72 TLAs (Three Letter Acronyms)

I work for the VST as a TLC alongside some ESWs. We work with LAC (or CLA) and we are always ready to provide a quick response to NIC.  I have particular responsibility for EY LAC  and we have regular contact with professionals from CSC, SEN and BSS.  Acronyms are everywhere! 

The world of MS has them too, although most are FLA!  I thought I’d share a post about some of the acronyms and vocabulary used in MS. 

MS – Multiple Sclerosis

CIS – Clinically Isolated Syndrome: A single attack (or “Sclerosis”).  Many with MS are diagnosed with this following their first attack or relapse.  For some reason, I was initially diagnosed with two episodes of CIS (which seems somewhat contradictory to the meaning of the word “isolated”!).

RRMS – Relapsing Remitting Multiple Sclerosis: MS which is characterised by attacks or relapses alternating with periods of stability.  Some neurologists argue that! with MS, there really is no period of remission, therefore using the word “Remitting” is misleading.  I am currently recorded as having RRMS.

RMS – Relapsing MS: Being used by some neurologists instead of RRMS

PPMS – Primary Progressive MS: a presentation of MS characterised by continuous progression, with no relapses or periods of remission.  10-15% of new diagnoses of MS are of PPMS. 

SPMS – Secondary Progressive MS: around 50-80% of those initially diagnosed with RRMS will become secondary progressive at a later stage.  I recently asked my neurologist if I was secondary progressive and he replied “well, you’re certainly on your way there”.

https://youtu.be/CgQfI0ZFvoo

MRI – Magnetic Resonance Imaging: used to view the health of the brain and spinal cord to aid diagnosis and monitor progression of MS.

DMT / DMD – Disease Modifying Therapy / Disease Modifying Drug (These terms seem to be used interchangeably so I assume they have the same meaning)

NEDA – No Evidence of Disease Activity (what we’re all aiming for!)

HSCT – Haematopoietic Stem Cell Transplant

AHSCT – Autologous Haematopoietic Stem Cell Transplant: an Autologous Transplant is one in which the recipient’s own tissues are returned to the body.  Allogenic describes transplants where tissue is donated by another.  Allogenic Stem Cell Transplant is considered far too risky as a treatment for MS. 

CNS – Central Nervous System: the brain and spinal cord

CSF – Cerebral Spinal Fluid: This is the fluid that surrounds the brain and spinal cord.  CSF is extracted during a lumbar puncture (or spinal tap) and can be tested and examined in a number of ways.  Most people diagnosed with MS have “Oligoclonal Bands” present in the CSF at a higher level than in the blood.  I had a lumbar puncture in 2017 which identified the presence of oligoclonal bands and confirmed my MS diagnosis. 

PwMS – People with MS

NICE – National Institute for Health and Care Excellence 

EBV – Epstein-Barr Virus: A common virus that causes glandular fever. I have included this as there is growing evidence that exposure to EBV may be a contributing factor to developing Ms for some. 

EDSS – Expanded Disability scaled Score: Used to measure disability in MS. A recent neurologist letter records my EDSS as 6, however I feel it is nearer 5.

TTFN xx

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4 Saying YES to drugs

Treatment for MS is limited to a range of drugs known as “Disease Modifying Drugs”.   None of these is able to cure MS, halt progression of the disease or repair existing damage.  The aim is to reduce incidence and length of future relapse …”future proofing” as my MS nurse liked to call it.

When I was initially diagnosed (2017) my neurologist was of the opinion that my MS was becoming inactive and that I may not have any further relapses so I decided to decline DMDs at that time. 

This year I am in a very different position so have agreed to try drug treatment.  This has been a really difficult decision for me – I don’t like the idea of taking long term medication and I am very concerned about side effects and long term impact on the immune system and the body.  In addition, most of the drugs I am being offered are described as just “moderately effective”.   There are more powerful drugs available but these come with worse side effects and much higher long term risk, so I’m hoping to avoid them.

So, in a couple of weeks time, I will be starting Rebif. 

I will have to self inject three times a week – I found this rather a daunting thought until I chatted with my friend Beth about it.  Two of Beth’s children have Type 1 Diabetes and have been self injecting and regularly checking their bloods for some time.  So, Molly and George, you may not have realised it but you have inspired me from afar!  Thank you! 

More information on Disease Modifying Drugs can be found here …

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