MS Treatment 2021: We don't treat Multiple Sclerosis correctly.

Sdílet
Vložit
  • čas přidán 20. 08. 2024
  • In this video I discuss MS treatment 2021. We don't treat Multiple Sclerosis correctly, and need to make two big changes to our approach. Click to learn more.
    The Boster Center for Multiple Sclerosis accepts all major insurance carriers and accepts consults from around the globe, both in office and via telemedicine. www.BosterMS.com or call 614-304-3444 to schedule! Hope you enjoy this video "MS Treatment 2021: We don't treat Multiple Sclerosis correctly."
    **********************************************************
    COMMENT with your thoughts and questions on "MS Treatment 2021: We don't treat Multiple Sclerosis correctly!" below I look forward to reading and responding!
    **********************************************************
    SHARE this video "MS Treatment 2021: We don't treat Multiple Sclerosis correctly:" • MS Treatment 2021: We ...
    ***********************************************************
    FOLLOW on Twitter: / aaronbostermd
    FRIEND on Facebook: / aaronbostermd
    SUBSCRIBE on CZcams: / aaronbostermd
    VISIT us on the web: BosterMS.com/
    ***********************************************************
    NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help educate others (and in this case, MS Treatment 2021: We don't treat Multiple Sclerosis correctly). These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!

Komentáře • 206

  • @mariaugolnik2296
    @mariaugolnik2296 Před 2 lety +47

    Thanks for the video, Dr. Boster!
    Being a participant in a BTK inhibitor clinical study, I'm quite happy to hear that it might be the future of MS treatment. And even though I don't know what of the two drugs I am taking, my hopes are high that it'll help and I will have no other MS symptoms.

    • @AaronBosterMD
      @AaronBosterMD  Před 2 lety +6

      Thank YOU for participating in these exciting MS trials! #StrongerTogether #WeHaveMS BosterMS.com

    • @TankoxD
      @TankoxD Před 2 lety +1

      Как ты себя сейчас чувствуешь?

    • @catrinahartz944
      @catrinahartz944 Před 6 měsíci +13

      I don't take any meds , I have had benign m.s. since I was 31, I will be 56 in 2 days. I pray, and take vitamins and exercise and rest. I had 25 lesions on my spine and 25 on my brain. I had x-rays done 6 yrs ago just to see how it was going. Only 1 lesion on my spine. Still 25 on brain, but doctor here in florida said that's not possible that the lesions went away. I said yes it is with God, and he's now working on my brain with the 25. Mind over matter, pray to God. Jesus heals. Miracle healer. Positive thoughts about it. It doesn't have me. ❤

  • @TheDAVITA28
    @TheDAVITA28 Před 5 měsíci +9

    hello. i have MS from 2018 year and i am very tired. i wish all people to be healthy. ❤

  • @samkitty5894
    @samkitty5894 Před 7 měsíci +14

    One thing worse than finding out you have MS is finding out how much the medications are.
    America loves to kick those that are down...over and over.

  • @jaktag
    @jaktag Před 2 lety +60

    I was diagnosed in 1992 and was kicked out of the door and never had any treatment for my ms,i was only offered steroids for relapses which i refused,i chose to just get on with getting over them myself.I was never offered any dmd when they became available.I am absolutely disgusted with the lack of care and feel so angry with nhs for leaving me to struggle these last 29 years,I have no faith in the nhs at all.

    • @kandykone88
      @kandykone88 Před 2 lety

      What is nhs

    • @jaktag
      @jaktag Před 2 lety +4

      @@kandykone88 NHS is our national Health service in the UK

    • @colleenpaulson3821
      @colleenpaulson3821 Před 10 měsíci +5

      My situation is similar to yours. I was diagnosed at Mayo in 1999 with primary progressive Ms. At that time the medications they had for MS did not help the PPD type . It is only in recent times that more is known & understood about primary progressive MS & there are various medications available. I made a request for an appt with Mayo this year wanting them to determine what treatment would be best to begin with. My request was denied due to the abundance of requests they get each year. They didn’t say but I suspect age played a part since I am now 81, but a young 81 I might add.

    • @Hellhenremender222
      @Hellhenremender222 Před 4 měsíci +1

      I’m medication sensitive so there’s like no options for me when it comes to treatment, I either suffer with or without medication. I was sort of brushed off by my neurologist at time of diagnosis he was arrogant and didn’t want to listen, and I have battled it unable to walk or feel my legs after work etc. it’s terrible so I wish you the best ♥️

    • @adamchaifetz5876
      @adamchaifetz5876 Před 2 měsíci

      @@colleenpaulson3821 There is only 1 FDA approved medication for PPMS-OCREVUS, Any Neurologist with a brain can prescribe-Mayo not required.

  • @GreySkyLady
    @GreySkyLady Před rokem +51

    AGREED. My husband died of MS last week. He was given no meds in the 1990s and started Copaxone in the late 1990s. He was first not bad enough to get a stem cell transplant, but then he we too advanced for one. He basically took low efficacy meds and passed 28yrs post diagnosis, completely with PIRA. It's all heartbreaking, really.

    • @AaronBosterMD
      @AaronBosterMD  Před rokem +16

      I'm so sorry for your loss GreySkyLady. You're not alone, we support you.

    • @kimwick3626
      @kimwick3626 Před rokem +3

      so sorry

    • @allaamrauf8214
      @allaamrauf8214 Před rokem +7

      Do you mean he died of the complications?

    • @RowenXDawn
      @RowenXDawn Před 4 měsíci

      @@allaamrauf8214that’s what I was wondering

  • @thaishelena110
    @thaishelena110 Před 2 lety +27

    I have MS for almost 9 years. I feel i spent so much time in first line medicines bc i was "fine" and now even taking Ocrevus, i need a rolling walker, i have disphagia and bladder problems. I'm not even 30 yet. Yes. We need more efficient treatments as soon as we are diagnosed.

  • @DennisM-wp7jt
    @DennisM-wp7jt Před 3 měsíci +3

    I was diagnosed with MS due to optical neuritis and some inflammation in the brain.
    I decided to totally ignore anything the doctor said/prescribed, and went about my life.
    That was 6 years ago and I am normal no symptoms whatsoever.

  • @kevinhorne194
    @kevinhorne194 Před 2 lety +45

    I certainly think the “smoldering” nature of MS fits. Diagnosed in 2004 and been on copaxone/tysabri/ocrevus/Lemtrada and for the most part free of relapses. But I’ve progressed a lot slowly over time. It always feels like “hey you have had no relapses! hooray! everything is under control.” But in reality things have changed a lot.

    • @gordonhastie8650
      @gordonhastie8650 Před 2 lety +8

      Kevin, Totally agree! I was diagnosed in 2003 & came off copaxone 6 months ago. My condition has deteriorated over the years & as my recent MRI showed NO “active disease” my neurologist has said no further treatment required 🤬 I Take it he thinks I’m cured 🤨

    • @LizzoMyBizzo
      @LizzoMyBizzo Před 2 lety

      I had that issue as well, until I found out I alsao have paoriatic arthritis...which the rheumatoloist refused to diagnose since I had a false negative (she read as false positive--she's from the University of Minnesota for F*** sake!!!) which was confrirmed by my dermatologist
      Just more proof that doctors aren't gods, blood teats aren't always conclusive, knowing about your body is incredibly valueable, and peer-reviewed research can change your life. IJDK_SMDH

    • @dahbajanman7044
      @dahbajanman7044 Před 2 lety +4

      This is why MS is so weird and i think no one understands it. You have listed some of the most effective DMTs, but i haven't been on any of those, I was diagnosed in 98 and didn't start an a DMT (Rebif) until 2012, but i don't show signs of progression. I'm now on Tecfidera and may transition to Ocrevus, but i think of course i will progress due to the length of time i have had MS.

    • @lorrainejohnson829
      @lorrainejohnson829 Před rokem +1

      Hey all! same with me Dx ms 1984. did old abc injections for yrs-had no noticable activity for 25 yrs- bout age 25 to current age 52. still keeping informed with Dr 😳. ms is so dang tricky!

    • @chargedx1
      @chargedx1 Před rokem

      ​@dahbajanman7044 what were you doing for your health for 98 to 2012 before starting dmt? Why did you start taking a dmt?

  • @EvenSoItIsWell
    @EvenSoItIsWell Před 2 lety +45

    I appreciate your videos and knowledge Doctor Boster. I would love to see a video on using diet and lifestyle changes (in addition to medications) to quell inflammation. I truly believe many patients could live much better with their MS if the medical community could up their efforts on this part of patients care and coaching.

    • @scottyrosencrance4622
      @scottyrosencrance4622 Před 2 lety +3

      Yeah they could. Boster has done videos on this stuff before many times. But you are right, we could use another one ASAP!

    • @MinnyMann
      @MinnyMann Před rokem +1

      1000% agree

    • @angeliquetamsinpotgieter1165
      @angeliquetamsinpotgieter1165 Před rokem

      Fully agree with you 🎗

    • @JustWatchMeDoThis
      @JustWatchMeDoThis Před 10 měsíci +2

      Coaching like that does not come from pharma training. I am on a meat based, high fat, high protein, whole food, ketogenic diet now for 3 months.
      For 2 year I gave had neuropathy in all 4 limbs including burning. The last week that burning has 95% gone away.
      No DMTs. Only supplements, Cymbalta 90 mg and barely any gabapenten, like 100-200 mg currently.
      I decided a few days ago to stop the supplements that were specific to nerve support just to test it without for a couple weeks. I will add them back, but I wanted to see what their impact was.
      So far it seems that the diet is the thing that suppressed the burning. We will see. People in my circles doing the same though for many different reasons and diseases are also seeing less symptoms and even remission of autoimmune diseases.
      I know it's not a guarantee, but I've done this before and cleared up many things.
      Pharma will tell us to go plant based. Doctors that stopped obeying pharma are going meat based and seeing the results.
      I'm not a medical professional, but I do get better on meat based keto.

    • @PPatrickWing
      @PPatrickWing Před měsícem

      Thank you for this!

  • @gracerosa5249
    @gracerosa5249 Před 2 lety +10

    Thank you . i now have a new doctor in nyc at nyu multiple sclerosis center. He found i was completely treated incorrectly. He found lesions on my brain also i don't have rr anymore it has progressed . He is checking all my blood levels to see what meds will work with me. I cannot thank you enough.

  • @jaygeeno
    @jaygeeno Před 10 měsíci +8

    Dr. Boster, Thank you for your caring interest in MS. Your innovative approach to MS care fascinates me as an MS patient for 65 years, diagnosed in 1958. My 50-year teaching career included an eclectic mix of students, subjects, travel, and MS. Vitamin B tablets after each meal with 8 ounces of water and resting a lot, steroids, stem cell injections, and Ocrevus infusions after 75 were the medications I used. Through positivity, focused goals, exercise, nutrition, music, laughter, prayer, medication, meditation, motivation, visualization, and purpose, my life with MS had peaks and valleys. I write freelance and will publish a book, Multiple Sclerosis Success Guide: 12 Tips to Energize Your MS Life, about my MS journey in March 2024 to coincide with MS Awareness Month.

  • @mscsm2946
    @mscsm2946 Před 2 lety +11

    Dr. B I totally agree with you, I was diagnosed in 2019 my first dmt was and still is Ocervus. My insurance did not cover the first round, that's when Gentech foundation stepped in to cover the cost of the first round. I have adjusted my diet as well, which I believe we need to do everything in our power to limit Inflammation. There is no one fix all

  • @michalenestabler1327
    @michalenestabler1327 Před 2 lety +26

    Agree Dr. Boster. I’d love to see more enhancement on genetic and family history with MS. My great aunt, uncle, me and my 2nd cousin all on my Dads side have MS. Early detection like in cancer would help greatly in curbing the disability and possibly MS having no effect on your life, that would be awesome.

  • @dnoyes7
    @dnoyes7 Před 2 lety +14

    I worry as neurologists I have seen want to see MS go extremely wrong before making any changes although I feel the negatively changing MS that doesn’t show on MRIs. Extremely wrong to me means I will have permanently damaging life symptoms and complications I don’t need. I strive to live the 4 for 4, a healthy anti-inflammatory diet as that is the best anyone will do for my RRMS.

    • @denosinha4289
      @denosinha4289 Před 2 lety

      What diet is that?

    • @krebsfamily5247
      @krebsfamily5247 Před 2 lety +1

      Deborah Noyes, I too have seen doctors who want to use the "escalation model" where they wait for progression to try something more effective. In the United States insurance plays a big role in this decision. It's exhausting but please continue to advocate for yourself...there's a way to get the best care. Definitely not the easiest way, but it's worth it

  • @pedrodacostapinto
    @pedrodacostapinto Před 2 lety +7

    The wait and see model brings a big bill I'll have to pay for the rest of my life.. diagnosed in Aug/2000, currently in SPMS, I'm 46 yo.

  • @daelite69
    @daelite69 Před 2 lety +6

    I was diagnosed in '96 and had to ask to be on an DMT . I was on Avonex first, when I failed that med I moved on to Rebif. I still relapsed about every 3 years on these DMTs. When I became non-compliant I had the worst relapse since my diagnosis in 2012. I now have at least 30 T1 lesions from drugs just not being effective enough back then. I joined the Ocrevus trial from 2012-2020, I've since been relapse free for almost 10 years now. I've been NEDA since 2015. Currently on Kesimpta and still doing well. I couldn't agree more with your assessment. Start early, start strong.

  • @freethinkeralways
    @freethinkeralways Před 2 lety +13

    Thank you, Dr. Boster! Agree with the title. IMHO: Until we find what's causing CNS inflammation in MS & treat the cause(s), the cure will not be found.

  • @MoistNasa
    @MoistNasa Před 2 lety +20

    Honestly this hits me so hard. I’ve only had MS for a while (diagnosed in 2018 when I was 24 and now I’m 28). Been on Tysabri but I’m clearly getting worst. Was just in the hospital for a few days because I couldn’t walk, and I can barely hold anything anymore. I have a wheelchair now. But because my MRI’s are good, my doctors just say everything is fine and I leave every appointment not knowing what the point even was of showing up or getting the expensive MRI’s just to be told everything is good. Idk how my neurologist suggests I maybe can’t work full time anymore at 28 but still say that my MS is controlled and everything is working as intended.

    • @christianwinston9237
      @christianwinston9237 Před rokem +7

      What about natural foods that help rebuild the myelin any of that help?

    • @aka_abi6544
      @aka_abi6544 Před rokem +5

      Sorry to hear this I hope we can find something soon

  • @ScottMarc-RT1
    @ScottMarc-RT1 Před 2 lety +24

    Thank you for your sharing your knowledge and passion.
    30 plus years ago I was diagnosed with "benign" MS. Today I can barely stand for a minute or two and I use a motorized WC. Smoldering MS is an accurate descriptive of what many MSers are challenged with and it certainly describes my disease process. It took 10 years for my neurologist to prescribe Avonex but my MS continued to burn its way throughout my spine nonetheless. I changed neurologists on several occassions and was put on more effective meds but my MS continued to smolder. I'm on Ocrevus now. I hope your wish for a more aggressive treatment of MS from the start becomes a reality. Smoldering but hopeful. Tx

    • @patmurphy4949
      @patmurphy4949 Před 2 lety +2

      That's what they told me, benign,,what does that even mean???

    • @smmcb647
      @smmcb647 Před 2 lety +2

      Thanks S Marc for your response. I am currently on Tysabri and moving to Ocrevus soon, but I would agree that despite not having any relapses, my MS is gradually deteriorating. I am hoping Ocrevus will slow down my decline.

  • @danicanada1834
    @danicanada1834 Před 2 lety +3

    I was diagnosed with MS a few years ago and of course I knew very little about the disease. My neurologist treated my symptoms with a very aggressive anti-inflammatory treatment. As I have learned more about my new life, I do what I can to continue on with anti-inflammatory regimes.

  • @chi_archive
    @chi_archive Před měsícem

    I was diagnosed via MRI only, I did early aggressive treatment with Tysabri for a year and then swapped to Ocrevus. Tysabri helped stop my disabilities fast and helped decrease one of my spinal lesions. Smoldering MS makes a lot of sense as I haven't been relapsing just over all getting worse over time, I was only diagnosed a year ago and in the time I had no flare ups but my back has caused me some of the worst pain in my life and I have to use a cane now.

  • @rachelpenny5165
    @rachelpenny5165 Před 2 lety +4

    I was diagnosed with multiple sclerosis in 1991 when I was 18, I fought for 8 years to get on one of the early DMDs. I have been on Copaxone (or the generic Brabio) for 19 years (still on it) and was part of a study on the NHS called the risk sharing scheme. I don't seem to have had many relapses since. But I find that doing chi kung has helped it a bit.
    I actually get the blog by Prof G Giovannoni regularly emailed to me. I signed up for it years ago. It is very interesting with useful information.
    But your videos are also interesting and useful.
    Thank you for this one.
    Best wishes

  • @francinerosenthal514
    @francinerosenthal514 Před 2 lety +9

    I wish these upcoming meds were available now. I was diagnosed in 1990 and was literally just sent out the door with best wishes because there were no meds. I eventually was on Avonex and now Gilenya. I’m doing ok but I definitely have “smoldering MS.” No obvious exacerbations but very slowly progressing disability. It’ll be interesting to see what new treatments come out!

    • @lw5682
      @lw5682 Před 2 lety

      I hear you! At 47 with over 20 brain lesions and atleast 10 spinal cord lesions, I think any big changes to MS treatment are too late for me. I am disabled from MS and feel so unwell on a daily basis despite being on Ocrevus. I wouldn't wish this on anyone and do hope Dr. B is right and that MS can become boring for future generations 🤗

    • @chrystineuman3084
      @chrystineuman3084 Před 2 lety

      Hi Francine so great to hear you're still doing pretty well especially since you were diagnosed in 1990. I turned 40 this year and wonder if some of my mild symptoms are MS or age related. Any thoughts?

    • @prolly5797
      @prolly5797 Před 2 lety

      What age were u when u got it and how old are u now may I ask

  • @Velkro5000
    @Velkro5000 Před 2 lety +4

    I tried to go the diet way for the past 4 years (Wahls style all anti inflammatory) I think I executed it 95% of the time, but it was hard to pull off while having an active lifestyle. My latest MRI shows a lot of activity. I've become used to the blurry vision , tiredness, and vertigo. Now however I'm preparing to go on Ocrevus Treatments. It's nice to hear about new treatments. I'm not a fan of tampering with my immune system. I never get sick. I even caught Covid unvaxxinated and it wasn't that bad for me. I think it was milder for me than what my friends went through just getting the jab. Now that I may suppress my immune system (while having the JC virus as a factor) I'm doing as much research as possible to see if anything new exists.

  • @rnm72753
    @rnm72753 Před měsícem

    I started PEMF therapy for pain and it has been life changing!!

  • @rushelkeister4113
    @rushelkeister4113 Před 2 lety +6

    You're absolutely amazing, Thank you for sharing these videos. I have watched every one and I am always left with hope, compassion, and gratitude that there's someone out there thinking outside of the box .. words are not enough to express my gratitude...Thank you Dr. Aaron Boster💯🎯❣️

  • @gregmolnar6318
    @gregmolnar6318 Před 3 měsíci

    Awesome video! I couldn't agree more. I wish neurologists would watch this video and start implementing your ideas. I had HSCT for MS 7 years ago and my MS progression has stopped.

  • @mattsautorepair484
    @mattsautorepair484 Před měsícem

    Had an ms scare years back, didn't get diagnosed but had many of the symptoms, ai found Terry Wahls and started keto, my nerves healed and I'm mostly symptom free, it was miserable but now I call it the canary in a coal mine

  • @patriciavanderkooy4113
    @patriciavanderkooy4113 Před rokem +1

    Yes!!! I am thrilled that you are looking in this direction. Clinicians like you are the future for making new approaches available - HSCT, BTK inhibitors, anti-viral meds (for people with EBV). The goal is to stop PIRA and to preserve brain volume so that people w MS live longer without disability. Economically, there is a strong case here for aggressive (expensive) therapy up front - giving people a shot at longer productive happier lives, parents who can raise their kids to adulthood etc. Go Dr Boster!

  • @ragub6
    @ragub6 Před 2 lety +14

    Thanksfor the Video Dr.
    Is HSCT a mainstream treatment for MS? Asking because Stem Cell treatment is very costly, Insurance (here) do not consider Stem Cell treatment as an accepted clinical treatment for MS

  • @DrBrandonBeaber
    @DrBrandonBeaber Před 2 lety +7

    Nice video, though I don't think we can treat RIS with highly-effective therapy with current technology because many people with RIS don't go on to develop clinical MS at all. Also, I think the potential for misdiagnosis in people with no clinical symptoms of MS is tremendous. I routinely undiagnose people with "multiple sclerosis," often immediately suspecting the diagnosis is wrong while reviewing the MRI prior to even speaking with the patient. Maybe with better testing (central vein sign, etc). Also, you could argue that RIS with classic brain lesions and spinal cord lesions is a different entity which requires treatment, though I am not entirely convinced.

  • @belizabeth1471
    @belizabeth1471 Před 2 lety +4

    I am grateful that my doctor agreed to hit my MS with Rituximab as our first treatment. I am hoping it makes a significant difference in my disease course.
    I would be fascinated to see treatment the way you described: HSCT/Lemtrada first followed by BTK inhibitors. Though I do wish they could make Lemtrada lower risk for significant side effects.

  • @desiredecove5815
    @desiredecove5815 Před 2 lety +3

    I agree with your line of thinking. We need to get all neurologist/ MS specialist on board with this. So everyone gets treatment aggressively initially. Along with more pharma/ scientists focusing on these types of treatments. Much love ❤️ my super opinionated Dr. #Wehavems

  • @Qetu2728
    @Qetu2728 Před 2 lety +3

    I was diagnosed with MS January 2020, I finished my first round of Mavenclad April 2021, all is well, no new or active lesions since diagnosis

    • @losvegas1997
      @losvegas1997 Před 2 lety +1

      Hi Suzie! Glad to hear your doing well since Mavenclad. My doctor wants me to take it as copoxone has stopped helping me. How did you feel when you took it? I'm really nervous as i see the side effects etc. It says like your immunity goes down for like 6 months? Just looking for advise i e. Your experience with it ? Appreciate it

  • @danielsorial2260
    @danielsorial2260 Před 2 lety +10

    Dr. Boster, this treatment approach certainly has the potential to reduce the amount of damage caused by early disease activity and seems like a no brainer in my opinion. Do you think that this is a change we may actually see in the coming years?

  • @andrewjones7774
    @andrewjones7774 Před 2 lety +5

    Your comment on “smoldering” MS really hit home with me and described my MS to a T. It’s difficult for me to pinpoint when I had my first attack but I have large spinal lesions on my spine and have progressively gotten worse but never really had a relapse or remittance, now diagnosed PPMS, but in an Ocrevus study (regular dose or increased dose).

  • @andrewlydeamore169
    @andrewlydeamore169 Před 2 lety +4

    Great lesson again Mr Boster

  • @cassandra4986
    @cassandra4986 Před 2 lety +2

    This is a great idea. Hopefully, insurance will follow. The first year my diagnosis was tough. Insurance wouldn’t even approve the medicine my doctor recommended until I failed two other drugs.

  • @kara7197
    @kara7197 Před 2 lety +6

    I agree on reversing the approach on treatment, also because a very strong therapy would be better tolerated in a young or relatively young person, instead of an older person already beaten up by years of "bland" therapies and progressing disability. Thanks for sharing your opinion, hopefully it will be considered in the medical community

  • @robertb823
    @robertb823 Před 2 lety +1

    I guess I'm terribly opinionated too, because agree with you wholeheartly.

  • @lisadinardo4640
    @lisadinardo4640 Před rokem

    I have MS, fibromyalgia, chronic fatigue syndrome, brain disease trigeminal neuralgia and a host of other diseases. I think Dr. Boster is not only more than qualified but has to be a compassionate individual to spend your time this way. Thank you.
    Because I have so many other severe complicated illness I don't know if I agree with an aggressive approach such as this. But I have my other things to be concerned of, not just MS.

  • @cloudy.w.no.chances
    @cloudy.w.no.chances Před 2 lety +6

    Thank you Dr. Boster. I'm 28 yo woman and I just got diagnosed with MS. I am considering asking my neurologist for stem cell transplant. I am early in the disease (as my neurologist say, but I want a second opinion - of which I am working on) but I want to be pro-active and look at this treatment to possibly stop the progression. Maybe wishful thinking like a lot of MS patients.

    • @merlelybird2726
      @merlelybird2726 Před rokem +2

      Yes. I have been newly diagnosed as well and I just want to start off with some STEM treatment right away. I don’t want to wait until I have 40 lesions.

  • @thaliaventouris3855
    @thaliaventouris3855 Před 2 lety +1

    YES!! I participated in an MS study, I believed in 2017, where your exact approach was being discussed.

  • @hermanvanderkooy5031
    @hermanvanderkooy5031 Před 2 lety +3

    So good to see this post today! I have wondered about this very subject - aggressive treatment to prevent new lesions, but also what to do to address the other symptoms that periodically appear and/or how to promote actual healing of lesions. I appears that there is reluctance to give more than one treatment at a time, since each therapy has side effects and hasn't necessarily been studied for interactions with other common therapies, especially not in the long term. Still - there can only be benefit and cost savings to personal health and the health care system if people with MS don't acquire disabling conditions in the long term, if they can be fully productive and healthy. Bravo for sharing your thoughts.

  • @tempest510
    @tempest510 Před 2 lety +1

    I agree. I really had to work on my neuro to get her on board with leaving Glatopa for some more effective. Eventually, I was a broken record. I want the most effective medication to fight my MS.

  • @arr2820
    @arr2820 Před 2 lety +1

    Dmt's are preventing new lesions from forming, but not healing the damage already done.

  • @mandeehusky
    @mandeehusky Před 2 lety +2

    I would like to see a video for those with both MS and MG. Ocular symptoms are getting worse nearly daily.

  • @mindfulinmountains
    @mindfulinmountains Před 2 lety +1

    I love your passion for ms therapy. Thank you for that, I wish that were the case for all neurologists. I feel in my situation that there's an elephant in the room, and that being poor communication between physicians and their patients, where what we share isn't taken seriously, and I think that it might be due to some Dr.'s not fully understanding the severity of what we experience vs. what they read in a book, with no way to understand on a personal level. Often we're treated like were lying, or that we're over reacting. To which I believe can trigger more issues. Because just like physicians have a gap in understanding, the average patient also has a poor understanding of what's going on inside scientifically. I'm an unusual case in that I worked in many medical facets prior to diagnosis, and knew at my core something was very wrong, and no one would take me seriously untill I was a full blown disaster. That being said, I've been researching immune/neuro conditions likely in an obsessive manner from a place of fear. Leading to more inflamation. There's a million things I could touch on, but this likely isn't the time nor place, however, I was wondering if you were familiar with Gabor Mate's work, and his thereories involving the emotional components?

  • @christinau7026
    @christinau7026 Před 2 lety +2

    I wish they would approve stem cell transplants for MS (where insurance would cover it)…they pay thousands of dollars towards prescriptions where those of us with “mild” MS could potentially be Drug free after a stem cell transplant…you would think it would save the insurance company and the patient money in the long run 🤷🏻‍♀️

  • @tracyfromwv9374
    @tracyfromwv9374 Před 2 lety +4

    "Smoldering MS" - sounds terrifying, frankly.

  • @donnamoore8479
    @donnamoore8479 Před 2 lety +8

    How do you treat a disease that symptoms varies from person to person and progresses differently from person to person?

  • @mzfasheezy
    @mzfasheezy Před 2 lety +1

    DR BOSTER YOU THE MAN

  • @debrice5406
    @debrice5406 Před 2 lety +2

    Thank you for taking time to help educate us!!!

  • @HarmonyHeardDifferent
    @HarmonyHeardDifferent Před 2 lety +3

    Thank you Doctor! This makes me optimistic with the future with Ms. Definitely will have something to talk about with my healthcare team 😊❤️

  • @karentweed3504
    @karentweed3504 Před 2 lety +2

    I’ve always thought that with current DMTs we are treating the effect and not the cause. Very important to stop the damage caused by attacks/inflammation, however, we still need to get to the cause…..

  • @LemonMoon23
    @LemonMoon23 Před 2 lety +1

    I would like to see more discussion around treatment for MS long-timers. I was DX in 2001. (We were lucky to have the CAB meds.)
    There is rightfully much talk about the newly dx and early, powerful meds. But then what? We’ve gone from no meds to quite a few meds in just a few decades, but where is the accompanying progress In management for those of us further along the path? Just to be clear, I’m not talking meds, I’m talking about ACTIVE management and enthusiasm for the long term.

  • @reginawolfe3268
    @reginawolfe3268 Před 2 lety +2

    Thank you for being so active on CZcams! Your videos have been very helpful for learning about MS. 💖 I would love to hear more about the BTK inhibitors you mentioned and how it might treat MS after a monoclonal antibody treatment.

  • @flippTheartist
    @flippTheartist Před 2 lety

    I like watching alot of your videos. I agree with you about inflamation. I have seen that less inflamation helps my ms first hand. I had to find a wellness dr & move away from the traditional neurologist way of just treating my symptoms. My dr put me on peptide shots daily. Also I took a food intolerance test. By taking the shots & not eating the foods that irritate me my inflamation has gone way down! No ms is not gone but I feel a lot better. I have maintained my mobility & my clothes fit better!

  • @save400
    @save400 Před 2 lety +1

    Thanks for this video. I have super early ms.

  • @kizzyb2649
    @kizzyb2649 Před rokem

    I agree with this theory. I was diagnosed 8 years ago and within 6 months I was given lemtrada. My doctor decided to see how successful it would be in early stages. I had gone undiagnosed for about 5 years so I had significant symptoms and pain already. (This I accept I will always have to deal with as the damage is already done)
    I had 4 rounds and so far no new relapses and no treatment for the past 4 years. I have zero progression and feel really positive for my future.

  • @WORRO
    @WORRO Před 2 lety +1

    Sounds very good to me Doctor B. I do preciate your time Sir! Thumbs up video ~John

  • @iust25in
    @iust25in Před 2 lety +3

    Can you do a video about HSCT? I'm considering this option more and more. Thank you for all your work with these videos.

  • @Superchick.Marie777
    @Superchick.Marie777 Před 2 lety

    Dr B: I appreciate your videos SO MUCH!
    I have learned a lot from you and continue to do so. But this video…. I CANT STOP LOOKING AT THE “monster egg” !!!!!! 🤣🤣🤣👍🏼

  • @imapotato4291
    @imapotato4291 Před měsícem

    I was diagnosed when i was 17 now im 25. I havent had many issues until now

  • @fionafenner4582
    @fionafenner4582 Před 2 lety

    I am currently in Yr1 Wk2 of Cladribine. It took me a couple of months to feel comfortable with the idea of using this, but I am now very confident that it was the right decision, despite the fact I am currently struggling with the side effect of fatigue. To get through, I’m just resting ‘hard’, and I like to imagine the tablets fighting strongly against my MS and bringing about positive changes as a result

  • @debbiedean3165
    @debbiedean3165 Před 4 měsíci

    Thank you Dr. Booster, I appreciate your videos so much.

  • @spirit_007
    @spirit_007 Před rokem

    Dr. B please do a seminar please we, us, MS warriors are are literally fighting for some relief especially those of us living in the Midwest, but right now anywhere due to this weird unthinkable climate.

  • @klinexXEst1997
    @klinexXEst1997 Před 2 lety +2

    So doctor i guess as first medication on mavenclad i choose wise !

  • @chrystineuman3084
    @chrystineuman3084 Před 2 lety +3

    Hi Dr. Boster I always love watching your videos. Do you have any suggestions for someone with JC virus who is scared to death about PML? Thanks!

  • @theMSguide
    @theMSguide Před 2 lety

    My favourite video you have ever made! Chapeau.

  • @jmsmzrz
    @jmsmzrz Před 6 měsíci +1

    Colloidal silver works great!

  • @belmakanlic1113
    @belmakanlic1113 Před 2 lety

    Dear Dr Boster,
    thank you for the video, although I must say it made me quite sad, because I certainly will not have access to these new BTK therapies which you suggest (I live in one of the Europe's poorest countries). But thank you for the effort you put in making these videos, because I certainly learn more about MS from you, than from my neurologists. Stay healthy and safe

  • @jesswithms02
    @jesswithms02 Před 2 lety +1

    Absolutely love, love this video. I also have been following Dr. G a really long time and couldn’t agree more with his hypothesis of “smoldering MS”.
    Now I need to research these new clinical trials. Unfortunately, I no longer qualify for clinical trials because of having MS for more than 10 years (seems to be a strict criteria) and slipping into the active SPMS. Most certainly did my share of clinical trials way back and even participated in a phase one clinical trial (now that’s love and trust in your neurologist). 😊
    Thanks again for all you do for our MS community. 🧡🧡

  • @beanieboocollector101
    @beanieboocollector101 Před 2 lety +1

    Good morning ☀️

  • @LizzoMyBizzo
    @LizzoMyBizzo Před 2 lety

    I apent three years wasting time on Copaxone and Tecfedera in my 20s, until I was approved for Ocrevus, which has been a life saver. Unfortunately, the partial numbness in the left side of my body, as well as the lesions on my brain and spine, will never be recovered and is the result of my medical coverage specifying that I needed to be treated with outdated MS treatments for years prior before Ocrevus.

  • @rahularora9868
    @rahularora9868 Před 2 lety

    Thank you for this video Dr. Boster. We are seeing a new neurologist and I hope he is open to discussing this philosophy. We want to consider aHSCT when disability and number of lesions is still low.

  • @heatherbourbeau5182
    @heatherbourbeau5182 Před 2 lety

    I have gotten 2 diagnosis and my current neurologist put me on Aubagio. I’m JCV positive so I have to be carefully about what I’m on. I have bad neurological problems. I feel like I have dementia most days. I feel like my neuro could care less. It would be great to find a neurologist like you

  • @ognjenpanic
    @ognjenpanic Před 2 lety

    Thank you dr. Boster very much for this !

  • @heathergates9110
    @heathergates9110 Před 2 lety +2

    I wish as an spms patient i wasnt constantly told there’s nothing that can be done for you. If most patients transition where are the spms drugs??!!

  • @kevinrmackey245
    @kevinrmackey245 Před 2 lety +1

    Love to hear content like this, research and possibilities.
    Are there studies into clearing debris from demyelination process?

  • @UTFAS
    @UTFAS Před rokem

    Really thank you, real scientist!!

  • @kathleendodge3272
    @kathleendodge3272 Před 2 lety +3

    I wasn't diagnosed for 20+ years what is the best treatment for patients like me?

  • @lauralulu8284
    @lauralulu8284 Před 2 lety +3

    I have heard people are resistant to being put on Ocrevus. That is what I am on and it works well for me. Is there a reason people are hesitant about being put on Ocrevus?

  • @CourtneyHorvath-ke8du
    @CourtneyHorvath-ke8du Před měsícem

    Yes please 😮😮😮😮

  • @fraedrick
    @fraedrick Před 9 měsíci

    Been in Low dose naltrexone for twenty years, it’s helped keep inflammation at bay. And it’s super cheap!

  • @touch1tony
    @touch1tony Před 2 lety +2

    Why haven't the FDA approved stemcell treatment as of yet?

  • @jasmincorbin7941
    @jasmincorbin7941 Před 2 lety +2

    What do you think will lead to the changes that you have mentioned? Do you think they will happen? Insurance companies play a big deal with using the low eccafacy medications.

  • @witriole_22
    @witriole_22 Před 3 měsíci

    I like where this is going. What are your thoughts about anti-imflamation diets to follow "super-potent" anti-inflammation interventions? daily protocols are crucial to maintaining patient health, right? The allopathic model is kind of wearisome with its magic bullet fixes, IMO. Pease don't disregard the impact of daily nutrition on this illness. 14 years post-diagnosis, I think my dietary lifestyle change is what has staved off more relapses than either of the interferon Txs I was on in the first 2 years. I am plant-based only, with very low processed foods/refined sugars. This has been the way through it so far, for me.

  • @annemarieanzalone6493
    @annemarieanzalone6493 Před 2 lety +2

    If you have three lesions on your brain does that automatically mean MS?

  • @ninacee9140
    @ninacee9140 Před 2 lety +4

    Is there any research on the long term effects of this approach of choosing the highest effectiveness DMT versus the standard approach of choosing a mid range DMT for early diagnosed mild RRMS?

    • @arr2820
      @arr2820 Před 2 lety +2

      That is what I was thinking about. High efficacy Dmt's have more serious side effects and obe if them you won't be able to take those drugs anymore.

  • @kitkat8814
    @kitkat8814 Před rokem

    Thank you for the information I have had MS since I was 14 but was not diagnosed until I was 28 and had a very bad relapse. I was on rebif it didn't work then tecfidera that crap is for the birds it made me so sick so I stopped taking it after taking it for 3 years I just couldn't do it. I would love to have something that would actually help and not make me sick.

  • @preymanta6389
    @preymanta6389 Před rokem

    I can’t wait to learn everything about this…my Son is going through so many ups and downs…do you have a group that would be beneficial to connect with and talk too?….

  • @NeuroNerdyX
    @NeuroNerdyX Před 2 lety +1

    We need conclusive evidence based research that demonstrates the effect of SSRIs on the lymphatic system. Are we prescribing Zoloft for MS in tandom with MABs only to learn that they work against each other?

  • @lilpandanesegirl
    @lilpandanesegirl Před 7 měsíci +1

    Honestly everyone that has MS is affected differently. some medications work for them and others don't. when it comes to Oral pills. Dumethyl fumerate has been good to me for over 10 years. I have Relapsing Remitting MS. I've been so good for a long time. I've been hearing people say that they've been on ocrevus, for over 4 years and no new lesions.. but yet they feel like they are getting worse. and doctors said it's because they've had ms for so long and ita normal. I don't think so. the whole Idea is to sloooooowwww progression.. something is wrong here.

  • @donnabolt5847
    @donnabolt5847 Před 2 lety +1

    Dr Boster can you put the link up on the article you were talking about? I'm on tysabri..
    Thank you for this video
    Smoldering ms is always on my mind. Maybe it's because I just feel so incredibly crummy despite doing the 4 for 4 LOL

  • @aarongray503
    @aarongray503 Před 2 lety +3

    Can smoldering ms show up on annual mri's? My neurologist who is a Ms specialist started me on kesimpta in August/2021. I was diagnosed in July/2021.

  • @mikesimmonds1916
    @mikesimmonds1916 Před 2 lety

    If your in the UK the NHS makes huge mistakes had massive delays all the while blaming the c word for being frankly hopeless.

  • @swedesboromusicstudio9737

    My last flare up effected my speech. I was given 75 50mg pills of Prednisone. 25 per day for 3 days

  • @rukia7693
    @rukia7693 Před 2 lety +2

    Unfortunately im in a third world country, so all i can have is Aubagio. I asked for more aggressive treatment, they said no

  • @donnabolt5847
    @donnabolt5847 Před 2 lety +2

    Can you do a video on what is the best treatment plan for those in their wiser years? I know it probably depends on if they are RR, secondary or primary....
    I'm 43. I hope, God willing, the care will be even more advanced for me by then... but what is a good plan now.
    All 3 of the women in my support group are off DMT. Is it good care to be on a less effective drug if you've been stable for few decades and is it different if your ms is aggressive like mine is
    Thank you!