Are MS Services available remotely?

Question:
Thank you for generously sharing so much information and knowledge on your website. 

1. I experience oscillopsia/nystagmus (an ophthalmologist confirmed this but said my optic nerve is ok) and it gets much worse when I’m outside in the heat, taking hot showers, etc. This has been happening daily for around 2 years; sometimes it only happens a few times but other days it’s every time I move my head and eyes.
2. I have also been struggling with severe fatigue, sometimes sleeping for 18 hours in a day on weekends despite my best efforts.
3. Along with a lot of other tests I had my EBV antibodies checked (had severe mono in high school) and the VCA/igG levels were extremely high. They had increased when I was tested again last month (a year after the initial test.

Are there MS specialty services available remotely for situations like this one? Thank you so much for any information you’re willing/able to provide, and thank you for your time.

Answer:
Regarding telemedicine consultations, these are typically available at most tertiary care centers that have an MS specialist. However, the physician needs to have a medical license in the state in which the patient resides. And of course, the physician will need to have access to the MRI images to review them. Otherwise, the patient will need to travel with the imaging studies to the state where the MS center is located.
 
Benjamin Osborne, MD
Director, Neuromyelitis Optica (NMO), Neuro-Ophthalmology Clinics and MS/Neuro-immunology Fellowship Director
Associate Director of the NIH/Georgetown Neurology Residency Program
Medstar Georgetown University Hospital