ccsvi in canada, please humour me. questions.

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.
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scorpion
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Post by scorpion »

jimmylegs wrote:i believe so. that's the thing that's driving people crazy.

if you do not have pre-existing ms, and your veins are blocked, there's treatment. if you do have an MS dx, your symptoms get tossed in the MS round file and they don't bother to think of any venous issues as a treatable comorbidity.

the argument appears to be, 'there is no proof that ccsvi causes/is related to/affects ms, therefore we will not pay for ms patients to be tested, until further research to establish the degree of association is completed'. what i find weird is the general reluctance nationwide to start looking into it. with proper replication studies.

beyond that there is the whole issue of figuring out, perhaps through some sort of retrospective study, can we get a better handle on who the treatment can help and who might be disappointed or worse, actually hurt by it?

if each province and territory in canada said okay, starting today we will pay for ccsvi testing and treatment for every interested ms patient in canada, i wonder how that would pan out.

gotta split for work!

My guess is that part of the reason the blockages are not immediately treated is because it has not been proven that they actually cause symptoms. There were people tested for CCSVI,who did not have MS, that were found to have blockages yet had absolutley no symptoms. It would be interesting to know what percentage of blockages they found in the normal controls. I think that in order for a vascular surgeon to address the blockages he would need to feel the blockages were in some way causing the symptoms. So I think it still goes back to somehow proving that CCSVI in some way is not only associatedwith having MS but ALSO that it is the cause of disabilty. Hope this makes sense!
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esta
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Post by esta »

nice story 1eye :)
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Blaze
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Post by Blaze »

The truly frustrating thing about this is we have known I have circulatory problems for at least 15 of the 26 years I've had MS. Two neurologists, my family physician and my podiatrist have all expressed concern about those problems. Yet, no one has ever suggested I see a vascular specialist.

I have had an MRV which showed a possible earlier thrombosis in the right dural sinuses in my brain. My neuro tells me circulation problems in my right foot and leg put me at risk for a blood clot. If that happens, he says I should go to emergency.

My Doppler with Dr. McDonald's tech showed complete blockage of my right jugualar and partial blockage of my left jugular. My neurologist says this is "consistent" with the MRV, but he doesn't know if it's "significant."

Because of the possible earlier brain thrombosis, I am very reluctant to travel outside of Canada for treatment for fear of complications. But, by not having treatment, I don't know if I'm putting myself at greater risk.

Like everyone else, I just want MS to be taken out of the picture and let me be treated for my circulatory problems! Why don't we want to do whatever we need to do to prevent another blood clot in the dural sinuses or a new one in my legs?

An emergency admission to hospital would cost far more than having Dr. McDonald or other VS or IR treat me proactively.

I know everyone else has the same frustrations. Hopefully, something will come of the Charter Challenge, but I suspect we're in for a long and tough fight.
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