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For a confidential assessment call: 1-800-523-8198 Visit us on the web at www.brightonhospital.org 1403940 You can still lease the Best Mini-Van in the business Richard Kirsch • 36 months • 12,000 miles a year •$243 a year with $2999 due at signing. (with approved credit) 3HEIDATE)-PL A40 Honda Bloomfield 1819 S. Telegraph north of Square Lake Rd. • Bloomfield • August 28 • 2008 248433-3200 ultiple sclerosis (MS) is a relapsing remitting disease. They chronic and unpredictable eventually enter a stage of continu- disease that affects the cen- ous deterioration, although sudden tral nervous system (brain and spinal relapses may occur. cord). Inflammation causes damage • Progressive relapsing MS is rela- to the covering or insulation (myelin) tively uncommon. It is characterized of the nerve fibers. This damage can by a steady decline in abilities accom- eventually slow or block the nerve panied by sporadic attacks. signals that control vision, Treatment options for MS sensation, motor skills and fall into three categories: more, depending on the Acute therapy, maintenance location of the affected therapy and symptomatic nerves. The cause is therapy. When a person has unknown. an attack of MS, the dis- The list of possible MS ease is in an active phase, symptoms is extremely suggesting inflammation widespread, and can of a region of the brain or include visual disturbances spinal cord. We treat the (blurring, loss of vision, inflammation with a course Dr. double vision, pain), numb- of intravenous steroids to Bruce ness, pain or tingling, decrease swelling and possi- Silverman slurred speech, tremors, bly limit damage at the site Columnist paralysis, fatigue, balance of disease activity. or coordination difficulties, Maintenance therapy problems with memory involves using disease- and concentration. Because all of these modifying drugs, such as interferons, can be caused by various conditions that alter the immune system and help and diseases, definitive diagnosis of slow the progression of the disease. MS is difficult and some patients may The final type of MS therapy is be misdiagnosed or undiagnosed for symptomatic, using various drugs months or even years after symptoms that target specific symptoms, such as begin. fatigue, muscle stiffness, depression, A diagnosis of multiple sclerosis muscle spasticity. is frightening because many people Treatment of multiple sclerosis associate it with eventual total disabil- has to be a multidisciplinary effort. ity. In reality, when accurately diag- In addition to the neurologist and nosed and clinically treated, patients primary care physician, it can involve with MS can slow the progress of the psychiatry or psychology, physical disease and live more meaningful and medicine and rehabilitation, social independent lives. Untreated, patients workers, nurses, and specialists as may experience significant decline in needed, such as a gastroenterologist their ability to function independently. for bowel problems or urologist for Another frustrating aspect of MS is bladder issues. And family members the wide variation in the course of the are a vital part of the care team. disease. During an attack, the patient's Unfortunately, there is currently deterioration of physical abilities may no cure for MS, but there is ongoing, be mild or severe, and it may last from promising research into the disease a few hours to a few weeks. MS can that may result in better management appear in different fashions: techniques. As with any chronic condi- • Relapsing remitting MS is character- tion, early diagnosis and treatment can ized by alternating episodes of physical have a positive effect on quality of life, decline and "quiet periods',' or remis- so ifs important to speak with your sions, that may last weeks or years. This health care professional and investigate is by far the most common form of MS all of the options available. ❑ and these patients do relatively well. • Primary progressive MS involves a continuous gradual decline in abilities, Dr. Bruce Silverman, D.O.,is a board certi- without periods of remission. fied neurologist on staff at Providence • Secondary progressive MS affects Hospital. His offices are located in more than half of the people with Southfield, Novi and Farmington Hills.