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The night was winding down, as were we. I was in the kitchen leaning against the counter. I was waiting-- listening for the popcorn that I had just put in a pot on the stove to start popping. Suddenly Mandy came into the kitchen, took something out of the fridge, and then walked past me and into the living room. The caregiver in me woke. Out of the corner of my eye I noticed that little ‘hitch’ in Mandy’s walk. Ninety-nine out of a hundred people wouldn’t see it. If you’re reading this, perhaps you too are a caregiver. If so, then you probably see it too every now and then. Sometimes it’s nothing, but more often than not it’s like that little change in the wind on a clear, sunny afternoon. Almost imperceptible-- but there nonetheless. Storm’s coming. “What’s wrong with your leg,” I asked? A slight pause-- “Nothing,” came the reply. “Uh-huh, OK...,” I said. And that was that. But we both knew-- both...
Treatment The goals of treatment for multiple sclerosis are: Modify the disease course by reducing the number and severity of relapses (also called exacerbations or flares), reducing accumulation of lesions, and slowing the progression of disability Treat relapses on a short-term as-needed basis Manage symptoms Patients are recommended to seek care from a neurologist experienced in treating multiple sclerosis. Early Treatment . Evidence strongly suggests that the most destructive changes from multiple sclerosis in the brain occur very early on in the disease process -- and may cause considerable damage even before symptoms begin. Many doctors recommend treatment after a first neurological episode of MS (a clinically isolated syndrome) using disease-modifying drugs. The best current approach is to use specific findings from MRI scans to determine patients at highest risk for progression, making them likely candidates for early treatment with these drugs. Over a third of patients will progress e...
Consider the following hypothetical situations: 1. You’re at a family gathering and talking to Cousin MD.
“Cousin MD, I’ve got a question. Whenever I try to make a prayer sign behind my back, my left shoulder hurts. What should I do?” Cousin MD: “Cousin, I suggest you don’t do that.”
2. You’re at home (age 12 or so) and talking to your Mom.
“Hey Mom, I’ve got a question. Whenever I touch the hot stove, it hurts my fingers. What should I do?” Mom: “DON’T DO THAT!! You’ll burn yourself.”
3. You’re meeting a friend for lunch at a local restaurant.
Friend: “Goodness! How did you do that to your hand?” “Do what?” (looking at your left hand) Friend: “I mean THAT, look at the side of your right hand.” “Oh, I didn’t know that was there. I don’t know. Maybe I burned my hand on the iron w...
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