Showing posts with label chatMS. Show all posts
Showing posts with label chatMS. Show all posts

Monday, April 4, 2016

ChatMS 4/4/2016

Hey all!
I wish I could have participated live in this one, since it relates directly to my last post!  I have some decisions to make about new medication.  Here's tonight's ChatMS from twitter!
Feel free to copy/paste the questions to your own blog - and keep the conversation going!
...
Q1 - We will dive into details shortly, but have you experienced any negative side effects due to an MS treatment?

Not a DMD (disease modifying drug), but I have had many side effects from acute treatment such as steroids.  Solu-Medrol gave me the usual (headache, altered taste, altered textures from food, slight nausea, fatigue during the day and insomnia at night), but I also had strange side effects on an oral steroid in conjunction with Solu Medrol (heart palpitations days later) and a couple from Acthar (tense muscles).

Q2 – Some have answered, but There are 13 FDA approved treatments now. Which treatment(s) caused the worst side effects for you?

I had absolutely none on Gilenya.  I really loved Gilenya.  I hope I can get back on it.  Worse was Solu Medrol.
 

Q3 – What would you say your worst side effect was? How did you get past it?

Just... had to breathe through it.  I thought I had no choice.  Now I'm not so sure, since not only did the steroids make me feel like shit, but they seemed to do exactly shit for me.

Q4 – Have you purposely avoided selecting a treatment due to its potential side effects? If so, which one and why?

Yes.  First, Tysabri because I am JC Virus positive and don't want to get PML, and Tecfidera next because of the flushing and nausea.  I was steered away from interferons because of the depression risk - now I've heard they cause flu-like symptoms and that is a big no-no.  I am afraid my doc will want to steer me away from Gilenya because it isn't a "heavy hitter" and because it's a pain for them to get me started on it... I think it's worth sitting in their office for six hours, personally.

Q5 – Have you ever stopped a treatment because of the side effects experienced? If so, which one and why?

Nah, none here.

Q6 – When asking your neuro about side effects, did they offer assistance or just explain to you that “its normal”?

Yup.  Was pretty much told that any side effects I experienced...well, it's just the way it is.  I got the impression they thought I was a baby for not wanting to go on Tecfidera just for the nausea factor.

Q7 – For those who stayed on a medication despite side effects, did you find they went away over time?

I hope this is true.  Still looking for more answers - so if you're on a drug with heavy side effects, I would really appreciate your input here!

Q8 - What tips or advice would you offer to MSers in regards to starting a medication that may have severe side effects?

Do your research... you can trust your neuro, but also trust your gut.  If you really feel that the side effects would be worse than what MS would do to you, then re-evaluate and don't give up!
I certainly hope I can follow my own advice when it comes to this later this month!

Love all, MSloan

Wednesday, March 30, 2016

ChatMS 3/28/2016

ChatMS this week was all about cognitive issues.  I'm a few days late, but I'm still trying to get the word out there!
Love to all!  Feel free to copy/paste the questions to your own blog to spread the word!

....

Q1.) Have you ever experienced cognitive issues (long/short term memory, infor processing, word finding, etc) because of your MS?

I have - and it's one of the most devastating symptoms, and one of the hardest to prove to others.  This is an easily invalidated symptom for people to say "oh, that happens to me sometimes, too," and they just don't "get" it.

Q2.) What kinds of cognitive issues have you experienced?

I have struggled with word finding, concentration while reading and listening, and most persistently - names.  My cognitive issue of word finding was thankfully short-lived, and only stuck around for about six months.  I was doing a lot of writing at the time, so it was obvious what problems I was having while going back through and editing.  For example, I was writing part 3 of my 'novel' in the midst of the worst parts of treatment, but had consistently described one particular character's outfit as being made of leather.  Well, apparently one of my word drop-outs was leather, because I inexplicably started describing part of his outfit as including "boots made of hide."  Yeah, you can say what you want about fluffy descriptions, but this wording made no sense in the context of the story.  I couldn't even think of "suede," so I picked "boots made of hide," when I couldn't recall "leather."  That's the one I noticed the most, but it wasn't the only example.  Thank goodness that didn't last long!

I also cannot remember names to save my life.  I can tell you what movie an actor was in based on a voiceover for ten seconds, but I can't tell you their name.
Except Tom Hiddleston.  I can't forget that name, haha!  But it's very embarrassing with patients I see constantly to still grasp for their name every time.  It took me weeks to learn all my coworkers' names - and there's only about 8 people in my office.  When it was really bad just before my official Dx, I couldn't remember four women's names.  Four!!

Early in my pregnancy (long before 'pregnancy brain' can be blamed) I had an early flare and dealt with a terrible MS fog.  One day I stood in the kitchen, about to put the liquid cheese in my velveeta bowl for lunch, but something just.... didn't look right.  I couldn't put my finger on it.  It took me a solid five minutes of looking at the bowl before I realized: I didn't cook the noodles yet.  I'm very glad that the fog didn't last long!

Q3.) How long had you had MS before you started to experience cognitive issues?

I've had symptoms since 2010, that's about when I started to get name drop-out.  But the really bad word finding was all at my big flare in early 2014.  Concentration may not be related to my MS so much as my hearing loss, I have always struggled to pay attention while reading and I have to work that much harder while listening.  I would like to blame that on my MS but I don't think so!

Q4.) How have cognitive issues due to your MS impacted your daily life? 

See the answer above re: name recall - that's the biggest thing for me, consistently.

Q5.) Did your doctor talk to you about the potential of having cognitive issues do to your MS?

Psh.  No way!!  I think so many MS symptoms are shirked as something else because the disease process is different for everyone.  I think of this when I consider all the digestive issues, including MS Hug, that I've suffered from, only to be told that it wasn't my MS.  I don't want to blame everything that I deal with on the MS, but I know what is because of the MS and what isn't.  It would have been nice to be warned about cognition early on.

Q6.) Have you ever been tested for cognitive issues? If so, how?

Not by my neurologist, but I participated in a study at the local university just after diagnosis.  One of the tasks was on word finding - remember, this was at a time when word finding really was one of my struggles.  I'll never forget looking at a card with the word, 'panacea' on it, and being asked to describe it.  I know that work, I know what it means, I know that it can be synonymous with "solution" and "safeguard," but I couldn't think of it.  I told the kid doing the research, "I know what that word means, but I can't tell you what it means."  About a week later, I had Steve ask me to do a similar task (my husband Steve is a psychologist) and I was able to complete them all.  Again, very grateful that this issue didn't last forever. 

Q7.) Is there anything (stress, temperature, time of day, etc) you think increases your cognitive problems?

Stress - and current flares.  When I'm flaring, it's much worse.  And pregnancy, haha, because now I have that to contend with!!  I have started slurring my words and mixing up my consonants.  I'm going to blame this on pregnancy until the baby comes before I panic.

Q8.) What measures do you take to improve your cognitive problems? 

I kept writing.  I do the blog and am always learning.  I tell myself not to give up, and practice my music.  All these things should improve my overall cognition.

Q9) Cognitive issues are invisible & can be hard to explain to others. Have you had any difficulty explaining/getting people to believe you?

Absolutely!  I have heard so many times, "Oh well I have dealt with that," but many of these folks forget that they are over twice my age.  At 25, I should have been able to remember all the names of the 10 women in my class without struggling.  At 27, I should have been able to remember the four names of the women I worked with daily - who had nametags on their desks!!  I should have known that putting the cheese in my macaroni before cooking it was not correct.  This is not 'normal' for anyone, cognitive dropout is not a myth - it may not affect me daily (thank God because I would probably lose my job if I had too much trouble beyond remembering names) but I'm not making it up!

I'm glad we got to talk about cognition with MS this week - please remember to spread the word!
Love to all, MSloan

Monday, March 21, 2016

ChatMS 3/21/2016

Hey all!

I have less than a month until this baby's due - whew!!  I finally heard from my neurologist, and we're going to do another baseline MRI when she is born, with contrast.  I'm going to keep my fingers crossed that I don't have active lesions, and I can be put back on a DMD rather quickly.  I had hoped that I would breastfeed for much longer than I'll be able to, but hey - not all children are breastfed, she won't die poor and lonely because of it, and there are millions of formula babies that do just fine. 

We'll be okay.

This is tonight's ChatMS - it is all about "D-Day," or the day we were diagnosed!  My blog has chronicled this well, but I'm happy to answer these questions.  I didn't get a chance to participate live, but feel free to copy/paste the questions on your own blog to keep the conversation going!


Q1 – When did you get the Multiple Sclerosis diagnosis? At what age? 

February 28, 2014.  I was 24 years old, but had been symptomatic since late 2009, early 2010.  Two days earlier (that Wednesday) I woke up with numbness down my entire left leg, and my right foot.  It took me three days to get to the hospital; I had tried calling a few neurologists, but none of them called me back.

Q2 – Were you aware of what MS was at that time?

I knew more than most.  I see MS frequently at my job, and just before this happened, I saw an influx of MS patients.  I was diagnosed during what I later learned was called "MS Season" in the neurology office I went to.  It frequently flared at that time of year, which is odd.  The first time I began learning about MS was in early 2010, when I first started experiencing symptoms - I was told explicitly during that class, "Don't go home and think you have this, because you'll think you have this!"  And so I ignored what I was going through until I couldn't anymore.

A couple months before my D-Day, we got a new front office person at my work.  She was hired, and then told us that she had MS, and had to miss a few hours at the end of every month to get her infusion (I later learned she was on Tysabri).  My heart skipped a beat when she told us she had MS - I felt like it was yet another sign.  She was the first person to "figure out" what was going on with me, and was the first one I confided in that I thought I had MS, besides my husband.

Q3 – Where were you when you got diagnosed? Was anyone with you?

It was a trip to the ER that did it.  On the off-chance that it wasn't MS, I didn't know how serious the issue could be - thrombosis, tumor, nerve pinch.  I called the two most important people in my life: my husband and my sister.  I later got a lot of flack from my mother for not inviting her - yet more support for why I didn't do so!  They sat with me for the entire almost 8 hours of waiting through tests, MRIs, no food, stress... I will forever be grateful.

Q4 – What were your initial thoughts after hearing “You have Multiple Sclerosis”?

"Great, I knew that, what do we do about it?"

Q5 – What were the reactions of your family members and/or friends?

A lot of silence.  The few friends I told that day (because I asked about neurologists and what they thought I should do when no one called me back) were somewhat surprised, but then clammed up.  A couple well-meaning friends started offering advice about my diet, exercise routine, medications.  My husband was so thankful it wasn't a brain tumor that I don't think it sunk in.  My sister, who was so helpful to be there but doesn't handle things like this very well, simply said nothing.  I know she was very uncomfortable about it and didn't really know what to do or say.  It wasn't long before she started in with the diet thing, too.  I'm glad that phase is pretty much over!

Q6 – What did you do to learn more about MS after you were diagnosed?

You know, as I had seen so many people with MS, the physical disability part was something I was somewhat spared from.  Which is odd.  I didn't really understand the reality of what COULD happen until a fellow student said, "I don't know a whole lot about MS, but I know that people with MS eventually can't walk."  That terrified me, I had never heard that - I refuse to believe that, because it simply isn't reality.  Yes, it's a possibility.  But it's also possible that I will be hit by a car tomorrow.  Time will tell, I guess.

I also had to learn a lot about the realities of feeling bad because of the treatment instead of the disease.  I absolutely would choose numbness and tingling over a "Solly Headache" any day, especially with how the steroids affect my tastebuds and sleep patterns.

Q7 - If you could go back and tell yourself one thing on your D-day what would that be?

"Reduce your stress, keep this to yourself, and know that things can always get worse.  This isn't the end of the world, just the beginning of a new understanding of yourself.  You are validated, don't tell others and make a big deal of it - because they won't comfort you.  Comfort yourself."

Q8 – What tips or advice do you have for those newly diagnosed or going through the testing process?

See above.  This truly is the best advice I can give.  You may be more disappointed with the lack of reaction from your friends and loved ones than you ever would from comforting words or actions - they don't understand what you're going through, and they may not be able to support you in the way you think you need.  So find support with other MSers, not your friends; and do NOT tell prospective employers.  A week after my Dx, I lost a job interview because I was honest about why I couldn't fly out right away (I had been advised not to fly that first week).  So sad.

Love all!  MSloan

Monday, March 14, 2016

ChatMS, 3/14/2016

Alright, peeps!  Time for another installment of post-hours ChatMS!

I missed the chat again - had to do laundry and my poor kitty is sick, not to mention dinner.  Spending a lot of "spoons" tonight.  Looks like this was a good one!  Don't forget to copy/paste the questions to your own blog!

Q1: Has your social life changed since being diagnosed? If so, in what ways?

Yes and no - there are some things that have been altered simply because I can't be as active as I would like to be.  However, I wouldn't say this has been true since I've 'been diagnosed,' so much as since I became symptomatic.  I have been reducing my overall activity and watching what I put into my body since early 2010, always wary of nausea and getting 'the shakes.'

Q2: Who do you tell you have MS? Close friends/family? Anyone and everyone?  

I didn't tell many people for two years.  I have recently 'come out' on my facebook page, but to be honest with you I don't think most of my friends really understand why I have been very vocal about MS awareness this month.  They don't understand it and they never will.  The first person I told I was concerned I had MS was my husband, about four months before I was diagnosed, and then I shared my concerns with one of my oldest friends two days before diagnosis.  Mixed reactions from everyone I told.  I now only share it with patients when they really need to not feel alone in their own invisible struggles - we're kind of a 'special club' that, from the outside, seems very exclusive.

Q3: How long after meeting someone do you tell them you have MS?


As a general rule, I don't tell people right away.  This is because of the negative stuff associated with telling anyone that you are chronically ill - they assume you're telling them to get attention, not to get them to better understand why you do things a certain way.  It's just not worth the hassle.  I suffered from "pregnancy brain" very early on in my pregnancy....but it wasn't pregnancy brain at all.  It was MS brain.  And it's not worth the fight to get people to actually care why you might be struggling.
I waited at least three months to tell my current coworkers.  I don't wait at church.  To me, church is off the table.  If you are going to judge me at church, you shouldn't be at church!

Q4: How do you tell people? When the time is right? Or it just comes out in conversation?

I do both - when the time is 'right,' and when it makes sense in the context of the conversation.  I don't just blab about it.  Again, seems like an attention getting thing - and you get negative attention for something like this, no positive.  People pity you, they don't want to understand you.  As I have said time and time again, it makes them uncomfortable, so it's not worth the hassle.  I have told patients who also have MS, patients who have Fibro, Lyme, or Lupus, and anyone who has 'invisible symptoms' and are struggling - I have another patient who I really have gotten close with, he has muscular dystrophy. 

Q5: Are there times you're ever hesitant to tell people you have MS?

Abso-freaking-lutely.  In a professional context, this is a HUGE no-no.  I don't want my colleagues in audiology to know about my MS because it can seriously impact my employability.  I'm an ADA risk.  Is it incredibly illegal, unfair, and terrible that I would worry about such a thing?  Yes.  But I still have seen discrimination - when I was first diagnosed, I was honest with a potential employer about my very real, very current struggle, because I had been advised not to fly.  They took my interview and I heard not another word.  It was very painful, but I learned a very hard and valuable lesson.  Hence why I waited 3 months to tell current coworkers - and I still don't think I'm safe here, because I know someone was let go for having Parkinson's just before I was hired.

It's shitty, and I hope this changes.

Q6: Did you meet your significant other before or after being diagnosed?

Long before.  We had just gotten married when I started having symptoms - it was the hardest year of our relationship, for a number of reasons.  My emotional state really set things off, I think; I was struggling with losing a very important friendship, with applying to graduate school, with my family being disappointed in my life choices.  It was a hard year.  And then... I got sick.

He's been fantastic, though when I first told him what I thought was going on, a few months prior to Dx, he was skeptical.  When it really got serious, he was convinced I had a brain tumor - MS was the milder of the two!

Q7: Do you think having MS decreases your chance of finding a life partner?

I can't comment on this because of my answer to Q6, but why the hell should it?!

Q8: Do people treat you differently after hearing about your disease?

Yup.
Negatively.  Awkwardly.  Skeptically.  And it really is painful and lonely to know that the people that you thought cared couldn't give half a shit to try and understand what you're experiencing.

Q9: Do you find that most people are understanding when you need to reschedule plans?

Eh.  I kinda have a reputation as a flake.

Q10: Does MS hold you back from living a full life?


Hell no!!  As I always say, "I have my MS, it does not have ME," and if I want to have a full life, that's my choice and it can't stop me!
I mean, it can really, really try, but I won't let that happen!

Love to all, I really liked this one!!  I look forward to seeing other responses :)
MSloan

Thursday, March 10, 2016

ChatMS - 3/7/2016

Good evening, all!
I am finally getting around to typing up yesterday's ChatMS - it's been a busy day!

I've been supporting MS Awareness Month on my facebook page, posting a fact every day.  Don't know if that will continue as regularly, but I want to educate the people around me.  Not just to benefit their perception of my experience, but so they understand that not enough awareness = not enough progress.  We make such a big deal over things like breast cancer (which is absolutely worth the fuss, I'm not saying it's not!) but MS is so invisible, it doesn't get the funding it requires to make real progress in treatment and cure.

It was the celebration of ChatMS' 1st year in existence!  Please feel free to copy/paste the questions into your own blog and remember to keep the conversation going!

Q1: It’s been one entire year since has launched. Can you believe it or what?

Woo, go #ChatMS!

Q2: How long have you been participating in ?

I've been participating for about six months!  I came across it one day when I just happened to get home from work early.  In California, the chat starts at 4 PM.
Q3: How did you hear about and what made you join?

Like I said before ... I just kinda stumbled across it on twitter on a day that I was home early.  I had recently deactivated my FB account and the people I followed were big #ChatMS participants! 
Q4: Do you remember what our first (or your first) was about?

You know, I really don't.... I know one of the first ones was "for the ladies," and the very first one I participated in was run by a member and not the usual leaders.  I remember answering all questions fervently; I think part of it might have been about reactions from others about potential disability.
Q5: What does our weekly chat about mean to you?

I love #ChatMS and how it allows me to connect with others who have this disease.  We have it, it does not have us.  But it's comforting to not feel alone - which is common when none of your friends have any clue what this is really like.

Q6: We brought wine to the anniversary party. If comfortable, share a selfie showing how you’re celebrating!

(Not applicable for post-chat commentary)

Q7 - What can we do to improve

I love seeing how every week is different - I'd like to find out more about people who have had unsuccessful treatments and especially "failed" steroids.

Q8 - have you been able to make connections and build a stronger support system thanks to ?

Absolutely - and it gives me great blogging material!!  :) 

Q9 - What can we do to get others to join future sessions so you can gain more insights?

Maybe have more than one per week, in different time zones.  Those of us out here on the west coast can't participate if we're working!

That's all, folks!  Keep the conversation going!  :)
MSloan

Monday, February 29, 2016

ChatMS: 2/29/2016

Happy Leap Day!

Q1 – March is MS Awareness month. What will you be doing to spread Multiple Sclerosis awareness?

I have signed up for Walk MS this coming April (though my due date is just three days later, yikes!) and I intend to 'come out' to some more friends who don't know about my diagnosis.  Like my depression, I gather many will be surprised, as this is just as invisible.  If we don't let the people we love know our struggles, how can we hope to gain widespread acceptance and understanding?

Q2 - What have you done in the past to raise Multiple Sclerosis awareness?

This blog is my best way to raise MS Awareness - and I have volunteered in the past for the local Walk MS event!

Q3 – Do any landmarks or cities near you “Go Orange” (or red) for MS Awareness Month?

Rats - no.  But I certainly will be going orange this month with my brand-new, sparkly orange nail polish!!  :)

Q4 – What do you think is the best media to spread MS awareness?

Face-to-face, absolutely.  I have spoken with many patients about my MS and been thanked for opening up about my struggles with them.  Mind you, I don't ever discuss it with them as "poor me, look what I'm going through," but I do bring it up if they say they are alone with their invisible illness.  When we battle our illnesses together, we become a team, and they trust me more as a provider.  I wish I could connect with my own doctors the way I connect with my patients, because then I would really feel like I am being listened to.

On the other hand - digital medial makes widespread effect possible, so I can't complain about good 'ol FB, twitter, and blogging, of course! 

Q5 – When asked, how do you describe Multiple Sclerosis?

I say that my brain likes to eat itself!  I talk a little bit about the myelin sheath around neurons, and how MS is a condition that breaks down that myelin.  When scar tissue forms, or sclerotic tissue, it creates a short circuit in the nerve fiber.  So, literally, multiple areas of sclerotic tissue, or Multiple Sclerosis.  I say that it affects me in many ways, from debilitating fatigue to numbness and tingling, and that at 20 weeks pregnant, my MS half-blinding my right eye and it is still recovering.  I mention that everyone's MS is different, however, and that while there are some who are not as effected as I am, there are just as many who are much worse off.

Q6 – What items can be frustrating when raising awareness?

"But you look fine, so it can't be that bad."
You have no idea what this actually feels like.  I don't want to be one of those people who says, "I carry my MS with me every single day like a burden on my back," because honestly, some days are simply not like that at all.  On my great days, of which I usually have many in a row, I forget about the MS and just live.  It's an excellent feeling.  But when I am feeling shitty, I feel REALLY shitty, and I have to keep face about it because I can't be 'sick' all the time, even when I feel like it.  I've felt intermittently sick since late 2009.  Before that, I was a generally sick kid, always getting sinus infections and having ear problems.  I'm really ready to not be sick anymore.

The other thing is the unspoken truth of why issues like MS stay stagnant - if it doesn't apply to you, you're less likely to give a damn about it.  When I start telling people I know about my disease, I'm sure they'll start to care.  But you have to have a reason to get behind something.  People usually have a reason to get really 'into' wearing pink for breast cancer.  I want more people to find reasons to wear orange!

Q7 – What would you consider a successful MS Awareness effort?

Getting anyone that I actually know, in my real life, to participate in MS events or look at MS research.  And not compare the different people they know to me; have a healthy respect that everyone's case is different.  I can't tell you how sickening it is to be told, "Well, my friend so-and-so has had MS for forty years and she is just fine," I could just as easily retort that another friend of mine who is my age has been in a wheelchair for five years because of her MS.  Everyone's case is different.  I know you think you're helping when you only want to focus on the possibility that my pregnancy could make my MS disappear, but as that has been the opposite case, I'd prefer if you just shut up and listened to my struggle instead of trying to fix it to make yourself feel better.

Q8 – Where do you direct people if they ask for more information on Multiple Sclerosis?

I'll admit, I wish I did more to spread awareness in this respect.  But I have so rarely been asked for 'more information,' this feels like an empty question.

That's all, folks!! Have a great week -
MSloan 

Monday, February 22, 2016

ChatMS - 2/22/2016

Tonight's ChatMS on Twitter was in a different format - forgive me if I forgot some questions or missed some, it was not very clear what questions there were!  (note to the moderators: keep this in mind for those of us who participate after hours and want to follow the conversations :) )

Enjoy away, and feel free to copy/paste to your own blog!  Sorry I forgot last week's, I was so pumped because I actually got to participate in real time that I never went back to put them in blog form!

Q1) As an ice-breaker Q, what is your name and what is your most frustrating symptom?

I don't use my real name on this blog :) But let's say my name is Margo, and by far the most frustrating symptoms I've had have been nausea and MS hugs, both of which I thankfully have not had consistently in some time.  On the plus side, it made morning sickness really easy to deal with because I had so many anti-nausea tricks!

Q2) How does everyone handle fatigue?

I have to learn to say 'no.'  I'm not very good at this, haha!  But when I go out with my husband, either for a walk or a day trip somewhere, I have to know when it's time to go.  If I overdo it one day, I won't be able to function the next! 

Q3) Is anyone on a particular diet? Have you noticed any differences since cutting out certain foods?

HA!  This is one of those things I should be doing, but am not.  I know that certain foods trigger my acid reflux, like certain types of chocolate, and citrus fruits.  But as for real MS symptoms, not really.

Q4) What type of exercise is easiest and benefits your MS the most?

 Yoga, yoga, yoga, yoga.  Yoga all the way.  Not too strenuous for my body and when I do it, I don't feel like I'm going to trip and fall on someone because my feet go numb when I move around too much.

Q5) Has anyone experienced numbness in the stomach & u don't feel when u have to urinate?

Dear Lord, no, but I certainly hope I never have this one.

Q6) Do you guys have set sleep schedules? Or just try to sleep whenever?

Just try to sleep whenever.  Insomnia is a huge struggle for me - now that I'm 7 months pregnant it's even worse!!  Oy vey.

Q7) Does anyone else feel like they have to REALLY concentrate and focus in order for action to happen in the bathroom?

You mean I'm not the only one??!  I have struggled with constipation for so long I can't even tell you.  Pregnancy again makes this one all the more enjoyable.  Most pregnant women don't struggle with this until at least the second trimester and mine has been on a totally different level since about 5 weeks in.  What was already bad was made monumentally worse.  Let's just say I should invest in Preparation H and leave it at that.  #TMI #Sorry

Q8) For those of you that deal with headaches frequently, where would you say it hurts? And what do you do to help?

I used to get headaches daily.  They usually hit around 3 PM or later, and were tension related.  I felt them on both sides of my head, a dull ache.  When they would get really bad, they would last for days on end - just a dull pain, about a 4 or a 5, but nothing would stop them.  After I got pregnant I got an entirely different type of headache - these would hit in the morning, and would hurt on the back of my head as well as the sides.  I never had a headache that wasn't just a continuation of the day before that started before 11 AM - but these were like clockwork.  Knock on wood, hard, I have not had a headache at all since about my 4th month of pregnancy.  I do not look forward to my daily ones returning, and hope it's one of those things that will stay away.

I do get migraines, once in a blue moon.  They give me auras and tend to hurt on one side of the face.  Optic Neuritis headaches are the absolute worse, they hurt behind the eyes, typically on my right side, and not a fucking thing even touches it - not aspirin, not tylenol, not aleve or ibuprofen, the four pain killer groups.  Just wait it out and pray you can see afterwards.  This last bout of ON, left me with only partial vision in the right eye, 12 weeks and still no improvement, but it didn't hurt.  I think I prefer the blindness to the pain, honestly.

Q9) If you could tell your friends/family one thing about MS and they would 100% believe that one thing. What would it be?

My MS is not my whole world.  I talk about it because it makes me feel less alone.  I wish you would ask me more questions so that it wasn't so much of a mystery, and you could understand my perspective a little better.

I'm not faking, and I don't want your pity, or even your attention.  But acknowledgment that this is hard would be very validating.

Q10) Does anyone else feel out of place in a group setting trying to keep up with conversation and making sense when you reply?

I have not had this kind of immediate brain fog in a group, but I've had it when writing, and I have had to counsel patients with it.  I tell them to say "Wait a minute, buffering," while they speak, so that they don't get the inevitable "What?" response.  I had a patient who brought in her husband to have his hearing tested because she was certain he wasn't hearing her - he actually had perfect hearing, he said "what" all the time because her MS caused her to frequently not make sense, and he didn't know how else to tell her so.

Q11) Fill in the blank... I have MS, but MS will never stop me from __________!

Creating, in one medium or another! 

Q12) What's that 1 medication/Vitamin that you believe helps you/your MS the best?

I loved my Gilenya.  As far as I could tell, I had no side effects, and my MS was kept at bay, give or take a teeny bit of toe numbness on particularly stressful days.  It did the trick for me, as long as I could keep my stress level low.  I would like to go back on it after my baby is born, if my neurologist is willing to work with me.

Q13) Does anyone get that feel like you're walking on glass feeling? What helps it?

I only got this a few times with my previous numbness, and it was very disorienting.  Like your foot "waking up," the worst part of it.  But all the time.  I really didn't focus on it because the most disconcerting part was when I walked a few yards, my legs from the knee down would go numb and I would get a spring-like feeling with every step.  So glass-feet is a bit foreign to me, but I know it's real to a lot of MSers.

That's it for this week, folks!!  Tune in next time!
Love, MSloan

Monday, February 8, 2016

ChatMS 2/8/2016

This week's ChatMS was all about relapse triggers - something I have learned a lot about.  Remember to cut/paste the questions to put on your own outreach, and spread the word!


Q1 – The cause for MS is unknown, but there are theories. What do you think is the biggest “trigger” of MS? (Genetics, diets, etc.)

This is an excellent question.   Some people believe it is all about the environment you grow up in, but MS is really an overactive immune system, not one that is under-functioning.  It would make the most sense that it is somehow brought on by a virus caught at a young age that matures in young adulthood - in fact, there may be several different subtypes (more than the differences between primary progressive or relapsing/remitting) as we currently know them.  I grew up in a very sunny state and spent plenty of time outside so I don't believe the Vitamin D deficiency piece, more that the environment is home to many different insects and viruses that we have yet to identify.



Q2 – What have you found that supports your theory?

See above - where I grew up debunks some of the theories about Vitamin D.  But with the similarities between Lyme Disease, Fibromyalgia, Multiple Sclerosis and Lupus, the most obvious connection is a bacterial or viral cause that is spread early.  I was a very sick kid, an underactive immune system is unlikely to turn on you suddenly without cause, and it makes more physiologic sense that a virus would reactivate in times of stress or heat, which promotes multiplication.

Q3 – When it comes to relapses we know several things can be triggers. What seems to trigger relapses you have had?

Stress is the number 1, number 2, and number 3.  Absolutely.
We have a tendency to forget that our brains interpret stress differently than our hearts do, if that makes sense.  The things that make us feel 'stressed out' can be negative, but our bodies respond to positive stress the same way.  My biggest relapse happened right before the most important month of my graduate career - I was performing and speaking at a conference, I had several job interviews lines up, I was presenting a poster at another conference, and had 4 plane trips planned.  Right before this, my left side failed.  I had to cancel the first trip and, therefore, the first job interview.  I lied about the rest.  In retrospect, I should not have gone to the first conference, either, but I couldn't jeopardize my future by passing up those opportunities.  None of these things made me feel 'stressed out,' but it still hit me harder than anything I could have imagined.

Q4 – What have you done to avoid these triggers?

Honestly?  In my case, it was moving away from my mother.  She is still the most major stressor in my life and it is not coincidental that when she upsets me, I have flares.  When I was first diagnosed, I 'failed' steroids twice, which is to say I had 2 rounds of Solu-Medrol and my lesions tripled in size or grew new ones.  I have yet to meet many people who have failed the treatment like I did.  Not a coincidence that my mother was more present in my life that month because of my diagnosis.  It is very important that I am aware of her effect on me.

Q5 – Some mentioned this already, but stress can affect MS symptoms and relapses. How stressed are you, currently? (Scale of 1-5)  

I am about a 4.  I'm pregnant, what can I say?  :)


Q6 – Over-heating your body can also be a trigger of MS symptoms/relapses. On a scale of 1-5, how cool would you say you are? 

I'm about a 2.  Heat absolutely effects me.  I can take a bath or a hot shower and be okay because it isn't a really long time, but a really hot day is like a nightmare to me.  I have always been heat sensitive, even as a kid.  When I am having an active flare and try to exercise, the rise in body temperature means I cannot feel my feet at all and I get 'springs' in my legs.  Very disconcerting and I worry about falling and hurting others.

Q7 – Has your neuro given you any tips/tricks to help you avoid triggers of MS symptoms/relapses?

 HA!  Does anyone's neurologist really care that much?  My neurologist basically said "I don't know what to do with you" when I had my 2nd flare while pregnant.

Q8 – What tips would you give to others to try and stay clear of possible triggers?

Become aware of what triggers you and avoid it, even if you think it would be worse to be without that trigger.  I didn't want to get away from my mother as badly as I really needed to.  She raises my blood pressure and gives me so much upset.  If it's really hot outside, I deliberately plan to do low-key things that don't involve going outside too much.  I haven't found any food triggers, but I do know that certain multi-vitamins give me MS Hugs.  It is hard at first to eliminate triggers, but is well worth it.  Good luck!


That's  a wrap, all!  Thanks for reading!  - MSloan 

Monday, January 25, 2016

ChatMS - 1/25/2016

This week's Chat MS was just about the new year.  I'm ready for a new start, aren't you?

Don't forget to copy/paste to your own blog, and keep the conversation going!


Q1 – How is life in 2016 treating you so far?

It's going ok.  I'm excited for my baby to come in April.  I'm struggling with my mother.  I'm struggling a little at my workplace.  But in general, things are overall good!

Q2 – Did you make any MS related New Year’s Resolutions? If so, care to share?

Yes and no.  I don't really have New Year's Resolutions - I have themes.  My theme for this year is Acceptance - because there are some things in my life that I truly cannot change, but I can accept that there will be challenges, and I will learn to overcome them.  I guess this does heavily tie into my MS as well as many other things.

Q3 – We are 4 weeks into 2016. Have you made good on your resolutions so far?

I think so!

Q5 – Do you think 2016 will bring more awareness for MS? If so, in what ways?

There is always hope for that - there are already stories of more celebrities with the condition, but I think that because it is still largely an invisible disease, we have a very long way to go for real 'awareness.'  People need to understand that no two cases are the same.  I hate being told "oh, so and so who I've known for many years has MS and is just fine..." I appreciate that you're trying to make me feel better, but really you're just trying to make YOU feel better because my predicament makes you uncomfortable.  It's ok to face the negative possibilities, too, and not view the disease under rose-colored glasses.  It doesn't make the problems go away.

Q6 – What are you looking forward to the most in 2016 when it comes to MS? (Specific research, treatment, etc.)  

My baby is the biggest thing on my mind.  After she arrives, I will be able to focus on what's new! 

Q7 – Don’t change your goals, change the way to achieve them. What is your biggest “Bucket list” item despite having MS?

Well my biggest goal in life is to be a rock star.  Always has been, always will be :)
 https://soundcloud.com/margo_sloan

Q8: Is there a particular symptom you'd like to discuss? What topics would you like to cover in the future?

I really would like to talk about MS Hugs, people who have failed steroid treatments, flares during pregnancy, other atypical experiences.  Lhermitte's sign, and dealing with people around them.

Love to you all! - MSloan


Monday, January 18, 2016

ChatMS 1/18/2016

Hello all!

I didn't do a posting for ChatMS last week because all the questions were about how cold weather affects your MS - and I live in California.  I don't have any issues with that, so I couldn't relate to any of the questions.

If you are affected by cold weather, please tell me your story!  In my case, I only notice issues when it gets above 95.

This week's ChatMS is another one on symptomology.  Please feel free to cut/paste the questions to put on your own blog.  Keep the conversation going!

Q1: Over 50% of MSers say they experience sleep problems. Are you part of this statistic?

Abso-freaking-lutely.  I can't even count on both hands the number of great nights of sleep I have had in the last few years.  Being pregnant compounds this, for sure!

Q2: Sleep issues can involve insomnia, apnea, narcolepsy or restless leg syndrome. Do you experience any of these?

Insomnia is the big one.  Mostly, when I wake during the night, I can't fall back asleep.  I also have restless leg syndrome, and often feel generally 'uncomfortable' for lack of a better word.

Q3: What symptoms do you experience that disrupt your sleeping habits?

See above - but I also have frequent urination, heartburn, nausea, dizziness.  Leg cramps!!!!  Not all the time, and thank goodness not all at once.  But these issues rear their ugly head on occasion and good luck sleeping through that.

Q4: Not sleeping well can have a negative effect on your well being. Does your sleep affect your daily activities?

Absolutely.  I can feel when I haven't gotten a good night's sleep - I am more irritable, less tolerant of annoyances and demanding people, and my depression spikes.  I do not believe it contributes to my MS fatigue, which is a beast in and of itself.

Q5: Fatigue tends to a common symptom of MS. Do you believe this is this due to your disrupted sleep?

Oh, the fatigue.  The fatigue, fatigue, fatigue.  Other than pregnancy I cannot imagine anyone really experiencing fatigue the way that MS gives you fatigue.

I have had depression and anxiety for many years - since I was a pre-teen.  Depression makes you tired, hopeless, keeps you in bed because you don't want to get out of bed.  It's an entirely different feeling from having a cold, having the flu, being 'sick' and not having the strength to get up.  MS fatigue is an incredible, overwhelming sensation - not of "I don't want to get up," or even "I don't feel well enough to get up."  It is a can NOT.  I can NOT get out of bed.  I can NOT get off the couch.  I am stuck right where I am.

I had a relatively full night's sleep early on in my MS diagnosis days, not when it first began but when I was actually diagnosed.  The next day I could not get out of bed.  I nearly wet the bed because of this fatigue.  I was sitting on my couch and felt what can only be described as a heaviness.  I couldn't get up to eat.  I couldn't pick up my computer or my phone.  I just sat there, at the mercy of my cats.  Exhausted, but not tired - I didn't sleep all day.  And then I finally understood why 'fatigue,' as one of the most common symptoms of MS, is grossly misunderstood.

Q6: Have you talked to your neuro about your sleeping habits?

Nah - I didn't think she could do anything about it at the beginning, and I had been dealing with so many issues with my sleep habits that adding MS to the causes wasn't going to make too much of a difference.

Q7: Are you on any meds to help you have a good nights rest? Which ones?

Nope.

Q8: If you have extreme insomnia what do you do to help you fall asleep?

Flip my pillow over.  Get up and go to the bathroom, roll my husband over so he'll stop snoring.  Read something very boring.  Climax.  Deep breathing, in through the nose and out through the mouth.  Clench all my muscles in systematic patterns and release.  I have yet to find the perfect cure to insomnia but I keep trying!

Q9: What tips/tricks would you give to other MSers to help them with their disrupted sleeping patterns due to MS?

Keep a log of when you get up; maybe there is a cycle to it.  I have a definite cycle - 12:45 PM, 2 AM, 4 AM, 5:15 AM, 6:10 AM.  If I get up at 3 AM, it's usually because of my cat because that's HIS cycle.  It might not help you fall back asleep right away but it's relatively amusing!  And know you aren't alone.  Keep a bottle of water by the bed and practice good breathing techniques. 

Wednesday, January 6, 2016

ChatMS - 1/4/2016

First ChatMS of the year!  Please feel free to copy/paste the questions to your own blog, and remember to keep things moving and the conversation going!  Happy New Year, everyone!

1) There is a phrase that says “MS stops connections, but connections stop MS”. What are your thoughts on this statement?

This is absolutely true!  There is no hope for the progression of treatment if we don't talk about it and stand together as a population worth fighting for.  We are a minority.  And science will ignore us if we don't make a stand.  I think that hearing loss destroys more connections, what makes MS destroy connections is the lack of tolerance or understanding.

2) Where have you made the most MS connections? Are they other MSers, MS Society contacts, etc.? 

Definitely online doing these twitter chats.  I like to think there are folks that read my blog... or am I writing to no one??  oOo....

3) Having connections means you have a support system. We know support is a huge asset. Are you happy with your support system?

Hahahaha, what support system?  I am sorry and don't want to pull the pity card, but my MS makes everyone I know uncomfortable.  Instead of asking me genuinely how I'm doing, they give me a pitiful look and change the subject.  I always end up making THEM feel better when I talk about the everyday struggle.  So I don't really talk about it.  When I have a flare it makes me feel very lonely.  The only reason anyone in my real everyday life knows about my right side blindness (it is improving, albeit very slowly!!) is because I had to cut out of work early to see the opthalmologist.  I didn't want to tell anyone and the manager spilled the beans.  Would have lied and said it was a baby thing but I don't want to curse her along the way.  Can you tell this is a sore spot for me?

4) There may be MSers close by that we don’t know about. Let’s make connections. Where is everyone from?

North Bay of California, represent!!

5) Some may do this already, but what would you think about doing a Pen-Pal type program with other MSers?

I would love to have an MS penpal - - but I have to be honest.  I see an awful lot of MS folks who complain on a daily basis.  Do I have daily struggles?  Yeah, but if I focus on it as being an everyday struggle, it will be.  When I have a good day, it is a great day!  So focusing on the not-so-good days as if it's something to wear like a badge of honor, feels backwards to me.  I would want to pen-pal with someone who appreciates what's positive instead of always focusing on the negative, and posting about how they 'wish they could shed the skin of ms every day.'  When it affects you every day, that's one thing - if you haven't gotten to that point yet, this is why some of us have the issue in question 3.  We are not pitiful, don't make us out to be! 

6) Would you be willing to travel if an event was put together for an MSer get together? If so, how far?

I would be ... as long as it wasn't too disruptive to work!  This will be more difficult with a baby this year though.

7) How important is making MS connections to you? Do you think it’s beneficial? Or would you rather lay low?

I think MS connections are crucial to discussing depression and other struggles.  It is also beneficial for all people with MS to stand together as a community - if we all lay low, we might not be viewed as weaklings, but we won't accomplish anything! 

8) What could be done to further help MSers make more connections, and grow their support system?

The biggest thing that would help MSers make connections would be to END THE ADA STIGMA.  I would love to shout from the rooftops that I advocate for this disease and live with it daily - - but doing so might mean affecting job opportunities in the future, or even affecting my current professional relationships because of ADA.  It's viewed as a progressive and debilitating disease, and while those things are both true it is also one of the most progressively researched diseases as well.  It is no longer a death sentence and there are so many treatments to help give sufferers a normal life.  I want to talk about it, we all should talk about it, stop the stigma!!

Love to all!
MSloan

Saturday, December 5, 2015

Chat MS - 11/30/2015

This last Chat MS was all about MS research, a topic dear to my little science heart!  Please don't hesitate to copy/paste to your own blog to keep the conversation going!

Q1 – Do you keep up to date with latest news and research articles?

I do a bit - since I am in the loop for new hearing science developments, I occasionally come across good Multiple Sclerosis treatments.  I do of course read the ones that get distributed by the National MS Society.

Q2 – What is your “go to” place for the latest in information?

National MS Society and, believe it or not, Twitter.  Unlike Facebook, I have found the Twitter is a really great way to stay up to date on the latest research and developments with MS because I follow a fair amount of heavy hitters.  I recommend it to anyone looking for regular answers and a real community.

Q3 – It seems each week there may be a breakthrough or “game changer” when it comes to treatment. What has you excited the most?

Ah man, I see this all the time, but honestly I haven't seen a lot of stuff that excites me.  However, my dad hears things all the time and is really excited about them for me.  He learned about the bee sting study and got really hyped up and told me about it every time we talked on the phone for a month.  My dad doesn't talk to me on the phone.  So yeah, he thought it was a pretty big deal!

Q4 – Have you or would you ever enroll in a clinical trial to see how something new may affect your MS?

ABSO-FREAKING-LUTELY.  I have been a part of a research study on physical ability and MRI correlates at the University of Colorado at Boulder.  I enrolled just after my diagnosis.  It is SO important to participate in research, even if it isn't a clinical trial.

Q5 – In many cases we see articles claiming breakthroughs but never seem to hear anything else. Why do you think this is?

This is the sad reality of science.  Single studies are not enough to effect real change.  Some studies look great on the surface, but repeat studies do not find the same thing.  There has to be a repeatable response for it to be transferred into a real FDA-approved treatment.

Q6 – There are trials on-going for treatments that repair myelin. Would you be interested in this? Or is it “just another drug”?

I think this is excellent!  But right now - - I am a bit skeptical.  I fear that medication that can increase myelin would be hard pressed to be controlled enough not to over produce and cause an adverse effect, specifically causing other diseases like neurofibromatosis, which is essentially the evil opposition to MS.

Q7 - What is a cure to you? Stopped progression forever? or complete reversal of symptoms? 

Both of course!  Stopped progression is incredibly important to me.  More research on medications and the JC virus.  More research on effective medications that don't cause OTHER problems.

Q8 – Do you think we will see a cure in the next 10 years?

.... realistically?
No.  I am not trying to be a bad news bear, but even if there was a major breakthrough in the progressing of MS and how to halt it in its tracks, it would most likely be over 20 years before we see that get distributed out to the masses.  Because of the nature of MS, the relapsing part of the disease makes it all the more difficult to understand the effectiveness of things such as 'cures.'  There's very much a difficulty here in how to determine what is really causing the relapses to halt - is it because that person's disease is just relaxing?  Or is it because of the medication?  This is why MS is so hard to pinpoint.

Thanks for reading, all!  MSloan

Thursday, November 26, 2015

Chat MS - 11/23/2015

This week's Chat MS was about social anxiety with MS - please feel free to copy/paste the questions to your own blog.

Remember to keep the conversation going and have a great Thanksgiving -

Q1 – MS can cause or add to social anxiety. Do you experience Social Anxiety since being diagnosed with MS?

 Absolutely.  I already have general anxiety disorder, and when I'm having a flare or especially after I was initially diagnosed, I had even more bouts of it.

Q2 – What contributes most to your social anxiety? (A certain symptom, using an assisting device, someone’s actions, etc.)

This biggest thing is that I have MS at all.  People don't understand it and I want to educate them, but at the same time I 'don't want to talk about it.'  This goes especially with my coworkers and bosses, because having MS makes me an ADA risk.  I have lost job opportunities after one of the potential employers found out I had MS and clearly didn't really understand what that meant.  I have not missed a day of work because of my MS in over 18 months.

I also struggle with telling people that I'm with about the possibility of my fatiguing quickly.  I have a relatively svelte figure, am tall and thin, and otherwise look healthy.  When I mention that I'm too tired to do something, I get a lot of eye rolls.  I look good on the outside, but on the inside, I'm struggling to stay alert.  This is really a hard thing to feel good about.

Q3 – On a scale of 1-10 (10 being the worst), how severe would you say your average anxiety bout is?

7 or 8.  I tip to 10 when I have to drive somewhere - but driving is my general anxiety trigger anyway.

Q4 – Are there situations or places you purposely avoid because of your anxiety?

Not necessarily, but I am known to be flaky because I'll feel good about doing something the day before, but when I wake up, I'm just not up for it.  This happens a lot.  It's the most common issue I struggle with when I'm not having an active flare up.  I remember being able to go all day on my feet, working full time in a job where I couldn't sit down, and get up and go the next day with no issue.  Pain free.  I miss those times.

Q5 – Have you discussed social anxiety with your neuro? What did they say?

Nah - it never really came up and I doubt he can do anything about it.  Unfortunately social anxiety is not like GAD and isn't really affected by medication.

Q6 – Do you ever worry or get anxious about things that have not happened and may never happen?  

Abso-freaking-lutely.  All the time.  I am afraid I'll wake up and not be able to move, my baby will be crying, and I won't be able to help.  I have this dream a lot, and it makes me think about it all day long.  I worry about my ability to get around.  I worry I will have a flare that affects my hands and I won't be able to work.  I worry I will be out with friends and will have to stop before they're ready to.

Q7 - What do you feel when you experience social anxiety?

I get quiet and I don't want to talk to anyone at all.  I'm not an easy crier but it makes me feel like I am about to flood the room.  My heart beats quickly and I feel like I might pass out - it's very close to a panic attack.

Q8 – What helps you overcome bouts of social anxiety and what tips would you have for others?

The best thing is to spend time with people who are willing to ask questions.  Tell people you don't feel well.  But I still really struggle with this because I don't like getting eyes rolled at me - because frankly, people don't believe me.

Love to all - MSloan

Monday, November 16, 2015

Chat MS - 11/16/2015

Hey all!

I didn't get to participate one bit in this week's ChatMS on Twitter - but as someone who doesn't drink, it doesn't look like it really applied to me anyway!  Feel free to copy/paste the questions to put up on your blog.  Remember to keep the conversation going!

I'll put in a few rudimentary answers where I can, but again, I don't drink.  Love to all!

Q1 – Alcohol, depending on amount, can affect the central nervous system. Were you told to stop drinking alcohol after diagnosis?

I was never told this - but I do think it can exacerbate problems (like vestibular dysfunction if one is already prone to dizziness.)

Q2 – Some MSers report worsening symptoms even after one drink. Have you noticed the effects of alcohol being different?

It's odd, but I have!  Just as small as a dose of Nyquil and my whole body feels funny.  So I bet it's good that I don't drink otherwise :) 

Q3 – Some DMD treatments can affect the liver as well as alcohol. Do you take a DMD and still consume alcohol?

DMD means 'disease modifying drug.'  I was not on a DMD that was affected by alcohol but I was placed on an anti-depressant that couldn't be used with alcohol.

Q4 – When discussing different treatments was “Can I still drink alcohol?” one of your first questions?

Not even close - my first question was "can I still fly to my job interview next week?"  The answer was no - it was a busy month and my life was very much disrupted!

Q5 – Do certain types of alcohol affect your MS symptoms in different ways? For example, wine may not affect you, but beer does. 

No comment here

Q6 - Have you found any benefits to drinking moderately when you have MS?

No comment here

Q7 - When out with friends, do you avoid consuming alcohol? Why or why not?  

Not for the purposes of my MS; there are other things I already have to be cognizant about while out with people.

Q8 – Have you heard drinking alcohol may be beneficial to MS? Some studies have shown it slows progression.

I have never heard this, how interesting!  My husband laughed his butt off when I told him this and showed him the attached article.  I have heard good things about marijuana tinctures and MS but have not explored it myself.  At least, not yet!!

Love all! - MSloan

Monday, November 9, 2015

Chat MS - 11/09/2015

This week's Chat MS dealt with weight gain; I missed the live chat, but hopefully this keeps it going!
If we don't talk about it, progress has no chance!  Please feel free to copy/paste to your own blog to include those who don't participate in weekly Chat MS.

I haven't experienced weight gain as a result of my MS, but I have had other symptoms that are semi-related to this.  I will do the best I can to stay relevant with these answers!

Q1 - Although it may be overlooked, it’s common for MSers to gain weight. Have you experienced weight gain since diagnosis?

I was fortunate in that it didn't give me weight gain, at least not a noticeable amount.  Being pregnant is much worse for the figure :) but I am a stress starver instead of a stress eater, which might have been the biggest reason why instead of gaining weight, I lost weight after my diagnosis.

Q2 – Weight gain can be contributed to fatigue making it difficult to stay active. Would you say this contributed?

What kept me from being active the most was not fatigue, though that definitely played a part.  When I exercised, my numbness got worse.  I couldn't feel my legs - at all.  I felt very unstable.  It's really hard to run if you can't feel your feet AND your legs - I ended up doing a lot of yoga which didn't exercise me as well as I wanted it to, and I was afraid I might tear something because I couldn't self-monitor my limits as well.

Q3 – A side effects of steroids is also weight gain. With steroids commonly used for relapses, have you noticed this?  

Nah - worst effect with the steroids was no sleep, dead tired during the day, and altered taste.  Yuck!

Q4 – MS can cause weight gain, yet being overweight can worsen symptoms. Have you adjusted your lifestyle do to weight gain?

No comment here -

Q5 – Have you noticed a difference after changing your eating habits and/or exercise routines? If so, in what way?

I have to say - I had to change my eating habits because I was chasing the causes of certain exacerbated symptoms.  My MS hugs were nauseating and debilitating.  They would come in waves throughout the day.  I then found out my gallbladder was somewhat on the fritz - they wanted to remove it but I didn't understand why no gallbladder was somehow better than an organ that worked a few percentage points lower than 'optimal.'  I had odd lower-right pain that felt like an ovarian cyst - but no cyst.  It was very painful.  Appendix was fine.  Now, I'm doing okay without pain and I tracked down the cause of what I was calling MS hugs for so long - - an overload of almonds would set it off, as would my Centrum chewy multivitamins.  Who knew?

Q6 – Yoga is great for symptom relief, fatigue relief, and weight loss. Have you done yoga? Any particular yoga program?

I love yoga - but I wouldn't do anything other than gentle yoga until my numbness subsided.  It is so easy to hurt yourself if you can't feel your muscles saying 'stop,' and the whole point of yoga is to stretch.  You can end up giving yourself a problem you don't already have, so be careful!  But I have to say, when I started doing yoga (and my wonderful husband did it with me), I loved that I was moving muscles I didn't know I had.

Q7 - what other tips or advice would you give to MSers who are are experiencing weight gain?

My biggest advice would be to try not to stress about your weight on top of everything else you are dealing with.  Your body is trying to heal.  If your body gains weight after steroid treatment, the swelling will go down.  Don't panic, and definitely don't overwork yourself.  Save your spoons, so to speak, and listen to what your body says!

That's all, folks!  Love to all -
MSloan



Monday, October 26, 2015

ChatMS - 10/26/2015

Tonight's ChatMS was all about intimacy.  I appreciate all of your support and participation, feel free to comment or copy/paste for your own blogs!

....
Q1: On a scale of 1 to 5, how comfortable do you feel talking about Intimacy? 

I'm married and generally very open.  I rate at a 5!

Q2: Many people have different definitions of intimacy. What does it mean to you?  

Intimacy to me means the ability to open up to a person in more than a casual or surface manner.  It is not always sexual or romantic; I have few intimate relationships in my life, I am an open person but I am not easily trusting after one of my most precious relationships fell apart.  It has new meaning to me now, especially in regards to MS, because it can and will impact every single relationship one has.

Q3: MS can have effects on Intimacy. Have you noticed changes since your diagnosis?

Yes - a few.  I wrote a blog post about this earlier last week; it's difficult to feel welcomed to discuss my MS by people at work or church because they don't understand it.  I had some more sexual dysfunctions as well, which I will address in later questions.

Q4: Have you and your partner discussed how MS can affect Intimacy?

 Yes - we have had to have tough conversations about what this means for me, and how things might change in our relationship.  We had to really buckle down and decide if we wanted to have children.  It meant I had to breach the subject with a few friends - and I mean few.  Many of the people I consider to be 'friends' still don't know I have MS - not that it matters, but I feel it's an important part of understanding why I make certain decisions.

Q5: MSers have more problems with ‘sex’ than a person who doesn’t have MS. Do you struggle with this? 

Yes and no - I noticed a big drop in my libido shortly after being diagnosed, and when you are numb in areas from the waist down, it absolutely affects your ability to enjoy sex.  I was depressed and very tired - it never felt like a good time, and this came right after a period where my libido was at an all-time high and our sex life was excellent; it was quite a setback.

Q6: ONLY if you are comfortable, what MS related symptoms have you noticed during times of physical intimacy?

 The biggest one was an effect on my orgasms.  For me, a climax affects my entire body - it isn't just localized in one 'place.'  Instead, I can feel contraction and blood rushing all through my legs and torso, which enhances the experience.  When I couldn't feel my leg or part of me pelvis, it really impacted my libido and my ability to enjoy sex when we had it.  I was terrified that it would ruin our intimate time together forever.  Thankfully, that ended.  Now the only thing affecting our sex life is the weird experience of pregnancy.
I swear, I need to write a book - Pregnancy Sex: The Final Frontier.

Q7: How do you deal with the symptoms of MS and Intimacy? Have you talked to your neuro about it?

 Just like anything in a relationship, communication is key.  I have to be honest with my husband about do and do not feel ready for.  I didn't discuss my sex drive with my neurologist then, but she was very perceptive and put me on anti-depressants.  It was a lifesaver, though my Lexapro negatively impacted my climaxes as well for a while.

It's so refreshing to know that this is not an isolated problem, especially because it is likely addressed by some physicians as being a side effect of depression and nothing else.  Don't let what your physician tells you be the only thing you learn - do research, ask others, be accountable for your healthcare!

Keep the conversation going!  Participate weekly in #ChatMS on Twitter and FB!
MSloan

Monday, October 19, 2015

Chat MS: October 19th, 2015

Hello, readers!

I have really enjoyed participating in Twitter's "Chat MS," happening on Monday nights at 7 EST.  Because I am on the West coast, this is going to become increasingly difficult for me, as it begins while I am still at work and it was only by chance that I could participate this evening.  So, to keep the conversation going, I am going to make it a weekly regiment to post the questions from Chat MS every Monday evening and welcome anyone to answer them in the comments.  By talking about the issues, we can make progress!

Let's get started!  This week's theme was Women with MS.

Q1: For approximately every 1 male, 3 females get diagnosed with MS. How does this make you feel?

I have always known that multiple sclerosis was more common in women, but it really does feel like a woman's disease.  I have met many women with MS and only a handful of men, and that is likely because I am a healthcare provider.  Though despite the higher numbers of women with the disease, it seems to be much more severe in men.  No disease is truly sexually exclusive, but it would not surprise me if one day we only considered MS a women's ailment, as it is more likely we would find the genetic markers that make those few men more susceptible.

Q2: 86% of women are diagnosed with MS b/w the ages of 16 and 40. How old were you when you were diagnosed?

I was officially diagnosed with MS at 25, after I woke up one morning and my left leg was completely numb, and my right toes were as well.  Though this major problem forced me to come into the emergency room and finally get an answer, I had been dealing with symptoms as early as December of 2009.  I describe this time in my life as, 'when I got sick.'  I went into remission for several years until the episode that brought me to the hospital, though in retrospect I had warnings something was happening in January with frequent MS hugs that I thought was persistent food poisoning; the leg went numb at the end of February.

Q3: When you were diagnosed, did you have children? If yes, what were the challenges you faced?

I did not - and I was terrified that it might me I couldn't have children.  I am in a religious union with my husband, who comes from a large family and always wanted kids.  I was always on the fence.  But now, I had a choice to make.  I had always intended that a year after I graduated with my doctorate, that I would secretly go off the pill and let nature take its course.  That was no longer an option with my MS, since the medications I was taking to stay in remission were not pregnancy safe.  We were very fortunate, however, that when I stopped the Gilenya I didn't relapse, and we got pregnant just outside of the 2 month safety window of stopping the drug.  I am 13 weeks pregnant, and so far things are going well!

Q4: If you do not have children, do you wish to have any in the future? What are your fears being a mom with MS?

Can't take it back now :), but of course there are fears.  I am afraid I will not have the energy to keep up with my children.  I am afraid I will have a flare and my children will end up taking care of me before my time, and that has always been my reservation about having kids; I am in general a sick person, always have been, first as a child and now as an adult with this chronic illness.  It is not impossible that I could wake up one day and have a major problem, or lose my ability to do something I used to take for granted - like walking, running, staying balanced, doing yoga, or even feeling my appendages.  I worry I could lose my sight.  I worry about my cognition.  But I don't worry that my kids might have MS - it is not highly likely to be passed down genetically, and think of it this way: If I chose to adopt instead, and then had a child who had MS, wouldn't that be a kick in the ass?  Shit happens.

Q5: Studies suggest that being pregnant with MS relieves symptoms. Has anyone noticed this?

Yes, though part of that might be the placebo effect of being pregnant as well, because that's common MS knowledge - - I have to admit though, pregnancy comes with its own set of strange issues.  I can't sleep, and am very tired, but not "MS Tired."  I can't feel my arms and my fingers are tingly, but that might be because of the carpal tunnel and pinched nerves in my back because my breasts have gotten enormous.  I have restless leg syndrome, but it doesn't feel like the weirdness of MS.  Time will tell, I guess.

Q6: Women with MS say symptoms get worse around their periods. What symptoms worsen for you during that time of the month?

Hell.  Yes.  I hate that some people really don't think there's a connection.  These are the same people who don't believe there is a connection between menstruation and migraines.  STUPID.  My first major flare happened in the middle of my period.  To this day, my biggest symptoms that hit around my period are severe fatigue and nausea.  Oh, the nausea.  No one believed me that the nausea was because of my MS, but I never felt nausea like that until 2010.  I was certain something was terribly wrong with me and no one listened.  Nausea is not just a symptom because you get dizzy - I am certain this is tied to the same phenomenon that causes MS Hugs.  Which are poorly named.

Q7: Do you take any meds to help you deal with symptoms during your menstrual cycle?

Dude.  Chocolate.  And Excedrin.  I need the tylenol/aspirin/caffeine mix.  But other than that, it's a wait it out system, and I pray I don't have a flare.  I hadn't because I was on the Gilenya, but once baby comes, I am scared of what might happen.

Q8: Women say symptoms like fatigue and bladder issues feel worse during menopause. Have you experienced this?

Whoa there, nelly.  I'm only 27.  Let's take childbirth first, ok?

Alright, everyone!  Your turn!  Love to all, please comment, keep the conversation going - feel free to copy/paste the questions to your own blog and keep spreading the word!
Love all - Margo :)

Monday, October 12, 2015

#ChatMS

I just participated in my first Twitter #ChatMS - it was excellent!  I feel so much more connected to the blogosphere/intersphere of people who have MS across the country and around the world.  It's so great getting to know all of you as we share in this journey together.

I haven't had much reason to post lately because my MS is essentially on hiatus while I go through pregnancy - - SO why not post things about pregnancy?  WHY NOT, I SAY!

So the next post will be the progress on Squishy thus far.  Love to all! And thank you for participating, you make me brave!
Miss Sloan :)

twitter.com/revelwoman