This Is MS Multiple Sclerosis Community: Knowledge & Support

http://www.nugget.ca/ArticleDisplay.aspx?e=2819806

www.southerngazette.ca/News/2010-10-26/ ... he-world/1

Hi Cece. After reading hundreds of improvement reports here, I am just wondering if there is any MS patients yet who still needs any treatment at all. It seems that drug companies just go bust, all neurologists will retire soon...etc...

All said, I would still have a suggestions. We all see our neurologists once or twice a year at least, so we get a status report at least once or twice a year. We usually get an MRI done once a year. If you do not get it, you can easily ask for it. It costs nothing compared to a CCSVI operation. So, you got everything about your conditions pre and post operation.
Why can not any organization or CCSVI clinics collect this data? Why no one even post his/her results here?

My understanding was that Dr Z was campaigning for immidiate CCSVI operations in order not to waste time and that data on these operations can be also processed scientific way and therefore we do not have to wait for long clinical trials. So, now, after TWO years of his announcement I do not see any of this. Clinics just think of raking in as much money as they can and they come out with bullshit reports that based on non-scientific self assesments.

I think any patient with a normal sense and who is in contact with her neuro have her medical reports including MRI from the near past. I guess she would visit her neuro in the near future as well. So, what is so hard to get the results?????

Most patients or IR's aren't performing treatment to collect data.

However, the registries being developed in Canada for those treated elsewhere include MRI's to monitor changes. We should have data within a year, I imagine.

This is not collecting data for research. Every doctor must keep record of his own patients, otherwise how the hell he treats him. Then, who follows the patients???...

The current situation is just not acceptable. MS patients go abroad for operation and pay a hell of a lot of money and the clinics do not give a shit about their own patients' status. Is this normal? We all know that patients can not go abroad in every three months for follow-up. So, then, please cooperate with local docotrs. If you have a heart angioplasty, I guess you have to go for check-ups, don't you??? I guess they look at your symptoms as well, don't they???

I guess MS patients still visit their neuros. We got the medical reports. So, speak about facts when someone posts improvement report. Get your pre and post procedure neuros' reports on the net including MRIs.

Have MRIs come down in price recently? My last MRI was several years ago. My insurance company was billed $8000. That's hardly nothing.


NHE

Where do you live? In my country it does not cost more than USD 300. As part of the neuro follow-ups our insurance pays for that. USD 8000 seems a rip off to me. I read some studies that health care in the US is the least effficient in the world. They spend much more than in other countries without having that much better results.
So, how many times does your neuro require MRI? Does your insurance pay for that?

I don't know how much the actual cost to the clinic owner is, but a private MRI here is upwards of a couple thousand canadian bucks. I suspect the upkeep is fairly steep on those machines, as they are complex. The operators seemed a bit wet behind the ears at first, so possibly not real expensive talent.

All my MRIs from Ottawa are at the hospital. All my private ones from the clinical trial belong to the drug company. I would not advise having spurious MRIs because the contrast is a heavy metal which can have biological effects and accumulate.

_________________
"Try - Just A Little Bit Harder" - Janis Joplin
CCSVI procedure Albany Aug 2010
'_MS' is over - if you want it
Patients sans/without patience

I accept what you are saying. We somehow needs to find a way to get our condition assessed in an objective way. If IRs do not want to deal with it then we are stuck with our neuros.

I wish being stuck with a cooperative Neuro. but mine (Dr F from Ottawa)
wants nothing to do with our pionnering way to get treated by an IR.

Regards,

Normb

_________________
In a perfect world, my Neuro would like to be a vascular specialist.
'92 diag RR - '05 SP

1) You've said before that you live in Croatia -- how much is an ultrasound in Croatia?

2) Please provide links to the studies that you say mention "that health care in the US is the least efficient in the world." Thank you.

Griff,
Some IRs are indeed collecting data. I know that Dr. Sclafani is in Brooklyn. His patients complete surveys before their procedure and at periodic intervals after. He asks me for recent MRIs and records, too.

And I don't know if "objective" data of neurologists tells the whole story. Their "objective" data doesn't always correlate with level of disability. My MRIs hadn't changed for years. My neuro kept telling me how good I was doing and yet I saw continued worsening of symptoms. It's one reason why I haven't seen one in 4 yrs.

So I wasn't much help to Dr. Sclafani in that dept.

Laura

Griff,

If the health care in the US is comparable to the rest of the world why is it that people from all over the world come here to receive treatment and also to study?

I second Happy Poet's request, please provide the study info.

M

http://news.nationalpost.com/2011/05/14 ... e-patient/

You can get an ultrasound private not more than for USD 20.

The least efficient does not mean that it is worse than others, but it means that it is way too expensive compared to the result they can provide. Without any link, just check how much money Russia spends on health care and check their results. You can also check the data of other European nations. Sometimes just because you have more money, it does not mean that you are more effective with it (e.g. Vietnam war). It is a general tendency that health care system is getting very expensive (think about MS drugs) and look at the reults. Canadians can also tell you that many Americans are going to Canada for surgeries because it is cheaper there and they can get good service.