The recent passing of beloved Australian children's TV star Fiona MacDonald at the age of 67 has cast a spotlight on the importance of recognising the early warning signs of Motor Neurone Disease (MND). Diagnosed with this relentless neurodegenerative disorder just three years prior, MacDonald's battle with MND ended after she chose to cease treatment, leaving a poignant farewell message that her sister Kylie shared on social media.


'Farewell, my friends. My sister Kylie is posting this because I have left the building - Hopefully, I'm looking down from a cloud,' her statement read, a testament to her enduring spirit and the impact she had on many.


Motor Neurone Disease, also known as Amyotrophic Lateral Sclerosis (ALS) or Lou Gehrig's disease in other parts of the world, is a condition that progressively damages the nervous system, leading to muscle weakness and impacting essential functions such as walking, speaking, and breathing. The disease is not fully understood, and currently, there are no effective treatments to stop its progression.


In Australia, more than 2,300 individuals are living with MND at any given time, with approximately two people diagnosed or succumbing to the disease daily. The risk of MND increases with age, and the odds of being diagnosed are about one in 300.

Fiona MacDonald's initial symptom was slurred speech, particularly when tired, which is a common early warning sign of MND. Recognising these early symptoms is crucial for seeking timely medical advice and support. Here are six critical signs that should never be ignored:

1. Muscle Twitching and Cramps: Early signs of MND can include muscle twitches, cramps, or a rippling sensation under the skin. While twitching can occur due to various benign reasons such as tiredness or stress, it's important to monitor if it's accompanied by other symptoms.


2. Extreme Tiredness: MND can cause significant fatigue, as the motor neurones in the brain and nerves gradually deteriorate. Fatigue often becomes more pronounced as other symptoms of MND manifest.

3. Weakness in Ankles or Legs: Difficulty with walking, frequent tripping, or challenges in climbing stairs may indicate muscle weakness in the ankles or legs, a symptom of MND. This can lead to a 'foot drop,' where one foot drags or feels weak.

4. Weak or Stiff Hands: If you find yourself dropping objects or struggling with tasks that require a firm grip, such as opening jars or buttoning clothes, this could be a sign of MND-related weakness in the hands.


5. Slurred Speech: As experienced by MacDonald, slurred speech is a significant early warning sign of MND. Weak muscles in the face, mouth, tongue, or throat can lead to speech difficulties and trouble swallowing.

6. Emotional Outbursts: MND can also affect cognitive and behavioural functions, leading to emotional lability. This can result in uncontrollable crying or laughing in situations where it is not appropriate.

It's essential to remember that these symptoms can also be indicative of other conditions, so it's important to consult a healthcare professional for a proper diagnosis. If you or someone you know is experiencing any of these symptoms, don't hesitate to seek medical advice.


As we remember Fiona MacDonald and her contributions to Australian television and the joy she brought to children and families, let's also take this opportunity to raise awareness about MND. Early detection and support can make a significant difference in managing the symptoms and improving the quality of life for those affected by this devastating disease.
We invite our readers to share their experiences or thoughts on this topic in the comments below. Have you or someone you know been touched by MND? How did early recognition of symptoms make a difference? Your stories can help others feel less alone and more informed about this condition.