NOTES+for+MS+Period+A

=__Notes__= =|| HOME || CAUSE || EFFECTS || TREATMENT || PREVENTION || CHOICE || NOTES || MLA ||=

Symptoms ||
 * || =What is MS?= ||  ||   ||   ||
 * **Citation:** || * Burnfield, Alexander. __Just the Facts Multiple Sclerosis__. Chicago, Illinois: Reed Elsevier.Inc, 2004.
 * Gold, Dudley Susan. __Multiple Sclerosis Revised Edition__. USA: Enslow Publishers. Inc, 2001. ||
 * **Subject of notes** || Types of MS
 * **Notes**
 * Record only important info
 * **PARAPHRASE**
 * Try to find a short effective quote || **MS Symptoms:**
 * MS affects everyone differently
 * 1) Vision
 * blurred
 * optic nerve damage
 * eye problems without losing sight
 * goes back to normal in 4-12 weeks
 * some people have blind spots, serious visual loss, or double vision
 * 1) Sensation and Pain
 * clumsy arm
 * early symptoms: pins and needles or numbness in limbs
 * burning or pain in limbs or trunk
 * stabbing pain in the face
 * hot and burning or cold and wet sensation
 * Weak and numb limbs
 * control difficulty
 * 1) Movement and Balance
 * contractions or stiffness in muscles causing painful spasms
 * in severe cases, legs are paralyzed
 * balance problems and tremors from nerve damage in parts of the brain
 * cannot control body properly
 * dizziness
 * nausea
 * hearing loss
 * ringing ears
 * 1) Bladder
 * control difficulty
 * frequent and urgent urination
 * incontinence
 * bladder/kidney infections
 * 1) Fatigue and Memory
 * memory difficulties
 * confusion
 * emotional problems
 * extreme fatigue
 * 1) Other:
 * sexual organs don't function properly
 * slurred speech
 * communication problems
 * difficult to swallow
 * maybe bed sores
 * Trigenimal Nerualgia


 * "Prime of Life Disease" because symptoms usually occur at 20-30 years
 * Early symptoms: weakness, numbness, balance or vision loss
 * Mild case: periods of intense fatigue
 * Severe case: may be paralyzed
 * MS: chronic disease
 * French scientist Jean-Martin Charcot recognized and defined MS, and is called 'Father of MS'
 * There is no way to prevent MS yet || **Types of MS:**
 * 1) Benign MS: The mildest form of MS
 * about 10-20% of people with MS have this type
 * only has relapses and remissions
 * only mild disability, and not many people become disabled
 * experience few symptoms
 * damage is minimal or in places of the brain and spinal cord that don't cause obvious disability.
 * 1) Relapsing/Remitting MS (RRMS):
 * More than 50% of the people start with RRMS
 * relapses occur about 2-3 times a year with partial or complete remissions between
 * after a few years, symptoms worsen from gradual death of nerve cells and damage to myelin
 * when RRMS gets to worse stage, it morphs into SPMS
 * 1) Secondary Progressive MS (SPMS):
 * occurs after RRMS
 * fewer relapses and remissions
 * increased disability
 * called 'secondary' because disability becomes progressive after a few years
 * 1) Primary Progressive MS:
 * 10% of MS cases turns into this
 * increasingly disabled over years with no remissions
 * gradually more disability without sudden worsening/periods of improvement
 * named because progression is from first symptom with no relapse or remitting phases. ||


 * || **Ideas**
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 * Images/video to support this || * Put pictures of different cases of MS
 * So many types of MS.......
 * No way of prevention...... ||

People Getting MS/ Common Cases
 * =Diagnosing= || = = ||  ||
 * **Citation:** || * Izenberg, Neil. "Multiple Sclerosis". __Human Diseases and Conditions Volume 2__. USA: Charles Scribner's Sons, 2000.
 * "About MS". National Multiple Sclerosis Society. April 2, 2009 . ||
 * **Subject of notes** || * Diagnosis methods
 * People Getting MS (Common Cases) ||
 * **Notes**
 * Record only important info
 * **PARAPHRASE**
 * Try to find a short effective quote || Diagnosis Methods and Processes:
 * Diagnosis is not easy, and methods include MRI, VEP, blood tests, cerebrospinal fluid analysis, and resonance spectroscopy.
 * There is no definite test for MS
 * In order to make a diagnosis, the physician has to: find damage in two or more places in the central nervous system, have evidence that the damage occured at least a month apart, and rule out other possible diagnosis.
 * About 200 more people are diagnosed with MS each week
 * Women get MS 2 to 3 times more often than men
 * MS is more common far north or south of the equator, like in Scandinavian areas, Northern Americas, Canada, and South America.
 * Most severe disabilities usually appear within 5 years of diagnosis
 * 2004= 400,000 people in US and 2.5 million people worldwide had MS
 * Higher chance if close relative has MS ||
 * **Ideas**
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 * Images/video to support this || So basically, MS is in clusters. ||


 * || =MS Treatment= ||  ||
 * **Citation:** || * "About MS". National Multiple Sclerosis Society. April 2, 2009 . ||
 * **Subject of notes** || * Treatment
 * Problems with patients ||
 * **Notes**
 * Record only important info
 * **PARAPHRASE**
 * Try to find a short effective quote || * There is no cure for MS, but there are drugs to slow the course.
 * In early stages, a medication is corticesteroids
 * nerve stimulation=FES (functional electrical stimulation)
 * bladder symptoms=medication, absorbant pads, and sterile catheter
 * There are many failed treatments
 * FDA approved medications: Avonex (interferon beta-1a), Betaseron (interferon beta-1b), Copaxone (glatimer acetate), Novantrone (mitoxantrone), Rebif (interferon beta-1a), Tysabri (natalizumab)

Problems/Effects with Patients
 * 1) Depression
 * Anxiety and stress, especially in the beginning
 * periods of sadness/helplessness
 * not enjoy sleep and food
 * 1) Memory loss and Emotions
 * concentration and memory problems
 * lose emotional control
 * 1) Personality change
 * intellectual disability
 * loses understanding ||
 * **Ideas**
 * Ideas, reactions to information
 * Your opinions
 * Ways to present this info on your wiki
 * Images/video to support this || Delete this text and enter your information. DO NOT cut and paste all of your information. ||


 * =Cause of MS= ||  ||
 * **Citation:** || * Burnfield, Alexander. __Just the Facts Multiple Sclerosis__. Chicago, Illinois: Reed Elsevier.Inc, 2004.
 * Izenberg, Neil. "Multiple Sclerosis". __Human Diseases and Conditions Volume 2__. USA: Charles Scribner's Sons, 2000.
 * "About MS". National Multiple Sclerosis Society. April 2, 2009 . ||
 * **Subject of notes** || * Cause of Multiple Sclerosis
 * What happens in MS? ||
 * **Notes**
 * Record only important info
 * **PARAPHRASE**
 * Try to find a short effective quote || What happens?
 * Myelin (a fatty insulating substance that protects nerves) gets damaged so that in parts of the brain, spinal cord, and nerves, electric impulses get blocked.
 * Nerves are damaged
 * Messages don't get to the brain properly
 * destruction of healthy tissue=autoimmune response
 * disease of central nervous system
 * disease targets brain and spinal cord
 * brain and spinal cord tissue appears scarred
 * sclerosis=scarring
 * some damage from abnormal response to infections
 * white blood cells from immune system function abnormally when person is infected, and cells attack healthy tissue like myelin and nerves

Cause:
 * The cause is unknown, and could be combinations of what is below. (? marked)
 * Virus?
 * Environmental factors?
 * Genetics?
 * Gender?
 * Age?
 * Ethnic?
 * Vitamin D?
 * Not contagious or directly inherited. ||
 * **Ideas**
 * Ideas, reactions to information
 * Your opinions
 * Ways to present this info on your wiki
 * Images/video to support this || Delete this text and enter your information. DO NOT cut and paste all of your information. ||