Multiple sclerosis is a tough disease, but there is basically three things that you need to do when you are taking care of patients with multiple sclerosis. We have learned this in our MS Center through extensive research and follow-up of patients over many years. One, you need to be picky about the diagnosis. Two, you need to follow up patients actively to make sure that what you are doing is working or to see whether or not it is not working. Three, you cannot blame every single symptom that a patient with MS has on MS. Those three are absolutely critical. You need some examples here. One is that every year we see five or six patients who are on the shots for MS and who turn out not to have MS. They turned out to have another disease that caused their symptoms. For instance, the most common one that we see is sleep disordered breathing or sleep apnea, fatigue, and either neuropathy or a problem with carpal tunnel with entrapped nerves as they go through the wrists. The second one is that you have got to follow your patients actively and aggressively. We try to see our patients with multiple sclerosis every three months. We are able to get them in either the day or the next day after they begin having problems. We put them on a little graph that is called the Multiple Sclerosis Functional Composite Graph that looks at their thinking, their ability to manipulate their hands and fingers, and their ability to walk. In this way we can assess whether or not they are staying ?
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Source: http://rbo-health.com/blog/multiple-sclerosis-is-a-tough-disease/
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