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Health and Fitness

MS

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#1 of 33

     Posted Nov-3 4:56 PM   
Bob B
 
From  Bob B  Posts 322  Last 7:32 PM
To  All      [Msg # 190434.1 ]    

All,

Both my Son-in-Law and Daughter-in-Law have recently been diagnosed with MS.  I'm looking for information.  Any thoughts!

Bob

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#2 of 33

     Posted Nov-3 5:48 PM   
JohnC
 
From  JohnC  Posts 77  Last 5:51 AM
To  Bob B      [Msg # 190434.2 Message 190434.2 replying to 190434.1 190434.1 ]    

Bob,

My wife who passed away on 14th October had MS since 1989. She was 44 when diagnosed. She was working at a London hospital when diagnosed and continued working for about two years before she needed crutches to walk. She was medically retired and was soon in a manual wheelchair by which time she had to give up driving because she did not have enough feeling in her feet to operate the pedals safely.

In 1995 she got the first pressure sore on her buttock, a result of sitting in a wheelchair  all day long. At the same time she was hospitalised for the abscess it was decided that a urostomy would be the best solution to her bladder being unable to hold her urine. That hospitalisation took 5 months. Similar abscesses occurred in 1998 and 2001 with long hospital stays.

In about 2001 she was issued with a power chair and, about 4 years ago, an even more adapted powerchair.

Three years ago she developed a large wound on her right thigh which never healed and this year it needed surgery which meant that since February she was confined to bed 24/7. This resulted in a huge pressure sore on her right buttock which, eventually required more surgery from which she never fully recovered.

We had a good 20 years together after diagnosis and, despite her disability, we were able to do lots of things until about four years ago.

I know others who have survived MS for much longer and some who did not make it for anywhere near as long.

Margaret's MS was never remitting so she did not qualify for the interferon treatment which I know has helped many people to live almost normal lives.

The severity of MS varies so much between people that I would not even consider predicting any outcome, all I can say is a good neurologist is essential.

There are many supposedly magic cures out there and most of them I would classify as snake oil.

Kind regards,

 

John

Diabetes Forum
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#3 of 33

     Posted Nov-3 7:02 PM   
dave
 
From  dave  Posts 1040  Last 6:12 AM
To  Bob B      [Msg # 190434.3 Message 190434.3 replying to 190434.1 190434.1 ]    
Both my Son-in-Law and Daughter-in-Law have recently been diagnosed with MS<<

Are they blood-relatives of each other, or is this a coincidence?

As to your question, what John said otherwise, start with Google and read, .

You might look here for starters. http://www.mult-sclerosis.org/forumschat_link.html
"Any fool can appreciate California. To appreciate Kansas requires subtlety and character and
attention.
" --Wes Jackson
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#4 of 33

     Posted Nov-3 8:32 PM   
Bob B
 
From  Bob B  Posts 322  Last 7:32 PM
To  dave      [Msg # 190434.4 Message 190434.4 replying to 190434.3 190434.3 ]    

No blood relationship however DIL father had MS.

Bob

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#5 of 33

     Posted Nov-4 3:25 AM   
JohnC
 
From  JohnC  Posts 77  Last 5:51 AM
To  Bob B      [Msg # 190434.5 Message 190434.5 replying to 190434.4 190434.4 ]    

Bob,

I have yet to see any real evidence that there are any hereditary links to MS.

Kind regards,

 

John

Diabetes Forum
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#6 of 33

     Posted Nov-4 5:13 AM   
Bob B
 
From  Bob B  Posts 322  Last 7:32 PM
To  JohnC      [Msg # 190434.6 Message 190434.6 replying to 190434.2 190434.2 ]    

John,

Thanks for sharing your experiences.  Maybe someday they'll find a cure.

Bob

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#7 of 33

     Posted Nov-4 6:26 AM   
Paula
 
From  Paula  Posts 11  Last 1:58 PM
To  Bob B      [Msg # 190434.7 Message 190434.7 replying to 190434.1 190434.1 ]    

Dear Bob,

      I'm sorry to hear about the illness of your SIL and DIL.  I haven't any gems of wisdom about MS, but if they are employed, it is probably worth thinking very carefully and deeply about if /when to let any coworker or employer know about their diagnoses.   While there are laws (e.g., ADA) to protect people who are disabled or perceived to be disabled, it is often extremely difficult to prove that illegal discrimination was the basis for job termination even in a better business climate.

      I would also urge someone do some investigation and thinking about their long-term disability insurance. If they currently have LTD through their employer, it is important that they understand their insurance before leaving their job, including being laid off, not just quitting.  If they do not have LTD, they might want to look for a job that does, including government work.  LTD insurance through an employer is not necessarily more advantageous than individual LTD, but it might not be possible now for them to obtain individual LTD insurance. It might be available through some kind of alumni or organization group they qualify for, though.  Someone needs to look into these things now so that plans can be tucked away for whatever proves to be the situation if there is a change of employment or a condition of disability develops.

      It's the type of diagnosis that most people do not manage to just seamlessly incorporate into their lives overnight, so it might be helpful to speak with a clinical psychologist about their distress and feelings, as well as about how to approach reducing the amount of stress in their lives and manage stress in the most helpful way possible for their health.  Doing this from the start can help avoid the common problems when the strain of putting on a brave face or other ideas about how to cope lead people to damaged relationships, isolation, and drinking, etc.

     Hoping both your SIL and DIL will be able to get all the help they need,

           Paula

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#8 of 33

     Posted Nov-4 7:00 AM   
Bob B
 
From  Bob B  Posts 322  Last 7:32 PM
To  Paula      [Msg # 190434.8 Message 190434.8 replying to 190434.7 190434.7 ]    

Paula,

SIL is employed by Koch Industries which has been very supportive.  DIL is recently unemployed.  LTD is a valid issue and needs to be explored further.  ADA laws can be very difficult to prove.  It is probably not worth raising the issue with DIL at this point.

There are a few positives in the bad situation.  Both now know what ails them.  DIL thought she might be going crazy.  Also, DIL father had MS so this is not entirely new to the family.  Medical science has come a long way, e.g. MRI's.

I do appreciate your comments.

Bob 

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#9 of 33

     Posted Nov-4 1:11 PM   
Dot Welch
 
From  Dot Welch  Posts 5146  Last 2:44 PM
To  Bob B      [Msg # 190434.9 Message 190434.9 replying to 190434.1 190434.1 ]    
Bob, I'm so sorry to hear about the diagnoses of your SIL and DIL.  MS is something I know essentially nothing about, other than that some patients have remissions during which their condition doesn't worsen, and some get relentlessly more disabled as time goes on.  I hope both your SIL and DIL have the type that gives them a break.

Dot

Life isn't about waiting for the storm to pass; it's about learning to dance in the rain.

  --Anonymous

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#10 of 33

     Posted Nov-4 2:03 PM   
JohnC
 
From  JohnC  Posts 77  Last 5:51 AM
To  Dot Welch      [Msg # 190434.10 Message 190434.10 replying to 190434.9 190434.9 ]    

Dot,

If I may just add a little to what you said. Remission and remitting seems to offer a better choice of treatments than progressive.

As far as progressive is concerned it seems that the older the person is when first diagnosed the slower the progression. We have met too many younger people with MS who, sadly, had a short life after diagnosis.

 

John

Diabetes Forum
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#11 of 33

     Posted Nov-4 3:38 PM   
Bob B
 
From  Bob B  Posts 322  Last 7:32 PM
To  JohnC      [Msg # 190434.11 Message 190434.11 replying to 190434.10 190434.10 ]    

John,

DIL is late 20's, SIL is late 30's.  Let's hope they are the exception.

Bob

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#12 of 33

     Posted Nov-4 3:51 PM   
JohnC
 
From  JohnC  Posts 77  Last 5:51 AM
To  Bob B      [Msg # 190434.12 Message 190434.12 replying to 190434.11 190434.11 ]    

Bob,

From our experience there does not seem to be any sure way of predicting the outcome.

One of the doctors Margaret worked with had MS for many years and only needed a walking stick to help her balance. One of our sons teachers had very bad MS for many years and, one day, it went away. We saw her at the hospital for her neurologist appointment and she was walking almost normally. The previous time we saw her she was struggling to get along with two crutches.

It is a most unpredictable disease.

Kind regards

 

 

John

Diabetes Forum
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#13 of 33

     Posted Nov-4 4:06 PM   
Bob B
 
From  Bob B  Posts 322  Last 7:32 PM
To  JohnC      [Msg # 190434.13 Message 190434.13 replying to 190434.12 190434.12 ]    

John,

The worst of it is the grandkids.  DIL has two daughters 1 and 3yrs old.  SIL has 2 daughters and a son.  The one year old, sits and smiles, never cries and has no idea of what is in store for her.  It just breaks your heart.

Bob

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#14 of 33

     Posted Nov-6 1:25 AM   
Dot Welch
 
From  Dot Welch  Posts 5146  Last 2:44 PM
To  JohnC      [Msg # 190434.14 Message 190434.14 replying to 190434.10 190434.10 ]    
As far as progressive is concerned it seems that the older the person is when first diagnosed the slower the progression. We have met too many younger people with MS who, sadly, had a short life after diagnosis.

I'm holding out hope that stem cell research will come up with an answer.

Dot

Life isn't about waiting for the storm to pass; it's about learning to dance in the rain.

  --Anonymous

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#15 of 33

     Posted Nov-6 1:49 AM   
dave
 
From  dave  Posts 1040  Last 6:12 AM
To  Dot Welch      [Msg # 190434.15 Message 190434.15 replying to 190434.14 190434.14 ]    
I'm holding out hope that stem cell research will come up with an answer.<<

Or some other avenue. For so many ailments we're living in a golden age of research. For instance, one of my bugaboos-the syrinx- is something that would, in the fairly recent past, have been diagnosed at autopsy. MRIs (and I imagine CT scans) can see them now, no need to die first. And thus  research has fairly exploded.

In the case of MS, I rather imagine a similar situation obtains. If nothing else, all things neuro are advancing at a pace undreamt of when we were in school. For instance, I've lately posted some things about the advance in understanding of glilal cells. Glial cells produce myelin..

Stem cell research is indeed another area where the rapid (comparitively) advance in our understanding engenders hope for breakthroughs in the understanding and treatment of MS.

Of course, experimental treatments are frequently denied by insurance companies. Let's hope for a breakthrough in that  area too.
"Any fool can appreciate California. To appreciate Kansas requires subtlety and character and
attention.
" --Wes Jackson
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#16 of 33

     Posted Nov-6 10:01 AM   
ccarlandict
 
From  ccarlandict  Posts 525  Last 6:11 PM
To  JohnC      [Msg # 190434.16 Message 190434.16 replying to 190434.5 190434.5 ]    
> I have yet to see any real evidence that there are any hereditary links to MS.<

Its anecdotal and my years may be a bit off.

About 20 years ago one of a neighbors twins in her mid 30s developed MS.  After about five years she was no longer able to practice density and returned here buying a house three blocks over from her mother.  She used canes increasingly over the next ten years, rounded up supplies for a free dental clinic, and attended the Walnut Valley Festival with her sister every year.

The point is her identical twin has not developed MS.
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#17 of 33

     Posted Nov-6 6:05 PM   
Dot Welch
 
From  Dot Welch  Posts 5146  Last 2:44 PM
To  dave      [Msg # 190434.17 Message 190434.17 replying to 190434.15 190434.15 ]    
For instance, one of my bugaboos-the syrinx- is something that would, in the fairly recent past, have been diagnosed at autopsy.

What is the syrinx?  My Merriam-Webster says it's a vocal organ of birds, but I have a sneakin' suspicion that you mean something else.

Of course, experimental treatments are frequently denied by insurance companies. Let's hope for a breakthrough in that  area too.


You'd think that insurance companies would figure out that experimental procedures now save them tons of money in the future.

Dot

Life isn't about waiting for the storm to pass; it's about learning to dance in the rain.

  --Anonymous

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#18 of 33

     Posted Nov-6 6:18 PM   
dave
 
From  dave  Posts 1040  Last 6:12 AM
To  Dot Welch      [Msg # 190434.18 Message 190434.18 replying to 190434.17 190434.17 ]    
A syrinx is the title symptom of syringemyelia. It's a cyst on the inside of the spinal chord. Bobby Jones- the golfer- was a famous sufferer. I think his was diagnosed while he was alive, but they were never sure till autopsy, and usually never suspected (and probably even missed most of them then). They show up plain as day on an MRI.
     The spinal chord begins as a single cell, of ourse, then several, then it starts to roll-up on itself like you'd roll up a magazine. Thus, there is a very narrow little channel down the center. Sometimes, spinal fluid get injected into it (hence the "syringo", or sometimes, "hydrosyringo").It's associated with Chiari malformations- where the cerebrellar tonsils protrude through the foramen magnum- and with spina bifida. The latter is why web siters discussing this tend to be dedicated to the memory of some kid who died young-yikes! Oh,right, he had spina bifida real bad....I don't.
     Mine was most likely caused by some trauma when I was young. I have a favorite suspect, but mom says no way, but she remembers some time when I was too young to remember,so between us....and the neuro says that's as likely as anything. I don't have a chiaru malformation. Almost- the tonsils do stick a good way down there, but clearly don't reach the foramen magnum, much less protrude through it.
"Any fool can appreciate California. To appreciate Kansas requires subtlety and character and
attention.
" --Wes Jackson
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#19 of 33

     Posted Nov-7 2:21 AM   
Dot Welch
 
From  Dot Welch  Posts 5146  Last 2:44 PM
To  dave      [Msg # 190434.19 Message 190434.19 replying to 190434.18 190434.18 ]    
I didn't realize your spinal problems were that complicated!  I actually thought you had a more advanced case of essentially what I have.

BTW, the Klonopin that the doc thought would help me sleep isn't much good for sleeping, but it sure helps with my lumbar muscle spasms now that I have no choice but to do heavy lifting several times a day ... at least too often to ask a neighbor to help.  Lifting laundry, taking out the trash, bringing in new bags of kitty litter, etc.

Dot

Life isn't about waiting for the storm to pass; it's about learning to dance in the rain.

  --Anonymous

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#20 of 33

     Posted Nov-7 2:39 AM   
dave
 
From  dave  Posts 1040  Last 6:12 AM
To  Dot Welch      [Msg # 190434.20 Message 190434.20 replying to 190434.19 190434.19 ]    
I actually thought you had a more advanced case of essentially what I have.<<

That's my primary complaint. The syrinx just complicates matters


>><  Lifting laundry, taking out the trash, bringing in new bags of kitty litter, etc.<<

A PT I once worked with said that she and her cohorts had done a study (of sorts) and found that, of all the things people normally do, the one that omost puts your spine at risk is doing laundy.

As I'm sure you oknow, proper posture and lifting technique is critical. Done right, lifting is not a problem for your spine-lift cars if you want to .

Done improperly, lifting a handkerchief can completely blow out a disc. So remember:lift with your legs, not your back.
"Any fool can appreciate California. To appreciate Kansas requires subtlety and character and
attention.
" --Wes Jackson
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