back-up to a call for a 50-year-old patient in cardiac arrest. While rolling I thought I heard the dispatcher say the patient had been found with a plastic bag over her head. I remember thinking to myself “that can’t be right.” The dispatcher didn’t repeat the message and I thought it was because the medic crew was thinking the same thing I was and didn’t question the information provided. I rolled onto the scene just a few moments after the crew and followed the sound of their voices into the apartment. I passed a somber group of folks gathered in the hallway around the front door. “They’re in there,” a middle-aged man with an L.L. Bean lumberjack-style shirt and a tear-stained face said to me. Heard Jen tell Boris, “No We sealed the apartment. Shooed the brother and the building manager and the guy from the apartment across the hall out of there. We waited on the police officers who took our report and then asked us to wait outside. They emerged a few moments later with some of the dead person’s identification. “Her name was ------ …” There seemed to be a wave of air that came out of nowhere and hit me right in the gut. I felt an enormous weight slam into my shoulders that forced me down to my knees. I heard myself mutter, “Sweet Jesus.” And then I was kneeling on the carpet in the corridor fighting the urge to hurl vomit and bile out of my mouth. Jen and Boris were by my side in a heartbeat. “Hal, are you all right?!” I was unable to answer at first—too intent on listening to all of the air rush out of my lungs through my clenched teeth. “Yeah. I’m okay.” Wrong answer. I tried to get back up to my feet but my sense of balance had been thrown into temporary disarray. “OhmyGod. I just spoke to her on Friday afternoon.” She was a colleague of mine - an experienced emergency care provider who worked for a parallel health care organization. We interacted on a regular basis and had forged a strong bond during the Montreal Ice Storm Disaster of 1998. I had seen her practicing the art of caring with elderly clients forced into a shelter by the combination of darkness, cold, and ice. She had been particularly effective with the Holocaust survivors who had retreated into some tormented memories none of us could penetrate. Her combination of compassion and gutsy courage had gotten through to folks living a nightmarish flashback of forced evacuations all those years ago. My pager went off right then while I was struggling to regain vertical mode. The message read, “Shall I send out a SMART alert?” (SMART is an acronym for our Stress Management Response Team). I radioed Dispatch, “Yeah. For me.” I was really upset that I hadn’t recognized her… as if I somehow should have realized it was her even though I had no idea where she lived. As if one might (Continued on page 16) FIRST RESPONSE - MAY 2011 - 15 (Continued from page 15) expect to encounter a friend dressed in her death-best outfit. It was an irrational reaction to a surreal scene. The lead police officer came over and asked if I was okay. “Yeah. I’ll be alright. A couple of wicked bad dreams and I’ll be ready for the next tragic response.” I cleared the scene and then drove over to that parallel health organization where I broke the news to her colleagues. It was a rough scene. Naomi Cherow, part of SMART, arrived a few minutes after me. Naomi took the lead and walked the staff through a very tough evening of sadness, anger, and lingering unanswerable questions. I went home and had a couple of wicked bad dreams. Exercises for Seniors The Doc told me to start an exercise programme and not wanting to harm my old body, Iʹve devised the following. Monday Beat around the bush Jump to conclusions Climb the walls Wade through the morning paper Tuesday Drag my heels Push my luck Make mountains out of mole hills Hit the nail on the head Wednesday Bend over backwards Jump on the Band Wagon Run around in circles Thursday Toot my own horn Pull out all the stops Add fuel to the fire Friday Open a can of worms Put my foot in my mouth Start the ball rolling Go over the edge Saturday Pick up the pieces Sunday Kneel in prayer.. Bow my head in thanksgiving.. Uplift my hands in praise.. Hug someone and encourage them. The next night I had a couple more. Then on the third day a baby boy drank chlorox and by the time I got home I was focused on ensuring all the methyl ethyl bad stuff in our home was securely locked away from the prying fingers of our daughters. No more bad dreams. Although I did have a dream wherein I saw my late colleague sleeping peacefully on a sofa in one of the Ice Storm evacuation shelters. She was surrounded by elderly Holocaust survivors. I could tell they were survivors because of the numbers tattooed on their forearms. One of them said, “She’s our angel.” I don’t understand suicide. Never have. I can’t imagine anything that could drive me over the threshold of the living and into the valley of the dead. With no opportunity to hook a u-turn and head back home if the experience didn’t pan out the way I thought it was going to go down. It must be a torturous decision to make. I don’t know what drove my friend to the edge of the void and then into the vast beyond of emptiness. I only hope she is at peace wherever her soul has gone. What a Workout! Be well. Practice big medicine. Hal Newman Oct 27 07 http://www.bigmedicine.ca/halnewman.htm from Steve Dashwood Promote Volunteer Ambulance Officers VAOAT Polar Fleece Vests & Polo Shirts ~ now available (For social functions only, not to be worn on cases or when representing TAS) • Polo Shirt (short sleeves) with VAOAT logo, range of colours, S to 5XL ~ $25.00 • Polo Shirt (long sleeves) with VAOAT logo, in navy, black or white, plus a limited range of other colours (contact Marg & we’ll try to accommodate you), S to 3XL ~ $30.00 • Navy Blue Vest with VAOAT logo, sizes from XS to 3XL ~ $30.00 • Windcheater with VAOAT logo, various colours, sizes from S to 5XL ~ $40.00 To order, contact - Marg Dennis 4 Nevin Street, Rossarden 7213 Tel/Fax: (03) 6385 2147 Email: mldennis@skymesh.com.au OR go to our website Online Shop: www.tasmanianambulancevolunteers.asn.au/online_shop.php 16 - FIRST RESPONSE - MAY 2011 WORD SEARCH How many words of 4 letters or more can you make from the given letters? Namesakes by Virgo The following pairs (sometimes famous in different fields) each share the same surname. Answers are in alphabetical order. 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18) 19) 20) 21) 22) 23) 24) 25) 26) 27) 28) 29) Anthony and Louis (9) Barbara and Johann Sebastian (4) George and Rosemary (7) Phil and Pauline (7) James and Oliver (8) Peter and Ted (4) Brian and Jacob (7) David and Robert (5) Richard and Ruth (6) Nathaniel and Nigel (9) Ben and Paul (5) Amy and Henry (6) Alan and Tom (5) Graham and Nigel (7) Ben and Charles (8) Jerry and Hayley (5) Gus and Paul (8) Bert and Isaac (6) Cynthia and Richard (5) Clive and Wilfred (4) Brad and William (4) Dennis and Randy (5) Debbie and Joshua (8) Charlie and Martin (5) Mark and Robert (6) Kim and Oscar (5) Esther and Vaughan (8) Edward and Joanne (8) Loretta and Robert (5) In making a word, each letter may be used once only. Each word must contain the centre letter & there must be at least one 9-letter word in the list. No plurals or verb forms ending in “s”, no words with initial capitals and no words with a hyphen or apostrophe are permitted. The first word of a phrase is permitted (eg inkjet in inkjet printer). Target - 23 words Solution - The Back Page X Y T E T H E R P A woman who had thrown a dinner party, at which raw oysters, curried lamb, and steamed mussels were all served, met her physician on the street the following day. “I’m sorry you weren’t able to come to my party last night,” she said. “You are so busy these days, and I think it would have done you some good to have been there.” “Your party has done me good,” he said. “I’ve just seen five of your dinner guests.” When you get right down to it, one of the most important tasks of a leader is to eliminate his people's excuse for failure. ~ Robert Townsend The Australian Crossword Club Solution - The Back Page At a psychiatric hospital a psychiatrist sets a test to determine the mental progress of his three top patients. He gets three chairs and repaints them. Before they dry, he repositions them in a room in such a way that one is in front of the other. After this, he calls the three patients and asks them to seat down. The first two gladly sit on the wet chairs at the front. However, the third who comes in last takes one look at the wet chair and then proceeds to the corner of the room where there is a pile of papers. He takes one sheet which he drapes on the wet chair before sitting. Surprised by the action of the third, the doctor asks him why he draped the sheet of paper on the wet chair, ʺThatʹs easy,ʺ came the reply, ʺSeeing that I am seated at the back, I needed to be a bit raised if I wanted to see whatʹs happening at the frontʺ FIRST RESPONSE - MAY 2011 - 17 VAOAT Online - http://www.tasmanianambulancevolunteers.asn.au DISCUSSING THE ENVIRONMENT WITH HIS FRIEND, JOHN ASKED “WHICH OF OUR NATURAL RESOURCES DO YOU THINK WILL BECOME EXHAUSTED FIRST? “THE TAXPAYER,” REPLIED HIS FRIEND. Who’s Who? President: Pam Fanning lyrad@austarnet.com.au Ph: 6462 1404 V/President: Cheryl Wilson Ph: 6265 3703 wilson71@westnet.com.au Treasurer: Lesley Green Ph: 0404 466 019 satin.peewee@gmail.com OR treasurer@tasmanianambulancevolunteers.asn.au Secretary: Dianne Coon Ph: 6471 7017 diannecoon@hotmail.com OR info@tasmanianambulancevolunteers.asn.au Solution to KWIK KWIZ 1/Armstrong; 2/Bach; 3/Clooney; 4/Collins; 5/ Cromwell; 6/Egan; 7/Epstein; 8/Frost; 9/Gordon; 10/Hawthorne; 11/Hogan; 12/ Irving; 13/Jones; 14/Kennedy; 15/Kingsley; 16/Lewis; 17/Mercurio; 18/Newton; 19/Nixon; 20/Owen; 21/Pitt; 22/Quaid; 23/Reynolds; 24/Sheen; 25/Taylor; 26/Wilde; 27/Williams; 28/Woodward; 29/Young. Solution to WORD SEARCH ether, exert, expert, HYPERTEXT, pert, peter, petty, pretext, pretty, rete, retype, teeth, tether, text, thee, there, they, three, tree, tret, trey, type, tyre. Board members: Marg Dennis Ph/Fax: 6385 2147 mldennis@skymesh.com.au Wayne Doran Ph: 6259 5697 wayne.doran@dhhs.tas.gov.au George Hudson geo.hud@bigpond.com Ph: 6375 1560 Keitha Munro Ph: 0414 076 815 Keitha.Munro@justice.tas.gov.au Pat Taylor pta13854@bigpond.net.au Ph: 6375 1046 Jack Van Tatenhove Ph: 6428 6462 tatenhovejack@hotmail.com Public Officer }Dianne Coon Publicity Officer } TAS COMMITTEE REPS Fleet: George Hudson Equipment: George Hudson Uniform: George Hudson Ph: 6471 7017 Ph: 6375 1560 Ph: 6375 1560 Ph: 6375 1560 Any concerns? - we’re here to help, but before approaching the Association please try to resolve problems first, via the correct chain of command in your region. I start a new job in Seoul next week. I thought it was a good Korea move. Closing Date for next edition of First Response - 16th July 2011 (but please send a.s.a.p.) VAOAT Newsletter Policy All contributors must ensure that material for inclusion in the newsletter or on the website has the approval of any persons mentioned in the article. Marg Dennis Editor, First Response *** ADVERTISING RATES Commercial advertising is accepted, subject to available space; rates are: Opinions expressed in the newsletter are not necessarily those of the editor. Compiled by Margaret Dennis, 4 Nevin Street, Rossarden 7213. Tel/Fax: (03) 6385 2147 Email: mldennis@skymesh.com.au Printed at the office of Dick Adams MHR 18 - FIRST RESPONSE - MAY 2011 ¼ Page (8.55x12.5 cm) - $5 per edition ½ Page (17.5x12.5 cm) - $10 per edition Full Page (17.5x25.25 cm) - $15 per edition No charge for VAOs & non-profit organisations. VAOAT reserves the right to refuse or alter ads at our discretion; we do not endorse any product advertised.
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