Medical Stories - Multiple Sclerosis: Out of Mind

Medical Stories
9 Mar 202325:00

Summary

TLDRThis video script narrates personal stories of individuals living with multiple sclerosis (MS), a chronic autoimmune disease that affects the central nervous system. It highlights the experiences of Tyler, a former football player, and Dawn, a 46-year-old woman, both diagnosed with MS at pivotal moments in their lives. The script addresses the changing demographics of MS, particularly the increased incidence among African Americans, and emphasizes the importance of early diagnosis, treatment, and support systems. It also touches on the emotional journey, the impact on family, and the resilience of those affected as they navigate life with MS.

Takeaways

  • πŸ‘¨β€πŸ‘©β€πŸ‘§β€πŸ‘¦ The speaker, Tyler, is a proud husband and father of three, with a notable family history including his father, NFL Hall of Famer Earl Campbell.
  • πŸ₯ Tyler was diagnosed with multiple sclerosis (MS) at a young age while playing football at San Diego State University, experiencing sudden paralysis and other symptoms.
  • πŸ›‘οΈ MS is an autoimmune disease where the immune system mistakenly attacks the myelin sheath of nerves in the central nervous system, leading to various neurological symptoms.
  • πŸš‘ The symptoms of MS can vary widely, including paralysis, uncontrollable twitching, and difficulty with motor skills like walking in a straight line.
  • πŸ‘©β€βš•οΈ Dawn, another individual with MS, emphasizes the importance of early and accurate diagnosis, which can be challenging due to the disease's varied presentation.
  • πŸ“Š The demographics of MS are shifting, with studies showing higher incidence rates among African Americans and a more severe disease course compared to white counterparts.
  • 🌐 Globally, MS is more prevalent in Eastern Europe, but within the U.S., African Americans are increasingly affected and may face disparities in diagnosis and treatment.
  • 🧬 The exact cause of MS is unknown, but risk factors include low vitamin D levels, smoking, and obesity, with genetic and environmental factors playing a role.
  • πŸ”¬ Diagnosis of MS typically involves a combination of tests, including MRI scans to identify lesions on the brain and spine, and sometimes a spinal tap.
  • πŸ’Š There is no cure for MS, but disease-modifying therapies are available to manage symptoms and slow progression, which should be started early to be most effective.
  • 🌟 The script highlights the importance of support systems, mental health services, and the role of patient advocacy in improving lives affected by MS.
  • πŸŽ™οΈ Tyler's personal journey with MS has led him to start a podcast to share experiences and raise awareness, demonstrating resilience and the power of community.

Q & A

  • What is the autoimmune disease mentioned in the script that affects the central nervous system?

    -Multiple sclerosis (MS) is the autoimmune disease mentioned in the script, which affects the central nervous system by causing the immune system to attack the myelin, the coating of the nerves.

  • What is the impact of Multiple Sclerosis on the individual's ability to perform daily activities?

    -Multiple sclerosis can severely impact an individual's ability to perform daily activities, including walking, as it disrupts the signals in the nervous system, leading to symptoms like paralysis, numbness, and difficulty with balance and coordination.

  • What is the significance of the NFL Hall of Famer and Heisman Trophy winner Earl Campbell in the script?

    -Earl Campbell is significant as he is the father of the narrator, Tyler, who also has multiple sclerosis. His inclusion highlights the fact that MS can affect anyone, regardless of their background or achievements.

  • What was the initial symptom that led to the diagnosis of multiple sclerosis for the narrator Tyler?

    -Tyler's initial symptom was waking up one morning after a football game and finding himself unable to stand without falling flat on his face, which led to his diagnosis of multiple sclerosis.

  • How does the script describe the experience of Dawn, another individual with multiple sclerosis?

    -Dawn's experience is described as challenging, with her waking up one morning completely numb in her extremities and unable to feel her abdomen area, leading to her diagnosis of MS at the age of 25.

  • What are some of the risk factors for multiple sclerosis mentioned in the script?

    -Some risk factors for multiple sclerosis mentioned in the script include low vitamin D levels, especially for people living far from the equator, as well as modifiable risk factors like smoking and obesity.

  • What is the typical age range for when people are first diagnosed with multiple sclerosis?

    -The typical age range for the first diagnosis of multiple sclerosis is between 20 and 40 years old, often affecting individuals during college or early career stages.

  • What is the significance of the MRI in diagnosing multiple sclerosis?

    -An MRI is significant in diagnosing multiple sclerosis because it can reveal lesions or spots in the brain and spine, indicating areas where the immune system has caused damage.

  • How does the script address the emotional impact of a multiple sclerosis diagnosis on the individual and their family?

    -The script addresses the emotional impact by discussing the fear, shock, and the need for support systems and counseling. It also highlights the importance of hope and the role of caregivers in the journey with MS.

  • What is the role of medication in managing multiple sclerosis according to the script?

    -According to the script, medication plays a crucial role in managing multiple sclerosis by slowing the progression of the disease. It is part of a treatment plan that includes disease-modifying therapies and other supportive care.

  • How does the script discuss the importance of lifestyle changes in living with multiple sclerosis?

    -The script discusses the importance of lifestyle changes such as adopting a healthy diet, engaging in exercise, and being compliant with treatment plans to improve the quality of life for individuals with MS.

  • What is the script's perspective on the future and hope for individuals living with multiple sclerosis?

    -The script offers a perspective of hope and promise for individuals living with MS, emphasizing the importance of support, advocacy, and the potential for a fulfilling life despite the challenges of the disease.

Outlines

00:00

🏈 Introduction to a Family's MS Journey

The paragraph introduces Tyler, a husband and father who has been married for 10 years and has three children. He shares that he was diagnosed with multiple sclerosis (MS) at the age of 21 while at San Diego State University. Tyler explains that MS is an autoimmune disease where the immune system attacks the myelin sheath around the nerves, leading to a slowing or stopping of nerve signals. He describes his first symptoms, which included paralysis on the right side of his body and an uncontrollable neck twitch. The paragraph also introduces Dawn, another individual with MS, who was diagnosed at 25 and shares her experience of waking up numb and her initial fear of the disease.

05:01

🌐 Changing Demographics of MS

This paragraph discusses the changing demographics of MS in the United States. Historically considered a disease predominantly affecting young white women, recent studies suggest that the incidence of MS is highest in African Americans. It highlights that African Americans tend to have more severe cases, with more lesions, visual problems, and walking disabilities at earlier stages compared to their white counterparts. The paragraph also touches on the potential reasons for these disparities, such as genetic and environmental factors, including low vitamin D levels, smoking, and obesity.

10:02

πŸ₯ Diagnosis and Emotional Impact of MS

The paragraph delves into the process of diagnosing MS, which involves a series of tests including MRI scans to identify lesions in the brain or spine. It emphasizes that there is no single test for MS and that a spinal tap and other motor skill tests are also part of the diagnostic process. The emotional impact of an MS diagnosis is explored, with individuals describing the shock and the need for support from caregivers. The paragraph also highlights the importance of early and accurate diagnosis to prevent more severe outcomes, including higher disability and mortality rates, especially within the African American community.

15:05

πŸ€Έβ€β™‚οΈ Living with MS: Challenges and Coping Mechanisms

This paragraph focuses on the challenges of living with MS, particularly the fear of the unknown and the emotional rollercoaster that comes with it. It discusses the relapsing-remitting nature of MS, where periods of symptom flare-ups are followed by periods of remission. The paragraph also touches on the importance of counseling and mental health services for patients, as well as the availability of disease-modifying therapies that can slow the progression of the disease. Personal stories of adapting to life with MS, including the use of mobility aids and the decision to start a new treatment, are shared.

20:07

πŸ’ͺ Advocacy and Hope in the MS Community

The final paragraph emphasizes the role of advocacy and the importance of hope for those living with MS. It discusses the impact of the disease on personal identity and priorities, and the process of grieving the loss of pre-diagnosis life. The paragraph highlights the power of sharing personal stories and experiences through platforms like podcasts to raise awareness and provide support within the MS community. It also mentions the efforts to understand and address health disparities in MS, particularly within minority populations. The paragraph concludes with a message of hope, emphasizing the potential for independence and a fulfilling life despite living with MS.

Mindmap

Keywords

πŸ’‘Multiple Sclerosis (MS)

Multiple Sclerosis (MS) is an autoimmune disease where the immune system mistakenly attacks the myelin sheath, which is the protective coating of the nerves in the central nervous system. This leads to a slowing down or interruption of nerve signals, causing various symptoms such as paralysis, numbness, and cognitive issues. In the video, MS is the central theme, with individuals like Tyler and Dawn sharing their personal experiences with the disease and its impact on their lives.

πŸ’‘Autoimmune Disease

An autoimmune disease is a condition where the body's immune system erroneously attacks its own healthy tissues. In the context of the video, MS is specifically highlighted as an autoimmune disease, affecting the nervous system and causing a range of debilitating symptoms. The script discusses how the immune cells attack the myelin, leading to the various manifestations of MS.

πŸ’‘Diagnosis

Diagnosis in the video refers to the process of identifying MS through various medical tests, including MRIs and spinal taps. It is a critical step in understanding and managing the disease. The script mentions the difficulty in diagnosing MS due to its variable symptoms and the need for multiple tests, as well as the emotional impact of receiving an MS diagnosis.

πŸ’‘Neurologist

A neurologist is a medical professional who specializes in diagnosing and treating disorders of the nervous system, including diseases like MS. In the script, the neurologist plays a pivotal role in the diagnosis process and in providing guidance to patients like Tyler and Dawn on managing their condition.

πŸ’‘Relapsing-Remitting MS

Relapsing-remitting MS is a type of MS characterized by periods of symptom flare-ups (relapses) followed by periods of symptom reduction or disappearance (remission). The script discusses this as the most common form of MS at the time of diagnosis, affecting how patients like Tyler and Dawn experience their disease over time.

πŸ’‘Disease Modifying Therapy

Disease modifying therapy (DMT) refers to treatments that work to slow the progression of MS by targeting the immune system's attack on the nerves. The script mentions Tyler's decision to start a DMT after years of denial, which significantly improved his condition by preventing further relapses.

πŸ’‘Cognitive Abilities

Cognitive abilities refer to the mental processes involved in thinking, learning, memory, and understanding. The script highlights how MS can affect these abilities, impacting patients' daily functioning and ability to perform tasks such as attending school or work.

πŸ’‘Support System

A support system in the context of the video consists of family, friends, and healthcare professionals who provide emotional and practical assistance to individuals living with MS. The script emphasizes the importance of this support system in helping patients cope with the challenges of the disease.

πŸ’‘Demographics

Demographics in the video pertain to the statistical data related to the distribution of MS across different populations. The script discusses how the demographics of MS are changing, with increasing incidence in African Americans and a shift from the traditional perception of MS as a 'young white woman's disease'.

πŸ’‘Health Disparities

Health disparities refer to the differences in the incidence, prevalence, and outcomes of diseases across different population groups. The script addresses health disparities in MS, noting that African Americans may experience more severe outcomes and higher mortality rates due to factors like delayed diagnosis.

πŸ’‘Patient Advocacy

Patient advocacy in the video involves individuals with MS using their experiences to raise awareness, educate others, and fight for better access to care and treatment. The script features Tyler's journey into patient advocacy, highlighting his efforts to share his story and improve the lives of others with MS.

Highlights

A proud husband and father of three shares his journey with multiple sclerosis (MS).

The unique family connection to NFL Hall of Famer and Heisman Trophy winner Earl Campbell.

The sudden onset of MS symptoms at a young age during college.

An explanation of MS as an autoimmune disease attacking the myelin of nerves.

Personal experiences of paralysis and uncontrollable twitching as symptoms of MS.

A woman named Dawn's story of being diagnosed with MS at 25 and the challenges she faced.

The changing demographics of MS in the U.S., with a focus on African Americans.

Increased risk factors for MS, including low vitamin D levels, smoking, and obesity.

The diagnostic process for MS involving MRIs and spinal taps.

The importance of early and high-efficacy treatment for MS to prevent disability.

The emotional impact of MS on patients and their families.

The role of genetic and environmental factors in the development of MS.

The challenges of late diagnosis and its severe outcomes in MS patients.

The importance of counseling and mental health services for MS patients.

A personal account of embracing a new disease-modifying therapy to treat MS.

Lifestyle changes including diet and exercise to manage the symptoms of MS.

The launch of a podcast to share experiences and raise awareness about MS.

The mission to improve understanding and treatment of MS in minority populations.

Personal reflections on the hope and promise of living with MS.

Transcripts

play00:00

[Music]

play00:07

thank you

play00:15

ready to go

play00:17

I am a proud husband

play00:20

I've been married for 10 years to

play00:23

amazing woman and we have three

play00:26

wonderful children together our son he's

play00:30

the oldest his name is Messiah

play00:32

our middle daughter her name is Cheyenne

play00:35

and our youngest her name is Sage

play00:39

oh I guess the one unique thing about

play00:42

our family is that my father just so

play00:45

happens to be in NFL Hall of Famer and

play00:47

and Heisman Trophy winner for his time

play00:50

at the University of Texas and Houston

play00:52

Oilers Earl Campbell

play00:57

my name is Tyler

play00:59

and I have been diagnosed with multiple

play01:02

sclerosis

play01:05

I was at San Diego State University and

play01:08

I I remember being 21 years old

play01:12

and just finishing out our Junior season

play01:17

we had played BYU and I walked out of

play01:21

that football game absolutely normal

play01:24

with no issues whatsoever

play01:27

I wake up on a Sunday morning after that

play01:30

football game and I ease my legs out of

play01:33

bed and instead of standing to my feet I

play01:36

fell flat on my face

play01:40

without warning like can you picture

play01:42

yourselves going to sleep One Way

play01:45

absolutely normal then waking up the

play01:47

next day not being able to walk

play01:50

multiple sclerosis is an autoimmune

play01:52

disease meaning the immune system or the

play01:54

part of the body that normally attacks

play01:56

viruses and bacteria gets confused and

play01:59

attacks a good part of the body with Ms

play02:02

those immune cells attack the myelin or

play02:05

the coating of the nerves and the

play02:06

central nervous system so nerves that

play02:09

are myelinated are ones where the

play02:11

signals can run really quickly so that

play02:13

we can do the things that we want to do

play02:14

like move our hands or nod our heads and

play02:18

so when those signals are interrupted it

play02:20

essentially slows down the signal if

play02:24

that myeliner that coating is damaged

play02:26

severely or even if the nerve fibers are

play02:29

damaged severely those signals won't

play02:31

work at all

play02:34

and then I noticed that the paralysis

play02:36

was down the right side of my body and

play02:39

then I noticed that I started to develop

play02:40

a neck jerking twitch that was just kind

play02:43

of like uncontrollable

play02:45

I was terrified

play02:49

[Music]

play03:03

it was a beautiful day I was walking to

play03:07

the Metro

play03:08

and

play03:10

I remember

play03:12

the right side of my body just wouldn't

play03:14

catch up with the left side it was as if

play03:17

the right side would drag

play03:20

I knew something was wrong

play03:23

my name is Dawn and I've been diagnosed

play03:25

with multiple sclerosis

play03:30

yeah and how many pages was in it you

play03:32

read 100 Pages

play03:36

he made me do it I am a 46 year old

play03:40

woman I was diagnosed with Ms at the

play03:43

ripe age of 25.

play03:46

I

play03:47

I have one son

play03:53

I was in the middle of a flare as they

play03:55

say or a major exacerbation and I woke

play03:58

up the next morning completely numb

play04:01

and my extremities

play04:02

I couldn't feel my abdomen area I

play04:06

couldn't take deep breaths

play04:07

I thought it was dying

play04:11

I'm heading into the doctor's office

play04:12

seeing a neurologist for the first time

play04:14

I'm going in there dragging literally

play04:17

the right side of my body

play04:19

so the neurologist is coming into my

play04:21

room now and as she turns to look at me

play04:25

I noticed that her eyes they they jump

play04:28

almost as if she's shocked or she's

play04:31

surprised by the figure that she's

play04:33

seeing

play04:34

did her eyes jump because I was a black

play04:37

male

play04:38

and there weren't as many of us getting

play04:41

diagnosed with this disease at that time

play04:44

as there are now

play04:47

[Music]

play04:53

so the demographics of multiple

play04:55

sclerosis in the United States are

play04:58

changing typically Ms has been thought

play05:00

of as a young white woman's disease and

play05:03

if we look at the prevalence or

play05:05

incidence of Ms globally that is still

play05:07

the case Eastern Europe is the most

play05:10

common or has the highest incidence of

play05:12

multiple sclerosis but when we look at

play05:13

the demographics here in the U.S there

play05:15

are studies over the past decade that

play05:17

suggest that the incidence of Ms is

play05:20

actually highest in African Americans

play05:23

there are multiple studies that suggest

play05:25

African Americans have more lesions on

play05:28

MRI they have more visual problems they

play05:31

have walking disability and have the

play05:33

need to use canes or Walkers up to six

play05:36

years earlier than their white

play05:37

counterparts I don't think anyone knows

play05:40

of one cause for Ms otherwise I'd be

play05:42

happy to cure everybody and send them

play05:44

home but we know that there are several

play05:46

things that increase the risk for one

play05:48

person having Ms versus another one of

play05:51

the things is low vitamin D levels for

play05:53

instance people who live in certain

play05:55

parts of the world like further away

play05:56

from the equator have a higher risk of

play05:59

multiple sclerosis and that may be

play06:01

related to vitamin D we also know that

play06:04

there are other modifiable risk factors

play06:06

such as smoking and obesity and we

play06:08

really don't know how those are related

play06:09

to increased risk

play06:12

so from there she she gave me a host of

play06:17

um of motor skill tests she told me to

play06:20

walk in a straight line and every time I

play06:21

started walking the straight line I fell

play06:23

over miserably right all those tests and

play06:27

then she said to me

play06:29

think I have an idea of what this could

play06:32

potentially be

play06:34

but to get a greater look at it we're

play06:36

gonna need to give you a spinal tap

play06:39

and we'll probably have to go through

play06:40

some MRIS

play06:42

so there's not one test that diagnoses

play06:44

Ms but there are several things that we

play06:45

do

play06:46

first an MRI is key to diagnosing Ms

play06:49

because we see lesions or spots in the

play06:52

brain and or in the spine that tell us

play06:55

that the immune system has damaged some

play06:57

part of the brain or spine

play07:00

the brain stem we see some white lesions

play07:02

and we can see a lesion there which is

play07:04

very typical of what we see with

play07:06

multiple sclerosis

play07:10

the doctor said I

play07:12

I think that you need to go and get an

play07:16

MRI

play07:19

the Radiologists found something and I

play07:22

read the report and I thought okay

play07:25

autoimmune disease I don't know anyone

play07:27

in my family who has this

play07:29

everyone's healthy Dawn is bright

play07:33

energetic

play07:34

had it not been for multiple sclerosis

play07:38

I'm almost positive she would have

play07:41

probably had double phds she's just got

play07:45

that much energy that much Drive

play07:50

as we look back through our family there

play07:53

doesn't seem to be any strong history of

play07:57

Ms in our population in our family

play08:01

in terms of genetic

play08:05

gymnastics mess

play08:06

for Ms is elevated but it's still very

play08:09

small compared to the general population

play08:15

[Music]

play08:17

so there's some combination of genetic

play08:19

factors plus environmental factors that

play08:22

lead to one person to have MS versus

play08:24

another that doesn't the issue that we

play08:26

don't understand is what factor do

play08:28

social determinants of Health such as

play08:30

access to care plan that versus

play08:32

underlying biologic differences and how

play08:35

those play together to lead to the

play08:37

disparate outcomes I don't feel that I

play08:39

am the first one in my family to have

play08:41

this disease

play08:42

understanding my family

play08:45

my ancestral heritage is rural East

play08:47

Texas

play08:49

our family especially I'm a father son

play08:52

comes from extreme poverty extreme

play08:55

poverty and so not all the time would

play08:59

somebody have the funds

play09:01

to go to a doctor

play09:03

and so culturally

play09:06

I don't feel like I'm the first one

play09:08

I feel like I'm the first one who got

play09:10

diagnosed

play09:15

my father knew an MS specialist

play09:18

made an appointment

play09:22

I won't forget a day my father came with

play09:24

me

play09:27

and

play09:28

he had asked

play09:31

well what is it

play09:33

what what is it

play09:35

and she said oh it's MS

play09:37

very with a very assured

play09:40

look on her face

play09:42

she absolutely knew it was multiple

play09:45

sclerosis I was taken aback sitting in

play09:49

the doctor's office the one thing that

play09:52

gave me hope and certainly gave her hope

play09:55

was the physician said to her Dawn we're

play09:59

going to get old with this disease

play10:00

together

play10:02

that in itself

play10:04

gave p-hope

play10:07

I didn't realize at the time how much of

play10:10

an impact my diagnosis had made on my

play10:14

family and particularly my father

play10:17

I think they knew way more than I did at

play10:20

the time about Ms

play10:23

I eventually learned that your support

play10:26

system your caregivers are hurting just

play10:30

as much as you are

play10:34

my wife's willingness to be open to go

play10:36

to doctor's appointments her willingness

play10:39

to to be able to comfort me and allow me

play10:42

the space to Cry tears

play10:44

Ms was not a disease that you were

play10:46

supposed to fight alone

play10:49

Tyler and I met at San Diego State

play10:52

University in college

play10:55

um he was on the football team I was on

play10:57

the track team and we met in the

play11:00

athletic center on campus

play11:03

I thought it was attractive when I first

play11:05

met him I thought it was a little

play11:07

sensitive we kind of bumped heads a

play11:09

little bit the first year we met

play11:12

um but after a while you know we became

play11:13

really good friends

play11:16

I actually was one of the very few

play11:19

people who knew Tyler was diagnosed with

play11:22

multiple sclerosis

play11:24

um back in 2007.

play11:28

he didn't tell a lot of people that he

play11:30

was diagnosed

play11:31

[Music]

play11:33

we did not know a lot of African

play11:36

Americans who were diagnosed with

play11:38

multiple sclerosis

play11:40

you know when I read what multiple

play11:43

sclerosis

play11:44

was what the statistics were

play11:47

particularly what the statistics were

play11:50

for

play11:52

me as a black male with MS

play11:55

I couldn't find anything

play11:58

all the pictures I saw

play12:00

all the research all the statistics

play12:03

weren't included

play12:05

and nobody looked like me

play12:09

I know I'm in really big trouble Ms

play12:12

affects women three times more commonly

play12:14

than men used to be twice as common but

play12:16

now we know the demographics again are a

play12:18

little bit different and usually between

play12:21

the ages of 20 and 40.

play12:25

often people who are in college or

play12:27

people in their early childbearing years

play12:29

getting ready to start their careers are

play12:31

when they're first diagnosed I was right

play12:34

in the middle of graduate school and

play12:36

headed towards my doctoral program

play12:41

and I couldn't keep up with the work

play12:45

because Ms affected not only my gait not

play12:49

only my ability to

play12:53

function like a normal everyday person

play12:56

it affected my cognitive abilities and

play12:59

so I would be sitting in class and not

play13:01

understanding what the instructor was

play13:03

saying

play13:05

so I had to pause and I did not finish

play13:09

the hardest part I think about Ms is

play13:12

that

play13:13

with relapsing and remitting which is

play13:15

what I have

play13:18

when people see you

play13:20

and it's not one of those bad relapsing

play13:23

days

play13:24

so they can't see the disease so they

play13:27

can't figure out

play13:29

well what's wrong with you

play13:31

you're walking you're talking I don't

play13:34

notice the limp

play13:36

about 85 percent of patients who are

play13:39

newly diagnosed have relapsing remitting

play13:42

Multiple Sclerosis which is a type of

play13:44

multiple sclerosis that usually you'd

play13:47

have some symptom whether it be optic

play13:49

neuritis blur Vision double vision

play13:51

numbness and tingling trouble with gait

play13:55

or balance and walking so relapse means

play13:58

they have a symptom they get treatment

play14:00

and then there's the remission part so

play14:03

when we think about a remission in

play14:05

cancer we think of the absence of

play14:07

symptoms that's not what a remission in

play14:09

Ms necessarily means a remission with Ms

play14:12

could be if you had numbness and it got

play14:13

80 percent better you stay at that 80

play14:16

percent for several months to several

play14:19

years so it does not mean the symptoms

play14:21

are gone it just means you experience a

play14:23

period of stability

play14:25

and you are so incredibly proud that

play14:27

you've been able to make it through a

play14:28

football season your senior year

play14:31

you graduated with this disease

play14:35

I'm living on cloud nine so much so that

play14:38

at times

play14:39

I forget that I have the disease

play14:43

you're getting ready for the National

play14:44

Football League

play14:46

you get a chance to work out for NFL

play14:48

Scouts

play14:50

then you have a relapse that totally

play14:53

takes the game of football away from you

play14:55

completely

play14:57

[Music]

play15:01

you're in a wheelchair

play15:04

you have to learn how to behave yourself

play15:07

you have to ask help for somebody to

play15:10

help you use the restroom

play15:13

you have to have somebody to feed you

play15:16

because you can't do it for yourself

play15:19

working out for NFL Scouts to now

play15:21

somebody's feeding you and bathing you

play15:25

emotional rollercoaster

play15:37

one of the difficulties with multiple

play15:40

sclerosis is the fear of the unknown

play15:42

let's do this let me examine you and

play15:45

then we'll see what we see on here okay

play15:47

so I'm a huge advocate of uh counseling

play15:51

and accessing Mental Health Services for

play15:53

my patients from the beginning from

play15:55

diagnosis because it's a lot to Grapple

play15:57

with we do find patients who have come

play16:00

into the office by referral

play16:02

who should have been diagnosed many

play16:04

years ago

play16:08

the difficulty with late diagnosis is

play16:10

that we also find that when we look at

play16:13

these groups and we look at outcomes

play16:14

they have more severe outcomes than in

play16:17

other groups not just in terms of

play16:19

disability but also in terms of

play16:21

mortality and people don't usually die

play16:23

of Ms and we see that African Americans

play16:26

actually die at younger ages likely

play16:29

because of higher disability rates which

play16:32

may be related to delayed diagnosis

play16:35

it's important for all patients who are

play16:37

diagnosed with multiple sclerosis to

play16:40

know that there are medications

play16:42

available which is very important when

play16:44

you're talking about multiple sclerosis

play16:46

and when we think about the disease not

play16:48

having a cure which sometimes is one of

play16:52

the hesitations that patients have to do

play16:54

in treatment I say well name me five

play16:56

diseases that are curable right it's

play16:59

difficult we treat and manage diseases

play17:01

just like we do with hypertension

play17:03

diabetes other conditions we manage and

play17:07

we manage Ms and the medicines and

play17:09

therapies that we use allow us to do

play17:11

that more effectively

play17:14

so the course of treatment doesn't

play17:15

necessarily differ in the

play17:17

African-American Community the course of

play17:19

disease can differ and because of that

play17:21

there are many people who favor doing

play17:23

High efficacy treatment early in that

play17:26

group because of the risk of disability

play17:28

and essentially what that means is we

play17:31

just hit it hard from the beginning

play17:34

there are several therapies within that

play17:35

higher efficacy categories some of those

play17:38

are pills some of those are infusions

play17:40

and even some of those are injections

play17:42

that people can take at home it took me

play17:44

a long time to accept that yes

play17:47

medication will help slow the

play17:50

progression of your multiple sclerosis

play17:54

I was in denial for a number of years

play17:57

probably almost a decade

play18:01

I was walking but not unassisted I had a

play18:05

Mobility device I used the cane

play18:08

and so after having

play18:10

pretty Frank discussions with my

play18:13

neurologist she pushed me to be

play18:16

proactive and not reactive and not

play18:19

waiting until well you're in a

play18:21

wheelchair and that was the path that I

play18:22

was on

play18:24

bye

play18:25

by being non-compliant and refusing and

play18:29

resistant

play18:31

I decided to

play18:33

embark on a new disease modifying

play18:36

therapy to treat the disease

play18:38

I haven't had an exacerbation in

play18:40

probably seven years

play18:43

which is incredible

play18:47

and that's due to being compliant eating

play18:51

healthy I am very very strict on the

play18:55

things that I eat

play18:58

there are foods that are obviously not

play19:01

helpful to somebody living with Ms as I

play19:04

learned about vitamins and and learning

play19:06

about food groups it has helped me to

play19:09

feel better

play19:12

having some form of exercise has been

play19:15

helpful to helping me feel like I'm

play19:17

still holding on to that athletic Tyler

play19:19

just a little bit with the mess

play19:22

how are you

play19:23

[Music]

play19:26

I said I'm going to start a podcast

play19:30

I'm going to share what it's like having

play19:33

Ms with the world

play19:35

I want to hear others Journeys and

play19:38

stories and I recently had a guest on

play19:42

the show my friend my dear friend fellow

play19:45

MSR today I'm joined by a fellow Ms

play19:49

Advocates thank you so much for having

play19:51

me Don it is always a pleasure to speak

play19:54

with you

play19:55

one of the most difficult

play19:58

aspects of having a diagnosis like

play20:01

multiple sclerosis is trying to figure

play20:04

out not only who you are you're also

play20:07

wondering who you were

play20:09

absolutely I I absolutely do and I think

play20:12

it's very common and I think that's why

play20:15

it's so important that you're you're

play20:17

having this discussion because

play20:19

um it's one thing to be in the prime of

play20:22

your life and be healthy and then bam

play20:24

you're just sideswiped by this chronic

play20:26

illness diagnosis but

play20:30

there were certain things that now

play20:33

aren't important to me anymore I'd say

play20:36

and it's changed my priorities yes but I

play20:39

still at sometimes

play20:42

grieve the hopes I had before my

play20:45

diagnosis I truly enjoy the podcast life

play20:49

I feel that I've met a number of people

play20:53

who are willing to talk about Ms and

play20:57

willing to share because it's it's not

play20:59

easy that's all I can say too

play21:03

when the doctors told me

play21:06

that they were going to take football

play21:07

away from me after that last relapse

play21:09

that I literally

play21:11

told the doctor I said it's gonna be

play21:12

okay because when one door closes

play21:13

another one opens and I still can't

play21:15

figure out how in the world I said those

play21:17

words

play21:19

but I think it has a lot to do with with

play21:21

faith and culture of what I come from

play21:23

and understanding that what you go

play21:25

through is not about you

play21:28

it's about how you handle what you go

play21:31

through to give hope to somebody else to

play21:33

say that yes I can

play21:35

I was sitting in the hospital with him

play21:37

and he told me Shayna it's all right I'm

play21:39

gonna be okay

play21:41

um there's bigger plans for me I don't

play21:43

know what yet but there there's more for

play21:46

me

play21:47

the man up above literally spoke into my

play21:49

heart and people think I'm crazy but

play21:50

this is my truth so take it as you want

play21:52

to take it

play21:54

he said as long as you help spread

play21:56

awareness about this disease

play22:00

my soul will be at peace

play22:04

and so if my soul is at peace

play22:07

that I can keep on moving forward and so

play22:09

ever since then the mission has been

play22:11

leaving things better than the way that

play22:13

you found them for multiple sclerosis

play22:16

I was ready to take the next step in my

play22:19

life towards patient advocacy you don't

play22:21

really know how strong you are as a

play22:24

human being until you are dealt

play22:26

situations and circumstances that cause

play22:27

you to be made weak I fell into public

play22:30

speaking by accident to impact lives

play22:33

through a microphone and a voice and I

play22:35

just try to do that as much as I

play22:37

possibly can day in and day out so

play22:40

knowing that I could be an inspirational

play22:41

speaker knowing that you can be an

play22:44

author knowing that you can do all those

play22:45

things to make an impact and leaving

play22:47

things better than the way that I found

play22:48

them that's basically what I the way I

play22:51

live my life every day

play22:53

colleagues from around the country

play22:55

who've recognized and been doing this

play22:56

work for some time came together and

play23:00

founded a registry so that we can

play23:02

understand some of the risk factors for

play23:05

Ms in the black population as well as

play23:08

understand if people are getting to

play23:10

treatment in time if their diagnosis is

play23:12

being delayed and to try to better get a

play23:15

handle of the data and the reasons why

play23:17

we see some of the outcomes that we see

play23:18

so I'm very hopeful

play23:21

um that there is much work being done to

play23:23

decrease Health disparities and to

play23:25

improve understanding of Ms and minority

play23:27

populations

play23:30

being able to walk again with my family

play23:35

and watch Destin on a skateboard

play23:40

it means a lot

play23:43

and I think having him

play23:46

see me in a state of not being able to

play23:49

walk to walking

play23:51

is

play23:53

it's overwhelming

play23:55

with all the other months right exactly

play23:58

and they said no

play24:00

I'm learning how to constantly navigate

play24:03

living a life with their mess

play24:05

There's Hope with this disease there's

play24:08

promise with this disease there's family

play24:09

with this disease there's independency

play24:11

with this disease

play24:13

there are things that allow you to still

play24:15

live your life with Ms please know that

play24:18

with this disease

play24:23

[Music]

play24:29

[Music]

play24:38

[Music]

play24:47

[Music]

Rate This
β˜…
β˜…
β˜…
β˜…
β˜…

5.0 / 5 (0 votes)

Related Tags
Multiple SclerosisPersonal StoriesHealth AdvocacyDisease ImpactCoping StrategiesMedical DiagnosisEmotional JourneyAfrican AmericanFamily SupportTreatment OptionsPodcast Insights