Here is My Question:
My doctor said I had MS because I had lesions in the correct area in the brain. She also stated she can see very small areas that are likely a lesion on my thoracic spine. And I have had symptoms on and off for years. It just keeps getting worse this time. I was only diagnosed a few weeks ago. She wants to wait 6 months (until I get my next MRI) to start the medication. Should I be taking something now or is this the usual process? How long should I expect this relapse or whatever to last?
If your neurologist is confident in the diagnosis (using the McDonald criteria), then early treatment with a disease modifying therapy is almost always warranted. There may be a reason unknown to you that prompted a watch and wait approach with a scan in 6 months. I would urge you to speak with your doctor regarding your concerns and to gain clarity behind the reasoning to wait. If you are uncomfortable with the process, it is certainly reasonable to ask for a second opinion.
A. Scott Nielsen MD MMSc
Neurologist and MS Specialist at Kaiser Permanente
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