Please visit our MS learning channel on Youtube, which provides hundreds of topics from our education programs, that were video-recorded and archived here: www.youtube.com/msviewsandnews

joomla ecommerce template -- Scroll left side of this blog for needed resources. Also, use our 'search by topic' tool, to find specific information.

Disclaimer: 'MS Views and News' DOES NOT endorse any products or services found on this blog. It is up to you to seek advice from your healthcare provider. The intent of this blog is to provide information on various medical conditions, medications, treatments, and procedures for your personal knowledge and to keep you informed of current health-related issues. It is not intended to be complete or exhaustive, nor is it a substitute for the advice of your physician. Should you or your family members have any specific medical problem, seek medical care promptly.

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CHAMPIONS TACKLING MS - AWARDS Dinner, Honoring Aaron Boster, MD and Jon e. Glaser, DDS - now open for registration. Visit www.events.msvn.org

Friday, July 17, 2009

MS Related: Geez, It's Only July and IT IS HOT !!!!

Whew - It's like an oven here today (in South Florida) and I could not imagine it being any hotter. But I do know it is hotter in other portions of this country and in other places in the world.

There are many people (with and without MS) that are affected by the heat.

To read articles in our library of MS Archives that deal with heat, how heat affects MS and other heat related topics, then click here to continue.

Be empowered by what you know of Multiple Sclerosis, to help you manage this disease.


If not yet registered to receive the "Stu's Views and MS Related News", weekly Multiple Sclerosis e-newsletter, then please Click Here to register. It will take less than 20 seconds.

Gene Regulates Immune Cells' Ability To Harm The Body

July 17, 2009

A recently identified gene allows immune cells to start the self-destructive processes thought to underlie autoimmune diseases such as multiple sclerosis (MS) and rheumatoid arthritis, researchers at Washington University School of Medicine in St. Louis have found.

Researchers showed that mice without the Batf gene lacked a type of inflammatory immune cell and were resistant to a procedure that normally induces an autoimmune condition similar to human MS. They plan to look for other genes and proteins influenced by Batf that could be targets for new treatments for autoimmune diseases.

Click to continue to read from the 3rd Paragraph

......

Thursday, July 16, 2009

Surgical device invented in Halifax, Nova Scotia, transplants neural stem cells

Information Provided by Sean in Nova Scotia:
Ivar Mendez
A surgical tool designed and built in Halifax is already being used to help Nova Scotians with neurological disorders and could become the gold standard around the world, says the head of the Brain Repair Centre.

Dr. Ivar Mendez showed off the instrument, called the Halifax Injector, at the Queen Elizabeth II Health Sciences Centre last week.

The device can be programmed by a touch screen to deliver precise quantities of stem cells to very specific areas deep inside the brain.

"This is the instrument that’s going to allow all the neurosurgeons in the future to repair the brain using cellular restoration," Dr. Mendez said. "When the time of stem cells comes and they’re ready for broader applications, the idea is that every operating room in the world will have the Halifax Injector."

The Brain Repair Centre has already pioneered a technique for transplanting stem cells into the brain to treat Parkinson’s disease. Video of a patient before and five years after a transplant shows a dramatic transformation: The man regained control of his hands and was able to walk normally.
Examinations of brain tissue in patients who have had the treatment also show the stem cells caused brain cells to resume producing dopamine and restore connections that were lost as a result of Parkinson’s, said Dr. Mendez.

But without an automated device like the injector it was difficult to precisely deliver the cells to the areas they needed to reach. A surgeon had to manually adjust the mechanisms that drove the needle into the brain, he said.
"We had to build an instrument that will allow us to do this, because there is nothing available," Dr. Mendez said. "To be able to put the right amount of cells in the right area without damaging the brain, and being safe, we created the Halifax Injector."

The device includes a frame that is fitted to the patient’s head and precisely holds the injection system and the micro-motors that drive it. The mechanism is connected to a computer with which a surgeon can program exactly how deeply the needle should enter the brain, how many deposits of stem cells to make, and where, and the volume of the deposits in micro-litres.

Each procedure is practised and mapped out beforehand in virtual reality.
Once the patient is prepared for surgery, the injection can proceed with one touch of a screen.
Dr. Mendez said accurate placement of the stem cells is of paramount importance, and giving surgeons this level of control is a major achievement.

The injector has been in development for at least three years with all of the work, including the machining of the components, done in Halifax.

There are plans to test the instrument at five different universities in the United Kingdom, Sweden, Germany and the United States.

Dr. Mendez said medical technology companies are interested in acquiring the rights to the patented device, and he’s already heard from surgeons wondering about its use in other areas of the body.
Dr. Murray Hong, part of the design team along with Ron Hill, Luis Bustamente and others, said the injector also has the potential to deliver drugs, genes or other compounds that need to be precisely targeted for treatment.

Source: The Chronical Herald.ca © 2008 The Halifax Herald Limited






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Clinical Trial Comparing Treatment of Relapsing-Remitting Multiple Sclerosis (RR-MS) With Two Doses of Glatiramer Acetate (GA).

Until recently I had not heard of or maybe I just had forgotten that this was taking place.

But then Carol, from Canada, asked me what I knew of the efficacy of using Double Doses of Copaxone. I informed her that I did not know about it and she then taught me something new:

To read what she sent me, click this link: Clinical Trial Comparing Treatment of Relapsing-Remitting Multiple Sclerosis (RR-MS) With Two Doses

If YOU, or someone you know is using Copaxone, in this manner, I for one and I am sure there are others, who would like to know the benefits and/or any side effects you might be having.

If there is a medical professional out there who can comment on this, we would be happy to hear from you.

Thank You



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MS Learn online Presents:

Today's new Feature Presentation

Research News
featuring Peter Calabresi, MD
focuses on:
  • Oral treatments
  • Genetics research
  • Stopping MS progression
  • Advances in imaging
  • Characteristics of MS lesions
  • The latest on Tysabri
Click here to view the webcast, or
copy into your browser: If you have a pop-up blocker, you will need to disable it prior to participating in a MS Learn Online webcast.

Internet Fund raiser for MS Views and News

MS Views and News (MSV&N) is asking those receiving this message to donate just $5.00 each.

This would greatly help to supply MS Views and News with seed money to get some of our pending projects started.

Please click here to help us get started with internet based programs that can benefit everybody affected by MS.

- Thank you -

Appreciatively,

Stuart Schlossman

President



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MS Topics of Interest, including Brain Games and Symptom Management


Now found on the MSV&N Topics of interest Page, you can find the MSmyWayMS Brain Games and other articles that interest many.

Brain Games is for those who need to empower their thinking and memory.


Information relating to Stem cell therapy and Symptom Management can also be found on this page

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Brighter Tomorrow Grant Applications Available

Brighter Tomorrow Grant Applications Available

7/1/2009

Beginning July 1 and continuing until October 1, the MSF will be accepting applications for the Brighter Tomorrow Grant (BTG) Program. Each year, the MSF makes dreams come true for people with MS through this program by providing goods or services—valued at up to $1000 per recipient—to people with MS nationwide.

The goal is to improve the quality of life for people with MS by enhancing their safety, self-sufficiency, comfort or well-being. Past recipients of the grant have received car repairs, ramps, wheelchairs, walkers, eyeglasses, appliances, televisions, furniture, therapeutic equipment, hobby supplies, retreats, and various home modifications.

To qualify, a recipient must be 18 years of age or older and diagnosed with MS, or be the parent of a minor child diagnosed with MS. They must be a legal U.S. resident and must not have any other means of fulfilling their wish. Applicants are asked to provide basic personal and financial information, and to write a brief essay of 100 words or less to describe how the grant would help them.

Requests made to the BTG Program must be for specific goods or services. Applications asking for cash and medications are not considered. Requests for items covered through other MSF grants—such as assistive devices and computers—will be referred to those programs.

Applications will be made available on this website (click Programs and Activities, the Brighter Tomorrow Grant), in MSFocus magazine, or by calling 888-673-6287. Previous recipients of the BTG are ineligible for future BTGs but are welcome to apply for services through other MSF grant programs.

http://www.msfocus.org/news-details.aspx?newsID=13
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Computer Grant Applications Available from the MSF

From the MS Foundation -
Computer grant news article: http://www.msfocus.org/news-details.aspx?newsID=14

Computer Grant Applications Available

7/1/2009

Applications will be accepted from July 1 to October 1 for the MSF’s Computer Grant Program.

There is a world of support and information about MS to be found using a computer, but many people cannot access it. Because a technology gap still exists for people with disabilities, this grant program provides refurbished desktop computers and for people who have MS and have limited or fixed incomes.

To meet approval for this grant, the applicant’s MS diagnosis must be verified. A brief essay from the applicant explaining how a computer will enhance their quality of life is also required.

Internet access and technical support will be the responsibility of the grant recipient. Those who need training will be referred to computer literacy classes in their area.

Refurbished computers come from schools, businesses and office buildings. The program offers only desktop computers of various models. If your computer is broken, the MSF may supply a new tower for use with your existing monitor and accessories.

Applications for this grant are available online (click Programs and Activities, then Computer Grant Program), in MSFocus, or by calling 888-673-6287.

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MS Solutions in Health Care Reform

MS Solutions in Health Care Reform


As the nation discusses health care reform, the Society and our grassroots MS activists remain focused on changes that meet the needs of people living with MS. We are asking to eliminate lifetime caps on benefits and end discrimination against pre-existing conditions. We support long-term care, limiting out-of-pocket costs, and other priorities.
Find out more >>


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Wednesday, July 15, 2009

The No-No's of taking Medication Vacations (the re-awakening)

BECAUSE so many new people have registered to MS Views and News and/ or are just reading this blog since after the last time this article appeared, I figured it time to rear it's head again, for the benefit of anybody considering a vacation or abandonment of their Medication.. THIS IS A MUST READ article for anybody fitting either of the two mentioned categories.


The No-No's of taking Medication Vacations -
Written by; Stuart Schlossman (Jan. 12, 2009)

As many of you are already aware, I took a medication vacation in early 2008 without the consult of my medical practitioners and without the knowledge of my family.

The results were almost catastrophically negative and there is still some residual damage, which probably will never repair until we (Medical science) finds a way to reverse the damages caused to the Central nervous System and Myelin Sheath.

Since my "
error" in judgment ( my experiment ) I have preached the dangers of taking a Hiatus or a vacation from prescribed medication and want to again allow you to read what I did as well as the follow-up stories.

There are thousands of new registrants to my website, and/or who read this blog since I wrote these stories earlier in 2008, and for these people as well as those who have already forgotten, you can read each by clicking on the links shown below in dated order::


My Hiatus from my MS Medication - The Pros and Cons - a valuable lesson learned....


The follow-up OF (the) "My Hiatus" Story ..


An MS Story - POST HIATUS ( 3rd story in this series)


An MS Patients Update to his Medication Vacation


Read each as you have time, then share with others with MS or with any other serious illness requiring Medication Vigilance.

If you have any questions for me or which to leave a comment, please do so, so that others can understand the need for this posting.


Best,

Stuart Schlossman


If not yet registered to receive the "Stu's Views and MS Related News", weekly Multiple Sclerosis e-newsletter, then please Click Here to register.

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Small Study Recruiting People with MS and Spasticity to Compare IPX056 (Extended-release Baclofen) and Immediate-release Baclofen

Summary: Investigators at seven sites in the United States are recruiting 28 people for a study comparing the effect of the experimental compound IPX056 (extended-release baclofen) to currently available, immediate-release baclofen in relieving spasticity and symptoms related to MS. The study is sponsored by Impax Pharmaceuticals, a division of Impax Laboratories, Inc.

Rationale: Spasticity refers to feelings of stiffness and a wide range of involuntary muscle spasms (sustained muscle contractions or sudden movements). It is one of the more common and troublesome symptoms of MS. Baclofen acts on the central nervous system to relieve spasms, cramping, and tightness of muscles caused by spasticity. This study is comparing IPX056, a new extended-release form of baclofen, to the currently available immediate-release baclofen tablets. Extended release – in which a drug is released over time – may allow for it to be taken less often. In a previous study that enrolled 173 people with MS, IPX056 significantly reduced spasticity when compared with placebo, according to a company press release dated August 7, 2008. Impax was requested to collect additional data on the safety and effectiveness of IPX056 by the U.S. Food and Drug Administration, according to a December 11, 2008 press release.

To read more and to learn where the study centers are located, click here

If not yet registered to receive the "Stu's Views and MS Related News", weekly Multiple Sclerosis e-newsletter, then please Click Here to register.



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South Florida MS Center Receives A New Name and Address

South Florida -

The MS Center at Doctors Hospital moved to its new location at 4601 Ponce de Leon Blvd., Suite 100 Coral Gables and changed its name to Neuroscience Consultants Comprehensive Multiple Sclerosis Center in affiliation with the National Multiple Sclerosis Society.


“The center features a comprehensive multidisciplinary approach under one roof for MS patients. Healthcare professionals work together to offer prompt consultation and planning,” according to Founding Medical Director, Emeritus, Dr. Howard Zwibel.


The team consists of Carlos Ramirez-Calderon, MD as the Director of Clinical Affairs, Eduardo Ibarra, MD as the Senior Advisor Medical Affairs, Bertha C. Fonseca, MD as the Associate Medical Director and Tao Tong, MD as the Associate Medical Director.


The Neuroradiology team is fully sub-specialized as fellowship trained neuroradiologists certified by the American Board of Radiology in Diagnostic Radiology with added qualifications in Neuroradiology. Each neuroradiologist is a Senior Member of the American Board of Neuroradiology with greater than a decade of clinical experience in interpreting MS imaging.


The Center provides the following disciplines:

· Neurologists specializing in MS

· Physiatrist

· Neuroradiologists

· Neuropsychologists

· MS Nurse Specialist

· Social Worker

· Case Manager

· Physical Therapists

· Occupational Therapists

· Nutritional Evaluations

· Trilingual Staff

  • 2 state-of-the-art MRI scanners utilizing dedicated MS protocols


Continue to read, by clicking here


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Tuesday, July 14, 2009

MS Web Resources available from your One Stop Source for MS information

Links to learn from

The following links are available for your use at the MS Views and News website under the title of Web Resources:


Learn more of Multiple Sclerosis when registered at: http://www.msviewsandnews.org.
Once registered, you will receive our weekly ms related e-newsletter, keeping you informed of current MS information.This e-Newsletter is now being received by e-recipients in (50) Countries.
Use our MS Blog: http://wwwmsviewsandrelatednews.blogspot.com/ - to your advantage.
Become A Fan of "MS Views and News" on Facebook: http://www.facebook.com/pages/MS-Views-and-News/102000411026?ref=mf.
-- Have questions or suggestions?
Write to: stuart@msviewsandnews.org
- thank you

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Explaining the Pain - MS related

In our library of MS Archives we have various categories of interest to many regarding various MS symptoms, medications, patient stories and more.

Click here to read various articles on MS Pain



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Relationship between psychosocial factors and onset of multiple sclerosis

summary: MS is a complex disease with a multifactorial origin but of unknown cause. Psychosocial factors are amongst those which have been related to the development of the disease. The authors found a relationship between the presence of negative life events and the development of the disease, by comparing a group of people with MS and a group of healthy controls in a retrospective study. Due to the nature of the study design, these interesting results should be considered cautiously and further investigations in this field need to be carried out.

authors: Liu XJ, Ye HX, Li WP, Dai R, Chen D, Jin M

source: Eur Neurol. 2009 Jul 1;62(3):130-136

weblink: click here


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Functional electrical stimulation-assisted cycling of patients with multiple sclerosis

: biomechanical and functional outcome--a pilot study

Center for Sensorimotor Research, Department of Neurology, Ludwig-Maximillians University, Munich, Germany. jszecsi@nefo.med.uni-muenchen.de

summary: Rehabilitation in MS is essential to improve motor function when there is a certain degree of disability. However, rehabilitation treatment can be difficult if balance is also impaired, unless it is carried out with exercises which do not require a perfect balance, for example, with cycling. It has been shown in other neurological conditions that Functional Electric Stimulation (FES) when used during the process of rehabilitation (FES-supported exercise) can help to obtain better results. For this reason, the authors aimed to investigate whether FES-assisted cycling could help people with MS by performing a cross-over study. They found that the results obtained with FES-cycling therapy were much better than those obtained with cycling alone, not only in terms of subjective measures but also in objective outcomes, including the ability to transfer independently or the level of spasticity. The authors also found that the highest improvements were seen amongst people who had higher levels of disability.
» Read More

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Peer Counseling is available thru the MS Foundation

Peer Counseling

When coping with MS becomes difficult, it sometimes helps to talk to someone who has been there. Whether someone has just been diagnosed with MS or is struggling with new or ongoing symptoms, the MSF’s Volunteer Peer Counselors are here to listen and offer support.

Through our We Care, We Call program, people with MS are able to get a regular “check-in” call from other people with MS. Calls can be requested each week, every few days, or once a month. Requests for calls can be made at 888-673-6287 or support@msfocus.org.

Although women are most commonly diagnosed with MS, men with the condition face unique challenges. The MSF’s Men and MS Program puts callers in touch with MSF Volunteer Peer Counselor Jim Masterson, who has been living with MS for more than 20 years. Jim can be reached by calling 888-MSFOCUS (673-6287), or contacted at msmen@msfocus.org.

If you have a question you would like answered by a peer counselor, call our National Toll-Free Helpline at 888-673-6287 and speak to one of the volunteers. If a peer counselor is not immediately available, they will return your call as soon as possible.

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The information for this article and most others on this MS Blog is provided by: Stuart Schlossman. If not yet registered to receive the "Stu's Views and MS Related News", weekly Multiple Sclerosis e-newsletter, then please Click Here to register.

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Assistive Technology Program offered from the MS Foundation

Assistive Technology Program

The MSF Assistive Technology (AT) Program strives to educate and assist individuals with MS across the country about the myriad of AT options available and how to access these options. The MSF AT Program may provide an AT product, help locate a product, or help with funding for a wide range of devices that allow individuals with MS to function more independently in activities of daily living, as well as recreational, educational, and vocational activities including:

  • Aids for Daily Living
  • Communication Devices
  • Computers and Computer Aids
  • Environmental Control Systems
  • Architectural and Vehicle Modifications
  • Orthotics
  • Seating, Positioning and Mobility Devices
  • Aids for Vision and Hearing
  • Cooling Aids


The Application Process

Applications for the MSF Assistive Technology Program are available online or via postal mail. Questions will be asked regarding symptoms, level of disability, income, family support, and assistance requirements. This information helps the AT coordinator to assess the physical, social, emotional, and cognitive needs of the patient. Financial status also plays a role in determining eligibility for the MSF Assistive Technology Program.

Upon review, the AT coordinator will determine what AT will be provided through the MSF or if a referral to another resource is needed. All equipment is ordered from a licensed medical equipment supplier. For more information on AT or to access these services, call: (888) MSFOCUS (673-6287).


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MS related : Costa Rica Stem Cell Camp ~ Week I

MS Patient Janice Fuller's recent diary/blog posts of her stem cell treatment in Costa Rica:

Click here to read:
http://adultstemcelltherapy.ning.com/profiles/blogs/costa-rica-stem-cell-camp



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Have something to share with others? If so, please use the post comment link found below. Your name and email address would be appreciated but is not necessary unless you want a response from others. Thank You
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Monday, July 13, 2009

For A Multiple Sclerosis fund raiser 582 drummers set new world record

Hundreds of musicians have broken a world record for the largest group of drummers playing the same beat at the same time at Birmingham's National Indoor Arena.

A total of 582 drummers - including a number of celebrity musicians - smashed the previous world record of 533 drummers, set in the United States, just before 4pm on Monday.

Craig Glover, an organiser, said: "It's been absolutely fantastic. Everyone has really enjoyed themselves - it was a really good atmosphere. We did a simple rock groove and played for at least 10 minutes."

Continue reading from the Telegraph.Co.UK
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Smoking associated with more rapid progression of Multiple Sclerosis

July 13, 2009

CHICAGO – Patients with multiple sclerosis who smoke appear to experience a more rapid progression of their disease, according to a report in the July issue of Archives of Neurology, one of the JAMA/Archives journals.

Cigarette smokers are at higher risk of developing multiple sclerosis (MS), according to background information in the article. However, the effect of smoking on the progression of MS remains uncertain.

Brian C. Healy, Ph.D., of Brigham and Women's Hospital, Harvard Medical School and Massachusetts General Hospital, Boston, and colleagues studied 1,465 patients with MS who visited a referral center between February 2006 and August 2007. Participants had an average age of 42 and had MS for an average of 9.4 years. Their progression was assessed by clinical characteristics as well as by magnetic resonance imaging (MRI) over an average of 3.29 years.

Continue reading at Eurek Alerts

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Tysabri Teleconference series


STAY INFORMED ABOUT MULTIPLE SCLEROSIS AND HEAR PERSONAL
STORIES FROM OTHER PEOPLE WITH MS


If you are looking to learn more about MS therapies, the TYSABRI Teleconference and Webinar series may help you make a more informed decision.

Teleconference Series

Dial in to hear TYSABRI patients share their personal experiences—from the impact that TYSABRI has had on their lives to details about their infusion experience.

Webinar Series

Dial in to hear a physician discuss treatment information, such as the importance of starting treatment early, the benefits and potential risks of treatment, and how treatment can have a positive effect on quality of life, as well as to hear a panel of TYSABRI patients share their personal experiences.

In both the TYSABRI Teleconference and Webinar series, you'll also have the opportunity to submit your own questions anonymously to the panel and have them answered live, all in the comfort of your own home.

Dates and times for the 2009 Teleconference and Webinar series are listed below.

Call 1-866-644-8540 10 minutes prior to the start of each teleconference and webinar to enroll.

For the webinars, you will also log in to view the slide presentation for the program. Go to: www.meetingcenter.net, click on "join meeting" and enter the meeting number for the webinar you would like to join.

So mark your calendar, give us a call, and meet us on line.



For a complete listing of MS webinars, teleconferences, and events in your area, visit www.TYSABRI.com.

Talk to your doctor about whether TYSABRI is right for you.

National MS Society’s Promise: 2010 Campaign Identifies Key Signals in Myelin Repair

Jul 13, 2009

Team Funded by National MS Society’s Promise: 2010 Campaign Identifies Key Signals in Myelin Repair

A team funded in part by the National MS Society’s Promise: 2010 Campaign has demonstrated that the “Wnt signaling pathway” – a complex network of proteins that interact during brain development – may also play an important role in the failure of nerve-protecting myelin to repair itself in people with MS. Stephen P. J. Fancy, PhD, David Rowitch, MD, PhD (University of California, San Francisco) and colleagues – including Robin J. M. Franklin, PhD, DVM (University of Cambridge) report their findings in Genes and Development (2009 Jul 1;23(13):1571-85).

Drs. Rowitch and Franklin are members of the international Promise: 2010 Nervous System Repair & Protection team led by Professor Charles ffrench-Constant (University of Edinburgh and University of Cambridge, UK), who, along with three other collaborating teams, are laying the groundwork for clinical trials aimed at protecting and restoring function in people with MS.

Continue to read from the 3rd paragraph


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Sunday, July 12, 2009

Lauren IS Living with MS


My Tysabri Diary..., ever have one of those days????,

Hi everyone - I had my 36th Tysabri infusion on Wednesday, 7/8. All went well, no problems. I did find out that the young lady that just started Tysabri recently at my infusion center is doing really, really well according to my infusion nurse. Apparently, this particular patient is responding favorably and in a very drastic way to her Tysabri infusions. In particular, prior to her first infusion she was on the verge of progressing to the use of a wheelchair, but now after her third infusion, she no longer even uses a cane!

Click here to continue to read Lauren's story

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Have something to share with others? If so, please use the post comment link found below. Your name and email address would be appreciated but is not necessary unless you want a response from others. Thank You
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He didn't have Multiple Sclerosis, but he believed in the cause.

My (Stuart's) Tribute to a guy "I" would have liked to have known:

I found this article this morning and knew that this needed to get posted to this blog so that thousands from around the globe can read what this man did to benefit all of us with MS. He deserves to be mentioned. My condolences to the Hahl family.


Tireless fundraiser for MS, and inspiration, dies before 20th bike fundraiser

He didn't have Multiple Sclerosis, but he believed in the cause. When Brian Hahl first rode his bike for MS fundraising, he didn't know anyone with MS. But, now as he was embarking on his 20th bike ride fundraiser, the New Jersey teacher died suddenly of a heart attack.

Hahl, 50, died July 9 of a heart attack as he was preparing for a long bike ride.

His friend, Jim Durham, a 58-year-old man with MS who was encouraged last year to ride 50 miles alongside Hahl last year, said, "He completely inspired me. He urged me to keep going. He pushed me to ride when I said that I couldn't do it, He knew that I could do it, and I'm so grateful to him for that."

Hahl was ready to ride in the MS Milestones for his 20th consecutive race. He helped inspire those with MS who didn't think they could always do it.

Please continue to read by clicking here.

Source for this story: examiner.com - written by: Mike Szymanski


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