00:00
So, let's wrap up this video
on multiple sclerosis.
00:04
It's a disease where the immune system
attacks the myelin sheath
or in the cells that produce
and maintain the myelin sheath.
00:12
Inflammation and injury to the sheath
and the nerve fibers
is what leads
to the multiple areas of scarring
and impaired
nerve impulses transmissions.
00:22
So, the most common symptoms of MS
is a very long list.
00:26
Look at that.
00:28
But right at the top is fatigue.
00:30
So, remember when your patients
have kind of vague symptoms,
but you start off
with being tired, numbness,
tingling, weakness, dizziness, vertigo,
sexual problems, pain and itching,
emotional changes,
the list goes on and on.
00:44
But I can tell you from my experience,
I had a friend whose main system--
main symptom was jaw pain.
00:51
And eventually, this was the diagnosis
they came up with.
00:54
The key to this
is always listen to your patient.
00:58
Keep asking questions
and keep pursuing it
till you find an answer
to this problem.
01:04
So, treatment focuses
on speeding recovery from attacks
because we can't cure it, right,
so we want them
to have fewer attacks
and to get better
quicker from their attacks,
because you want
to slow the progression of the disease
and manage their symptoms.
01:17
Remember some people have mild symptoms
and they don't need treatment,
like my friend that just had jaw pain,
and other people need
more complex treatment.
01:25
The most common treatment regimens
are a three- to five-day course
of high-dose IV corticosteroids,
because our goal with them
is to reduce the inflammation
and end the relapses.
01:37
Thank you for watching
our video today.