MS Treatment Decisions Can Cause a ‘Gambler’s Dilemma’
The ‘gambler’s dilemma’As patients, we depend on our neurologists to help us make the right medication choice. And that’s where the “gambler’s dilemma” comes in. This term is used by Prof. Gavin Giovannoni, a researcher and lecturer who writes the Barts MS Blog, to describe the dilemma faced by a person with MS when deciding which road to follow. “A gambler never goes into a casino to lose money,” Giovannoni writes. “However, the gambler knows that on average he/she will lose money.” An MS patient may think that “they will be the lucky one that will win. Someone with MS is never going to have bad MS, they are always going to be the one that ends up with no problems in the future, therefore, they don’t need more effective treatments. This is wrong.” Guidelines released last spring by the American Academy of Neurology agree. They recommend aggressive treatment when a patient is first diagnosed, while taking a patient’s lifestyle into consideration. I also agree. In the eyes of this patient, waiting to begin treatment with the best medication possible or failing to move to a higher level med if necessary is a foolish gamble. (You’re invited to visit my personal blog at www.themswire.com).
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