How is MS Diagnosed?

" Union. Hello -- and I any parent and I. And we're here to talk you about that -- required in determining diagnosis of multiple -- Multiples or of the current technical that he had -- president at that and it's. Really fraught with a lot of anxiety. Or listening to this tape. Some position had either told you that you might have --"

" You're likely to have them -- that it would act and act and the."

" And the next few minutes we'd like to talk about some ugly and Asian at a position -- intra."

" And that's a suspect."

" Land any individual -- and neurological symptoms."

" That lasts more than 24 report it out what can that your logic and can be."

" While it usually something -- one of the difficulty with vision particularly blurred vision making double. -- usually involving a large part of your body why in both legs and Armin -- Difficulty with lowering your speed or ultimate -- ancient and sent him."

" No I think you've got most of them wrecked and I think that's one of the things that in and out of a particular problem not only for us and neurology. But for people they diagnosis of that is the uncertainty and then multiple different kinds of symptoms. And ways at -- does he can present."

" Certainly I think it's important to recognize that it and that's being considered armed and you want in any one individual. They must have eight Geraldine dramatic and cannot last for 24 to four hours. A little bit of numbness in her -- Google the numbers and finger between now and ask not mean and that. But let you have that and you see can be -- the knowledge. What -- in that game isn't a wallet. Order while certainly you undertake history and it'll be very important for you to -- Go back in your life and try to write down by Ann Arbor -- lot of intolerance -- can be very --"

" Absolutely Rick and I think one of the important things to do is that when you're sitting at home in thinking about your own history. It's easy to come up with an idea here there. Got one year in the doctor's office would -- in that position and a nurse and -- other -- members of the health care team a lot easier had a note written down about what you think some of the symptoms. And don't be afraid to write down things that you think will not be related at all that a family member may bring up to -- that you don't think are related. Used that information to work with your neurologist and your team to help make that I."

" A."

" Very important. Frequently. Position -- I interaction is directed by the position and expectation doesn't get enough time he -- out all their concerns identifying them at a time is in quite helpful. Here neurologist after it has a complete history how it will patent on to a complete physical examination. And I'm a physical examination. And Kerala -- or any evidence of just function."

" In America. Can relate to patient can relate them motor functioning coordination fine motor movements. Balance strength they can relate to sensation and."

" And most neurologist look at particularly at a loss and healing vibration -- movement at that point or you can change in temperature. Also bladder and polished it is or something happened early on and I can be particularly. Troublesome for the patient and they may not particularly. Bring to be that was."

" Great great can we can also see people who have problems with cognitive function. In -- sit in the early a major memory problem that it can be problems with. Fine details problems and remembering. Multiple. Facts about a situation or problems organizing our thoughts are -- again an important reason to try to get as much done. Prepared for a had a time before you get to her own."

" Absolutely and I actually opens on an all out and he's something that you need to talk to you with your health care provider that you may not actually talent that. What I want all of that has done. What are an -- likely oracle part or all of you know the first. An MRI and a half. An MRI scan as a person would be the most set that diagnose -- from multiple -- Multiple sclerosis a disease characterized. By inflammation. Of the brain and you worked with in the final report. And when that inclination occur. Characteristic. Lesion or -- is seen on the Yamaha. And position hand -- looking at the -- a spot abnormalities on -- Get an idea about the relative likelihood. That -- pattern and inflammation doesn't. Represent. -- form of multiple around. I can be frightening experience include people not only in terms of going into it and I'll in terms of the results."

" right Rick and one of the important things to think about it is that MRIs are done that are very important to help us not only make a diagnosis of them initially. But how to track the progress of the disease. Despite the fact that you may have had an MRI done months ago perhaps when you're having symptoms the doctor is asking to have another MRI repeated. It may be very very good idea to do is act because it does is changes -- only within the person but on the MRI -- well."

" Yeah and in fact and those of you had a single episode. -- our lives -- the samurai Jack an event that. You do not technically have clinically definite. You have what we call chronically late it's syndrome with MR I allegation. That was people are higher likelihood to develop. And need to be treated. And one of the ways we can determine whether and that's actually occurred it and serial MRI scans and eat it people acquire and -- over time with or without them."

" And it's also very important that if you had had a scan done. Somewhere else to bring it along so that it can be compared with subsequent scans that are really important aspect for the diagnosis and ask. Looking at changes over time. There are other diseases can simulate and that are not -- and -- most commonly are quite are quite an inflammatory disease of the Central America and."

" Lyme disease at least in the northeastern United States. But sometimes other diseases such as little or even -- each while the ocean so it's important to recognize that there is no single tax. I -- and maps."

" And I think. One of the other things -- to mention is that sometimes doctors will order things like visual evoked potential study or how to treat evoked potential studies. And that person may feel that they really don't have any vision changes our vision problems but these kinds of -- can give us -- information that we may not pick up."

" Unequivocal Lerner a logic -- It's very true and although we do you -- Lombard and cures for Spinal Tap or examining -- spinal fluid. It still has a wall and defining. What mania and what may be in the air and and that's. I wish there was unique single tax that you could do -- that somebody has that. And a number of people are living in that limbo where the doctors every. -- and may or may not recommend it hot there. But others have attacked us -- clinically definite where we you know there is very important."

" Indeed it wants a diagnosis of up clinically definite and -- and that's a snake. There's been very strong consideration giving him starting some sort of -- not -- therapy and that again the reason why it's so important. To actually seek out how to diagnose or one where the other yeah you have amassed no you don't. Or just in neurologist who can give you that differential diagnosis that doctor lunch hour and I just."

" And I'd like to thank you for joining us I hope this program has been helpless or I'm dr. -- much."