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New Member

Date Joined Oct 2004
Total Posts : 15
   Posted 6/20/2006 6:12 PM (GMT -6)   
Can one DR. find lesions where,another Dr. may have missed?

Regular Member

Date Joined Apr 2006
Total Posts : 38
   Posted 6/21/2006 6:11 AM (GMT -6)   
tongue  hi how are you?, I'm living that nightmare, I was diagnosed in New York, no visible leisions, but form spinals, emg's, visual potentials and two hospitalizations for sight problems. this was back in 97, and they were starting to treat me with avonex. Then I got divorced , lost my insurance and moved back home to Ohio. Now I'm not saying all doc's in small towns are yokels, well maybe I am! But I can't get any help here because the mone neuro in town says no leisions, no M.S. But I have done alot of reading and talking to docs in N.Y. and they say yes, I told the doc here I thought  the idea was to prevent the plaques with the avonex not wait until I get more ill. Anyway I'm still struggling to get help here, I hope things go better for you, take care, Krista

Regular Member

Date Joined May 2006
Total Posts : 137
   Posted 6/23/2006 11:19 AM (GMT -6)   
The answer appears, at least in my case, to be yes. I have had 4 Neuro's look at my MRI. Two that I believe never really looked at it, but read the report from a radiologist. One that looked quickly at the MRI and read the report. And the last, because of a postive on a certain eye test, went over the MRI with a fine tooth comb and found 5 leisons. No they were not huge but you didn't need a magnifiying glass either, yes the radiologist passed them by either by accident or tried to pass them off as "Age" related. But in my case, the symptoms were there (verified), optic neuritis was there (verified), and the eye test which in a nutshell, showed that I have shorts in my nerve fibers somewhere in my CNS. Therefore, it did not add up that there were no leisons. That's when this doctor, went back to the drawing board and found the leisons.
Keep in mind that IF a doctor or even a radiologist is looking at the film, he/she is looking for the obvious big
leisons. Often times, they just scan the film quickly with their eyes, and the bigger leisons will catch their attention. Others won't. OR, they just read the report. And I have learned that there is a real problem with radiologists and their idea of what is and isn't important.
Keep in mind that most doctors, specialists need to go past the report they get, they need to review the film
personally, slowly, methodically. Unfortuately, that is the exception not the norm. They also need to order both the Brain and Cervical (spine) at the same time.  And order the right kind of MRI.
"Multiple Sclerosis (MS) is believed to be an autoimmune disease (a disease in which the body attacks its own tissue) affecting the Central Nervous System (CNS). The CNS includes the brain, spinal cord, and optic nerves. In MS, inflammation and scarring of myelin occurs (sclerosis). Myelin is the “coating” that covers and protects the nerve fibers in our CNS. When inflammation or scaring occurs, the nervous system, which is the “control center” for your body, is unable to send messages through your nervous system. It is similar to an electrical wire missing part of its plastic coating and short-circuiting as a result."

Veteran Member

Date Joined Jun 2005
Total Posts : 2135
   Posted 6/27/2006 6:16 AM (GMT -6)   
abcwangfoo said...
Can one DR. find lesions where,another Dr. may have missed?
Basically, yes.  And sometimes a doctor or a radiologist will spot what appears to be a lesion that another might dismiss.
But MRI's are not supposed to be the SOLE criteria used to diagnose MS!  Lesions can appear on the brain for all sorts of reasons..and sometimes, for no reason at all.
A doctor is supposed to collect "clues"...think of lesions as one clue; then maybe o-bands in spinal fluid; and definitely clinical signs -- those things that are wrong with your body that a doctor can locate during his exam of you, and *that can be repeated* (things like problems with balance, coordination, loss of strength, etc.); optic neuritis, other things..
and if there are enough "clues" that point to MS, and that eliminate other possible causes, then the doctor will make a diagnosis of MS.
...I am not a doctor, nor health professional, and don't pretend to be one, here.....

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