Downsides to diagnosis

Hello all,

Just looking for some thoughts on this from people who have been diagnosed.

Basically to cut a long story short, my father has MS and I am now been experiencing MS style symptoms (fatigue, pain in limbs, numbness, tingling, minor balance issues) which obviously got the mind racing. I recently went to my GP and he said something interesting which I hadn’t thought of. He suggested that at this point in time, given it doesn’t appear to be affecting my life, the fact that given the side effects of disease modifying drugs and my current low level of symptoms, that it might not be worth me getting diagnosed, if I did have MS, as it can be a hindrance in certain areas. He is running bloods to rule out other causes but basically said a referral to the neurologist is up to me.

He explicitly mentioned insurance - I can’t get critical illness/income protection cover against this anyway - and I have all the life cover I currently and am likely to need. Travel insurance I imagine would get costlier but I can deal with that.

The other I was thinking of was perhaps if I wanted to move abroad, presumably getting a Visa would be much harder work. Beyond that I can’t see many downsides to a diagnosis but was wondering what peoples thoughts were and were there any problems you have encountered post diagnosis which made you wish you had waited a couple of years?

Thanks.

There is so much recent research about the benefits of treating MS with DMDs early - to stop relapses (potentially disabling ones as well as silent ones), reserve neural capacity and delay brain atrophy - that as soon as I discovered this was a possibility for me (no family history, one episode of prolonged numb toes) I pushed to get a diagnosis as quickly as I could. Obviously I’d not have MS, but as I do have it I’m glad I know so I can take steps to help manage it for the future. My initial scan showed numerous lesions in my brain, brain stem and spine suggesting I’ve had it for a while (despite not having any clinical relapses). I wish I’d discovered it sooner so I could have taken steps to stop some of this damage. I’ve recently had round 1 Lemtrada. So I would want to know. No obvious downsides to my mind. It’s not made any real difference to travel/ car insurance. I’ve told the dvla and am on a three year licence - but so what?

K xx

2 Likes

Hi, I dont think I have seen any other posts like your`s!

People hereabouts are usually looking for a diagnosis…even one as nasty as MS!

And yes, no-one would pick such a diagnosis, but if there are problems which suggest neurological damage, then I would think it sensible to get dmds, if you fit the criteria, in order to stave off progression.

If someone`s type of MS determines the drugs they may or may not get, then I think most folk would want to know this.

But your case is your`s, and everyone is free to make up their own mind about seeking further medial advice/intervention.

Be interesting to read what others think.

It seems there are insurers who cover folk with MS. I dont know about visas.

Pollx

I couldn’t agree more, Katy. There are plenty of downsides to having MS(!), but, if you’ve got it, the sooner you know the better.

A few quid extra on the travel insurance is a good bargain when offset by the DMT that keeps RRMS quiet and minimises accumulating disability.

For sure, a person is stuffed ever after on (for instance) critical illness insurance, but it doesn’t take a dx for that: one visit to the GP, worrying about neurological symptoms, will already have done that damage even if, as in the original poster’s case, family history hasn’t made it dicey already.

Alison

Hi

Your GP sounds like the old school neurologists who used to think that delaying a possible/probable diagnosis of MS was good for the patient. And for some in the old pre DMD days they were right.

This is what happened to me: in 1997 I started with a numb finger, that became a numb hand and numb leg. I saw my GP who referred me to a neurologist. The neurologist admitted me to hospital for tests. He did an MRI, an LP (lumber puncture) and a VEP (visual evoked potential). When the time came to give me results, a junior doctor came and said “you have a lesion in your neck but you haven’t got MS!” “Of course I haven’t” I replied, “and what’s a lesion?” In fact I laughed at the suggestion. No one had mentioned MS to me as a possibility and in fact there was a woman in the bed next to mine who was pretty disabled by MS, either SP or PP. Of course these were the days before Dr Google. He said they would give me a 3 day course of IV steroids and I’d get better over time.

So I went away, gradually I got better, I went to a follow up appointment with the neurologist who seemed to have nothing to say to me, just that he’d see me in 6 months. I didn’t see the point of that because I wasn’t ill. My toes never quite recovered, I haven’t been able to feel them ever since, but that was the only ongoing problem.

5 years went by, I had various little problems, optic neuritis (twice), periods where my legs kept spasming, the hug once, I fell over a couple of times and I just managed to ignore them all, I took more risks with my job, failed to take out any kind of insurance of the kind your doctor mentioned and lived my life.

Then I had a really bad relapse. I had weakness in my legs, terrible spasms, the hug really badly, so I went to a GP who referred me to another neurologist who asked me what I thought it was, “MS” I said, “so do I” he replied. He arranged for another MRI where he confirmed the results.

I later got a look at the letter sent by the original neuro. In it he had said there was only one lesion in the spine, but there were oligoclonal bands in the CSF and together with the symptoms it showed evidence of a demylinating disease. But he didn’t want to mention this to me at this point.

You see there was a school of thought that if you tell a person they might have MS, they then live their life as if they do have MS, whereas if they have no idea, they’ll just carry on regardless. In 1997, this was normal, but at that time, even if I’d continued to see a neurologist every 6 months and had MS diagnosed maybe a year or two after the first relapse, there were no DMDs available to reduce relapses. The risk sharing scheme which allowed beta-interferon and Copaxone to be generally prescribed to people with RRMS only started in 2002. Which was in fact the year I was finally diagnosed.

Had I been diagnosed earlier, I would have lived my life with MS and no treatment. Instead I lived my blissfully ignorant life with mystery symptoms coming and going and no treatment.

Today there are numerous DMDs; you can (if you have a good neurologist), attack it hard as Katy has, with Lemtrada and within a couple of years it will hopefully be as if it never happened. You may never become disabled. Or you may treat it with any one of a number of other DMDs if you choose to.

If you take your GPs advice, and ignore potential symptoms, you could also find you are living with phantom MS that isn’t even there, you won’t know until you have it tested. Obviously it’s your decision. For me, it was ultimately the right thing not to know. I was miffed when I first discovered that the neurologist had strong suspicions but didn’t tell me, but in retrospect it was right for me.

Only you can decide what is right for you, have it tested or not. You might have MS, or maybe not. You may have MS and take an agressive treatment, or a less agressive one, or decide to do nothing.

Best of luck what ever you decide.

Sue

Sorry I rambled on a bit.

Sue

Thanks for the advice everyone.

Been back to the GP and my bloods are all normal so it is off to the neurologist with me.

I just have a question regarding pain. I currently seem to have some sort of pain which is mostly background,but occasionally I get fairly short lived stabbing type pain. Is this comman with MS?

thanks.

Where are you getting the pains? I had a relapse many years ago with sharp pains in my head (ice pick head aches). However it evolved and started affecting my speach and movement but only when the pains came. I still occasionally get the pains but they come mostly when I’m stressed and over worked. I’ve now changed my job to help with the stress levels. Good luck at your appointment. Sharon x

Thanks again for the replies everyone.

Saw the Neuro a couple of weeks ago (really fast turn around on that appointment).

She’s sending me for an MRI and will take it from there but I haven’t had a date for it yet, does anyone know how long it takes (I’m in the west mids if that helps)

Also she gave me Gabepetin which has helped with the pain - I don’t think I realised quite how much pain I was in before I started taking something to relieve it.

However, it already seems to be working less well, and boy do I get anxious in the hour or so before I am due to take one. Has anyone else had that? I’m thinking of asking the GP to switch me to Amatriplian(?) which is another option I discussed with the Neuro, has anyone had any experience of that?

I had my first neuro appointment on the 22nd, a week later I received my MRI letter and I’m having the scan on Tuesday next week so very fast. I don’t know if getting the results will be as quick however. Hopefully you will receive a speedy scan as well.