Factors from common human bacteria may trigger multiple sclerosis

Tuesday, November 24, 2009

Farmington, CT – Current research suggests that a common oral bacterium may exacerbate autoimmune disease. The related report by Nichols et al, "Unique Lipids from a Common Human Bacterium Represent a New Class of TLR2 Ligands Capable of Enhancing Autoimmunity," appears in the December 2009 issue of The American Journal of Pathology.

Multiple sclerosis (MS), a disease where the immune system attacks the brain and spinal cord, affects nearly 1 in 700 people in the United States. Patients with multiple sclerosis have a variety of neurological symptoms, including muscle weakness, difficulty in moving, and difficulty in speech.

Porphyromas gingivalis, a common oral bacterium in humans, produces a unique type of lipid, phosphorylated dihydroceramides (DHCs), which enhance inflammatory responses. These lipids are also likely produced by bacteria found in other parts of the body including the gastrointestinal tract. To determine if these lipids accentuate immune-mediated damage in autoimmune disease, researchers led by Robert B. Clark and Frank C. Nichols of the University of Connecticut Health Center administered phosphorylated DHCs in a mouse model of MS. The severity of disease was significantly enhanced by the addition of these lipids in a manner that was dependent on activation of the immune system. These data suggest that phosphorylated DHCs from bacteria commonly found in humans may trigger or increase the severity of autoimmune diseases such as multiple sclerosis.

The authors state that "while it is clear that the immune system in most individuals has the potential to attack self-tissues, the "tipping" factors that initiate and propagate autoimmune diseases such as multiple sclerosis in only a subset of individuals remain unknown. Overall, [their] results represent the first description that phosphorylated DHCs derived from common human bacteria are capable of enhancing autoimmune disease." Thus, these lipids may function as "tipping" factors, playing a previously unrecognized role in initiating or exacerbating human autoimmune diseases. In future studies, Dr. Clark and colleagues plan to characterize the effects of phosphorylated DHCs on specific cells of the immune system and to identify how and where these lipids are deposited in tissues throughout the body. In addition to the role of these lipids in triggering and worsening MS, the authors believe that phosphorylated DHCs may have the potential to serve both as new markers of MS disease activity and as new targets for therapeutic intervention.

Monday November 23, 2009

Monday, November 23, 2009

Happy Monday everyone! Today is the first day of a short week of work due to Thanksgiving this Thursday. I am going to be slammed the rest of the week editing car shows at work. At least the days will fly by. Thanksgiving is going to be a busy day for Kristain and I. We have lunch at her parents home here in Louisville then we have to go to Etown for dinner at my parents. Lots of eating so I'll have to pace myself, HA HA! Thanksgiving has become my favorite holiday. Spending the day with family, watching football and eating of course! Does anyone have any big plans?

Today was the first day in a long time that I can honestly say I feel good! No tingling, no numbness and not much fatigue. I guess the steroids have finally evened out totally and are doing what they are designed to do. Thank goodness!

Women with MS or epilepsy do not have dramatically riskier pregnancies

Sunday, November 22, 2009

By Andy Dworkin, The Oregonian

November 22, 2009, 5:00AM
Pregnant women with epilepsy or multiple sclerosis have a slightly higher risk of having their babies grow at an abnormal rate. But overall, they seem able to have fairly normal, healthy pregnancies, Stanford University scientists report. Many women of childbearing age have epilepsy or MS, two common neurological problems. These women often worry about how their illness or medicines they take might affect a pregnancy. So researchers scanned records for more than 18 million U.S. babies born from 2003 to 2006, including more than 10,000 deliveries by mothers with MS and almost 5,000 by epileptic mothers. About 3.8 percent of moms with epilepsy and 2.7 percent of women with MS had an abnormal fetal growth rate, above the 1.9 percent average for healthy women. Women with the nerve diseases were also more likely to have a c-section. But the were no more likely than other women to have high blood pressure or have their water break early. Lead researcher Dr. Eliza Chakravarty said women with MS or epilepsy need to be monitored more carefully during pregnancy, but “just having MS or epilepsy shouldn't be a determining factor in whether you should have a baby."

Sunday Morning


I know this is a blog about how I deal with Multiple Sclerosis on a daily basis but....I have to start with how ecstatic I am this morning on the HUGE win my Kentucky Wildcats football team had last night in Athens, GA against the University of Georgia Bulldogs! 1977 was the last year UK went "Between The Hedges" and came home with a victory. Now the Cats are 7-4 with one game remaining against the hated Volunteers from Tennessee who come to Lexington for Senior Day next Saturday. BIG WIN Cats! Enjoy it! Here are some highlites from the game. Yesterday was also a big day for me as I went to Lexington to see Kentucky play Rider in basketball. UK won 92-63 for what has to be their best game so far in this young season of action. The three freshmen starters are finding their roles and they are coming together as a team. If they keep improving game to game, they will be un-beatable. Here are some highlites from that game. Now that all the sports stuff is out of the way, I am doing really good. Finally the after-effects of the steroids are gone and I feel "normal" again. I had a few instances yesterday at the UK game where I felt off and it might have been the loud noise and cramped conditions stressing me out, who knows. My feet are really the only thing bothering me right now. They continue to feel half asleep and it's annoying. They aren't too bad right now, when I walk though they get worse. Well everyone, enjoy your Sunday, I have another big day of football watching ahead of me!

Saturday

Saturday, November 21, 2009

I am getting ready to head to Lexington, KY to watch my beloved University of Kentucky Wildcats play basketball against Rider. at historic Rupp Arena. My buddy Aaron called me Thursday and invited me to go after he was given 2 free tickets from someone he knows. I am pumped to see this new revival of Kentucky basketball with the lofty expectations at hand. They are REALLY young but as talented a team I've seen since the 1996 National Championship team that produced 7 NBA players. I'll have more for you later, possibly from the game itself. Enjoy your Saturday!

It's The Weekend!

Friday, November 20, 2009

Happy Friday everyone! It's almost 8:00 Friday evening and Kristain and I just got home from having dinner at our favorite Mexican restaurant. We are both stuffed and are about to settle in and watch a DVD. I felt pretty good today but this evening I've been having some balance issues. I feel a little "off" when I walk but nothing to worry about. Tomorrow I am going to the UK/Rider game in Lexington with my friend Aaron. I'll hopefully have some photo's to post afterward. Well, enjoy your Friday and I'll check in tomorrow!

New therapies addresses suffering of MS patients

Thursday, November 19, 2009

Published: Thursday, November 19, 2009

The Multiple Sclerosis Clinic at Toronto's St. Michael's hospital has been treating MS patients for 25 years now, and the prospects for more effective therapies to address both the progress of the disease and their suffering have never looked brighter, says Dr. Paul O'Connor, its director.

"We have made enormous advances in our ability to understand the disease, to diagnose it in early stages and to provide therapies that slow its progress and reduce the frequency of relapses," he says. "We already have at hand five different therapies and I know of at least five more in the pipeline, two of which will be in pill form and will probably be available sometime in the next two years.

"Already we are finding ways to address the disease and have new therapies that, in some patients, seem to improve the quality of life MS can profoundly affect."

If there is a message to convey to people with MS and their families, it is one of bright hope today and for the future, he says.

Dr. O'Connor says today's approach to MS is indeed a far cry from that of 25 years ago. One of the great challenges then was simply reaching a diagnosis. While magnetic resonance imaging (MRI) technology was starting to become available in the early and mid-1980s, few clinics had access to it.

"We relied more on CAT scans and they did not show the detailed images of the brain that we needed for accurate diagnosis," he says.

But as MRIs found their way into the mainstream, physicians such as Dr. O'Connor were better able to understand the nature of the disease. They could see and track its progress.

"We originally thought it was a disease that came and went," he says. "The MRI helped us to understand it was a progressive disease with periods where the body's immune system actively attacked the nerve sheathing and the brain.

"We could physically see the effects and understand it progressed through stages of remission and relapse."

The next major advance came in 1995, with the introduction of a new injectable therapy that seemed to be able to reduce the incidence of relapses by about a third. Granted, symptoms that affected quality of life - such as pain, spasticity, bladder spasms and a feeling of having a longlasting case of the flu - had to be addressed separately. The injectable's great contribution was relief from relapses. At the same time, there were side effects. Their nature and severity varied widely from patient to patient.

"Since then, we have made great progress," Dr. O‚Connor says. "We now have five different therapies available." Four are injectables and are regarded as first-line treatments.

The fifth was introduced in 2007 and is a monthly infusion-based treatment provided at clinics like Dr O'Connor's.

"The injectables can be administered by the patient at home one to three times a week, depending on the type of therapy and the needs of the patient. With the infusion therapy the patient goes to a clinic once a month, where the drug is slowly infused into the body."

The new infusion therapy, while regarded as an option after first-line drugs have been tried with limited success, does indeed seem to offer some major benefits, Dr. O'Connor says. His experience is based on the result from 160 patients for whom he had prescribed the drug.

"It seems to reduce relapses by two-thirds instead of the one-third reduction experienced with previous therapies," he says. "There is also anecdotal evidence that many patients report a distinct improvement in quality of life while on the drug."

The infusion therapy operates differently than previous injectables, Dr. O'Connor explains. It uses a protein that adheres to molecules in the immune system that can potentially damage organs and prevents them from entering the brain where they could create lesions.

In about one in 1,000 cases, however, the blocking of immune agents can have a serious side effect. Should a virus make its way into the brain it may be able to multiply and create a serious infection unimpeded by the body's natural infection-fighting agents, which the drug has blocked.

"The side effects are indeed worrisome," Dr. O'Connor says. "But in medicine, there is no free lunch. Almost all therapies have an element of risk and often, the more effective the therapy is, the greater the risk."

His observation is that risk rises according to the time a patient is on the infusion therapy. The first two years represent a risk factor of less than one in 1,000. That rises to one in 1,000 in the third and subsequent years.

"Patients must always be well-informed about the risk involved with any medication and make their own decisions about accepting those risk levels," he says.

"At the same time, with the new infusion therapy the results have been very positive. It appears to reduce relapses, seems to restore energy and a good many patients report it restores a greater quality of life."

Thursday November 19th, 2009

Another pretty good day for me today! The effects of the steroids are finally wearing off and other than some lingering numbness and tinging I feel good. This is going to be short because Kentucky is coming on against Sam Houston State and I don't miss UK games. I'll try to check in later tonight after the game and my other shows. The one night of the week that I have shows I really watch and there's a UK game and an NFL game on too. Thank goodness for DVR!

Hump Day November 18th, 2009

Wednesday, November 18, 2009

It was back to work today after taking off yesterday to rest and try and recover from the solumedrol steroid IV's. I must say, I feel a lot better today. I don't feel as broken down as the last 3-4 days but I am still experiencing some tingling and numbness. I still haven't called about changing my neurologist and getting a referral. I need to do that tomorrow.

So my hits to my blog are down, any suggestions as to what I can do to keep the hits up? For a while I was getting well over 100 hits per day. Now it's back down to like 45-50. Any thoughts? I am going to run some ideas by some friends and co-workers about some possible NEW additions to my blog. Hopefully they can drive more people to my site. In the mean time, let's lighten the mood with a video from "Saturday Night Live" I saw the other day that made me laugh.

Walking and talking at the same time more difficult with MS

Tuesday, November 17, 2009

Do people with MS have a harder time multi-tasking when both motor and cognitive functions are involved? That's the question that a team of researchers sought to answer in a recent study. They put 18 MS subjects and 18 controls through tests involving walking, or performing a cognitive task, or doing both simultaneously. Walking function was measured by walking on a special carpet fitted with electronic sensors to measure speed, swing time, and other parameters. Cognitive function was measured by having the subjects listen to sequences of numbers and then repeat those sequences back. Measurements on these tests when the tasks were conducted simultaneously were then compared to baseline measurements taken when the tasks were performed by themselves. Compared with the controls, the MS group did show a greater decline in performance on both measures in the dual-tasking vs. single-tasking mode.

The decrease in performance when dual-tasking was correlated with self-reported fatigue, as well as with a general cognitive screening measure, but it was not correlated with disease duration or severity. The study couldn't determine the root cause of the dual-tasking impairment, which the authors suggested might be a type of attention deficit or overloading of working memory. Regardless of the underlying cause, the authors suggest that people with MS be aware of this potential problem, particularly since the results imply that walking while performing other tasks might increase the risk of falls.

Tuesday November 17th, 2009

Well I stayed home from work today. The last 4-5 days have really taken a toll on me after the solumedrol steroid IV's. My symptoms are REALLY firing. As I mentioned yesterday, it's like the IV's did the opposite of what they were intended to do. My walking is off a little, my legs and feet are really tingling and my hands feel like they are alseep. STRANGE! Hopefully all this will wear off soon! I am also contemplating changing to a different Neurologist, one who specializes in Multiple Sclerosis. I am going to call my family doctor tomorrow and see what he thinks.

Today looks to be the start of winter here. It's been raining all day and there's a chill in the air. The weathermen are saying a big cold snap is coming the next few weeks so this might be the beginning of a cold, long winter!

Multiple sclerosis more aggressive in children: Study

Washington: Multiple sclerosis (MS) diagnosed in childhood is more aggressive and causes more brain lesions than that detected in adulthood, according to magnetic resonance images (MRI) performed by University at Buffalo researchers.

However, patients with pediatric-onset MS-- which comprise up to 5% of total MS cases--develop disabilities at a slower pace than patients with adult-onset MS, the data showed.

"Patients with pediatric-onset MS have three times as many relapses annually than patients with adult-onset disease, which suggests there is greater disease activity in this population," said Bianca Weinstock-Guttman.

"But surprisingly, the average time to reach the secondary progressive phase of the disease is longer in patients who develop MS in childhood than in adult onset MS. Reaching the next stage of disability is almost 10 years longer in pediatric-onset patients," she continued.

MS causes demyelination-- destruction of the sheath that protects and insulates nerve fibers. Breaks in the myelin sheath disrupt the flow of electrical impulses, causing loss of sensation and coordination.

The UB study involved four sets of patients--17 children with an average age of 13.7 who were diagnosed with MS 2.7 years earlier; 33 adults with an average age of 36.5 years who were diagnosed with pediatric MS 20 years earlier; 81 adults with an average age of 40 who have had MS for an average of 2.6 years; 300 adults with an average age of 50.5 who've had MS for 20 years.

All participants underwent a brain MRI scan and specific MRI metric analysis.

The MRI measured two types of brain tissue damage--T1-lesion volume, which shows "black holes," or hypointense lesions, which are areas of permanent axonal damage; and T2-lesion volume, which shows the total number of lesions (lesion load) and overall disease burden.

Both of these measures indicated that MS is more aggressive in children in the early stages, said the researchers.

"This corresponds with recent data that suggest a higher lesion burden in pediatric MS than adult-onset MS. These findings are somewhat surprising, considering we have assumed that children generally have a greater capacity for central nervous tissue repair," they added.

"Our findings, which are limited to a cross-sectional study design, suggest that children have a somewhat better reserve and functional adaptability than adults, but less support for a better remyelination process. However, the remyelination process may require a more in-depth prospective analysis," said Weinstock-Guttman.

She said that the data support the need for early diagnosis and therapeutic intervention in paediatric MS patients. The study was published online on November 5.


Ugh...

Monday, November 16, 2009

The steroid IV's I finished Saturday are kicking my butt. They have really taken a toll on my body. It's like they did the opposite of what they were intended to do. My symptoms are firing! Tingling all through my legs, hands and feet and I just feel spent. No energy and I just want to sleep. I haven't felt this bad in a while. Sorry to be a downer...

Mobile Blogging from here.

H1N1 Linked To Vitamin D Deficiency

Sunday, November 15, 2009

By HERB DENENBERG, For The Bulletin
Sunday, November 15, 2009
According to a recent study, as many as 77 percent of all Americans may be deficient in the vitamin essential for bone health and which may prevent H1N1 (Swine Flu) and seasonal flu, wheezing, winter-related eczema, upper respiratory infections and may help prevent cancer, autoimmune diseases such as multiple sclerosis, Type 1 diabetes, certain infectious diseases, myocardial infarctions – heart attacks – and many other serious diseases.

When subgroups of the population are considered, depending on which of the many reasonable definitions of deficiency are accepted, the picture is even more ominous. For example, an important new study from Children's Hospital in Boston found that as many as 80 percent of Hispanic children and 92 percent of black children, what the study calls non-Hispanic black children, may also be deficient in this vitamin.

We're talking about vitamin D, also called the sunshine vitamin and often considered the nutrient of the year, if not the decade. Its power as a determinant of human health can be captured by what happens when someone is D deficient. They are at risk for what is called rickets in children and osteomalacia in adults.

In its most extreme form, the bones soften and almost melt, making them so fragile that the simple act of walking up steps may cause bones to fracture and slight movement may cause excruciating pain. In its most severe form, a blood test for vitamin D may show zero. Dr. Fred Kaplan, an eminent orthopedic surgeon at the Hospital of the University of Pennsylvania, whose patient had zero D, said this is rare even in Third World countries.


Why, in the land of plenty and, now, also in the land of over-consumption, overweight and obesity, can there be an epidemic of a vitamin D deficiency or any other nutrient? The reasons may not be fully understood, but the picture is still clear: Over time, we have obtained most of our vitamin D from the sun. When ultraviolet B rays hit the skin they cause the formation of vitamin D. But, in an age of sunscreens and well-placed fear of skin cancer, we tend to either stay out of the sun or use a sunscreen to shield us from its rays, including the ultraviolet B ray.

Even if you stayed in the sun all day in some locations, you would not get enough vitamin D. For example, north of Philadelphia, between November and March, the suns rays are not strong enough to precipitate the formation of vitamin D. And, during early morning and late afternoon, the sun’s rays are not strong enough to generate vitamin D. That’s a big part of the picture, as authorities find that exposure to the sun is the main determinant of vitamin D in humans. This leads us to the next source of vitamin D — our food. Some dairy products, such as milk, are fortified with vitamin D, but we tend to avoid dairy products due to their cholesterol and saturated fat content. Other sources are fatty fish such as salmon, tuna, mackerel, and herring. Still other sources are fortified cereal and other foods such as orange juice, now, often fortified both with vitamin D and calcium. But, most people don’t eat enough of these foods to get enough vitamin D. So, that leaves supplementation with multi-vitamins that include D, combination calcium and vitamin D pills, or vitamin D stand-alones.

There may be another reason for the epidemic – the epidemic of the overweight and obese, who cannot process vitamin D efficiently and are, consequently, more likely to be vitamin D deficient. One final reason for identifying the epidemic is better testing methods for vitamin D. There is a simple blood test now used to determine vitamin D status.

Still another reason for the D epidemic is the aging of the population, as older people — even the middle-aged — are more likely to have D deficiency.

There are other risk factors for a D deficiency, but they probably don’t play a big role in the growing number of people with that deficiency. Consumer Reports catalogued the following risk factors: “Being dark-skinned, middle-aged, or overweight; having a history of gastric-bypass surgery or a condition that interferes with the ability to absorb nutrients from food, such as celiac disease; having a history of kidney or liver disease, multiple sclerosis, osteoporosis, or thyroid problems; taking medications that reduce blood levels of vitamin D, such as cholestyralmine (Questran and generic), colestripel (Colestid and generic), certain anticonvulsants; or orlistat (Alli, Xenical)” (Consumer Reports on Health, Nov. 2009).

This epidemic of vitamin D deficiency recently came into focus with the publication of an important study led by Dr. Jonathan Mansbach at Children’s Hospital In Boston. The study appears in the November issue of the journal Pediatrics. The study looked at vitamin D levels of 5,000 children and, extrapolating to the entire U.S. population of children, found that millions were receiving what the study called suboptimal levels of D. As noted above, depending on the definition of deficiency or suboptimal levels, the study found 80 percent of Hispanics and 92 percent of black children were at the suboptimal levels. Others have previously documented widespread vitamin D deficiency in children. For example, Dr. Babette Zemel, a vitamin D expert at Children’s Hospital of Philadelphia (CHOP), who is Director of the Nutrition and Growth Laboratory of that hospital and Associate Professor of Pediatrics at Penn’s medical school, found that 55 percent of children she studied were vitamin D deficient, in a study published in 2007.


The Mansbach study notes that we’re far from knowing everything we should about how to bring children and adults up to optimal levels, how to avoid any long-run adverse consequences and exactly what level of vitamin D is optimal.

It does recommend, in view of its findings, that children take vitamin D supplements because of the clear health benefits from doing so. The study doesn’t make specific recommendations, but the American Academy of Pediatrics recommends that children with inadequate sun exposure get a daily intake of at least 400 International Units of vitamin D — vitamin D3 is now recommended as it is better absorbed than D2. The adult recommendations, according to a report in The American Family Physician, as cataloged by www.medscape.com, are as follows:

• In older adults, vitamin D supplementation of 700 to 800 IU per day is associated with a lower risk for falls ... and fractures.

• To prevent vitamin D deficiency, adults with inadequate sun exposure should have a vitamin D intake of 400 to 600 IU per day.

• Adults with vitamin D deficiency, except for those with malabsorption syndromes, should receive maintenance dosages of 800 to 1,000 IU of vitamin D per day.

Dr. Zemel recommends that most adults take vitamin D supplementation of between 1,000 and 2,000 IU of vitamin D, which seems to make the most sense in view of the evidence that I’ve reviewed. Of course, you may want to run this issue past your doctor at your next visit. She said there is some variability in the response to vitamin D so, some may reach optimal levels with 1,000 IU, while others may require more. In severe deficiency cases, more aggressive supplementation may be called for, such as 500,000 IU by injection.

The Medscape report also notes that excessive amounts of vitamin D can be toxic. It states, “Because vitamin D is fat soluble and can be stored in fat, there are concerns regarding toxicity from excessive supplementation. Signs and symptoms of vitamin D toxicity may include headache, metallic taste, nephrocalcinosis or vascular calcinosis, pancreatitis, nausea, and vomiting.” There is a study indicating toxicity is reached at 10,000 I.U. daily. Dr. Zemel told me vitamin D toxicity is extraordinarily rare.

You can be sure there will be continuing and extensive studies of vitamin D to answer many questions. Dr. Mansbach says, “We need to perform randomized controlled trials to understand if vitamin D actually improves these wide-ranging health outcomes. At present, however, there are a lot of studies demonstrating associations between low levels of vitamin D and poor health. Therefore, we believe many U.S. children would likely benefit from more vitamin D.”

Although evidence is not clear on how to prevent H1N1 flu, the suggestions for prevention include taking vitamin D supplements, especially in the winter. In a report in the Examiner.com, five simple steps are recommended to prevent H1N1:

• Get enough vitamin D.

• Use proper hygiene — for example, frequent hand washing, cough into your elbow instead of your hands and avoid contact with public surfaces with your hands whenever possible.

• Adequately rinse the nose and throat.

• Get enough sleep.

• Consume plenty of garlic and other antiviral herbs.

Dr. Zemel believes it is too early to make hard and fast conclusions on the vitamin D/H1N1 connection. Dr. Charlene Compher, an expert on diet and health at Penn, agrees it is too early to draw conclusions on H1N1. But, Dr. Zemel and others note that vitamin D does strengthen the immune response and, therefore, may be useful in preventing H1N1.

Dr. James E. Dowd, a professor of medicine at Michigan State University and Diane Stafford stated, in their book The Vitamin D Cure, about the flu/vitamin D connection, “More respiratory infections during the winter are probably directly related to lower vitamin D production.” They note several factors contribute to the winter infection scenario. In the winter, there aren’t as much ultraviolet B rays, which inactivate many viruses. With less ultraviolet B getting through, humans produce less vitamin D of their own. Finally, vitamin D is important to mobilize the immune system response to infections. As a result of all this, respiratory infections start to rise in late September and peak in February. So, Dr. Dowd’s final advice is to forget the chicken soup with too many noodles, too much salt, and too little chicken and take vitamin D instead. My final advice is to get chicken soup that doesn’t have too much salt, too many noodles, and too little chicken and get someone who can make unsalted chicken soup, with the noodles and chicken you want and, then, take your vitamin D.

Dr. Bruce Kinosian, a geriatrician at Penn and an expert on diet and health, did sound a cautionary note, that vitamins thought to be a magical cure-all often turn out to have quite the opposite effect. He cites a long list of such vitamins of the year, which later fizzled. The most prominent case involved vitamin E, which, in excessive doses, was found to cause lung cancer in a segment of the population.

Perhaps the most fundamental preventive approach was recently recommended by Dr. Sidney Wolfe of the Health Research Group. He said take the most powerful and effective drug — a healthy lifestyle. This is the same prescription written over 800 years ago by the eminent Jewish physician and philosopher Maimonides, who said most of us die as a result of our lifestyle. Sometimes ancient wisdom is more powerful than modern technology.

I can’t resist one more observation on Maimonides. He was born In Cordoba, Spain in 1135. But Cordoba was soon taken over by a Muslim sect that demanded all infidels convert to Islam. So the family had to emigrate. He ended up in Cairo, where he practiced medicine. Of course, I doubt, if he were alive today, even the greatest physician of his time would not be allowed to practice medicine there. Does this piece of history suggest, the more things change, the more they stay the same, and does it also after a sad commentary on the state of human progress?

Herb Denenberg can be reached at advocate@thebulletin.us.

Sunday November 15th, 2009

Well my Bengals pulled off the season sweep of their hated rivals from Pittsburgh this afternoon! An ugly 18-12 win but a win non the less! So the Bengals are now in first place all alone in the AFC North! Huge day for the Bengals!

I am REALLY tired and sleepy today after not sleeping good at all really the lady 3 nights after having the 3 solumedrol steroi IV drips. My legs are really today also after the IV's. I guess
reaks they break down the muscls
or something. Getting off the couch or walking up the stairs hurts. Well, I am going to go lie on the couch and maybe fall asleep. Have a great upcoming week!

Mobile Blogging from here.

Sunday...Game Day!


As you may have learned from reading my blog the last 10 months, I am a HUGE sports fan and my favorite NFL team is the Cincinnati Bengals. Today the Bengals are in Pittsburgh to take on their hated divisional rival Steelers. This is a HUGE game because the winner will be in first place in the AFC North Division. The Bengals beat the Steelers at home already but that means nothing today. I am so excited yet nervous too. The Steelers are defending Super Bowl champs and have been in big games like this. The Bengals haven't been in a PLAYOFF game since 2005 when they lost to the Steelers. So a lot is on the line today. I'll check back in later this evening, hopefully with some good news from the game. Enjoy your Sunday!

Saturday November 14th, 2009

Saturday, November 14, 2009

Well I finished my three solumedrol steroid IV's this morning! I slept a lot better last night with the help from a Xanax but I was up around 6:30am, I just didn't wake up as often. I ran some errands afterward and now I am watching football and was dozing on the couch so I got up to wake up. Tonight, Kristain and I are going over to her parent's who are watching two of her nieces while her nephew is at the other grandparent's. I am looking forward to it, I love playing with them! I actually feel really good today! The steroids seem to be kicking in and I feel great for now! Hopefully they'll last through Thanksgiving. Well, I am going to get back to the UK/Vandy game, it's halftime now. I'll try and check in again tonight. Enjoy your Saturday!

Friday The 13th

Friday, November 13, 2009

Well I had my second of 3 solumedrol steroid IV drips this afternoon. I REALLY hope I sleep better than I did last night. It felt like I was up ever 45 minutes to an hour. I think I am going to pop a Xanax before bed. I have my third and final IV tomorrow morning at 9:30.

Research into Blood Flow in the Brain and Venous Insufficiency, or CCSVI, in MS

A few recent reports have revived ages-old speculation about a possible dysfunction of brain blood flow and/or drainage in individuals who have MS. For example, one study involving 65 people with different types of MS compared with 235 people who were healthy or had other neurological disorders, a strong relationship was found between MS and signs of venous insufficiency – suggesting that blood drainage by veins may be blocked, causing or contributing to nerve tissue damage. This study, by Paulo Zamboni, MD (University of Ferrara - Ferrara, Italy) and colleagues, was published in the June 2009 (J Neurol Neurosurg Psychiatry 2009; 80:392-399). If confirmed, these findings may open up new research avenues into the underlying pathology of MS. Further research is now underway.

The idea that MS may involve a problem in blood circulation was an early idea that was eventually dismissed as more research suggested that immune-system attacks and inflammation played a pivotal role in the damage to nervous system tissues. A few recent studies have posed the idea that lower blood flow in the brain might contribute to nervous system damage.

In the recent study by Dr. Zamboni and colleagues, they screened for abnormalities of blood outflow in major veins draining from the brain to the heart in 65 people with different types of MS, compared with 235 people who were either healthy or who had other neurological disorders. They used sophisticated sonography techniques to detect abnormalities of vein drainage. The investigators found significant evidence of slowed and obstructed drainage in the veins draining the brain in many of those with MS. They also found evidence of the opening of “substitute circles” – where the flow is deviated to smaller vessels to bypass obstructions, and these were often found to have reverse flow (reflux) of blood back into the brain.

The investigators called this venous obstruction “chronic cerebrospinal venous insufficiency,” or CCSVI. The treatment status of the people with MS did not appear to influence whether they showed signs of CCSVI. The authors speculate that the reverse flow of blood back into the brain might set off the inflammation and immune-mediated damage that has been well described in MS.

If confirmed, these findings may open up new research avenues into the underlying pathology of MS, and further research is now underway. One study getting underway was described at the 2009 ECTRIMS meeting in September. It involves a collaboration between researchers in Italy, Buffalo (NY) and Birmingham (AL) who are attempting to treat venous obstruction in 16 individuals using balloon dilation such as has been used for many years to treat blocked arteries.

Many questions remain about how and when this phenomenon might play a role in nervous system damage seen in MS, and at the present time there is insufficient evidence to suggest that this phenomenon is the cause of MS.

Frequently Asked Questions About CCSVI and MS

Q: Do these reports of a possible association between insufficient vein drainage and MS mean that MS is caused by venous insufficiency?
A: No. Based on results published about these findings to date, there is not enough evidence to say that obstruction of veins causes MS, or to determine when this obstruction may occur in the course of disease.

Q: If CCSVI turns out to be important in MS, can it be treated?
A: No one knows yet. At least one small study is testing the effects of balloon dilation inside an obstructed vein to determine whether that procedure would be beneficial.

Q: I have MS. Should I be tested for signs of CCSVI?
A: No, unless you are involved in a research study exploring this phenomenon, since at this time there is no proven therapy to resolve any abnormalities that might be observed, and it is still not clear whether relieving venous obstructions would be beneficial.

Q: Does CCSVI make the standard treatments of MS meaningless?
A: No. There is ample evidence proving that the FDA-approved therapies for MS provide benefit for people with most forms of MS.

Q: Will the National MS Society fund research into CCSVI in MS?
A: The National MS Society welcomes research proposals from any qualified investigators whose research questions are relevant to multiple sclerosis. All proposals received are thoroughly evaluated for their relevance and excellence by our volunteer scientific peer review panels. At the present time, we have not been approached for funding any projects related to CCSVI. If we receive a proposal related to CCSVI that is found to be outstanding and relevant to MS, we would likely commit to fund such a study.

Thursday November 12th, 2009

Thursday, November 12, 2009

I started the first of 3 solumedrol steroid IV drips today. I go again tomorrow and Saturday to finish up. This is the first time since first being diagnosed in January that I am having 3 in a row. I'm not looking forward to it altering my sleep! Usually I wake up around 5:00AM wide awake and ready to go! I am going to take some Benedryl tonight before bed to hopefully help me stay asleep! If anyone else has gone through the solumedrol drips, do you have any suggestions on the sleep thing?

New drug once used as bird poison shows promise for Multiple Sclerosis

Wednesday, November 11, 2009


Dr. Andrew Goodman
University of Rochester



An FDA panel is looking into the possibility that a new drug named Ampriva is helping people with Multiple Sclerosis. The drug is a reconfigured form of fampridine, which was originally used as a bird poison.

The Food and Drug Administration is reviewing reports that the medication has helped with mobility for people crippled with MS.

It's possible that the FDA will put this on the fast track because of the positive reports.

The new drug is different because it improves the nervous system function in people suffering from MS, and right now, the best that MS drugs can do is keep the progression of the disease from getting worse, and not change the already damaged nerves.

Ampriva is supposed to help protect the myelin which is damaged in people with MS. That damage is what affects movement and walking in some people with the disease.

So far, more than one-third of the people taking the new drug have been able to walk faster.

Dr. Andrew D. Goodman
, director of the Multiple Sclerosis Center at the University of Rochester and the lead investigator in the clinical studies, said that "this can mean things like getting to the bathroom on time before having an accident, or getting across the street before the light changes."

Despite the obvious improvements, however, MS patients continue to get worse over time, Goodman's research shows. The results are slight at the moment.

Dr. Goodman says, "Things that people have described to me are, 'Look, I can get around the supermarket without having to hold on to the cart all the time,' or 'Just getting up that step between the garage and the house gives me independence.' "

The bird poision has been known to cause seizures and convulsions at high dosages.

Hump Day November 11th, 2009

Another week is almost over! It's Wednesday evening, almost 10:00PM and I just watched "The Taking of Pelham 123". John Travolta and Denzel Washington, not great. So now I am contemplating going to bed, I'm tired. So tomorrow I finally start the 3 days in a row of Solumedrol IV drips. Fun stuff I tell ya. It's at 3:30 then again Friday afternoon then Saturday then I'm done. Some early mornings are on my horizon! LOL
I had a lot of tingling in my feet today, more so than I have recently. It's such an annoying feeling. Hopefully the Solumedrol will ease all this! Well good night and have a great Thursday!

Want to know what it's like to have MS?

Thanks to Kath Ibbetson for this:

When We Say We Can’t do Something Because We don’t Feel Well, Put yourself in Our Shoes By Using The Examples of our Symptoms Below…


- Painful Heavy Legs: Apply Tightly 20 LB ankle weights and 15 LB thigh weights then take a 1 mile walk, clean the house, go shopping and then sit down – how ya’ feeling now?


- Painful Feet: Put equal or unequal amounts of small pebbles in each shoe then take a walk, if we are mad at you we would prefer needles to pebbles.


- Loss of Feeling in Hands and/or Arms: Put on extra thick gloves and a heavy coat then try and pick up a pencil, if successful stab yourself in the arm.


- Loss of Feeling in Feet and/or Legs: Ask a doc for a shot of novocaine in both of your legs and then try and stand up and walk without looking like the town drunk. Hopefully you won’t fall down.


- TN (Trigeminal Neuralgia): Take an ice pick and jam it into your ear or cheek whenever the wind blows on it, or a stray hair touches it. If you want something easier to do, get someone to punch you in the jaw preferably daily.


- Uncontrollable Itching: Glue or sew small steel wool pads to the inside of your shirt, pants and undergarments wear them for an entire day.


- Tingling: Stick your finger in an electrical socket – preferably wet.


- Tight Banded Feeling: Put 12 inch wide belt around you and make is as tight as you can and leave it there for the entire day. How ya’ breathing?


- Shots: Fill one of our spare needles with saline solution, saline won’t hurt you, we would love something worse but don’t want to end up in jail. Give yourself a shot everytime we do our shot.

- Side Effects From the Shot: Bang you head against a wall, wrap yourself in a heating pad, wrap your entire body with an ace bandage tightly then finally treat yourself to some spoiled food or drink.


- Trouble Lifting Arms: Apply 20 LB wrist weights and try and reach for something on the highest shelf in your house.


- Spasticity: Hook bungee cords to your rear belt loops and rear pant leg cuffs then for your arms hook bungee cords to your shirt collar and cuffs on shirt sleeves then go dancing.


-Poor Hearing/Buzzing in Ears: Put a bee in each ear and then put a plug in each one…Bzzzzzzzz

- Balance and Walking Problems: Drink 100 proof grain alcohol and then sit and spin in an office chair for 30 minutes, now get up and see what happens.


-Urgently Needing to Pee: We put a .5 liter remote controlled water bag and drip tube in your pants, we point out 2 restrooms in a crowded mall, then we tell you that you have 30 seconds before we activate the water bag (by remote control) to get to a restroom. Just for spite we may make that 20 seconds without telling you.


- Bizarre and Inexplicable Sensations: Place tiny spiders on your legs or arms and allow them to periodically crawl around throughout the day, heck all day would be good too.


- Pins and Needles: Stab yourself repeatedly with needles all over your body or better yet….Get a very large tattoo in your most sensative area.


- Dizziness (Vertigo): Get on a gently rocking boat all day and all night and take several walks around the deck with your eyes closed.


- Fatigue: Stay awake for two full days to induce incredible fatigue and then cook dinner, clean the house, walk the dog and see how you feel. Please do not compare MS fatigue to you being tired from only a few hours of sleep – it’s not the same at all.


- Cognitive Function (Brain Fog): Take a liberal dose of sleeping pills but stay awake. Try and function properly and think clearly. To make it even more real without killing yourself of course, take the sleeping pills with a small sip of wine.


- Bowel Problems: Take a 4 day dose of an anti-diarrhea medicine followed directly by a 3 day dose of stool softeners for a minimum of 3 weeks, at the end of 3 weeks sit down on a hard uncushioned chair and stay there til tears appeared.


- Burning Feeling: Make a full pot of boiling water and then have someone fill a squirt gun with the boiling water and shoot it at yourself all day long. However, you can give us the pleasure of shooting you instead…optional of course.


- Intention Tremor: Hook your body to some type of vibrating machine try and move your legs and arms…..hmmm are you feeling a little shaky? You are not allowed to use anything fun for this lesson.


- Buzzing Feeling When Bending Our Heads to Our Chest (L’Hermitte’ s): Place an electrical wire on your back and run it all the way down to your feet, then pour water on it and plug it in.


- Vision Problems (Optic Neuritis): Smear vaseline on glasses and then wear them to read the newspaper.


- Memory Issues: Have someone make a list of items to shop for and when you come back that person adds two things to the list and then they ask why you didn’t get them. When you come back from shopping again they take the list and erase three things and ask why you bought those things.


- Foot Drop: Wear one swim fin and take about a 1/2 mile walk, nothing else needs to be said for this one, you’ll get it.


- Depression: Take a trip to the animal shelter everyday and see all the lonely animals with no home. You get attached to one or more of the animals and when you come back the next day you come in while they are putting her/him asleep.


- Fear: Dream that you have lost complete feeling in your feet and when you wake up wiggle your feet, just so happens they don’t move. Think about this every night wondering whether something on your body won’t work the next day when you wake up.


- Swallowing: Try swallowing the hottest chili pepper you can find.


- Heat Intolerance or Feeling Hot When it’s Really Not: You are on a nice vacation to Alaska. It’s 35° outside and 65° inside. Light a fire for the fireplace and then get into it. Once you have reached about 110° tell me how you feel, even a person without MS would feel bad, now add all of the above symptoms


Welcome to our world.


Then Finally…
After subjecting yourself to the items above, let everyone tell you that you are just under a lot of stress, it’s all in your head and that some exercise and counseling is the answer.
Cheree’s Added Note: This may sound harsh or exaggerated, but trust me when I say that it’s all true. MS is most times considered the ‘invisible’ disease because alot of us with MS can walk around looking like we’re ok! What you don’t see are the rough times spent at home, alone, at night, when MS causes us the most pain. The next time you see someone with a chronic illness and see them smiling, just remember that they’re probably dealing with a whole lot more than the eye can see…and let them know that you care!

Veteran's Day November 11th, 2009


I am getting ready to head to work but I wanted to take a few moments and recognize and thank all the Veteran's out there who served in the armed forces to protect our great country. Both my grandfather's served in WWII and I am proud to tell anyone about them. I have one grandfather still here today and I am so proud of what he did and sacraficed during his stint in the ARMY. He almost never made it home and a dear friend of his saved his life and a few weeks later, that brave young soldier paid the ultimate price for his country. In short, PLEASE take a few minutes at some point today to thank a Veteran, no matter when or where he or she served. These people allow us to have what we have today!

Tuesday November 10th, 2009

Tuesday, November 10, 2009

What a day! I was slammed at work but boy did the day go by fast! I am in a really good mood right now and I owe it all to a movie I just watched with Kristain. We had passes to a free screening of a new movie called "The Blind Side" starring Sandra Bullock which opens nationwide November 20th. It's the TRUE story of Michael Oher. Mike grew up extremely poor, a drug addict for a mother and eventually became homeless and was bouncing around and sleeping on friends couches, all at the tender age of 15. I can't do the story justice so I'll let the trailer do it for me. The end is no secret. Michael Oher was the first round draft pick of the Baltimore Ravens in last year's NFL draft and is now starts at Offensive Tackle. When this movie comes out, GO SEE IT! I went in thinking it would be one of those family/feel good movie which it is but it's more than that. It wasn't cheesy. It's real and just tugs at your heart and inspires you. Please take two and half minutes and watch the trailer and also this interview with Michael!

New drug therapies and promising studies offer hope for MS patients

Monday, November 9, 2009

Early diagnosis of multiple sclerosis can change the lives of people living with this chronic disease of the central nervous system.

“Today, there is a huge urgency to make the diagnosis because we know that early and aggressive treatment can alter the course of the disease,” says MS specialist and University of Alberta assistant clinical professor Dr. Brad Stewart. “Back 15 or 20 years, diagnosis was less urgent because we had nothing to offer the patient.”

Then, says Dr. Ruth Ann Marrie, the director of the multiple sclerosis clinic of the University of Manitoba Health Sciences Centre, “treatment largely focused on acute management of relapses — those times when people presented with sudden worsening of symptoms like vision loss, limb weakness or numbness. We tried to help them manage some of the chronic symptoms like fatigue and difficulty in walking.

“We didn’t have medication that we thought could alter the long-term course of the disease.”

In 1995, the first drug treatment that could modify the disease was approved. Shortly afterwards, three more drugs of the Interferon type were added. In 2006, a fifth drug was approved.

“All five” — Avonex, Betaseron, Copaxone, Rebif and Tysabri — “are drug therapies that attenuate the disease by helping control the intensity and frequency of attacks,” says Stewart Wong, the Multiple Sclerosis Society of Canada’s media and public relations national senior manager.

“When you treat MS earlier with some of these disease-modifying therapies, the course of the disease is easier to manage and you have a better quality of life…. The mid-1990s opened the way to a sustained period of hope and progress in medicine, the course of research and how people can live with the disease.”

But Vancouver MS specialist and former medical director of the city’s MS clinic Dr. Stanley Hashimoto says the impact of the therapies introduced in the mid-90s was relatively modest.

“Their impact was exaggerated significantly through a lot of marketing,” he says.

“We needed something that had an actual benefit in terms of therapy and disease modification.”

Dr. Paul O’Connor, the multiple sclerosis program director of St. Michael’s Hospital, Toronto, and president of the Canadian network of multiple sclerosis clinics, agrees “these drugs have modest effectiveness, but their introduction in 1995 did mark the advent of a new era (in MS treatment).”

The next generation of drugs is looking even better, says Stewart.

“All the years of research are really bearing fruit. We may not have a cure yet, but if you can get someone to go into remission 90 or 95 per cent of the time, that’s a whole lot better than we have now. And we have also had some advancement in how we treat secondary progressive MS. We now have an oral medication that works up to 70 per cent of the time to treat exacerbations.”

Monday November 9th, 2009

It's Monday and that means one thing this time of the year: Monday Night Football! The Pittsburgh Steelers travel to Denver to take on the Broncos. it's an important game for me and fellow Bengals fans. A Steelers loss means the Bengals will be in first place all by themselves in the AFC North division! Go Bronco's! The game is about to start.

A pretty good day today. I was super busy today at work but battled fatigue all afternoon and I'm struggling to keep me eyes open now. Tomorrow night Kristain and I are going to a free screening of the new movie "Blind Side". It's a true story about a young man who is in high school and homeless who is taken in bly a wealthy family and they help him become a different person and gain a football scholarship and onto the NFL. I'm looking forward to it. Well gave a great evening! I'm going to go watch football.

Mobile Blogging from here.

Obese Teens Have Greater Risk of Developing Multiple Sclerosis

Submitted by Denise Reynolds RD on Nov 9th, 2009
A study of 238,000 women found that those who were obese at age 18 had twice the risk of developing
multiple sclerosis compared to women who were at normal weight as teenagers, according to research published in the journal Neurology.
Researchers from the Harvard School of Public
Health used data from nurses taking part in a large study on diet, lifestyle factors and health. Body size was reported by the women using a series of diagrams at the age of 5, 10, and 20. Obesity was defined as having a BMI of 30 or greater. Over the course of the 40-year study 593 women were diagnosed with MS.
Adolescence was found to be the most critical
period for determining the link between obesity and MS. Body size during childhood and adulthood was not found to be associated with risk of developing multiple sclerosis.
“Our results suggest that weight during adolescence, rather than childhood or adulthood, is critical in determining the risk of MS. There’s a lot of research supporting the idea that adolescence may be an important time for development of disease, so what we have found is consistent with that. Teaching and practicing obesity prevention from the start – but especially during teenage years – may be an important step in reducing the risk of MS later in life for women,” said Kassandra Munger, ScD, lead author of the study.
Multiple sclerosis is a condition caused by the loss of nerve fibers and their protective myelin sheath in the brain and spinal cord, which causes neurological damage. It is most common among women, with a typical age of onset between 15 and 50.
Some experts question the results. Susan Kohlhaas, research communications officer for the MS Society, said: "This study does not account for several other factors that may play a role in causing MS. Based on that, more work is needed.”
Obesity in itself is not typically known as a causative factor in the development of multiple sclerosis, but research has found that MS is complicated by the presence of obesity. Because of similar neurological symptoms, such as numbness and fatigue, obesity makes a diagnosis of MS more difficult, delaying the diagnosis and treatment, as reported in the American Journal of Physical and Medical Rehabilitation (February 2009)
The immune system may play a role in the development of MS. Scientists think that certain body cells appear to attack the myelin sheath and cause inflammation. The researchers from the Harvard study feel that obesity contributes to this inflammatory process.
There is also a link between diet and both MS and obesity. Diets high in saturated fats are likely to make MS symptoms worse. The same diet is linked to weight gain.
Also, previous research has found that people with low levels of vitamin D, such as those living farthese from the equator, have an increaed risk of developing MS. Obesity is also associated with low vitamin D levels in the body.
Gary Birnbaum, director of the Multiple Sclerosis Treatment and Research Center near Minneapolis, feels that there probably isn't any single factor that can explain all cases of MS. "If it were that simple we probably would have been able to figure it out by now," he says. "MS may not be a single disease. It may be a syndrome. The pathway may actually be very different for different people."
Denise Reynolds RD LDN

Sunday November 8th, 2009

Sunday, November 8, 2009


Good morning everyone! It's almost 10:30 here in Louisville and I am watching the "Godfather" and just finished eating some eggs I scrambled. The "Godfather" and "Godfather 2" are two of my favorite movies of all time. Just like everyone, these movies are classics and are eternal. Later today I plan on watching football most of the day and rooting on my Cincinnati Bengals at 1:00. It's going to be 70 degrees here today and I should go out and do something but I have to watch the game first. I feel pretty good so far this morning. I took a Xanax last night before bed and it helped my anxiety thing I was having yesterday. I can't describe the feeling other than it's just anxious and makes me want to jump out of my skin. The feeling is starting to occur a little more often which concerns me but it's really nothing to be worried about. I hope everyone enjoys their Sunday and be safe!

Happy Saturday

Saturday, November 7, 2009


Hey everyone! I hope your Saturday was a good one! I spent the day playing with toddlers. Kristain and I went to her parent's and played with 2 or her triplet nieces and nephew's. Logan and Parker were there while Abbie was home sick. After that we drove to E-town to have dinner at my parent's and they were babysitting my youngest niece Rachel who is 18 months old and just adorable! We had a good day today! I am having some anxiety issues today. Just a real anxious feeling so I am going to take a Xanax and relax on the couch and probably go to bed early. Tomorrow is a big day for NFL football. My Cincinnati Bengals play their division rival Baltimore Ravens in Cincy at 1:00. WHO-DEY! Enjoy the rest of your weekend!

It's Friday!

Friday, November 6, 2009

Happy Friday everyone! A beautiful weekend is shaping up with temps in the 70's here. I had a good day at work and got a lot done. Speaking of work, I want to wish a co-worker Karen Hampton good luck as she undergoes back surgery next week and will be out 2 months.

Right now I am watching UK play an exhibition game against Clarion University and UK us up 68-29 with 15:00 to play. This team is going to be scary good once all the new comers learn the system. I can't wait!

I feel pretty good today except for a few dizzy feelings throughout the day. I'm also really sleepy right now and will probably go to bed early. Tomorrow Kristain and I are going to Elizabethtown for dinner at my parents so that should be fun. Everyone have a great Saturday!

Mobile Blogging from here.

Help Drive Away Multiple Sclerosis by Donating Your Vehicle

This holiday season you can impact the lives of more than 6,000 people in the Ohio Valley area by donating your used vehicle. A new program, Autos-4-MS, encourages individuals or businesses to donate their old vehicles to the National MS Society, in turn, helping fund important programs for those living with multiple sclerosis in our area. One hundred percent of the proceeds from each vehicle benefit the National MS Society and help fund programs for clients living with multiple sclerosis. Programs offered include: Journey Club Kids Camp, Couples Programs, general education and physical health, such as aquatics and yoga. Donating your vehicle will impact the lives of not only those living with MS, but their families as well. The spirit of giving is all around us during the holiday season. Join the movement to create a world free of MS by donating your vehicle today. To do so, contact the Ohio Valley Chapter or visit www.autos4ms.org. About Multiple SclerosisMultiple sclerosis interrupts the flow of information between the brain and the body and it stops people from moving. Every hour in the United States, someone is newly diagnosed with MS, an unpredictable, often disabling disease of the central nervous system. Symptoms range from numbness and tingling to blindness and paralysis. The progress, severity and specific symptoms of MS in any one person cannot yet be predicted, but advances in research and treatment are moving us closer to a world free of MS. Most people with MS are diagnosed between the ages of 20 and 50, with more than twice as many women as men being diagnosed with the disease. MS affects more than 400,000 people in the U.S. and 2.5 million worldwide.About the National Multiple Sclerosis Society, Ohio Valley ChapterThe Ohio Valley Chapter of the National MS Society, founded in 1952, serves more than 6,000 people with multiple sclerosis and their families in 24 Ohio counties and the three northern Kentucky counties of Boone, Kenton and Campbell. The organization is committed to ensuring that people living with MS across our chapter territory have the information and quality care they need to live healthy, productive and independent lives. To meet these needs, a variety of programs and services that span a spectrum of needs are provided. Learn about Autos-4-MS, multiple sclerosis and the Ohio Valley Chapter at fightMStoday.org.

Crossing the line: how aggressive cells invade the brain

Thursday, November 5, 2009

(Nanowerk News) In diseases such as multiple sclerosis, cells of the immune system infiltrate the brain tissue, where they cause immense damage. For many years, it was an enigma as to how these cells can escape from the bloodstream. This is no trivial feat, given that specialized blood vessels act as a barrier between the nervous system and the bloodstream. Until now, tissue sections provided the sole evidence that the immune cells really do manage to reach the nerve cells.
Now, a team of scientists from the Max Planck Institute of Neurobiology, the University Medical Center Göttingen, and other institutes, has witnessed the movements of these cells "live" under the microscope for the very first time. In the process, they discovered several new behavioural traits of the immune cells. The consolidated findings mark a significant step forward in our understanding of this complex disease ("Effector T cell interactions with meningeal vascular structures in nascent autoimmune CNS lesions").
the movement of creeping T-cells (green) inside blood vessels (red)
The picture shows the movement of creeping T-cells (green) inside blood vessels (red) over a period of about 20 minutes. It clearly shows that some T-cells leave the blood vessels - the long exposure lets them leave a green trail as the cells make their way through the brain tissue. (Image: Max Planck Institute of Neurobiology / Bartholomäus)
The brain and the spinal cord monitor and control the functions of all body parts and co-ordinate the whole organism's movements, senses and behaviour. Adequate protection of the brain and spinal cord are therefore of the utmost importance. Physical influences and injuries are warded off by the cranial bone and the vertebral column. Dangers lurking within the body, such as viruses circulating in the bloodstream, are kept at bay by highly specialized blood vessels. The vessels' walls form a barrier that cannot be penetrated by the cells or various other small particles, thus serving to protect the delicate nerve cells.
There are, however, exceptions to the rule. In diseases such as multiple sclerosis (MS), aggressive cells in the immune system manage to break through the blood vessels' barrier. Having invaded the brain tissue, these cells wreak havoc by triggering off inflammatory reactions and attacking nerve cells. In Germany alone, the resulting adverse effects afflict over 120,000 MS-patients.
Tracking down the culprits
Since there is normally a clear division between the blood circulatory system and the central nervous system (i.e. brain plus spinal cord), scientists were baffled as to how immune cells manage to cross the blood-brain-barrier. This knowledge may aid in understanding the origins of multiple sclerosis. In the 1980s, scientists were able to prove conclusively that, under certain conditions, so called T-cells can recognize and attack components of the body's own brain cells. Thanks to tissue sections performed over the last few decades, scientists now have much better knowledge of the migration of these cells from their point of origin to their point of penetration into the brain and the damage that they cause. However, actual observations of such movements long remained impossible
Observing aggressive cells in action
Scientists at the Max Planck Institute of Neurobiology, the University Medical Center Göttingen and their colleagues have now overcome this impossibility. Using a two-photon microscope, the researchers succeeded in tracing the movements of aggressive T-cells labelled with the green fluorescent protein (GFP) in the living tissue of rats. The systematic observation of these cells during the course of the disease provided amazing new insights into the cell's behaviour.
The scientists discovered that the aggressive T-cells overcome the barrier between blood and nerve tissue in a number of steps. Outside the nervous system, the labelled cells moved just as we would expect them to; most cells were floating along with the flow of the bloodstream. Only now and again did a cell attach itself briefly onto the vascular wall. Here they rolled in the direction of the blood stream or were being carried off again by the current. Yet, once the cells reached the blood vessels of the nervous system, they began to act in a completely different manner. The scientists observed here far more cells clinging to the vascular walls. "Things got really exciting when we observed that the cells can actually creep, a behaviour so far unheard of for T-cells", Ingo Bartholomäus relates his observations. Here, "creeping" describes an active cell movement, usually against the flow of the bloodstream. The scientists watched T-cells as they took anything between a few minutes and several hours to creep along the vessels' walls. At the end of such a search movement, the cells were either swept away again by the bloodstream or they managed to squeeze through the vascular wall.
Ominous encounters
Having successfully penetrated the blood-brain-barrier, the cells continued their search in the vicinity of the blood vessels. It was thus only a question of time before the T-cells encountered one of the phagocytic cells abundant on the outer linings of blood vessels and on the surface of the nerve tissue. When a mobile T-cell came across such a phagocyte, the two cells formed a closely connected pair. Some of these pairs remained inseparable for several minutes.
Although the scientists already knew that T-cells must make contact with phagocytes in order to become immune-activated, they were now able to observe these interactions right where they happened, i.e. at the blood-brain-barrier. And indeed, the T-cells did not launch their attack on the nervous system by releasing their inflammatory neurotransmitters until they had bonded with the phagocytes. As a result of the T-cells' activation, more and more T-cells passed through the vascular walls. "The activation of T-cells at the border to the nerve tissue appears to be a decisive signal for the invasion of the immune cells", concludes Alexander Flügel, supervisor of the study and director of the Department of Experimental and Clinical Neuroimmunology at the University Medical Center Göttingen and Head of the MS Hertie-Institute.
Light bulb moments
Thanks to their sophisticated observation methods, the scientists also established that some of the antibodies already being used in MS-therapy cause the creeping cells to disappear. As Ingo Bartholomäus explains "Up to now, it was only known that these antibodies prevented the T-cells' escaping from the blood vessels, but as our observations now show, they actually prevent them from creeping".
Thanks to the scientists' observations, we now have a much clearer picture of how the immune cells move and obtain access to the nervous system. This knowledge is likely to also increase our knowledge of the immune system's security system functions in healthy tissue. However, as is often the case, new insights and information also give rise to many new questions. How do the immune cells manage to cling to the lining of the blood vessels and how do they recognize the weak spots, where they can slip through the barrier between the bloodstream and the nervous system? What governs the cells once they have surmounted the blood-brain-barrier? These are some of the questions the scientists will be addressing next. The long-term goal will be to develop new forms of therapy and medication for multiple sclerosis and other diseases.
Source: Max Planck Society

Thursday November 5th, 2009

Busy day again at work as I had to edit two car shows before my doctor's appointment at 3:00. Everything was good to go at my appointment. The clogged saliva gland I have is a lot smaller and better. I even was able to get an H1N1 vaccination! I had been waiting for one for a few months and they gave me a shot today. Right now I am watching CNN about the big news of the day. A Major in the Army allegedly has killed 11 soldiers at Ft. Hood in Texas. Lot's of questions going around as to why this man did this and why. I'll probably have an eye on this story throughout the evening. My thoughts and prayers go out to all the family members and friends of the victims.

Multiple Sclerosis: What Part Do Relapses Play In Severe Disability?

People with multiple sclerosis (MS) who have relapses within the first five years of onset appear to have more severe disability in the short term compared to people who do not have an early relapse, according to a new study published in the November 4, 2009, issue of Neurology®, the medical journal of the American Academy of Neurology. The study is one of the first to examine how MS relapses affect people during different time periods of the disease. Research shows that 85 percent of people with MS begin by having the relapsing-remitting form of the disease and the majority of these people later develop secondary progressive MS. A relapse is defined in the study as worsening of neurological symptoms for more than 24 hours, without a fever or infection. Because relapse-related symptoms often improve within a few weeks, it's been unclear how much disability comes from relapses, and how much from progression. For the study, scientists reviewed the medical records of 2,477 people with MS who experienced relapses in British Columbia, Canada. The study looked at whether the participants had disability severe enough to require the use of a cane for walking and whether this was related to relapses occurring within five years, five to 10 years, or more than 10 years after onset of symptoms. The participants were followed for an average of 20 years. During that time, the group experienced 11,722 relapses. Scientists found that people who had a relapse within five years of disease onset were at a 48 percent higher hazard (a measure of relative risk) of needing a cane to walk within five years of disease onset than those who did not have an early relapse. Importantly, the impact of the early relapse lessened over time. Those with early relapse who did not need a cane after five years were at only a 10 percent higher hazard (a measure of relative risk) of needing one 10 years after disease onset than those without early relapses. "Our findings may represent an important message to people diagnosed with MS today. Those who have a history of relapses could potentially be offered reassurance that as time goes on, these relapses will have a diminishing effect on their everyday lives," said study author Helen Tremlett, PhD, with the University of British Columbia in Vancouver. "In addition, our study calls upon the need for new medications that target axonal degeneration, which is suspected of causing permanent disability, especially for people who have had MS for many years or who are older at diagnosis." The impact of relapses that occurred later, either at five to 10 or more than 10 years after the start of the disease, also waned over time and became insignificant after long-term follow up. Relapses in people under 25 had a longer impact on disability compared to those over 35 years. "There may be a longer window of opportunity for treating younger people with MS right away, changing the course of progression later on," Tremlett said. The study was supported by the U. S. National MS Society. Source: Rachel Seroka American Academy of Neurology

6-Year-Old Girl with Brain Cancer Hid Love Notes for Her Parents to Find After Her Death

Wednesday, November 4, 2009

Courtesy of yahoo.com
Posted by Alex in Baby & Kids, Medicine on November 4, 2009 at 1:39 am

When 6-year-old Elena Desserich was diagnosed with brain cancer, she began hiding hundreds of little love notes around the house for her parents to find after she was gone. Here’s the story:

Just before her sixth birthday, Elena Desserich (right) was diagnosed with brain cancer and given 135 days to live. She lived 255 days, passing away in 2007. After her death, Elena’s parents, Brooke and Keith, found hundreds of notes from Elena hidden around the house — in between CD cases, between bookshelves, in dresser drawers, in backpacks….

"It just felt like a little hug from her, like she was telling us she was looking over us"

Elena left hundreds of notes like these:


See more of Elena’s notes

Elena’s parents, Brooke and Keith Desserich, have now published these notes in a book called Notes Left Behind to fund a non-profit organization The Cure Starts Now dedicated to fighting pediatric brain cancer.

Link to story (book excerpt) over at Today | The Love Notes | Official Website

Ah, this broke my heart, but the story is too touching not to share. Excuse me while I, erhm, dry my eyes. Got dust in ‘em or something.

Hump Day

I'm sitting here watching "GI Joe" on Blue-Ray and other than the special effects and visuals, not too good. I go back to my doctor tomorrow for a follow up on my clogged saliva gland, which is a lot better actually. I feel pretty good today but a liitle more anxiety issues going on. No biggie, I'll be fine. Well I'm going to go finish up this DVD, have a great evening!

Mobile Blogging from here.

Q. Am I more susceptible to H1N1 because I have multiple sclerosis?

By Julie Stachowiak, Ph.D., About.com Guide to Multiple Sclerosis
Wednesday November 4, 2009

I recently got the following e-mail: "I have MS and I guess that means that I have a weak immune system because I seem to catch every cold that is going around. Once I get a cold, it turns into something worse and I end up coughing for a long time. Does this mean that I should not get the H1N1 vaccine, because is it dangerous to me with my compromised immune system?"
A. There are a couple of things going on here and I will try to clarify some points:
1. People with MS do NOT have weak or compromised immune systems. Quite the opposite, actually - our immune systems are overactive and are attacking our
myelin.
2. It probably seems like you are getting sick more often than most people because of the symptoms that you are experiencing from minor infections. People with MS tend to have
decreased lung function. Even people with very little noticeable disability can have lung function that is only 60 to 70% of normal. As a result, even little respiratory bugs can cause us to cough for much longer than someone without MS as these infections "settle in" to cause bronchitis or even pneumonia.
3. You absolutely SHOULD get the H1N1 vaccine. As mentioned, people with MS do not have compromised immune systems (for the record, immunocompromised people should also get the vaccine). The H1N1 virus is very dangerous to anyone who could easily develop pneumonia, which is our big risk factor due to the decreased lung function that I mentioned.
Here are a couple additional points about the H1N1 vaccine for people with MS:
People with MS should NOT get the nasal mist version of the vaccine, as it contains live virus.
If you are concerned about thimerosal, avoid the vaccine that comes from multi-dose vials. The single-dose syringes do NOT contain thimerosal.
Adjuvants are not included in the flu vaccines that are used in the United States.
Read more:
Should I Get the Flu Shot if I Have MS?

Tuesday November 3rd, 2009

Tuesday, November 3, 2009

A good day for me for the most part. I had a semi-busy day at work and left 15 minutes early so I could drive 50 minutes south and be in Elizabethtown by 6:30. My oldest niece Ann Elizabeth, who is seven, was having a video project she did for a class project shown at an old, renovated theater in Etown. It was a historical video of four places in Etown and she narrated and starred in the eleven minute video. I actually helped her out by editing it with her one day back in September. It was a lot of fun sitting her down and showing her what I do for a living and helping make her video come to life. After the video I had dinner with my parents and grandparents. During the showing of the video I developed some anxiety which is starting to happen more often due to my MS so I am about to take a Xanax and call it a day and go to bed. Enjoy your Wednesday everyone!

Woman With Diabetes And Multiple Sclerosis Runs Marathon

Nearly 29 hours later, Zoe Koplowitz finally crossed the finish line in the New York City Marathon.

The 61-year-old Koplowitz had purple crutches wrapped around each forearm. The motivational speaker has diabetes and multiple sclerosis.

She's finished 21 New York City Marathons. Her total time was 28 hours and 45 minutes. This year's fastest woman was Ethiopian runner Derartu Tulu. She covered the 26-plus miles in two hours, 28 minutes and 52 seconds.

Source: AP

The role of her lifetime: Teri Garr raises money, awareness for MS

Monday, November 2, 2009

When actress Teri Garr felt a weakness on her right side in the 1980s, she had trouble finding a doctor who knew what was wrong with her. One doctor even wanted to perform surgery on her back, which Garr knew was not the issue.

Instead, on the advice of her brother, she visited a neurologist and received an MRI. The results were not good. Scarring on her brain showed that she had multiple sclerosis, a debilitating disease of the central nervous system.

More than 20 years later, Garr has become a face for the disease, having been named in 2004 as the chairwoman of the National Multiple Sclerosis Society's Women Against MS program and frequently promoting awareness.

"When you get a bad diagnosis, you can jump off a bridge or you can face it," Garr said Sunday during a fundraising event at the Hollywood Palms movie theater in Naperville. "I'm going ahead with my life."

Garr conducted a meet-and-greet at the theater to raise money for multiple sclerosis research. She was also there to introduce the theater's showing of "Young Frankenstein," the 1974 Mel Brooks feature that became one of Garr's first breakout films. All proceeds from the event will be donated to the Greater Illinois chapter of the National Multiple Sclerosis Society.

"All I care about is someone is fixing it and figuring out how to get rid of it," Garr said.

Research has made several recent advances. There are now six treatments available for the disease and an oral therapy appears to be on the horizon, said Terri Connor Brankin, the Illinois chapter's vice president of strategic relationships.

"There has never been a more hopeful time to have MS or be diagnosed with MS," she said "Many other exciting breakthroughs are happening worldwide in laboratories."

With Teri Garr slated to attend the premiere of the showing, theater owner Ted Bulthaup contacted the Illinois chapter to set up the event.

With donations down during this poor economic year, Brankin said she appreciated and was very grateful for the chance to raise money. "It's been challenging for everyone," she said. "Every fundraising opportunity is something we aggressively seek."

As for Garr, her sense of humor remains relatively unchanged. But along with it, she now makes sure to send a message to those who have now joined the list of MS patients.

"I was very happy I even had a brain," she said of her initial MRI. "Living with MS, it's just the same as just living, only a little bit harder. Don't be scared and go on with your life."

Monday November 2nd, 2009

Another Monday is in the books. Today was a long day at work, the kind where the afternoon seems to never end! I did go to my family doctor today to have him look at the lump under my chin and get this, I have a clogged saliva gland of all things! It's infected and that is what was causing my fever Thursday and Friday. So he put me on a stronger antibiotic and hopefully that will do the trick. If it doesn't, he'll have to go in and manually drain it with a needle. Here's hoping for the drug to work! I feel pretty good today. No real issues to mention.

Today also m
arks the beginning FINALLY of the Coach John Calipari Era for the University of Kentucky! It's halftime right now of the first exhibition game between UK and Campbellsville University. It's 36-11 UK and they look pretty good. If you don't know me, this is my favorite time of the year. Sure I am a huge football fan and love UK football but, I live and die with UK basketball and expectations are HUGE for this years team after two tumultuous seasons with former coach Billy Gillispie who almost single handedly ruined the most storied program in college basketball history. Good luck Cats and let's get this thing rolling!

Multiple Sclerosis difficult to diagnose

Sunday, November 1, 2009

By NICKI BRUCE LOGAN
Herald Lifestyles Editor
With more than 50 symptoms linked with multiple sclerosis, all which can vary in severity, duration and disability, it is not surprising that Cathy Sanchez went several years without a diagnosis.

"MS is difficult to diagnose going on your symptoms because the symptoms can be the same as a lot of other diseases and conditions," says Sanchez, who is a dispatcher for the Hale County Sheriff’s Office.

She admits that to exacerbate the situation — symptoms come and go and can vary in degrees of severity.

"I would be in the middle of a relapse, then by the time I got to a doctor it would be over. I got to where I thought I was crazy."


Eventually, with perseverance and a strong determination to find out what was going wrong with her body, Sanchez was told that tests showed she had two or three lesions in her brain that could indicate multiple sclerosis.
With a partial diagnosis in hand, she went to a specialist in Houston where she had what she called a "better MRI.

"The results were that I had 10 lesions in my brain."
In multiple sclerosis, lesions, also known as plaques, are patches of inflammation in the central nervous system.

Sanchez says the simple explanation of multiple sclerosis is to compare human nerves to an electric cord.

"I use an electric cord to a lamp as an example," she says. "Nerves are coated with a myelin sheath (a coating of fatty proteins that surrounds, insulates and protects the nerves), and with MS, the immune system attacks the myelin coating until the nerve is exposed. Like the electric cord that is cracked or damaged, when you go to turn on the light, it may work or it may not.

"That’s what MS does to the nerves. Each attack on the myelin leaves damage and scars. The next attack goes for a new place and, over time, those nerves are so scarred that they don’t work."
Sanchez says symptoms can include numbness and tingling, especially in the hands and feet, burning or crawling sensations, clumsiness, fatigue and muscle pain.

"At first, my legs would hurt, then it got worse . . . the pain multiplied. One day, I realized I was taking a bottle of Tylenol a month. I had seen advertisements about restless legs on television, so I thought that was what I had, but, still . . . a bottle of painkillers a month was a lot, so I decided to have it checked out.

"I saw a neurologist in Lubbock, and he said ‘that’s what you have’ and gave me painkillers.

"I was in a great deal of pain. I wasn’t sleeping and was in bad shape."

Sanchez knew that something more than restless legs was wrong with her, so she kept trying to find an answer to her symptoms.

"Finally I got to a doctor in Amarillo who did a test called an electromyogram (EMG), which is where they put a needle in muscles and nerves . . . . It was an ordeal, but the result was that I was diagnosed with MS.

"I had all the symptoms — blurred or double vision, cramps in weird places and at weird times, I’d lose my balance — the symptoms come on and then they just go away.

"I knew that people thought I was crazy. It had been going on a couple of years before I got a diagnosis."

Sanchez says that there is no cure for the disease, and doctors don’t know what causes it.

"They can’t find a cure until they know the exact cause. I don’t have a family history of it."

Dealing with the disease is difficult.

"Any kind of infection sends everything reeling," Sanchez says. "Stress is real bad. Everything varies, (and) not everybody has the same symptoms."

She adds that drugs used to control the disease have to be injected.

"It’s all injections; no oral drugs are available. I give myself an injection every day."

She says her family’s support has been crucial to her during the time of diagnosis and especially while she deals with individual recurrences.

She is married to Ram Sanchez, who is a narcotics detective for the Plainview Police Department, and has a son, Hunter, 13, and two stepdaughters, Cynthia, 13, and Marybeth, 10.

Sanchez has helped organize a group locally, the MS Self Help Group, through the National MS Society to help patients deal with the disease.

It meets on the third Tuesday of each month in the Max Gabriel Conference Room at Covenant Hospital-Plainview. All with MS, their friends and family are encouraged to attend.

For more information about MS, call 1-800-FIGHT-MS or go to www.nmss.org.




Welcome To November

Boy time is flying! Today is Sunday November 1st can you believe it? I hope everyone had a fun, safe Halloween yesterday. I just got home with Kristain from visiting her triplet nieces and nephew and now I am watching Brett Favre's return to Green Bay with his Minnesota Vikings. I feel pretty good today except for a headache. This morning I was in the kitchen and dropped something that fell out of the cabinet I opened. I squated down to pick it up and when I raised up, I hit the top of my head on the corner of the open cabinet door. It HURT! It stunned me for a few seconds then I realized I had blood running down my face which freaked me out and I guess gave me a shot of adrenaline because I got weak and sick feeling. So I grabbed a towel and a Coke for some sugar and sat on the kitchen floor. I am fine and no need for stiches. Just a headache which is fading. My MS feels better today too since I haven't had a fever since Friday. The lump on my neck/under my chin is smaller so I think the antibiotic is doing it's job. Here's to it being gone soon!