Selma blair why her multiple sclerosis diagnosis was delayed was electricity invented during the industrial revolution

############

My career has spanned the worlds of digital and computational health, business, academia, medicine, global health, and writing. Currently, I am the Executive Director of the Global Obesity Prevention Center (GOPC: www.globalobesity.org), an Associate Professor of International Health at the Johns Hopkins Bloomberg School of Public Health, and an Associate Professor at the Johns Hopkins Carey Business School. My previous positions include serving as Senior Manager at Quintiles Transnational and Associate Professor of Medicine and Biomedical Informatics at the University of Pittsburgh, working in biotechnology equity gas station research at Montgomery Securities, co-founding a biotechnology/bioinformatics company. My work involves developing computational models and tools to help health and healthcare decision makers in all continents (except for Antarctica) and has been supported by a wide variety of sponsors such as the Bill and Melinda Gates Foundation, the NIH, AHRQ, CDC, UNICEF, USAID and the Global Fund. I have authored over 200 scientific publications and three books. Follow me on Twitter (@bruce_y_lee) but don’t ask me if I know martial arts. Contact Bruce Y. Lee

Blair’s Hollywood career has spanned two decades. Soon after Blair appeared in the movie Can’t Hardly Wait (1998) as the “ Girl Mike Hits On No. 1,” Blair’s acting career went on a serious roll, including roles as Cecile Caldwell in the movie Cruel Intentions (1999), Vivian Kensington in Legally Blonde (2001), Liz Sherman in the movies Hellboy (2004) and Hellboy II: The Golden Army (2008), and Kate Wales on the TV sitcom Anger Management (2012–2014). But in recent years, she’s been struggling, not in an acting way grade 9 electricity quiz, and she didn’t quite know why until last August.

I have #multiplesclerosis . I am in an exacerbation. By the grace of the lord, and will power and the understanding producers at Netflix , I have a job. A wonderful job. I am disabled. I fall sometimes. I drop things. My memory is foggy. And my left side is asking for directions from a broken gps. But we are doing it . And I laugh and I don’t know exactly what I will do precisely but I will do my best. Since my diagnosis at ten thirty pm on The night of August 16, I have had love and support from my friends , especially @jaime_king @sarahmgellar @realfreddieprinze @tarasubkoff @noah.d.newman .

And the biggest thanks to @elizberkley who forced me to see her brother #drjasonberkley who gave me this diagnosis after finding lesions on that mri. I have had symptoms for years but was never taken seriously until I fell down in front of him trying to sort out what I thought was a pinched nerve. I have probably had this incurable disease for 15 years at least. And I am relieved to at least know. And share.

In MS, damage occurs to the myelin sheathes that normally wrap around and protect your nerve fibers. When a myelin sheath is damaged, electrical signals as a result may not travel as quickly or as effectively through the encased nerve fiber. Depending on what nerves and nerve signals are affected, the result can be a range of symptoms such as visual gas definition physics disturbances, muscle weakness, coordination and balance challenges, numbness, “pins and needles” sensations, and issues with your thinking and memory, as described by the National Library of Medicine . While no one knows for sure what causes MS, it may be an autoimmune disease in which your immune system mistakenly attacks your myelin protein.

It is difficult to predict what may happen in a case of MS, since the symptoms and course can vary significantly from person to person. Symptoms may wax and wane and can range from relatively mild symptoms to very severe and debilitating ones. An exacerbation or a relapse is when symptoms worsen, which can be temporary or progressive. According to the hp gas National Institute of Neurological Disorders and Stroke (NINDS), ”the vast majority of patients are mildly affected, but in the worst cases, MS can render a person unable to write, speak, or walk.”

Currently, there is no cure for MS but the NINDS web site lists some things that may help. Steroid medications may decrease inflammation and the severity of symptoms. Beta interferon drugs such as Avonex, Betaseron, Extavia, and Refib may reduce the number of relapses and slow MS progression. There are also monoclonal antibody drugs such as Ocrevus, Lemtrada, Tysabri, Copaxone, Gilenya, Aubagio, and Tecfidera and immunosuppressant medications like Novantrone and Ampyra. Muscle relaxants and tranquilizers such as baclofen, tizanidine, diazepam, clonazepam, and dantrolene may alleviate muscle stiffness or spasms. Symmetrel and Cylert may assist with fatigue. Additionally, physical therapy and exercise can help with function. Avoiding excessive activity and r gasquet heat can prevent fatigue.

By going public with her MS diagnosis and her resulting challenges, Blair may help bring some serious attention to a condition that currently affects an estimated 2.3 million people around the world and 1 million people in the U.S., according to the National Multiple Sclerosis Society. More attention may help more people get properly diagnosed. Currently, there isn’t a single easy definitive test for MS, so diagnosis involves ruling out other conditions. Here is Blair’s appearance at the Vanity Fair Oscar party:

Her revelation may also bring more attention to another serious ongoing problem: certain patients not being taken seriously by doctors or the health care system. While some medical problems, such as a tree falling on you, may be obvious, many problems have much more subtle symptoms that require greater attention and judgement to discern. MS is just one example of numerous conditions that can have less definitive and frequently changing symptoms that may at first be mistaken for other issues. Therefore, if a doctor does not pay enough attention, he or she may overlook a more serious condition by prematurely claiming that it’s “psychosomatic” or “in your head.”

As you can imagine, this can be a very frustrating and potentially harmful experience. Moreover, not everyone may face this challenge equally, making it even more frustrating. Studies have shown that you and your symptoms may be less likely to be taken seriously if you are a woman, if you are not white, if you are overweight, or if you don’t have lots of money. For example, a study la gastritis recently published in the journal Circulation found that women may be less likely than men to be diagnosed with a heart attack. As another example, a study published in the journal Neurology showed that racial minorities are less likely than those who are white to be referred to neurologists for similar sets of symptoms.

Part of the problem may be some doctors who are inclined or trained to make snap judgments based on superficial appearances. But there are also major issues with the way health care systems are being run and insurance reimbursement works. For example, limiting the amount of time a doctor has to spend with you probably isn’t helping the situation. After all, how well can a doctor really get to know you in just 15 minutes or less? A doctor’s visit isn’t as simple as buying car insurance.

All of this is another reminder that all doctors are not the same, even within the same health system, the same group, or the same clinic. Not all doctors will treat you the same. Just like you wouldn’t randomly choose any actor to star in your movie, you shouldn’t simply choose or accept any doctor. The differences among different doctors’ talents, abilities, capabilities, and styles can gasco abu dhabi address be immense. Your choice of doctors is a serious matter. Pay attention to how much your doctor actually listens to you and takes the time to get to know you as a person. Make sure that your doctor isn’t just acting, is a real doctor, and really takes you seriously. Otherwise, there could be serious consequences.