Columns

Ah, after living the majority of the last three years of my life indoors, I do tend to spark conversation with my carers. But if I keep quiet, they’re more than happy to do so, too, as they repetitively deal with the rigmarole of getting me ready every morning. It’s…

If you have multiple sclerosis (MS), you’ve probably had several MRIs “with” and “without.” The “with” means injecting a contrast agent containing gadolinium into a vein. The agent then travels into the brain, where it “lights up” areas of active inflammation that otherwise would be difficult or impossible…

Just like a surgeon’s prize hand or a ballerina’s plié, my mind has been my most valued asset. That’s been true all my life, through realizing my passion for science, achieving my undergraduate degree in biomedical science, and even keeping myself sane during the dark days of paralysis following…

A voracious reader since childhood, I’ve often lost myself inside fictional worlds — often preferring them to the real one where I’m forced to live. This was especially true when I was diagnosed with multiple sclerosis (MS) almost 18 years ago. When my eyes and ears were focused on…

The following multiple sclerosis (MS) news stories caught my eye last week: Stem cell transplant and nerve fiber damage This small study of 43 people with relapsing-remitting multiple sclerosis who underwent autologous hematopoietic stem cell transplant (aHSCT) in Sweden reports that their disability during the period of…

There are moments in life that have surprising effects on us. I’ve had two. The first was when I was about 9, and my mother informed me that my headmaster had been told I’d disappeared after school. Fair enough in hindsight. I presume she’d phoned the police as well, but…

“I thought it would never happen to me.” I’ve lost count of the number of times I’ve heard someone utter that phrase during my four decades in the news media. Last week, it happened to me. About three years ago, my wife and I bought a condo as a…

While helping me get dressed this morning, my wife handed me a T-shirt from a dresser drawer across the room. It happened to be a shirt commemorating an event from my pre-multiple sclerosis (MS) past. It’s what you might call a “been there, done that, got the T-shirt” kind…

There’s a poignant scene in “Forrest Gump” in which the title character and his best friend, Jenny, walk up to the shack where she was raised (and was raped and abused by her drunken father). She stares at the place for a moment and then begins hurling things…

Study Supports MS Disability Test Score as Outcome Measure in Trials Adding two other disability measurements to the commonly used Expanded Disability Status Scale (EDSS) is a good idea, not only for trials but also in everyday patient assessments as well. Measuring our level of disability using only…

The constant light in my cell burned through my eyelids all night. Every night for days now. Prostrate on my back, I couldn’t even turn over to get away from it. Why me? I knew nothing. Wasn’t part of any organization. Had no power. Couldn’t influence anyone. How did I…

It wasn’t easy for my wife, Laura, and I to enjoy one of Elton John’s concerts on his Farewell Yellow Brick Road tour the other night. Sir Elton was appearing at Nationals Park, the baseball home of the Washington, D.C., Nationals. Having seen a couple of…

After being given the most life-changing, devastating news I’d ever heard — “Mr. De Marzo, you have textbook MS. As a matter of fact, you have PPMS [primary progressive multiple sclerosis].” — the emotions and pictures that ran through my mind were vivid, horrific, angry, and upsetting, to say…

Gut Bacteria Are Altered in MS, Linked to Disease Progression Several studies have indicated that the composition of gut bacteria in people with MS is different from that of healthy people. But earlier studies didn’t take into account environmental factors, such as where the study subjects lived or what…

Once upon a time, children, there was a very grumpy bear who kept a low-level, incessant growl going all day. And often, well into the night, too. If his family were lucky, this would only last about a week, but usually it would last a lot longer. He was snappy…

I have to be honest: I haven’t always been honest. I don’t always practice what I preach. My wife called me out on that as we watched an interview I did recently about multiple sclerosis on Montel Williams’ podcast. “You should follow your own advice,” she told me.

Every time I find myself in a multistory building, I end up on an elevator. It’s not as though I’m too lazy to take the stairs — well, OK, I am lazy — but in this case, it’s because my wheelchair won’t climb one, much less a flight of them.

My eldest son just started high school, which makes me feel both incredibly old and somewhat proud of myself for surviving this long. People have been telling me the teenage years are the hardest, but I have a leg up since I used to be a high school teacher. The…

T-cells Targeting Epstein-Barr Virus at High Levels in MS Patients The evidence of a link between the Epstein-Barr virus (EBV) and multiple sclerosis (MS) continues to mount. The current thinking is that the immune responses that fight EBV may drive the attacks against the myelin nerve coating, which is…

Note: The second half of this column details digestive symptoms that may make readers uncomfortable.  In the five years that I’ve written this “irreverent journey with multiple sclerosis (MS),” quoting from my very own bio at the foot of this column, I think I’ve only covered this “quiet”…

I studied psychology in college, but haven’t thought much about Sigmund Freud since then. I did the other night, though. I had a couple of puzzling dreams. Thinking about them after I woke up and putting a little of that college psychology to work, the puzzle became less puzzling. I…

I guess the short answer to the headline’s question is “It depends.” After my primary progressive multiple sclerosis (PPMS) diagnosis in March 2021, when I was 58, I had many questions that could be collected into the five W’s: who, what, when, where, and why. I’ll throw in…

It’s in my nature to get a little reflective around significant dates, such as New Year’s and the changing of the seasons. I love that these occasions represent change and starting fresh. So celebrating my seventh wedding anniversary on Aug. 29 has made me rather contemplative, more so than in…

Immunoadsorption Better Than 2nd Round of Steroids for MS Relapse This is an interesting study, particularly because of the physical problems that can be caused by significant steroid use over the years. Of course, immunoadsorption is essentially a blood transfusion; it involves collecting a patient’s blood; separating out its…

It was a glorious summer for those of us lucky enough not to be engulfed by forest fires, face crop destruction by severe drought, or have to manage the debilitating effects of multiple sclerosis (MS), which are exacerbated by crippling heat. Over 60% of people with MS say…

It’s not easy choosing a multiple sclerosis (MS) medication. There are shots and pills and intravenous infusions. The National Multiple Sclerosis Society lists more than 20 disease-modifying therapies (DMTs) on its website. Some, such as Lemtrada (alemtuzumab), Ocrevus (ocrelizumab), and Tysabri (natalizumab), have proven to…

There’s a slight chance that I might be stubborn. I don’t really see it, but my wife, parents, siblings, relatives, friends, and former teammates all seem to think so. I personally think that they’re mistaking my drive and strong willpower for stubbornness, but I suppose I respect their opinions enough…

When I was a kid, I adored novelty. I always wanted something different to experience, a new place to go. In my mind, there was nothing worse than doing the same thing week in and week out. However, I’ve come to appreciate routines as an adult, especially because…

My weight went off the scale when my multiple sclerosis (MS) meant that I could no longer safely get on the scale. This was probably about four years ago. In them there halcyon days (for me, anyway), I still shared our second-floor bedroom (first-floor, for those of us here…

A little over a year ago, I wrote about whether Bruton’s tyrosine kinase inhibitors (BTKi’s) might be the next big thing in multiple sclerosis (MS) treatments. BTKi’s are small molecules that selectively block an enzyme that’s important for the activation of B-cells in the immune system and…