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Видео добавленное пользователем “Aaron Boster MD”
How Lemtrada Works in Multiple Sclerosis
 
06:35
Alemtuzumab (Lemtrada) works to treat Multiple Sclerosis differently than all the other MS disease modifying therapies. In this video I explain it to you. Lemtrada is not a pill nor a shot, it's infused via an IV. It's a monoclonal antibody. Think of these monoclonal antibodies as a "smart bomb" that can find one specific type of cell in the body and kill it, while leaving the rest of the cells of the body completely alone. Lemtrada is a "smart bomb" that binds and kills only cells that express a certain "hang tag" or "sign" called CD52. CD52 is expressed on ADULT B and T cells only. Lemtrada therefore doesn't kill other cell lines, and it doesn't kill the pleuripotent stem cells. This last part is important because of what happens next. After Lemtrada kills the adult B and T cells, the pleuripotent stem cells start to grow up...BUT THEY GROW UP DIFFERENTLY! The regulatory T cells seem to grow back BIGGER and MORE ACTIVE. In this way it seems that Lemtrada tries to "reset" your immune response. It's this "reset" that, to me, explains WHY we see durable disease suppression even though most aren't re-treated after the 1st year. Lemtrada is given in 2 courses, separated by 12 months. The 1st course involves 5 days of IV infusions. Then a year later the 2nd course only involves 3 days of infusions. We generally DON'T re-dose with a 3rd course UNLESS the person suffers a new MS attack or 2 new MRI lesions following the 2nd course. Unlike almost all other MS DMTs, Lemtrada is a form of Induction Therapy. We induce changes in the immune response up front, and thereby attempt to change the long term course of the disease via this early "course correction". *********************************************************************** Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: http://ow.ly/KuLB30i2muD LIKE on Facebook: http://ow.ly/gWqz30i2mvD SUBSCRIBE on YouTube: http://ow.ly/PaVw30i2mzC *********************************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 10279 Aaron Boster MD
How Ocrevus works in Multiple Sclerosis
 
03:07
How Ocrevus works in Multiple Sclerosis In this video I explain how Ocrevus (Ocrelizumab) works to treat relapsing and progressive forms of Multiple Sclerosis. It's different than every other MS medicine. It is also the ONLY MS disease modifying therapy FDA approved to treat both forms of MS! Ocrevus is not a pill nor a shot, it's infused via an IV. It's a monoclonal antibody. Think of these monoclonal antibodies as a "smart bomb" that can find one specific type of cell in the body and kill it, while leaving the rest of the cells of the body completely alone. Ocrevus is a "smart bomb" that only targets and kills cells that express the "hang tag" or "sign" called CD-20. Only adult B cells express CD-20, so all other cell lines, such as T cells, are left untouched by Ocervus. Also, the baby B cells lack CD-20, so Ocrevus doesn't touch them (more on this below). We believe that T cells are the ones mostly responsible for inappropriately attacking your brain and spinal cord in the setting of MS. However, the T cells can't get fired up and attack very well UNLESS they have their friends the adult B cells there to stimulate them. Well, when we give a PwMS the drug Ocrevus, we effectively kill all of that T cells friends! We kill the adult B cells so they can't stimulate the T cell, and therefore the T cell can't attack the brain and spinal cord. Why is Ocrevus given every 6 months? Because it takes ~6 months for the baby B cells to grow up! Just in time to kill them too. *********************************************************************** Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! *********************************************************************** SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/xROT3Uk7Z3U SHARE video OCREVUS SAFETY MONITORING: https://youtu.be/Lu83mkiRXPc *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ *********************************************************************** NOTE: These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 14463 Aaron Boster MD
Multiple Sclerosis can hurt! Pain Syndromes in MS
 
05:40
When Dr. B went to medical school he was taught that Multiple Sclerosis (MS) didn't cause pain. His professor was WRONG! Multiple Sclerosis can cause several different Kinds of Pain. MS is sometimes called an "invisible illness" because many of its symptoms are not visible to others looking you. One example of an invisible symptoms is pain! MS is associated with several different types of pain. Optic Neuritis is associated with pain during eye movements. Trigeminal Neuralgia and atypical facial pain syndrome can occur. Lhermittes phenomenon involved "electric shocks" down your body when you flex your neck forward, painful skin sensations can include a host of symptoms such as burning, freezing, electric, crushing, squeezing, itching and more. Spasticity from MS can cause painful spasms and cramps. Walking problems from MS change our gait mechanics and This can lead to joint and muscle related pains. Please share you experiences, opinions, questions and your comments below! *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! *********************************************************** SHARE this video: https://youtu.be/-WEc2C916hg SHARE video on Trigeminal Neuralgia: https://youtu.be/b11h6QEXZdg SHARE video on Lhermitte's: https://youtu.be/wtrIPsWezC0 SHARE video on MS Hug: https://youtu.be/nZBXCQ6uMPg SHARE video MS & Headache: https://youtu.be/1kKbxWtFczE *********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 4853 Aaron Boster MD
4 things every person with MS should be doing: Are you "4 for 4"?
 
04:18
4 things every person with MS should be doing Are you "4 for 4" in your fight against Multiple Sclerosis? Living your most awesome version of you, despite having MS, requires a team effort. There are things the MS provider must bring to the table. There are also things the person with MS must bring to the table. 4 of them, to be exact. In this video I discuss the four things we want all people with MS to strive to achieve, being "4 for 4" in their fight against it! Are you 4 for 4 in your fight? Please share your comments and questions below? Are you 4 for 4? What's working for you? Which of these 4 are the hardest to achieve? What tips have you found that help? *********************************************************************** Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! *********************************************************************** SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/TSr03KmGDIM ************************************************* LEARN more about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ ********************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 7395 Aaron Boster MD
Rare and Unusual MS Symptoms (I've seen in clinic)
 
11:22
In this video I share the most rare and uncommon Multiple Sclerosis symptoms I've seen* in over a decade and a half of clinical practice. Want to hear about the 8 most unusual MS symptoms I've seen, then start watching this video RIGHT NOW! *********************************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! *********************************************************************** SHARE THIS VIDEO: https://youtu.be/HBEk7Vd9di4 LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ *********************************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. *I've changed demographic and clinical characteristics to ensure privacy.
Просмотров: 24949 Aaron Boster MD
Is there still a role for COPAXONE in Multiple Sclerosis in 2018?
 
04:13
Is there still a role for COPAXONE in Multiple Sclerosis in 2018? I was recently asked this provocative question and my answer is.... both yes and no! In the video I review my opinion that there are certain circumstances when Copaxone is our goto drug. There are many situation, however, when I would NOT want to use this product. Importantly I'm talking about when I am helping choose a DMT for a person with MS in 2018. Not talking about switching a super responder to any of the given DMTs. I'm not suggesting someone who is doing well stop and switch. I I am, however, sharing my personal opinion that in 2018, if I"m picking a new drug, I'm unlikely to reach for copaxone. If I could predict that someone would be a super responder to a given DMT I'd want to use that. But given that I can't predict that ahead of time, and given that breakthrough disease has significant down stream consequences, I would rather start with a higher efficacy drug. There are several situations where I feel Copaxone IS the best option: 1. A person who values safety of DMT over other factors may be the right fit for this very safe therapy. 2. This drug is a polypeptide (building block of protein). It doesn't interact with other therapies, nor get processed by kidney or liver. As such it's a goto drug when someone with MS has a co-morbid condition such as MS and cancer, MS and immunodeficiency, MS and liver transplant, etc. 3. Copaxone is increasingly being considered, albeit off label, during attempts at conception. This must be sorted out with a given woman with MS and her MS provider, but it's a place we see it used more and more. 4. Lastly, Copaxone may have a role as a person transitions between two high efficacy DMTs during a needed washout period. 5. Lastly, as my friend Chris LaGanke says, "every drug has knocked it out of the park at least once!" If someone is responding most awesomely to a given DMT, I would not want to change that! Please leave your comments and questions below. What do YOU think? Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Link to this video: https://youtu.be/Sd69KmEpsWM
Просмотров: 3343 Aaron Boster MD
How To Diagnose Primary Progressive MS
 
04:28
How to Diagnose Primary Progressive MS (2017 Revised McDonald PPMS Criteria) ABOUT PPMS: • PPMS is described as a slow steady accumulation of disability from the onset of symptom, with few or no relapses nor remissions. • PPMS is uncommon, impacting 10-15% of the total MS population. • PPMS age of onset is 40 years, about a decade later than in RRMS. • It also tends to progress faster than RRMS. • Also the female to male ratio in PPMS is 1:1, unlike RRMS which is 3:1. • PPMS tend to have more spinal cord related disability. ABOUT the 2017 Revised McDonald Criteria for PPMS: 1. One year of disease progression (worsening of neurological function without relapse), and 2. Two of the three: • One or more T2 bright lesion(s) lesions in periventricular, juxtacortical, cortical or infratentorial brain locations • Two or more T2 bright lesions in the spinal cord • CSF with unpaired OCBs and/or an elevated IgG index Reference: Thompson, A, Banwell, B, Barkoff, F. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald Criteria. Lancet Neurol 2018; 17(2): 162–173. *********************************************************************** Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! *********************************************************************** SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/OiHDiGh3m18 SHARE video on MRI BLACK HOLES & BRAIN ATROPHY: https://youtu.be/u4WIQcz6WUw SHARE "what is progression" video: https://youtu.be/fZPQ48N-nIs ************************************************* LEARN more about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ ********************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 2107 Aaron Boster MD
What is a Multiple Sclerosis Relapse?
 
07:54
What is an MS relapse? This video takes a deep look into answering the question "What is an MS relapse?" RELAPSE DEFINITIONS Attack, relapse, flare up, exacerbations - they all means same thing. Both formal and informal definitions of MS attacks are reviewed. Formal: something like "an acute or subacute onset of neurologic symptoms, occurs in absence of a fever, lasts longer than 24 hours, occurs in absence of a fever. The person with MS may recover either completely or partially from this. If recovery is incomplete, then the person may accrue neurologic deficit and disability." Sorry I know that's dense. It's worth considering each element but that's outside the scope of this video. An informal definition might be "something bad happens (new neurological symptoms) and it won't go away after 24-48 hours!" PSEUDO-RELAPSE We also discuss the concept of a "pseudo-attack" or "pseudo-relapse". This is the recurrence or worsening of old symptoms under certain circumstances such as overheating, overexertion, fevers, infections. WORKING UP AN MS RELAPSE For educational purposes, we then talk about important steps to take when working up a relapse. These include being seen and examined by you provider and ruling out infections (most commonly UTI). HOW TO TREAT AN MS RELAPSE We discuss the use of 1st line therapy for treating MS attacks: high dose IV or oral steroids and discuss the differences. We discuss 2nd line options for severe attacks that are refractory to 1st line steroids. This includes IVIg, ACTH, and total plasma exchange (plasmapheresis). COMMENTS? QUESTIONS? How was your last attack treated? What was your last pseudo-attack triggered by? I'd love to hear your comments and questions below! **************************************** Learn About OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS Instagram: https://www.instagram.com/ohiohealthms SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/Foj9eMU9OSw ******************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 3916 Aaron Boster MD
Dr.B discusses how Tecfidera works in MS on periscope
 
02:27
Dr.B reviews how Tecfidera (dimethyl fumerate) works to treat multiple sclerosis. This is an oral pill taken twice daily for relapsing forms of multiple sclerosis. (Recorded LIVE via PERISCOPE) Tecfidera plays a trick on the cells. By stimulating the NEF2 pathway, it tricks cells into thinking they are under oxidative stress. As a result the tricked cells respond with an anti-oxidant cascade that ultimately slows down MS disease activity! Fascinating and novel mechanism of action. Please leave your comments and questions below! **************************************************** Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/Gbo70-WxYmw ***************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 2854 Aaron Boster MD
Multiple Sclerosis Pain syndrome: What is MS Hug?
 
05:59
Multiple Sclerosis Pain syndrome: What is MS Hug? In this video I teach you about a unique pain syndrome in multiple sclerosis called the "MS HUG". I review what causes Multiple Sclerosis Hug, how it presents clinically, what other conditions it might be confused with, and how to treat it! if you want to learn about MS Hug start watching now! If you've experienced MS hug, please share in comments below how you best described it to others. If you were treated for MS hug, please share what worked and didn't work for you. I'd love to hear from you! ********************************************************************** Learn about MS with Aaron Boster MD! I started my channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! ********************************************************************* SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/nZBXCQ6uMPg SHARE video on MS pain syndromes: https://youtu.be/-WEc2C916hg ************************************************* Learn more about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ ********************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 4426 Aaron Boster MD
My opinions about Lemtrada in Multiple Sclerosis [PART 1 of 4]
 
04:59
My opinions about Lemtrada in Multiple Sclerosis [PART 1 of 4] Dr. Boster offers his opinion regarding Alemtuzumab in Multiple Sclerosis Dr. Gavin Giovannoni (Amazing MS Neurologists at Barts MS in London) recently asked several provocative questions about Alemtuzumab in a Barts MS Blog post. Dr.B is periscoping his personal opinions in response to the questions. This video is part 1 of 4. You can find links to those other videos at the end of this one! OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/-OgvttCGJEY These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 3406 Aaron Boster MD
What is Progression in Multiple Sclerosis?
 
11:07
Progression in Multiple Sclerosis is often misunderstood by both doctors and patients. In this video, I explain what progression in MS really means. I make use of the “Leaking Pool Model of MS” to teach you about progression. I explain the concept of “neurological reserve” also called “functional reserve” and how it is depleted more quickly as someone with MS ages. If you make it to the end of the video, I share a few recommendations to help “Preserve the Reserve!”. So if you’ve ever had questions about progression in multiple sclerosis, MS then watch this video right now. As always, I’d love to hear from you. Please kindly share your comments and any questions you may have below. I try to respond within a day or two. *********************************************************************** Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! *********************************************************************** SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/fZPQ48N-nIs SHARE video on MS RELAPSES: https://youtu.be/Foj9eMU9OSw SHARE video on NEW MRI ACTIVITY: https://youtu.be/F9-_AgSEmT0 SHARE video on MRI BLACK HOLES & BRAIN ATROPHY: https://youtu.be/u4WIQcz6WUw *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ *********************************************************************** NOTE: These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions
Просмотров: 5316 Aaron Boster MD
Spoon Theory: Making Sense of Fatigue in Multiple Sclerosis [2018]
 
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Fatigue is one of the most common, most debilitating, and least understood of MS symptoms. Here we discuss ways of better understanding MS pathologic fatigue. Concepts of "functional reserve" and spoon theory are discussed. Think of each spoon as a unit of energy. When you wake up you start your day with all your spoons! As you participate in daily activities, each one costs you a certain number of spoons (e.g. drive to work = 1 spoon; work 6 hours = 5 spoons). When you run out of spoons you have expended all your energy available for that day. When you have MS, you wake up with LESS spoons to start your day. As the condition progresses and as you age over time, you start your day with fewer and fewer spoons. You can run out of spoons quickly. As such, PwMS often benefit when they "save spoons" at times... Please leave your comments and questions below. OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link to This Video: https://youtu.be/nGUDfWi9mgI
Просмотров: 2896 Aaron Boster MD
MS BRAIN GUT CONNECTION? probiotics and the immune system
 
05:09
Have you heard about the “gut-brain connection”? Curious about the microbiome and what the heck that has to do with MS? Wonder if probiotics would be right for you? In this video, I tackle these questions and more. To learn about your gut and how it might impact autoimmune conditions such as MS, start watching this video right now! *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! *********************************************************** SHARE this video: https://youtu.be/YD-avx4-Ul8 *********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 2009 Aaron Boster MD
Multiple Sclerosis Cognitive Impairment
 
12:16
Cognitive impairment is seen in over half of people with multiple sclerosis. In this video I review factors that can contribute to multiple sclerosis brain fog, ways to assess cognition, and tips to improve thinking and memory. If you have questions related to Multiple Sclerosis memory loss and other MS cognitive issues, then start watching this video! In this video, I review factors that can worsen cognition in MS, 3 helpful ways to assess cognition in MS, and 6 easy tips to immediately optimize your thinking and memory! *********************************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! *********************************************************************** SHARE this video: https://youtu.be/hH2SzmOR4_U SHARE Diet in MS: https://youtu.be/3M5pSb9SRJU SHARE sleep in MS: https://youtu.be/8af8oJW_HwY SHARE exercise in MS: https://youtu.be/jFMCUA0igu4 *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ *********************************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 4281 Aaron Boster MD
Bowel Hygiene in Multiple Sclerosis: regain control of when you go!
 
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No one likes bowel accidents, or even near accidents. No one likes constipation. Any yet neurogenic bowel and bowel problems are not uncommon amongst PwMS. Here Dr. B talks about tricks and tips to improve bowel function, something he refers to as "bowel hygiene". If you have troubles with bowel control, which of these tips might be helpful to you? Check it out and please leave your comments and questions below! ****************************************************************** Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. If you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! ****************************************************************** SHARE This Video: https://youtu.be/63hl9NOd22E RELATED BOWEL/BLADDER MS CONTENT: Link for MS Life Hack Bladder Tip: https://youtu.be/hC2KMzrnxuI Link to Pelvic Floor PT lecture: http://ow.ly/A78h30ibK2a Link to Bowel & Bladder lecture: http://ow.ly/XnnA30ibK4U Link to Bladder Hygiene: https://youtu.be/dK4nwayPAbY Link to Bowel Hygiene: https://youtu.be/63hl9NOd22E Link to Tip for Sexual Dysfunction: https://youtu.be/q5E5wYI-7SM Link to MS Life Hacks Playlist: http://ow.ly/rvus30ibK0N ************************************************* LEARN more about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ ********************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 2138 Aaron Boster MD
Multiple Sclerosis Spasticity: 7 of my best tips
 
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Multiple Sclerosis Spasticity: 7 of my best tips Spasticity is all too common and can destroy our quality of life! Don't let it. In this video, I share 7 tips to beat spasticity (plus a bonus tip at the end!). These are the same spasticity tips we share with people with MS at our center! My favorite formal definition of spasticity is: "disordered sensori-motor control, resulting from an upper motor neuron lesion, presenting as intermittent or sustained involuntary activation of muscles. " In plan english, your opposing muscles (like your biceps and your tricep muscles of the arm) no long coordinate movements and BOTH try to contract at the SAME TIME! The result: stiff limbs that are hard to bend, spasms (bouncing) and painful cramps (like a "charlie horse"). Spasticity can be caused by any form of damage to descending motor pathways: MS, stroke, CP, spinal cord injury, etc. It's always worse when it's cold outside, your are stiff for a prolonged time (like when sleeping, driving for several hours, or working at your desk all day). So check out my 7 tips (and the bonus tip if you make it to the end of the video) and let me know your thoughts! What works for you? What might you try? What helps your spasticity? Please leave your comments and questions below! #WeHaveMS Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/a5oHF1qomH8 ********************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 3049 Aaron Boster MD
Multiple Sclerosis Treatment Decision: My 3 Inflammatory Questions
 
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Multiple Sclerosis Treatment Decision: My 3 Inflammatory Questions [Warning: these questions risk offending some people] It's hard to for someone newly diagnosed with MS to consider the long term course of this disease. It's also hard to place the risk/benefit of a given MS therapy INSIDE the context of the risk of the actual disease. I sometimes ask families to consider 3 rather inflammatory questions when I identify that it's hard for them to consider the long term risks associated with untreated (or under-treated, for that matter) MS. My intension is to help folks THINK beyond today, instead into the future 10-20-30-40 years from now. Because the treatment decisions we make today will have an impact then. Agree with me? Disagree? Please share your comments and questions. I want to know what you think about my 3 inflammatory questions and how they relate to treatment decisions in MS. Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Link to this video: https://youtu.be/Pvd48CK7Vlw
Просмотров: 1880 Aaron Boster MD
Tysabri-associated Progressive Multifocal Leukoencephalopathy (PML)
 
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Progressive Multifocal Leukoencephalopathy (PML) is a demyelinating infection caused by the John Cunningham virus (JCV). Here we dicsuss more about what PML is, what causes it, and the risk factors for PML infection associated with taking Tysabri for Multiple Sclerosis OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/7mgJrHNgioU
Просмотров: 2257 Aaron Boster MD
My own personal Multiple Sclerosis Treatment Philosophy
 
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My own personal Multiple Sclerosis Treatment Philosophy. It's a bit different. In this video I share my own personal treatment philosophy when managing Multiple Sclerosis. It's different from the way most other MS doctors "pick drugs." In a prior video I describe common MS treatment "styles" or philosophies (link below). These include: One-and-Done, slow escalator, fast escalator, stacker and Induction therapy. My personal style doesn't really fit into any one of those. To describe my style in broad strokes, I start by writing the top 4-5 DMTs in order of efficacy (according to me, at least) on a white board. Then I explain the top drug on the list- the good, bad and ugly. If the PwMS agrees, then we start that one. If they aren't sure yet or decline, then I DOWN-GRADE to 2nd most effective drug on the list and discuss that one. We continue DOWNGRADING our options until we find the right efficacy-safety balance for that person at that time. My style isn't right or wrong, it's just something that seems to work well for me and the folks I help take care of. Please include your comments and questions below! Please share your comments and questions below! Please subscribe and click notifications to make sure not to miss upcoming content! *********************************************************************** Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SHARE This Video: https://youtu.be/0_iPucV2SxM SHARE MS Treatment Algorithms: Avoiding the Sins of Our Fathers: https://youtu.be/sG1DPWKW99E SHARE Why I don't agree with the Escalation Model: https://youtu.be/cjdj96JcfWw SHARE MS Treatment Philosophies video: https://youtu.be/51B1VpGchDc *********************************************************************** NOTE: These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 3917 Aaron Boster MD
DOES BENIGN MULTIPLE SCLEROSIS (BENIGN MS) ACTUALLY EXIST?
 
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DOES BENIGN MS ACTUALLY EXIST? I was recently asked this thoughtful question. The most common definition of Benign MS is having had it for at least 15 years (since symptom onset) and having a disability score (measured by the Expanded Disability Status Scale or EDSS) of less than or equal to three. I have some concerns with this concept. I have concerns regarding the sensitivity of the EDSS to pick up very real symptoms. This includes sensitivity to detect the impact of pathologic fatigue and cognitive problems (two of the leading causes of loss of work amongst people with MS), for example. I am also concerned because a proportion of people with benign MS (upwards of 30% in some studies) later go on to have active disease. Also, some folks assume they are benign while on a DMT. I would remind them that maybe part of the reason that they are doing so well is BECAUSE they are taking their a DMT :) I certainly would discourage stopping a DMT for this line of reasoning. Labeling someone "Benign" may contribute to bias AGAINST offering/considering various treatments (e.g. aggressive symptomatic management of a chronic MS symptom) because they have been deemed "not that bad". In 2018, we can't yet accurately predict ahead of time WHO is and WHO isn't destined to have a benign course. Someone who has quite disease can later have active disease. Someone quiet while taking a DMT might be so because of that therapy (at least in part). These thoughts and others (all my own opinions) are shared in this video. I'd love to know you're thoughts. Please drop your questions or comments below! #WeHaveMS Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Link to this video: https://youtu.be/FOF2eY9KSfI
Просмотров: 2159 Aaron Boster MD
What is a Spinal Tap? Cerebral Spinal Fluid and Multiple Sclerosis
 
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In this video, I teach you about cerebral spinal fluid (CSF) and how it relates to Multiple Sclerosis (MS). I answer questions such as: What exactly is CSF? What are the functions of CSF? What is a Spinal Tap? (and I share 3 pro tips for LP headaches!) How does CSF help diagnose PPMS? How does CSF help diagnose Relapsing MS? AND if you watch until the end...how we may soon be able to monitor response to MS treatment through a near-future biomarker, neurofilament light chain! If you'd like answers to these questions, start watching this video now! Please leave your comments and questions below. I always try to respond within a day or two. *********************************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! *********************************************************************** SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/RdpnfAWdGn4 SHARE "How To Diagnose PPMS": https://youtu.be/OiHDiGh3m18 SHARE "Clinical Isolated Syndrome Explained" https://youtu.be/5Gl-h3qI2xc SHARE "Multiple Sclerosis Terminology: MS Definitions" https://youtu.be/CgQfI0ZFvoo SHARE "Understanding New MRI Activity" https://youtu.be/F9-_AgSEmT0 *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ *********************************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 1792 Aaron Boster MD
Alcohol and MS: Watch this before drinking!
 
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Alcohol and MS: In this video, I’ll share my opinions on drinking alcohol with multiple sclerosis. Is it safe? Is so how much? What do you need to watch out for? If you have questions about MS and booze, then watch this video right now! Watch this before drinking! *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! *********************************************************** SHARE this video: https://youtu.be/Rdbh6wPeMXA SHARE video CANNABIS and MS: https://youtu.be/YhWIuDvuzRQ SHARE video NARCOTICS and MS: https://youtu.be/NQ7FiSm4fr0 *********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 1485 Aaron Boster MD
Invisible Illness:  Invisible symptoms of multiple sclerosis
 
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The invisible symptoms of multiple sclerosis: Learn why it's called an "invisible illness" MS is sometimes referred to as an "invisible illness." Many of the more debilitating symptoms of multiple sclerosis can be invisible to the casual observer. In this short video Dr. B lists some of the common invisible symptoms of multiple sclerosis. An incomplete list of these invisible symptoms include: Cognition, Problems multi-tasking, problems with fast thinking, problems with short term memory, depression, anxiety, social isolation, pathologic fatigue, cognitive fatigue, motor fatigue, heat induced symptoms, vision loss, double vision, heat induced visual loss, eye pain with optic neuritis, vertigo, nausea, numbness, painful numbness (burning, crushing, cold, itching, etc), MS hug, Trigeminal Neuralgia, Lhermittes phenomenon, cramps, spasms, stiff limbs, urinary urgency, incontinence, frequency, nocturia, retention, constipation, bowel urgency, incontinence of bowel/bladder, constipation, sexual dysfunction. There are more we didn't list here. What invisible symptoms do YOU find to be the most bothersome? Which are the hardest for you to explain to others? Leave your comments and questions below! Say Howdy in Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link to This Video: https://youtu.be/zseEAsOvOms
Просмотров: 1838 Aaron Boster MD
Multiple Sclerosis and Dogs: 7 reasons people with MS should own a dog
 
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Multiple Sclerosis and Dogs: 7 reasons people with MS should own a dog Reason #7 is health benefits. Owning a dog lowers blood pressure, lowers depression, lowers anxiety and lowers stress levels. That's very cool! Reason #6 Many dogs can be trained as therapy dogs. There are many really cool video's on YouTube about therapy dogs. Check them out! Watch this video to learn 5 more reasons people with MS should own a dog! Do you own a dog? Have you identified benefits I left out? Please share with use! Kindly leave your questions and comments below! #WeHaveMS #PetsOfMS Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/1JBke_ukVpI Camera: Canon G7x mark ii Movie editing: iMovie Confession: first time I tried to use superimposed text. I clearly had a few problems! Sorry! River Tam Boster: 2.5yo female fawn American Mastiff American Mastiff Founding Breeder: http://www.flyingwfarms.com/
Просмотров: 2771 Aaron Boster MD
Multiple Sclerosis Pain Explained: Trigeminal Neuralgia
 
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Multiple Sclerosis Pain Explained: Trigeminal Neuralgia Learn about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! ********************************************************************* ABOUT This Video: In this video I’m going to teach you about trigeminal neuralgia, an unusual pain syndrome oftentimes seen with Multiple Sclerosis. The underlying cause of trigeminal neuralgia is damage to the trigeminal nerve, the 5th cranial nerve that is responsible for facial sensation. In MS, damage to the brain structures surrounding that nerve (such as the nucleus) can also cause trigeminal neuralgia. Pain is describes a sharp, electrical "jolts" in the jaw/mouth, cheek or eye/forehead. Some patients first seek dental evaluation thinking the pain is from a bad tooth. We can treat the pain of trigeminal neuralgia with “neuropathic pain medications” such as off label use of anti-seizure drugs. For medically refractory TN, we often consider a procedure called gamma knife. ********************************************************************* WHAT ABOUT YOU? What has been your experience with trigeminal neuralgia? How do you best describe it to others? Please leave your comments below! Also, if you've been successfully treated for trigeminal neuralgia, please share with us what worked for you! ********************************************************************* SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this video: https://youtu.be/b11h6QEXZdg SHARE video on Lhermitte sign: https://youtu.be/wtrIPsWezC0 SHARE video on MS pain syndromes: https://youtu.be/-WEc2C916hg SHARE video on MS Hug: https://youtu.be/nZBXCQ6uMPg SHARE video on Headaches: https://youtu.be/1kKbxWtFczE SHARE video on narcotic & MS: https://youtu.be/NQ7FiSm4fr0 SHARE video on Cannabis & MS: https://youtu.be/YhWIuDvuzRQ ************************************************* LEARN more about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ ********************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 1347 Aaron Boster MD
Dr.B discusses how Gilenya works in MS
 
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How does Gilenya (fingolimod) work to treat MS. It's really cool. In broad strokes, fingolimod makes about 80% of your lymphocyes (some of your white blood cells) to be trapped (unharmed) inside the lymph nodes. These will include many of the naughty auto reactive white blood cells that will attack your brain if they gain access. So, if the naughty cells are trapped in the lymph node then they can't get into the blood stream. And if they can't get into the blood stream they clearly can't cross over the blood brain barrier! So fingolimod is a very creative "barrier" keeping cells out of the central compartment. In the video Dr. B explains in better detail. Please leave your comments and questions below! OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/9-f3rHT4VMM
Просмотров: 1834 Aaron Boster MD
Multiple Sclerosis Muscle Cramps: What is Spasticity?
 
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What is spasticity? What's up with Multiple Sclerosis muscle cramps, legs spasms and stiff limbs? I answer these questions in this short focus video. The footage for this quick Multiple Sclerosis educational video is cut from a longer video on spasticity I recorded a while back. This focus video concept is new, and I'd love feedback on if you like this "just the facts" quick video style or not? Please let me know in the comments! *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! *********************************************************** SHARE this video: https://youtu.be/qL0Z_g5DK7I SHARE video 7 Tips to Combat Spasticity: https://youtu.be/a5oHF1qomH8 SHARE video on Baclofen Pump Anatomy: https://youtu.be/njtRE-06SqU *********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 1127 Aaron Boster MD
Multiple Sclerosis (MS) Has Changed
 
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Intro to CMSC 2017 lecture. Boster narrates discussion about how everything in MS had changed...our diagnostic criteria, our tools to diagnose and monitor, our available MS drugs, our goals of therapy...Everything has changed it would seem, except the way in which we see patients. We have yet to update the way we approach and help patients and families. It's time we update that too! OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/3tFYDPPwqpA
Просмотров: 1499 Aaron Boster MD
My Recipe to Beat Multiple Sclerosis [2018]
 
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: In 2018 we can really impact this disease. We CAN ask for goals such as No Evidence of Disease Activity (NEDA) and Confirmed Disability Improvements (CDI). In this video I’ll share my (no so secret) recipe on how to optimize your chances to achieve these goals. If you’re impacted by MS and want to beat this disease, then start watching RIGHT NOW! Please share you experiences, opinions, questions and your comments below! *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! *********************************************************** SHARE this video: https://youtu.be/wf2BVdxdRj4 SHARE video on The MS Improvement Project: https://youtu.be/_tWRMuPjaz0 SHARE video on NEDA: https://youtu.be/Xo6xR7wICm8 SHARE video on CDI: https://youtu.be/TYvdnulc1Sk SHARE video on why I disagree with the escalation model: https://youtu.be/cjdj96JcfWw *********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 1216 Aaron Boster MD
Multiple Sclerosis Pain Explained: Lhermitte Phenomenon
 
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Multiple Sclerosis Pain Explained: Lhermitte Phenomenon Learn about MS with Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now! ********************************************************************* ABOUT This Video: In this video I’m going to teach you about Lhermittes phenomenon, an unusual pain syndrome oftentimes associated with Multiple Sclerosis. I’ll explain the underlying cause of Lhermitte phenomenon, why it’s so common amongst folks with MS, how it presents clinically, and if you stick around to the end, how we can treat it. Clinically Lhermitte is describes as follows: You flex your neck and feel electrical shocking sensation from your neck, down your back, into your feet! Now this is the most classic presentation, although in clinical practice I see many variations. Lhermitte is caused by something bothering the spinal cord, most commonly in the posterior (back part) cervical cord. Your cord is tethered at the skull base and also within the spinal canal because of all the nerves that exit, holding it in place. Now, when you flex neck you put tension on the cord and stretch it a bit. This is enough to cause an MS lesion in the posterior cervical spinal cord to kinda “short circuit” and send false messages. In this case- electrical shocking sensations! Other things that bother the spinal cord can also cause this, such as tumor, infection, or spinal cord damage. MRI C spine is very helpful in clarifying this. New onset Lhermitte may represent a new MS attack, and we can quell the inflammation in the cord with high dose steroids. When Lhermitte has stuck around and is now considered a “chronic symptom” we can use “neuropathic pain medications” to decrease the discomfort. ********************************************************************* WHAT ABOUT YOU? What has been your experience with Lhermitte phenomenon? How do you best describe it to others? Please leave your comments below! Also, if you've been successfully treated for Lhermitte phenomenon, please share with us what worked for you! ********************************************************************* SUBSCRIBE YouTube: https://www.youtube.com/c/AaronBosterMD SHARE this Video: https://youtu.be/wtrIPsWezC0 SHARE video on MS pain syndromes: https://youtu.be/-WEc2C916hg SHARE video on MS Hug: https://youtu.be/nZBXCQ6uMPg SHARE video on Headaches: https://youtu.be/1kKbxWtFczE SHARE video on narcotic & MS: https://youtu.be/NQ7FiSm4fr0 SHARE video on Cannabis & MS: https://youtu.be/YhWIuDvuzRQ ************************************************* Learn more about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ ********************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 2237 Aaron Boster MD
Multiple Sclerosis Terminology: Clinically Isolated Syndrome Explained
 
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Multiple Sclerosis Terminology: Clinically Isolated Syndrome Explained Clinically Isolated Syndrome, or CIS, may be defined as the1st clinical event that is concerning for a possible "attack." People who experience a CIS at at increased risk to later develop MS. In this video I review the three most common presentations of CIS, optic neuritis, transverse myelitis, and a brainstem syndrome. I also explain how the brain MRI and spinal fluid (CSF) analysis can help us further clarify the risk to develop MS after a CIC into high risk or low risk. Many MS providers tend to off early MS disease modifying therapy to hi risk CIS patients. We tend to monitor low risk CIS patients with MRI scans over several years. I discuss how it is now sometimes possible to confirm an MS diagnosis after CIS without waiting for 2nd attack or even further testing. Lastly, I review the importance of early diagnosis and how it can have a long term benefit to the patient. Was this video helpful? What did you learn from it? Please leave your comments and questions below. I'd love to hear from you. Also, please subscribe and click the notifications button so you don’t miss any of our upcoming content! ********************************************************************** Please share this video: https://youtu.be/5Gl-h3qI2xc Learn more about OhioHealth MS Center:  http://ow.ly/GSUX30i2mtG ********************************************************************** Say Howdy on Social: Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD ********************************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 936 Aaron Boster MD
Primer on Managing FATIGUE in Multiple Sclerosis
 
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Dr. B discusses MS fatigue. Topics include: causes of fatigue, functional neurological reserve, spoon theory, different types of MS fatigue, contributing factors worsening fatigue. Dr.B finishes by providing 10 TIPS to help YOU combat MS fatigue! *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! SHARE this video: https://youtu.be/W9S-tYMy47o ********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 4858 Aaron Boster MD
Multiple Sclerosis and Cog Fog (aka cognitive fatigue): What's contributing to it?
 
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Multiple Sclerosis and Cog Fog (aka cognitive fatigue): What's contributing to it? What's causing Cognitive Fatigue in Multiple Sclerosis. DrB reviewed contributing factors to cognitive problems amongst PwMS. Some factors are outside our control, but many are things that can be optimized. Factors such as depression, anxiety, social isolation, poor sleep, drugs and alcohol, polypharmacy, and many more. Check out this short video and please leave your questions and comments below! Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/pTd8fL1YCy0 ******************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 3099 Aaron Boster MD
Best medications for MS symptoms
 
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What are the best medications for MS symptoms? In this video I share my personal opinion on the top drugs to tackle common Multiple Sclerosis symptoms. Sound interesting? Then please start watching right now! I want to hear from you! Please SHARE your favorite take-away from this video in the comments below! Topics Discussed: 1:59 disclaimer 2:32 spasticity 4:09 depression 6:24 heat sensitivity and motor fatigue 7:48 neurogenic bladder 8:46 urinary retention 9:52 neuropathic pain 12:12 erectile dysfunction 12:50 constipation 13:36 fatigue (pathologic, cognitive) 14.59 insomnia *********************************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! *********************************************************************** SHARE this video: https://youtu.be/cbcs8rU_3So SHARE sleep in MS: https://youtu.be/8af8oJW_HwY SHARE Spasticity video: https://youtu.be/0kolMBGpryo SHARE Best Diet for MS: https://youtu.be/3M5pSb9SRJU SHARE Beating Heat Sensitivity: https://youtu.be/AD3b48MU7X8 SHARE Best Workout Tips with MS: https://youtu.be/jFMCUA0igu4 SHARE Bladder Tips with MS: https://youtu.be/dK4nwayPAbY SHARE Bowel Tips with MS: https://youtu.be/63hl9NOd22E *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ *********************************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 2964 Aaron Boster MD
How to perform the Timed 25 Foot Walk
 
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The timed 25 foot walk test (T25FW) is a validated measure of ambulatory function used in all MS clinical trials. A change of 20% (walking 20% slower or faster) is both statistically and clinically significant. Change on T25FW is a very sensitive way to detect worsening / progression in MS. We at OhioHealth MS Center check a T25FW in all ambulatory patients with each visit. In this video Dr. B and his amazing team members demonstrate HOW to correctly conduct the T25FW. Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/wpAZRyMX48Q
Просмотров: 2172 Aaron Boster MD
Sexual Problems in Multiple Sclerosis: Try this Tip (it works!)
 
02:51
Sexual Problems in Multiple Sclerosis: Try this Tip (it works!) Dr.B discusses sexual dysfunction in Multiple Sclerosis, and what can be done about it. MS can cause primary sexual dysfunction (damage to the nervous machinery of sex), secondary sexual dysfunction (MS symptoms that interfere with sex, such as bladder problems, spasticity, numbness), and tertiary sexual dysfunction (feeling like a sick person who doesn't feel sexy). A great tip to improve sexual function: the vibrator trick! Watch the video to find out more! OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link to This Video: https://youtu.be/q5E5wYI-7SM
Просмотров: 1319 Aaron Boster MD
Multiple Sclerosis and MRI: T1 Black Holes & Brain Atrophy
 
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Multiple Sclerosis and MRI: T1 Black Holes & Brain Atrophy Certain markers on the MRI teach us about progression of disease. These include T1 hypo-intensities (aka T1 black holes. This is a HOLE in your brain. seriously.) and accelerated rates of brain atrophy (aka faster rates of brain shrinkage). In this video we review real MRI images of T1 black holes and discuss their significance. We show also discuss MRI images of accelerated brain shrinkage and discuss their significance in MS. Of note, we have selected severe examples. We also discuss the use of emerging technologies to be able to start to measure and track rates of brain atrophy IN CLINIC. We use a software package that processes a volume analysis of the brain (and it's parts) and compares them to age/gender matches controls. This allows us to better understand THAT individuals degree of atrophy and track it's change over time. Current software isn't perfect, but it provides a very helpful guide to better inform our decisions in clinic. Please leave your questions and comments below! Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Link to MRI Basics Video: https://youtu.be/-Dmg90weejg Link to This Video: https://youtu.be/u4WIQcz6WUw Link To Video on T2 & gad lesions: https://youtu.be/F9-_AgSEmT0 side note: this was my first time trying to use the "picture in picture" feature in i Movie! I'm still getting used to this whole "filming and editing thing" lol! I am loving my new vlogging camera!
Просмотров: 1859 Aaron Boster MD
20 Tips & Tricks to Tackle Depression in Multiple Sclerosis
 
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Depression is twice as likely amongst people with Multiple Sclerosis as compared to the general population. Depression "colors everything gray" and we can't thrive unless we tackle it! Dr.B presents 20 tips and tricks to help Tackle depression. NB: video is not intended to provide medical recommendations. It is intended for educational purposes only. Medical decisions must be made with YOUR individual provider. OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/CwW8k0wfnIY
Просмотров: 2482 Aaron Boster MD
Dr. Boster offers his opinion regarding Alemtuzumab In Multiple Sclerosis [PART 2]
 
06:09
Dr. Boster offers his opinion regarding Alemtuzumab In Multiple Sclerosis [PART 2] Dr. Gavin Giovannoni (Amazing MS Neurologists at Barts MS in London) recently asked several provocative questions about Alemtuzumab in a Barts MS Blog post. Dr.B is periscoping his personal opinions in response to the questions. This video is part 2 of 4. You can find links to those other videos at the end of this one! OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/6GBnKk3s3cE
Просмотров: 1340 Aaron Boster MD
Is MS Hereditary (What’s my kids risk of Multiple Sclerosis)
 
01:57
Is Multiple Sclerosis Hereditary? What’s my kids risk of MS? The risk of Multiple Sclerosis in the general population depends on geography. Where I live in the midwestern United States that risk is about 1:700. The risk for the first degree relative (parent, sibling, or child) to get MS if you have it is about 1-3%. That's a lot higher than the risk to the general population, but still quite low in absolute numbers. There is some data to support certain environmental factors that might probably worsen then genetic risk to develop MS in children of people with MS. These factors include morbid obesity, tobacco exposure including second hand smoke, and low/ low normal vitamin D3. A PwMS considering pregnancy and raising a child is encouraged to discuss each of these factors with their own MS provider. (Please remember that as science advances, the information above will certainly become outdated in the future I'm sure) Please leave your questions and comments below! #WeHaveMS Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/Fo0KQ8gYSCg
Просмотров: 1191 Aaron Boster MD
Multiple Sclerosis: let's treat brain lesions!
 
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We should give steroids for all gad enhancing lesions, even when patient is symptom free! People with MS on disease modifying therapies should have an MRI once a year. Sometimes we find an incidental new gad enhancing MRI lesion without any new clinical symptoms. I believe we should treat these asymptomatic enhancing lesions with high dose steroids, just like we would treat an attack. Watch this video to understand why! COMMENT below: please share your thoughts, comments and questions! I look forward to reading them and will reply back to all! #WeHaveMS ********************************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! *********************************************************************** SHARE THIS VIDEO: add https://youtu.be/fLDB-BlJXU8 SHARE video on MRI activity: https://youtu.be/F9-_AgSEmT0 SHARE video on MS Relapse: https://youtu.be/Foj9eMU9OSw SHARE video on MRI Basics: https://youtu.be/-Dmg90weejg *********************************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ *********************************************************************** These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.
Просмотров: 1491 Aaron Boster MD
Multiple Sclerosis Treatment Algorithm: Avoiding Sins of Our Fathers!
 
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Multiple Sclerosis Treatment Algorithm: Avoiding The Sins of Our Fathers! Why do we insist on using an "escalation model" in treating MS? By escalation model, I'm referring to the common practice of starting a person with MS on a low efficacy drug (that is generally considered quite safe) and only "escalating" or "upgrading" to a more effective drug if "things don't work out". Well, what do you think "things don't work out means?" It MEANS BRAIN DAMAGE that can not be given back. This makes no sense to me. I think part of the reason that we use an escalation model is because of the "SINS OF OUR FATHERS." The men and women that were of the generation who trained me recall when there were NO therapies to treat this disease. When the 1st drug came out it was a revolution!! To go from NOTHING to SOMETHING (even if it's interferon beta- low efficacy and pretty darn safe) is a big deal. Over the subsequent 10-15 years more similar low efficacy drugs came to market and those men and women back very comfortable using these low efficacy drugs. As newer, more effective (yes, they work better guys) but more complex drugs came to market, it's my opinion that many of these men and women, who are not towards the later half of their careers, were reluctant to embrace these high efficacy drugs. It's easier for them to use what they always have used, and maybe "escalate" if things don't work out... These same men and women are of the generation who trained me. They taught me their sins and I carried them forward. Until I realized what I was taught didn't make sense and resulted in my patient's accruing brain damage. MY FELLOWS and TRAINEES do not suffer from the sins of my fathers. They will suffer from my sins, and hopefully carry forward an era of rational application of the most effective therapy a given person with MS is comfortable with, started as early as possible! I risk upsetting many people with this video. My intention is NOT to throw stones but rather to spark discussion and debate. Yes I'm very aware that many MS Neurologists HAVE embraced the use of high efficacy drugs. Yes I know I can't generalize to every person at the same time. No I'm not picking on older doctors. I'm trying to share my personal philosophy and why I disagree with what's been done in the past. Agree with me? Disagree? Sound off below and please share your comments and questions. I want to know what you think about the "sins of our fathers" and escalation therapy in treating MS! Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Link to this video: https://youtu.be/sG1DPWKW99E
Просмотров: 1131 Aaron Boster MD
Multiple Sclerosis Bladder Problems: Two Pro Tips
 
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Do you have urinary urgency? Frequency? Near accidents? Accidents? In this video I’ll teach you two simple pro tips you can apply immediately to improve your bladder function. Either tip works well by themselves but COMBINE them together for the BEST urinary outcomes! If you want your bladder to behave better, start watching right now! And please share your own bladder tips, suggestions and questions in comments section below! *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! *********************************************************** SHARE this video: https://youtu.be/mC1J7Vq4PKc SHARE playlist on bowel, bladder & sexual function: http://ow.ly/UcNP30lmPMI SHARE video on Benefits of increasing water intake: https://youtu.be/ykv5dt-bHoI SHARE video on Bladder hygiene: https://youtu.be/dK4nwayPAbY *********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 1128 Aaron Boster MD
Multiple Sclerosis and MRI Basics:  Understand Your Brain Scan
 
05:24
Multiple Sclerosis and the MRI: What is an MRI? How does an MRI work? What is meant by a “MRI with contrast?” These and other important MRI fundamentals are discussed. The MRI stands for Magnetic Resonance Imaging and it's the most useful biomarker currently [2018] available to diagnose MS, monitor disease progression, and assess response to disease modifying therapies. Let's discuss the basics: What is an MRI? MRI stands for Magnetic Resonance Imaging. The MRI machine is essentially a really big magnet that can take detailed pictures of fat and water. This is fantastic for brain and spinal cord imaging, because of central nervous system is made up of different types of fats and water! How Does the MRI Work? The MRI machine uses a giant magnet is used to send out pulses of radio waves. These waves make the protons found in water molecules within the tissues of the brain become “excited” and “stand up at attention.” Then when the radio pulse is turned off, those excited protons “relax” and slowly fall back down. Different neural tissues cause different “relaxation times,” which result different contrasts between the structures of the brain. Important safety points:  The MRI uses a magnet and has NO radiation and NO X-rays What is an MRI with Contrast? The contrast dye is called gadolinium. It is injected into your vein partway during MRI. This dye stays in blood stream and lights up blood vessels. The dye can’t cross the blood brain barrier (BBB) so it doesn’t leak out into the brain tissue. If, however a brain with MS experiences new active inflammation, the BBB becomes “irritated” and gets leaky, allowing the contrast dye to leak out. This results in a gadolinium enhancing lesion. MRI Basics: -Scanner Strength: measured in units of Tesla. For MS, you want a 1.5T or 3T scanner. NO, a 0.7T open MRI isn’t ok. -slice thickness: ideally 3mm or thinner. -Gap between slices: ideally NO gap. -Sequences for brain: FLAIR SAG, FLAIR AXIAL, T2 AXIAL, T1 PRE CONTRAST AXIAL, T1 POST CONTRAST AXIAL Please leave your questions and comments below! Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/ YouTube: https://www.youtube.com/c/AaronBosterMD Video on T1 black holes and atrophy: https://youtu.be/u4WIQcz6WUw Video on T2 & gad lesions: https://youtu.be/F9-_AgSEmT0 Link to This Video: https://youtu.be/-Dmg90weejg
Просмотров: 1674 Aaron Boster MD
ECTRIMS 2018: My personal thoughts
 
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In this video I share my opinions on this years 2018 ECTRIMS (European Committee for Treatment and Research In Multiple Sclerosis) in Berlin, Germany. In my last video (link below) I asked fellow attendees WHY they travel to attend this annual event. In this follow up video I share my own opinions CHALLENGE QUESTION: Are you NEW SCHOOL or OLD SCHOOL in your fight against MS? Please sound off in the comments below *********************************************************** LEARN about MS with me, Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to SUBSCRIBE to my channel right now! RING the notifications bell so you don’t miss any of my future MS educational content! *********************************************************** SHARE this video: https://youtu.be/3pIEXSYCjkk SHARE 1st ECTRIMS 2018 video: https://youtu.be/yW4g8s-xs5o *********************************************************** LEARN about OhioHealth MS Center: http://ow.ly/GSUX30i2mtG FOLLOW on Twitter: https://twitter.com/OhioHealthMS FRIEND on Facebook: https://www.facebook.com/OhioHealthMS/ SUBSCRIBE on YouTube: https://www.youtube.com/c/AaronBosterMD *********************************************************** NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help education others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!
Просмотров: 1293 Aaron Boster MD
Multiple Sclerosis Clinic Visit: 8 topics you must discuss [2018]
 
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Multiple Sclerosis Clinic Visit:8 topics you must discuss [2018] Multiple Sclerosis is a complex condition that can impact every aspect of someones life and wellbeing. Seeing your MS clinician infrequently (every 3-6 months on average) doesn't give us much time to get caught up! I believe that there are a BARE MINIMUM of 8 topics that much be discussed at every MS clinic visit, and we discuss them each in this video. 1. New or worsening Neurological Symptoms since last visit? 2. Energy levels? 3. Mood? 4. Cognition? 5. Bladder function? 6. Falls since last visit? 7. Work/School performance? 8. disease modifying therapy adherence/tolerance There is of course a LOT more potential issues (it's a complex condition) but IMHO if these 8 questions are discussed then MOST of the important issues will be captured. Please share you comments and questions below! OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/iQLMj-bSUNE
Просмотров: 1473 Aaron Boster MD
Multiple Sclerosis Severity Scale (MSSS): MS Disability Prognosis
 
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Multiple Sclerosis Severity Scale (MSSS): MS Disability Prognosis DrB explains the Multiple Sclerosis Severity Scale. In order to use the scale we must first know 2 things about the individual: years since symptom onset and current level of neurological disability based on the EDSS neurological examination. We can then find their "decile" on the provided chart. This allows us to compare how they are "doing" compared to about 10,000 other PwMS who have had the disease for the same amount of time. How is this helpful. In several ways. People tend to stay "on their color" or within their own decile. As such you can see a rough sense of their expected natural history (worsening over time). This helps us set up our goals to "beat the natural history curve" with our therapies and interventions! Say Howdy on Social: OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/Ma-XSZUYjoc
Просмотров: 1789 Aaron Boster MD
How Tysabri (natalizumab) works in Multiple Sclerosis
 
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Dr.B explains the mechanism of action of Tysabri (natalizumab) in relapsing Multiple Sclerosis, In broad strokes, the naughty autoreactive immune cells in the blood stream cross over the blood brain barrier where they gain access to the central compartment and attack brain and spinal cord tissue! Considering the "three little pigs" story, we can think of the normal blood brain barrier as the "straw house." It's very easy for cells to cross the barrier! If we add tysabri, we turn the "straw house" into the "brick house" - we create the great wall of china and allow NO cells to traffic across the blood brain barrier. Therefore those naughty cells that would attack brain IF they could gain access are kept out of the central compartment. OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link To This Video: https://youtu.be/1-RQcAOCQIg
Просмотров: 1935 Aaron Boster MD
Multiple Sclerosis and Narcotics: Why I don’t use them  in my practice
 
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Multiple Sclerosis and Narcotics: Why I don’t use them in my MS practice [2018] Dr. B does not prescribe narcotics in his MS practice. In this video he explained his personal opinions on why he makes this choice. There are many different types of chronic neuropathic pain that can occur in the setting of multiple sclerosis (I'll attach a link to a video on this topic at the end). We believe that using narcotics to treat these types of pains is not the right decision. Dr. B provides two reasons for this: One relates to the national Opioid crisis (consider this: Opioids are killing more people in 2017 then heart disease).The other reason relates to the biologic mechanisms of narcotics (blocking Mu receptors) and some of the long term problems that arise when narcotics are used to treat chronic neuropathic pain. In broad strokes, blocking Mu pain receptors results in the body up-regulating (making more) Mu receptors. This leads to increased sensitivity to pain and to drug tolerance (more opioids needed to block pain now). With increasing doses of Narcotics there is increased risk of side effects including severe constipation, confusion, and risk of slowing heart and breathing rates. There are OTHER types of medications that can effectively control chronic neuropathic pain separate from narcotics. These include several types of anti-depressant drugs and anti-seizure medications. OhioHealth MS Center: http://ow.ly/GSUX30i2mtG Twitter: https://twitter.com/OhioHealthMS Facebook: https://www.facebook.com/OhioHealthMS/ Instagram: https://www.instagram.com/ohiohealthms/?hl=en YouTube: https://www.youtube.com/c/AaronBosterMD Link to This Video: https://youtu.be/NQ7FiSm4fr0
Просмотров: 1137 Aaron Boster MD