wish if am dreaming... I 'll wake from it soon

Hi all,

Actually I don’t know what to say and am afraid and I feel lost, 2 months ago doctors discovered the MS on my young sister she’s 16 years old and this was a first time to hear about it !

now she’s less active sleeping a lot and not active and strong like before , she a very beautiful girl, and just shocked and refusing to listen ,read or even know about the MS " she keep telling that she’s ok and they can’t prove it …etc "

I don’t know what to do I feel useless and I can’t control my emotion in front of her, I keep crying and thinking of her all the day … am in age 28 and I have 2 kids and I know how is life … but for her its killing me :frowning:

now shes taking injections of Rebif 44ml, but doctor asked to give only 22ml once a week. I sow her MRI and they diagnose 3 spots in her nick and 2 in her brain area :cry: . no one want to understand that shes effected not either my father he said shes ok and no need for more test and MRI’s …

am planning to take her overseas after 2 weeks, ( exactly after her exams finish) I 'll go to Bangkok to do the test again from zero and if they said the same I’ll take her to china I read they have a very useful natural treatments.

:frowning: wish if am dreaming… I 'll wake from it soon …

Hi Maitha,

I can understand your worries for your sister, but I’m very concerned that your plans for helping her include removing her from the UK, in hope of a “different” answer, and alternative remedies.

Why do you believe the UK tests are wrong, and need verifying in another country? I can tell you the UK criteria for an MS diagnosis are very strict, and it’s unlikely she would have been diagnosed unless the clinical evidence was compelling. The same goes for Rebif: the conditions to get on it are pretty strict. They won’t give it to people who “might not have MS”.

MS is certainly a bad card to be dealt, especially at such a young age, but most people do NOT die of it, and not all are seriously disabled. Mnay people marry, have children, and work with MS - you should not automatically assume your sister won’t be able to have any of these things. Her life will be different, but it’s NOT over, so you need to stop crying all the time as if she had died, and start thinking about how you best you can support her - which I’m afraid does not include denying her diagnosis, subjecting her to unnecessary tests to try to get a different diagnosis, and starting her on controversial and unproven treatments.

There are certainly many people and organisations round the world, willing to part desperate people from their money, on the promise of a “cure” for MS. Don’t listen to these scammers. You will end up poorer, but your sister will still have MS.

China is not a good place to look for answers, because MS is extremely rare in China, so there won’t have been a lot of research or experience in how to treat it. If you want the best knowledge and treatment for your sister, then look to places where MS is common. The UK has one of the highest rates in the world, so there’s no shortage of evidence or experience

Your father is correct: if your sister has been diagnosed and has commenced treatment, there is no need for further tests and MRIs. Sometimes, they do do another MRI to assess how well treatment is working, or if a decision needs to be made about switching to a different treatment. But most people don’t need further MRIs very often, or at all.

If she’s cooperating with the injections, I guess, at some level, your sister does accept the diagnosis? Why would she take injections for a disease she doesn’t believe she has? It’s OK if she doesn’t want to read or research about MS at the moment - it’s only been two months. Some people want to know everything straight away, but others need more time to get their head around it, before they start looking for answers to their questions. Being hit with too much information too soon can be quite frightening (especially as some of the awful things you read about MS might NEVER happen). So your sis needs to take it at her own pace - there is no rush.

Be very careful about online info. This a safe and reputable site, but not all of them are, and there’s some shameful nonsense about MS out there. Remember that, even on reputable sites, there is a tendency for them to be visited by people who are worse affected, or who have a problem at that particular time. That may give a distorted view of how MS is for most people, because those who are getting on fine mostly won’t post to say so!

I do wish you and your sister the very best. Perhaps, when she feels ready, she would like to come here herself, and talk to others who have it - but that must be a decision for her.

Tina

hi dear Tina,

thanks a lot for your reply … I wish to take her to U, am not from UK am from UAE.

you know today doctor said she might not have the MS but Devic’s disease and I asked the doctor to give a clear answer for us because they are keep trying different treatments with her and she’s full of cortisone … she’s very exhausts and like never before. Please advise me with the best hospital name in UK to visit.

I did too many searches and emailed many hospital. Hope everything’s will be ok and will not effect on her normal life.

Regards,

Dear Maitha, in your extremely well intended efforts to find help for your sister, I fear you may be giving yourself more anxiety and pain than is wise.

Do be careful about spending lots of money when there are people who may give false hopes of a cure or treatments which dont work.

You are a loving sister and she is lucky to have you.

luv Pollx

Ah, sorry - as this is a UK site, I thought you were from the UK, but I should not have assumed - we do have a few posters from other parts of the world.

From memory, UAE has quite a good record as far as diagnosis and treatment of MS is concerned. Haven’t they just opened a new research centre or something? I’m sorry - I haven’t Googled to check - I just thought I remember reading that UAE was pretty good for MS, so you might not need to look abroad.

But it IS hard to diagnose - in all countries. As you probably already know, there is no single test that proves or disproves MS, so it’s a matter of looking at all the evidence, and ruling out other explanations, until there is nothing else left.

Devic’s disease is very similar to MS, but treatment is different. It tends to affect mainly the spinal cord and optic nerve, with fewer or no lesions in the brain, and where there are any, they look different to MS ones. So I’m assuming, at this stage, that either your sister’s relatively small number of brain lesions, or something about how they look, leaves open the possibility that it still could be Devic’s.

If they have started your sister on Rebif, they are clearly treating as if for MS anyway. In the UK, I must say this would probably not happen, while there was still any doubt about the diagnosis. But this is not a criticism: someone in UAE has made the decision to treat for the most likely thing. Here in the UK, the person might well be left untreated for anything, pending further clarity of diagnosis, so it seems as if your sister’s doctors have acted decisively, and in a way that’s reasonable, in all the circumstances.

I still can’t advise travelling to Thailand or China for “better” diagnosis or treatment, as those countries are not at the forefront of MS care, and your sister is unlikely to get a better deal than she’s already getting at home. Nothing you’ve said so far leads me to think her existing care is unsatisfactory or unsuitable. I know you would very much like different answers, and as I’ve mentioned, I’m sure there is no shortage of unscrupulous people around the world ready to take your money, and tell you whatever you want to hear: for example that the diagnosis is wrong, or that they can cure it - for a price! Unfortunately, paying for such “cures” can only lead to disappointment. As well as the waste of money, it would be unfair to subject your sister to treatments that have no realistic hope of success. Rebif is not a cure, but it’s one of a small number of drugs that have been proved to reduce MS relapses by about 30%, on average. There are drugs that do even better than that, but in general, they have a worse risk and side-effect profile, so Rebif is a reasonable starting point. If your sister does well on it, there may be no need to consider more powerful, but potentially more dangerous drugs.

Steroids (cortisone) are a usual treatment for attacks (flare-ups) of both MS and Devic’s disease, but don’t treat the underlying disease. They just assist recovery from an attack.

MS does affect people’s lives, inevitably - as any health problem will. I’m not trying to make out it’s no problem, but most people are adaptable (even if they didn’t know they were), and learn to deal with the various challenges.

Tina

P.S.

This must have been the news I was thinking of, about UAE’s commitment to MS care:

http://www.zawya.com/story/UAEs_Multiple_Sclerosis_Sufferers_Set_to_Benefit_from_FirstEver_National_Taskforce-ZAWYA20120126100435/

It must have been the new task force, not a new centre. But all very encouraging, and suggests MS is a high profile, high priority disease in UAE. Must be good news, surely?

I also note UAE has a dedicated neuro-spinal hospital, which is encouraging. I’ve no idea how health funding works in UAE, and whether anyone can go to the hospital, or private patients only. But even the fact such a thing exists suggests Neurology is not lacking, in the UAE - there is enough resource and commitment for a dedicated facility.

I would feel confident it’s a reasonably good country for MS care - if you are unfortunate enough to need it at all.

Tina