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    Everything You Need to Know About Multiple Sclerosis
    Everything You Need to Know About Multiple Sclerosis
    Everything You Need to Know About Multiple Sclerosis
    Ebook132 pages3 hours

    Everything You Need to Know About Multiple Sclerosis

    By Paul Lima

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    About this ebook

    If you are newly diagnosed with MS, know someone who is, or if you are a partner or caregiver of someone with MS, no doubt you have questions about MS. Everything You Need to Know About Multiple Sclerosis has answers. It may not actually have everything but it answers questions about what is and why is MS, different types of MS, various MS symptoms and medications. It looks at MS and diet, exercise, smoking (cigarettes and marijuana), drinking, relationships, sex, pregnancy... In addition, partners of MS Warriors chime in about their experiences.  In short while this book may not have everything you need to know about MS, this is a comprehensive book about MS.

    LanguageEnglish
    PublisherPaul Lima
    Release dateFeb 28, 2020
    ISBN9781927710333
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      Everything You Need to Know About Multiple Sclerosis - Paul Lima

      1 / Introduction

      My name is Paul Lima. I am an MS Warrior. That is what people with MS call themselves as they battle this insidious disease. Three to four million of us are affected by Multiple Sclerosis (MS) worldwide. I have had MS since 1998, for over twenty years as of the writing of this book. There have been years when it has pretty much knocked me on my butt. Years when it has given me strange and bizarre symptoms. Years when it has disappeared to wherever MS goes when those with Relapsing Remitting MS go into remission and, for the last four years, it has knocked me on my butt and kept me from doing all but walking my dog, a Giant Schnauzer named Quinn, and teaching some online writing courses for the University of Toronto. And that is more than many people with MS can accomplish.

      During the 20 years that I've had MS, I've learned a lot about this disease. More than I've cared to learn, but it can pay to know your enemy.

      I am not a doctor, so this is a layman's guide to MS. I have researched and verified every fact presented, to the best of my ability. And I hope the writing makes the facts presented clear and understandable. Hopefully the fact that I have been a freelance writer, author and writing trainer for the last thirty years helps me do that. (If you want to know more about me, and what I do—or try to do as I deal with my MS—go to paullima.com.)

      But this book isn't about who I am and what I am personally dealing with, although I have a chapter about MS and me in this book. This book is about everything (or almost everything) you need to know about MS. From first inklings, or the fact that something strange is going on, to the diagnosis, to what and why MS is, to types of MS, to medications and potential side effects, to diet, exercise and depression, to relationships and more. My hope is that this book will help you understand this chronic disease—to understand that MS is not a death sentence, but that it can have a detrimental impact on your physical and emotional well being. And to understand that MS is different for everybody diagnosed with the disease.

      That's right. Different. For each MS Warrior. Just like every snowflake is different, there are different types of MS, and there are different symptoms for each person living with MS. But just like every snowflake is made from frozen water, MS Warriors, as we shall see, have similarities too.

      I've written this book because I was surprised at how naïve many of the questions asked by those with MS were, and how frightened many of those newly diagnosed with MS seemed to be. Then it occurred to me, after twenty years of dealing with MS, I was a veteran. Twenty years ago, my questions were just as naïve, probably more so. I was just as frightened, even more so.

      It's not that I now have all the answers. Not by a long shot. Nobody has all the answers. Nor am I now a big, brave guy! Not at all. But I am no longer new to MS and I have a bit more understanding about MS. Don't get me wrong. MS still scares the crap out of me. I've just learned how to breathe and remain calm in the face of my fears—most of the time.

      Yes, your doctors have information. But they can only dispense information in twenty-minute sessions once or twice a year. Unfortunately, much of it, especially if you are newly diagnosed, goes in one ear and out the other and leaves you with more questions than answers. Not the fault of the doctors (in most cases). It's difficult to absorb information when you've been given a sentence (formally called a diagnosis) that you really don't understand and that scares the crap out of you.

      Yes, there is a lot of information online and I encourage people with MS, and their family members and caregivers, to read about MS on legitimate websites (see my list of online resources at the end of this book). I also encourage you to join in-person support groups (check with local chapters of MS societies for information about support groups) and online support groups such as Facebook MS support groups or myMSteam, the social network for those living with MS. At the same time, it seems like there was room, maybe even a need, for a book that catalogues just about everything one needs to know about MS.

      With all of that in mind, if you have MS, I hope that it is not severe and that this book gives you some sense of what you might expect to deal with over time. If you are a family member of someone with MS, or caring for some with MS, I hope that this book gives you a greater sense of what the MS Warrior might be going through. In other words, I hope this book helps you feel more prepared for what may come—although I hope it does not arrive for a long, long time.

      Suffice it to say, while many MS Warriors have decent days, weeks, months, and even years, they still have a bizarre disease that can manifest itself in different ways at any time. Whatever your case, do not let MS define you. You are not your disease.

      Note: I have not sent this book out for editing as I'd normally do. If you see any typos, feel free to email me (msandmebook@mail.com) and I will fix the errors in the next edition.

      Paul Lima

      February 2019

      2 / What Is MS?

      People have asked me: Is Multiple Sclerosis (MS) a disease or disability? The answer to that question is both simple and complex. MS is a disease that can be exhausting and debilitating. In other words, MS can lead to disabilities. It can be physically, emotionally and mentally draining an devastating. It can ruin lives and relationships. It can make small tasks incredibly difficult to accomplish. It can put you in a wheelchair chair with legs that won't work and arms that are all but paralyzed. It can leave you so deeply depressed it would take a miracle to lift you out of the deep hole of despair you have fallen into.

      But for some MS comes and goes, leaving you able to more or less enjoy a normal life when it disappears. And bowling you over when it decides to again rear its ugly head. In short, MS is erratic and unpredictable.

      In this book I will attempt to tell you everything you need to know about MS, but I don't think I can make you feel it, make you feel what MS Warriors feel on their worst days. For that, you need to have MS, which I would not wish on anybody. However, I hope you gain more understanding into what MS is and does to those who have it.

      At the same time, you might read about miracle MS cures and recoveries and about people bouncing back from extreme lows with experimental interventions. It happens. You might know people with MS who feel fine or at least more or less all right. You might hear about, or know people with MS, who don't seem physically, mentally or emotionally down and out at all. That too happens and there are reasons for it, which we will go into.

      However, MS can be, and too often is, an insidious disease that is different for each person who has it. For many, too many, with MS, it is the worst of times or over time it becomes the worst of times. A few, too few, with MS, experience the best of times. At least as best as it can get if you have a bizarre, inconsistent and incurable disease.

      With that in mind, let's look at what MS is, so we know what we're talking about, and then get to different types of MS before we look at the why of MS.

      MS is considered an autoimmune disease in which the body's immune system attacks its own tissues. In the case of MS, this immune system malfunction creates lesions on the brain, spinal cord and/or optic nerve by destroying myelin, the protective sheath or fatty substance that coats and protects nerve fibers. This process is called demyelination and it is this destruction, and the lesions the destruction creates, that cause various types of MS and various MS symptoms.

      MS is a long-lasting disease, as in lifelong. It can cause problems with vision, balance, muscle control, and other basic bodily functions, but more on that later. The effects, as I've said, are pretty much different for everyone who has the disease.

      Some people with MS experience very little disability during their lifetime. Many experience roller coaster disabilities: they are up and they are down at different times with different symptoms that last varying lengths of times. Some people experience a steady decline in health. Up to sixty per cent of those with MS are no longer fully able to walk twenty years after onset, which has major implications for their quality of life and costs to society.

      As I've said, MS is the Snowflake Disease. Just like every snowflake is different, MS is different, or mostly different, for every person who has it. And just like every snowflake has some common conditions—created out of frozen water, for instance—every person with MS has some common conditions, such as demyelination that creates lesions and causes the various symptoms.

      Lesions, sometimes called scars or plaques, are the hallmarks of MS. They can appear on the brain, spinal cord or optic nerve. Symptoms of MS and its accompanying relapses tend to manifest according to where the disease creates lesions. For example, when a lesion occurs in the optic nerve, vision problems tend

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