Ms

Discussion in 'Human Science' started by Tnerb, Apr 17, 2009.

  1. Hercules Rockefeller Beatings will continue until morale improves. Moderator

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    Oh, I see.

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    You think that you can get an MRI scan anywhere other than in a medical clinic or hospital? You can get an MRI done at your local butcher, I suppose. You have one in your backyard shed perhaps?

    Of course an MRI is a clinical procedure, you twit. As are many of the other tests you copy&pasted.


    Well that seals the fact you have no idea what you're talking about. Stop pretending otherwise, please. By definition, a clinical test is one performed in a clinic. That's the derivation of the term. Am I moving too quickly for you? The term clinic, in this instance, refers to any medical establishment, such as a hospital, GP's office, day clinic etc. It includes routine things like BP and blood samples (which can also be performed outside the clinical setting) up to complex things like MRI scans. They are all tests performed in a clinic, hence the term "clinical test".

    Dude.
     
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  3. Roman Banned Banned

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    Heeeeey Herc, ease up on him a bit; this may be a Aussie/American semantic issue.
     
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  5. Killjoy Propelling The Farce!! Valued Senior Member

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    Oh, no.

    It's pretty clear he's got Muy Stupido, all right.

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  7. Asguard Kiss my dark side Valued Senior Member

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    orleander, HR. this is the definition arording to mosbys medical dictionary (which publishes most of our book BTW)

    http://medical-dictionary.thefreedictionary.com/clinical diagnosis

    clinical diagnosis,
    a diagnosis made on the basis of knowledge obtained by medical history and physical examination alone, without benefit of laboratory tests or x-ray films.

    Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.
     
  8. Trippy ALEA IACTA EST Staff Member

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    Please, context, because clearly that isn't what my post meant.

    OKay, this may have been a slight over simplification, but it's been a while since I looked at the literature - most people won't get a diagnosis of Definite MS unless it's particularly insidiuous, or post mortem.

    According to this: http://www.mult-sclerosis.org/diagnosingms.html

    Tumour or other Cord compression, Stroke, Acute Disseminated EncephaloMyelitis (ADEM), Lyme disease, Sub-Acute Sclerosing Panencephalitis, Neurosyphilis, Progressive Multifocal Leukoencephalopathy, Systemic Lupus Erythematosus, Cerebral Arteritis, Complicated Migraine, Diabetes, Hypothyroidism, Myasthenia Gravis, Acute Transverse Myelitis, Herpes Simplex Encephalitis, Polyarteritis nodosa, Sjogren syndrome, Behcet's syndrome, Sarcoidosis, Paraneoplastic syndromes, neuromyelitis optica (Devic's syndrome), HIV-associated myelopathy, Adrenomyeloneuropathy, other Myelopathy, Spinocerebellar syndromes, Hereditary Spastic Paraparesis, Guillian Barre Syndrome, Polymyositis, Benign Paroxysmal Positional Vertigo, Parkinson's Disease, Cerebral Haemorrhage, Amyotrophic Lateral Sclerosis (ALS), Mononeuritis, Huntington's Disease, Post-Infectious Encephalitis, Arteriovenous Malformations, Arachnoid Cysts, Arnold-Chiari Malformations, Cervical Spondylosis

    Are some of the diseases that can present the same symptoms as MS - obviously it's more important to rule some out than others, and to do so quicker (it depends on which symptoms the MS patient presents with).

    The Diagnosis my wife has is "Probable MS" (or it might be Clinically probable MS) most people get a Dx of "Possible MS" (this is the Poser Criteria, but there's more than one criterium for MS Diagnosis).

    http://www.geocities.com/hotsprings/3468/diagnosis-criteria02.html

    Either way under the Poser Criteria, to get a Dx of Definite MS requires quite aggressive MS (most common in males).

    The thing that you don't seem to understand is that there's a cloud of symptoms associated with MS, but a patient with MS doesn't neccessarily display all of them. The symptoms they display might, for example be consistent with MS and Neurosyphillis. Well, if you're talking about a 12 year old virgin, then it's unlikely to be syphillis, and syphillis is easy to test for and rule out. However, if the person presenting with MS symptoms has a history of relapsing/remitting symptoms, and there's evidence for one white matter lesion, and the symptoms of the relapse are consistent with Syphillis and MS, but Syphillis can be ruled out, then most neurologists (should) give a diagnosis of "Possible MS".

    The CT scans are to attempt to establish the number of definite lesions, and their distributions, the LP's are to establish the presence or absence of inflamation markers in the CS fluid. All of these things can help establish whether or not it's MS, but can not by themselves definitively and absolutely say yes or no.
     
  9. Orleander OH JOY!!!! Valued Senior Member

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    so doctors should say you might have MS, here are the mends to choose from"
     
  10. Trippy ALEA IACTA EST Staff Member

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    My understanding is that most Dr's would say "You have possible/probable MS, here's what we can do to treat your symptoms".

    My understanding is that most treatment of MS involves management of symptoms and management of attacks (Use of steroids for attacks - to help supress the immune system, and use of medications such as Epilim to manage neuropathic pain).

    There are NO CURE's at this time on the market. There are some treatments that can modify the progression of the disease (for example interferon's) but they're most effective when the disease is caught early on in it's progression (for example following the first attack, or first couple of attacks). The down side is that they're prohibitively expensive (US$1600- >2000 for a months supply of Avonex) and can have side effects that in some cases can be worse than the disease itself (Interferons cause flue like symptoms for a day or two after the injection, Avonex requires weekly intramuscular injections, and most commonly causes poor liver function, and blood cell abnormalities, but can also cause depression and seizures), and have very strict criteria for funding.
     
  11. Asguard Kiss my dark side Valued Senior Member

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    TRIPPY:
    avonex must be what my friend is on. luckly her sister is a RN so one day ever week she goes to stay with her to get her shot

    oh BTW orleander, i noticed you shut up. nice to see the "sorry i was wrong, you do know what your talking about" post

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  12. Orleander OH JOY!!!! Valued Senior Member

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    MS can make you go blind right?
     
  13. Orleander OH JOY!!!! Valued Senior Member

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    what a baby

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  14. Trippy ALEA IACTA EST Staff Member

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    It can affect the optic nerve, yes, I don't know if permanent blindness is a possible effect of MS though.
     
  15. Trippy ALEA IACTA EST Staff Member

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    Lucky for her - there's six 'disease modifying drugs' available for treating MS progression.
     
  16. Orleander OH JOY!!!! Valued Senior Member

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    Meredith Vierra's husband has MS and he lost his sight. And I went to a symposium where a Neuro-Optomologist said if you get optic neuritis, you have a 50% chance of developing MS.
     
  17. Trippy ALEA IACTA EST Staff Member

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    The name Meredith Vierra means nothing to me, and if you already knew the answer..?
     
  18. Orleander OH JOY!!!! Valued Senior Member

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    Well, I thought I knew MS could be diagnosed and I was wrong. Its a maybe.
    So I was wondering if I was wrong about the blindness as well. He's 1 man, so that doesn't mean its a common MS symptom.
    so I asked
     
  19. visceral_instinct Monkey see, monkey denigrate Valued Senior Member

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    Hahaha!! Nice post

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    I always thought my habit of raping dead bodies and cooking little children in my microwave was actually normal....it's okay now though I live in a white padded cell.
     
  20. Enmos Staff Member

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    It just occurred to me that Tnerb might not have meant Multiple Sclerose, but Masturbation Syndrome

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  21. visceral_instinct Monkey see, monkey denigrate Valued Senior Member

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  22. Trippy ALEA IACTA EST Staff Member

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    Fairy Nuff then.
     
  23. Hercules Rockefeller Beatings will continue until morale improves. Moderator

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    And here are some of the other definitions on the same page you linked to:

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    These definitions include laboratory tests.

    This is your problem Asguard. You have a partial knowledge gained from dictionary definitions and being half-way through some uni course, then you try to give definitive advice on a range of medical issues. You are not in a position to do so.
     

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