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Monday, February 22, 2010

An MS patients' views of his current Drug therapy for Multiple Sclerosis and about Quality of Life

Written By Stuart Schlossman - February 22, 2010

Albeit, I was not confident in having to make the decision to try this medication that has many questioning themselves and their doctors.. Many negative rumors, yet so many positive things to say of it, that there are many websites, bloggers and facebook fanatics (fans) who often voice their opinions..

And so, now there will be another opinion to read. Mine.
This is about the MS medication called: Tysabri® (Natalizumab).

Sure there are many that are going to read this, that may still not be convinced. I just want to say that I am not trying to convince you of anything, and nor am I getting paid to promote or write what you will see below.

Like so many others, I have an opinion to write.
Like many already know of me, from past opinions and how I have treated my body with medications, many know what I have gone through in the past and for those that want to know more, just click and read the About Stuart link found on this blog.

Enough rubbish, let me get started...

My Tysabri experience thus far. - I will soon be having my fourth infusion and I greatly look forward to it. Sure it is more time consuming that just doing a shot, but it most certainly puts less piercing holes into my body. Instead of having to inject once a week, daily or 3 times per week, I just need to be infused once every 28 days or 13 times per year versus, well you can each do the math on how many times you may need to pierce your skin.

I want to admit The amount of increased energy I have had. Allowing me to do that much more for myself, my family and for my MS peers (via my website, my ms blog, my weekly ms e-newsletter, facebook, twitter and arranging programs). YIKES, yes, just reading this could make you tired. But I wonder if for those also doing "T", if they feel the same as me and are reading this differently than those who are not using this medication?

Aside from Increased energy, I have More Vitality, Clarity (clearer thinking ability and thoughts),
better ability to "reason" or add or decipher situations. Feeling more confident than even my normal arrogant confidence. Yikes - LOOK OUT world!! Yes there must be some humor with this too as just a few months ago, I did not think this was possible: to feel strong again.

My balance and gait are better and my cane is sitting idly on the back seat of my car, asking when he'll be used again? Yes, I can hear it talking on occasion, especially when I am getting ready to enter a large store. "Nope" I tell it. "I am not needing to use you today".

I am feeling more complete, more whole as I did, years ago.

I want to: do, do do.. But this too, is not good, because 'I over-doing things' and this is taking away from the good that this medication does for me. Yet still I have that much MORE desire To DO. Know what I mean? This 51 year old guy is feeling forty. Maybe thirty-nine but I will say forty for now.

Would I like to run a triathalon? Sure, but will it happen? No. Only because I was never a runner. Do I have desire to play Rugby or Lacrosse? Yes, but these too are not going to happen, but the desire is there.

I am Absolutely not ready to sky dive or do some bungy jumping. So if I say I do, it would be indicative that something was wrong with my mind... Take me to my doctor and say, he "isn't right".

Now let me get serious:
The bottom line for me, came when I realized I was using my cane almost all the time and when I realized that I was becoming acceptant to the disease progression.
Why was this? Why was I just accepting that MS is a progressive disease and I will worsen?

When I was first diagnosed, the neurologist I was seeing told me that he did not want to put me onto an ms therapy because the side effects were worse that the stage of the disease I was in. That we should wait until things worsen and then consider a medication.

Yea sure, I was going to wait until I got worse? Learning that the damage done to the myelin could not be reversed and I should wait? No way. I found another doctor, more aggressive in treatment regiment and before leaving his office he was putting me onto a DMD (disease modifying therapy).

And so, when thinking back to that experience many moons ago, I asked myself are you going to wait or are we ( the "royal we") going to be aggressive again.

And so, I opted to try this "T" Therapy. Having learned that no problems (PML) have been found in any ms patient during the first year of treatment therapy, I opted to give it a year to see what happens and then to re-evaluate at the end of year one.

Maybe more will be known of the dreaded JC Virus. But this, I try not to think about and instead, think only of the good that I have been feeling these last few months.

Good timing too. With summer coming around the corner, I now have the desire and energy needed to go swimming when the weather warms up my pool. Last year, I didn't even have energy to go for a swim and now I look forward to doing laps. And soon will need to do some real gardening that I have not been able to do the last few years or maybe even re-begin walking (more than a mile a day) as I once did, prior to three years ago.

Another admittance: Although I have more energy I still need periods of rest as fatigue, albeit much less than prior, still does occur. My mind and fingers admit that after writing this essay, it's now time for a rest...

The point of this message is to confirm to myself, why I decided to accept the "T" medication to give me back some Quality of Life, rather than just accept disease progression thus allowing life to go forward without me...... As I said earlier: Nope to my cane and Nope to not living with some QOL.


Have a good day...And remember that this blog posting was just, me venting...

If you would like to reply to this message by leaving a comment, I would appreciate all to leave comments at this MS Blog posting. For those at facebook, twitter or the other sites that this will feed-to, come back to this blog and search for the posting by using the title of this post.


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18 comments:

Joy Knight said...

I so hope you continued success with this medicine! It is wonderful that your life is taking a positive turn. It hasn't even been 4 years since I was DXed but I was trying the big T within 6 months because I wasn't respondng to anything or I was allergic. I cried a ton just half-way through my 2nd treatment when I found out I was allergic to Tysabri also. I had such high hopes for it. I hope you have great results for a long time. Be well my friend.

Erin said...

I'm so glad you're doing so well. My friend Dan has experienced some great things from Tysabri, as well.

I just had my 15th infusion and am patiently waiting for the medical community to get their act together so I don't have to even worry about taking another drug.

I was lucky to go on it so soon after diagnosis. I've been on it over a year and am going on my two year anniversary of diagnosis in April.

Kimberly said...

Makes me smile to hear of your improvements. I totally agree with everything you wrote !

Michelle said...

Glad to hear you are having success w Tysabri!

We have similar stories, I too, am giving it a go for one year and then see what happens.

i had my very 1st dose of Tysabri on Friday. Boy, I was tired the day after my first dose, then the following day after that (Saturday), I practically slept all day/night. Sunday, not too bad, a wee bit sluggish. And today, I feel pretty good.

I look forward to feeling better and not so fatigued.

Thank you for sharing your success story! Here's to the success of all on Tysabri!

Wendy Collins said...

VERY WELL SAID, Stu! I'm so happy that you are experiencing the same thing with the BIG T that I have! I'm very happy that your cane is lonely - you can put it next to my walker, who has been lonely for nearly a year! Keep us posted - I'm getting ready for #14! Hugs to all! Wendy

Anonymous said...

Hey Stu !!

I told you that this will help you, didn't I?

Max

Enjoying the Ride said...

Stu,

I am so happy for you. I'm glad that you are finally getting some relief.

Mitch

Laura Hegfield said...

Hi Stu, I'm happy to read you are having so much improvement with Tysabri. I have also had 4 infusions so far. I can't say that my "improvement" has been so grand. I am not as bad as I was when I started it, but is was in the midst of a double exacerbation back then, so it's hard to know how much the steroids did to improve things as well as time (the great healer)...I still have a great deal of fatigue and my voice is still very odd...but I'm hoping the MRI results will show a decrease in lesions/progression and that in a few months I will have more energy.

gentle steps,
Laura

Rani said...

I'm SO glad to hear that Tysabri is helping you so much, Stu!

I think if it had come out earlier or had it's "danger period" earlier, I might've tried it. My confidence in drug tx for MS has been pushed past its limits, though.

My MS group recently had an MS-nurse/practitioner speak about emotions and fatigue. I listened to everytbing she said, ranging from drug tx to avoidance-strategies to alternative products. But she didn't mention the ONE thing that has almost eradicated ms MS fatigue and helped about 95% of the folks I know who tried it: diet. Cutting out sugars and cutting out starches. Not just "switching to whole grains" but not eating them at all.

So of course, I raised my hand and spoke up and she said, "do you know WHY that works so well?" (actually No, I didn't) "Because that way of eating TOTALLY supports your adrenal system. Yes, it WORKS. Sure, you may get a little "lift" from eating chocolate, but it crashes you shortly after. *I* am in good health and it gives ME lots of energy. So yes, I am all for it!"

It'd be nice if they told us about this no-drug, no-shots way to treat that bone-deep wearying fatigue that comes with MS and other auto-immune disorders.

Anonymous said...

Great Stu... I myself have past the three year mark. PML does scar me but MS has kicked my butt too. I was on B,C and the A drug before T. Had many good years wirh B. Not so much C and A. Tysabri has made me stable. I am in a wheelcheel but walk some in the morning and am up and down doing things all day. If it wasn't for Tysabri I know I would not be able to do what I do. So until I am booted off or something better come along I will keep on keeping on. Best to all of you Paula

Bill West said...

After over 1000 daily self injections of Copaxone with no obvious changes. I can honestly and proudly say that I am looking forward to my 11th infusion tomorrow. More than just I notice the difference, my wife notices the difference. The better short term memory, communication ability, balance, etc. While I realize that this is not for everyone......it is the only thing for me!

Best of luck to you and your future on Ty....

Stuart said...

THANKS Bill, I feel the same.. Better thought processes, cognitive abilities and more energy until yesterday that is..
My next infusion is Tuesday and I am feeling it.

Brynnlea said...

Hello Stuart, happy to read of your continued "good response with T". I just wanted to say (as I have been on "T" x 19 infusions)- I agree with your posting.
I have read, researched on a routine basis info about my wonder drug "T": The JC Virus > triggering PML, then in the event you make it through the PML there is the potential threat of what is called IRIS. Knowing all of this, being acutely aware of the risk factors I choose to continue my treatments every 28 days. I too look forward to them, 1st- because it makes me feel better, 2nd- it allows me opportunity to socialize with other "T-members" (so never once have I dreaded the experience. I'm happy with my choice, I don't defend it to anyone, it works really well for me & look forward to infusion #20 on March 9th (God be willing). I'm very, very pleased to hear it is serving you well, I applaud you.
Brynn (Green Eyes from Alabama)

Stuart said...

Hey Brynnlea - thank you for your reply. My next date with "T" is also on March 9th.. And I too am looking forward to it.. Today was too disasterous (sp?) ...

Laurie said...

Stuart,

I just had my 35th infusion and feel good. I'm happy that you are doing so well on Tysabri. Hope we NEVER have to worry about PML and continue doing well.
Keep well,
Laurie

Anonymous said...

Hey Stu,
I have been following you as we are almost on the same schedule. I go for my 5th on the 8th. Did the JC and BK test last month, both came back negative for the virus. So thats a plus. I am very glad to hear your success. I too am doing better, but don't want to talk about it too much. You know the saying...
Well, stay well, and keep the cane far away from your reach.
Your Friend,
Seth

Stuart said...

Seth - what was the test called (for the JC and BK) that you wrote? what is BK?
Stuart

Fran Alleyne said...

Hey Stu, it's me Fran from Miami Lakes, just stopping by to say that I am really happy to hear that all is going well for you and to let you know that yesterday 3.5.10 was my first "T" infusion. Everything went well, no alleric reactions, no headaches, etc. I'll be looking forward to my next infusion which is on the 26th of this month. And I too am looking for a better quality of life without all those things that come with this disease. Keep well and keep doing the things that you do best!
I'll keep in touch, Fran