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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
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Hi I'm Dr. Phil
Can I ask your first name?
Nice to meet you
How are your symptoms now?
My speech is back to normal. It was normal the time I saw the Neuro in St.
how long did it last?
Well, at this point, I am suspicious you have MS
However, you don't have to do any of those things
you might not have another attack for 3 years
I can tell you what the MRI said
the one I just had
yes, what did it say?
It was done with contrast and they found a 2.1cm ring enhancing lesion see in the left parietal lobe. On flair and T2- weighted sequences there are numerous foci of signal hyperintensity within the periventricular and subcortcal white matter with areas within thalmus and centrum semivale.
I see. The 2.1 cm ring enhancing lesion is very unusual
What was recommended for that?
thering enhancing lesion seen in the left parietal lobe is new area on enhancement
these findings are consistent with multiple sclerosis
it says it represents active disease
There is no mass like effect
there is no shift in midline structures
Ok. I completely agree with that assessment
It is most likely MS and most likely active
However, the decision to start treatment is up to you
you can wait for new symptoms. If you don't have any new symptoms, it is ok to wait
But my thing is this the first time I had the lesions they were much bigger and then they disappeared.
so you are hesitant to start therapy
I think that is reasonable but if you develop symptoms again, soon I recommend therapy
then 2.5 yrs after they returned . Yes thats why im hesitant
it is ok to wait
then I don't know which one to choose
If the symptoms come again you need to do 2-3 days of steroids then start the injection after
If I do the steroids for the 2 to 3 days. what side effct will I have
they have a lot of side effects
Is it going to make me gain uncontrolable weight
blood pressure goes up, sugars go up, etc
no, the weight won't stay on for just that short time
and I cant give myself an injection every day or weekly
its not that big a deal
they can teach you how to do it
I did set of blood work at the same time and all my tests came back perfect
My heart, liver, kidney everything was great
my advice is as follows
1)wait for another attack
2)if it never occurs great
3)if it occurs then go in for steroids
4)start injections after
Yes i'm thinking I should do the steroids for the 2-3 dys because I cant get an appointment to the doctor at Mayo
and I cant see her she has patients to see her for ove a year now
do what I suggested until you can get in
Is that helpful Sophia?
Thank you much
Did I do good work for you?
would you mind rating positive for me?