Multiple Sclerosis: the nitty gritty




be fore-warned:
this is a really long, detailed post, 
outside my usual norm. 
trying to answer some specific questions I get about MS.

---
 i really, really like hydrangeas.


 Before a MRI report came back with the words
demyelinating plaque cannot be excluded
I knew very little about multiple sclerosis.
what I did know was kinda the worse-case-scenario.
annette funicello, anyone?

After my doctor gave us the MRI news, however,
we were googling even before we made it to our vehicle.

we've kinda been on a MS-crash-course the past 6 months.
we {read: I} went through our fair share of panic and near-hysteria.
but, lots of information and more of God's grace later,
we're doing okay. really, really, really okay.

but, obviously, I get lots of questions about MS.
I never mind answering them.
actually, NOT talking about MS is harder than talking about it.
NOT talking about it is kinda like the elephant in the room, right?

so, here's my blog version of an MS crash course.

---

What in the world IS multiple sclerosis?

it's a disease of the central nervous system
{your brain and spine}
 
you know how an extension cord has the plastic coating around it?
that's kinda what our neurons have in our nervous system - 
they have a protective coating around them.
{called the myelin, for all y'all out there who, like me,
want to know every.single.detail. possible.}

well, in MS, for whatever reason,
my body attacks that protective coating.
 {have you ever had your curling iron touch the power cord and melt it a bit? 
that's what's happening - that protective coating is gone}
when that attack on the coating happens, it leaves a scar -
{sclerosis is the latin word for scar}

that scarring is what shows up on MRIs.
it's also what causes symptoms -
as my nervous systems sends out signals, it runs along the nerves, 
hits that scar, and, in me, caused tingling, weakness, and burning.

What kind of MS do I have?

I have relapsing-remitting multiple sclerosis.
this means that there will be attacks (also called relapses or flares),
which is what I had in January and February.

in between attacks (relapses), there's a remission period.
however, each attack can cause permanent damage that may never go away.
after my attack in February, 
I have left-sided weakness and tingling that has stayed.

What's the prognosis?

it's hard to know.
that's the scary and unsettling part of MS -
I could be fine for even several years, get an attack,
and then need a cane, walker, or wheelchair the rest of my life.
I could have a mild course of MS and live with mainly sensory symptoms the rest of my life -
tingling, burning, weakness -
or I could have a severe course of MS and be in a wheelchair and need daily assistance.

twenty years after diagnosis 2/3 of MS patients will still be able to walk
 -although they may need a cane or walker-device.

{you can read more about prognosis here}.

What symptoms do I have every day?

almost daily there will be a point where my left arm goes weak,
my left hand will burn, 
or my left foot will tingle.

compared to using a make-shift cane in February, I can live with a little bit of weakness!

sometimes I get really, really fatigued, too. 
that's a major issue with MS,
and we just try to adjust and nap. 

Is my medicine helping?

My daily injections don't really work like that...
they're really for trying to slow down the long-term disease progression
as well as reducing the frequency of attacks.

most people on treatment get on average on attack/year.
most people not on treatment get three attacks/year.

What can we do to help?

i'm really fine right now.
if you saw me, you wouldn't know I had MS, 
although a very observant person may see me occasionally rubbing my left hand or strategically picking up a cold water bottle with my left hand to cool the burning.

you CAN ask about how MS is going.  
casually asking gives me an opportunity to talk about it if I want to, but also just say something like "oh, I'm good", and change subjects if I don't want to talk.
this is with any serious issue, right?
NOT talking about it is WORSE than not saying anything 

for fear of not knowing what to say.


{and, ya know, you can always bring me coffee, a coke, or chocolate}.


 You're really okay, right?


I get this question the most.
emotionally, spiritually,
i am so very, very okay.

my dreams for the future?
they may not be what the Lord has for me.
the apostle Paul?
I'm sure he didn't envision imprisonments, shipwrecks, 
even snake bites
for his life...
and yet he said what happened to him served to 
advance the gospel and encourage his fellow brothers and sisters in Christ.
{philippians 1: 12 & 14}


MS is serious.
I get that.
I am extraordinarily humbled that the Lord would allow me 
to deal with such a heavy situation.
and maybe, somehow, in some Divine way, 
use it to help advance the gospel,
to encourage my fellow Believers,
to bring more Glory to Himself.

{extremely, extremely humbled}. 

my prayer almost daily is that I will walk this MS journey well.
may my heart remain steadfast -
confidant, immoveable,
always  aboudning in the work of the Lord,
because I know that my labor is not in vain.
{I Corinthians 15:58}



----

do you have a question about MS that I haven't answered here?
leave it in the comments and I'll answer it.

Leave a Comment

Shauna said...

Thank you for the education - I knew very little. Amazing how we are walking a path together of learning. May God be glorified through this. Love you. Proud of you.

Julie DeNeen said...

Wow Anna. That was a beautiful post.

Mandie Joy said...

Anna, thanks for taking the time to answer all of these questions. I'm a nurse and I didn't know the answers to many of them. I admire your attitude and trust through this whole scary process. Thanks for letting us follow along and pray from a distance.

mj

Danna said...

Anna, I just adore you and am constantly amazed by you. Thank you for this post, my aunt has MS and while I knew some about it this post has helped me to learn even more. I'm praying for you and here for you my friend, xo

Neabear said...

I love the way you explained MS. Totally makes it clear as to what is really happening. You have a wonderful attitude and I pray that it will serve you well on your journey.

Thank you for sharing.

~Linnea

Heidi said...

Very clear and very helpful! Thank you! I loved the way you ended your post, too. You are a very wise woman!

Tiffany said...

Hi Anna,

I admire so much your courage and strength! If I have learned anything through my current struggles its to turst Him always - He knows!

I check into your blog often and I am sorry I don't always comment. Often times I am reading on my Kindle and for some reason when I try and comment from my Kindle - the comments don't actually go through and post to the persons blog! But I read here and hold you close to Him and you are in my prayers!!

xoTiffany

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