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Multiple sclerosis and how it affects people
Multiple sclerosis and how it affects people
Multiple sclerosis and how it affects people
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Around the world, many people are living with neurologically debilitating disorders like multiple sclerosis. Multiple sclerosis is best described as a pathological “inflammatory-mediated demyelinating disease of the human central nervous system,” and affects more than 2.5 million people globally (Trapp & Nave, 2008).
In coping with multiple sclerosis, as with other chronic illnesses, many choose to write about their experience, including the journey of how they received their diagnosis and their overall battle with the disease. In the autobiographic novel, Wish in one hand: The true story of a young life with multiple sclerosis, Jill Barton describes her journey of being misdiagnosed with a terminal brain tumor then re-diagnosed with multiple sclerosis.
Multiple sclerosis (MS) is generally thought to be an autoimmune disease that attacks the myelin sheaths, or oligodendrocytes that cover nerve axons in the central nervous system (PubMed Health 2013). This immune response causes inflammation, which triggers immune cells to destroy axons “along any area of the brain, optic nerve, and spinal cord” (PubMed Health 2013). When the myelin sheath “is damaged, nerve signals slow down or stop” thus hindering the propagation of action potentials and limiting function (PubMed Health 2013).
With MS, most people experience exacerbations, where symptoms get progressively worse, which are then “followed by periods of reduced or no symptoms,” indicative of remission (PubMed Health 2013). Though for many it is “common for the disease to return (relapse), […for some] the disease may continue to get worse without periods of remission” (PubMed Health 2013). Also, the severity of the disorder can be amplified by exposure to extreme heat in addit...
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Works Cited
Barton, J. (2013). Wish in one hand: The true story of a young life with multiple sclerosis. Portland, Oregon: BookBaby. (Barton, 2013)
National Multiple Sclerosis Society (n.d.).What we know about MS. Retrieved from: http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about- ms/index.aspx
Mayo Clinic Staff (2012). Multiple sclerosis. Mayo Clinic. Retrieved from http://www.mayoclinic.org/diseases-conditions/multiple-sclerosis/basics/definition/CON- 20026689?p=1.
PubMed Health (2013). Multiple sclerosis (MS); demyelinating disease. A.D.A.M. Medical Encyclopedia. Retrieved from: http://www.ncbi.nlm.nih.gov/ pubmedhealth/PMH0001747/
Nave, K. A., & Trapp, D. B. (2008). Multiple sclerosis: an immune or neurodegenerative disorder? Annual Review of Neuroscience, 31, 247-269. doi: 10.1146/annurev.neuro.30.051606.094313
However, I am not going to spend a long time describing the nitty-gritty of this because there is an elephant in the room. Both of these writings are on a terrible chronic disease affecting millions of people worldwide. What’s worse is that millions and millions more do not even know that this disease exists. I remember when I sprained my ankle while playing baseball, it was so bad that I needed crutches for two weeks and had to keep my foot wrapped for multiple weeks after. The incident took me out for the rest of the season, where my little league team got very close to going into the postseason but fell short. Due to my absence, I felt partly responsible for my team’s loss. I cannot begin to fathom the effect that MS would have in my life
Multiple sclerosis (MS) is a disease affecting the myelination of the central nervous system, leading to numerous issues regarding muscle strength, coordination, balance, sensation, vision, and even some cognitive defects. Unfortunately, the etiology of MS is not known, however, it is generally thought of and accepted as being an autoimmune disorder inside of the central nervous system (Rietberg, et al. 2004). According to a study (Noonan, et al. 2010) on the prevalence of MS, the disease affects more than 1 million people across the world, and approximately 85% of those that are affected will suffer from unpredictably occurring sessions of exacerbations and remissions. The report (Noonan, et al. 2010) found that the prevalence of MS was much higher in women than in men, and that it was also higher in non-Hispanic whites than in other racial or ethnic groups throughout the 3 regions of the United States that were studied.
Her essay is arranged in such a way that her audience can understand her life - the positives and the negatives. She allows her audience to see both sides of her life, both the harsh realities that she must suffer as well as her average day-to-day life. According to Nancy, multiple sclerosis “...has opened and enriched my life enormously. This sense that my fragility and need must be mirrored in others, that in search for and shaping a stable core in a life wrenched by change and loss, change and loss, I must recognize the same process, under individual conditions, in the lives around me. I do not deprecate such knowledge” (Mairs, 37). Mairs big claim is that she has accepted herself and her condition for what is it, yet she refuses to allow her condition to define her. Through her particular diction, tone, satire, and rhetorical elements, Mairs paints a picture of her life and shows how being a cripple has not prevent her from living her life. She is not embarrassed nor ashamed of what she is, and accepts her condition by making the most of it and wearing the title with
"On Being a Cripple" is an autobiographical essay by Nancy Mairs. The author was diagnosed with multiple sclerosis in her late twenties, and has since then lost full use of several limbs. Despite the stigma around the use of the word, Mairs refers to herself as a "cripple". With the use of this word she attempts to accept the reality of her situation without feeling sorry for herself. The author also demands the same of her readers and the people that she meets in her life. Mairs writes to those who wish to learn more about what it is like to live with this debilitating disease and how people react to it. She uses this essay to make a point about how society labels people while telling her story in a manner which cites examples from her life. She describes her life through everyday situations that occur when living with MS. Mairs does not have the same physical abilities that most of us don't think twice about, but she carries on with her life without the need for pity or a new vocabulary that attempts to make her condition seem less severe.
According to National Multiple Sclerosis Society, Multiple Sclerosis (MS) is an unpredictable, often disabling disease of the central nervous system (CNS) that disrupts the flow of information within the brain, and between the brain and body. The central nervous system (CNS) comprises of the brain and the spinal cord. CNS is coated and protected by myelin sheath that is made of fatty tissues (Slomski, 2005). The inflammation and damage of the myelin sheath causing it to form a scar (sclerosis). This results in a number of physical and mental symptoms, including weakness, loss of coordination, and loss of speech and vision. The way the disease affect people is always different; some people experience only a single attack and recover quickly, while others condition degenerate over time (Wexler, 2013). Hence, the diagnosis of MS is mostly done by eliminating the symptoms of other diseases. Multiple sclerosis (MS) affects both men and women, but generally, it is more common in women more than men. The disease is most usually diagnosed between ages 20 and 40, however, it can occur at any age. Someone with a family history of the disease is more likely to suffer from it. Although MS is not
Richard Eyre once stated that “change begins with understanding, and understanding begins by identifying oneself with another person; in a word, empathy”. Nancy Mairs, a writer with multiple sclerosis, writes about her experiences as a disabled person, naming herself a “Cripple” by emphasizing how the diagnosis never change her tendency to interact with people or view the world. Mairs’s circumstances are supported by an animated video entitled Brene Brown on Empathy by Dr. Brene Brown. This video break down for the viewers, a difference between empathy which means feeling a connection toward a person 's emotions, or circumstance and sympathy which is being completely disconnected from a person feeling. Essentially, a person who wants to
Multiple Sclerosis (MS) is a complicated chronic deteriorating disease that has an effect on the central nervous system (CNS). This disease causes destruction of the myelin around the nerve fibers. “The exact etiology of Multiple Sclerosis is unknown; however, it is thought to be an immune mediated disease. MS is characterized by CNS inflammation, demyelination, and axonal loss” (Compston & Coles, 2008). Typically, it is described by early relapses and remissions of neurological signs of the CNS. This is known as relapsing-remitting MS (RRMS). MS can be identified by a variety of known risk factors. Multiple Sclerosis can be brought on by a mixture of inherited and environmental risk factors such as smoking or an exposure to a virus like Epstein Barr. The inflammatory process has an interesting role on the central nervous system.
Primarily, the term MS refers to a chronic disorder that attacks the central nervous system (CNS). It is most common in temperate continents such as Europe and Australia with Asiatic and African continents having a lower risk of the disease (Wiley Online Library, 2013). A search organised by the Multiple Sclerosis Society (2013) has estimated that there are 127,000 people living with MS in the United Kingdom. Further research by Chipps, Clanin, and Campbell (1992, pp. 158-167) shows that MS disorder more likely affects women than men with its symptoms occurring between the ages of 20 and 40 in most cases and is quite uncommon in childhood and old age. The nerve cells known as neurons in the brain constantly transmit and receive signals. They invoke emotions, activities and cognition that constitute the day to day experiences of humans. Under normal circumstances, these signals travel on a protected insulation path known as the myelin sheath. This insulation is vital as it enables signals to reach their target. In Multiple Sclerosis, the myelin sheath gets disintegrated causing the nerve fibre to be damaged leading to a disruption in the abili...
The clinical picture of the disease is rich and variated. Usually it starts with motor symptoms together with visual disturbances. The later progression is depending on the part of the CNS affected. MS can present itself in several clinical courses with the relapsing remmitting beeing the most common in the begging. The secondary progressive course is a sequent and gives a much worse prognosis. The benign form, even though it’s not well defined, is usually a random find in MRI and no clinical symptoms. In the most severe cases MS can lead to death.
... resulting impairment to the CNS. The first group of mice exhibited a pattern of CNS inflammation that resembled that of the most common subtype of MS, RRMS, with lesions filled with macrophages, a type of immune defender cell. The second group of mice displayed inflammation deep in the CNS tissues and in the optic nerve with lesions filled with neutrophils, another type of immune cell. Both groups of mice were given antibody drugs similar to drugs being developed against MS in humans. The effects were observed over time and results showed that some of the drugs inhibited disease in the first group of mice but did not inhibit disease in the second group. Thus, as Mark Kroenke (2008), the study’s first author and a Ph.D. student in immunology at U-M stated, "That's our proof that these really are different mechanisms of disease" (Kroenke et al., 2008).
Physical and occupational therapy may also help. Multiple sclerosis is not a fatal disease. Most people with MS have a normal or near-normal life span and usually die from the same conditions that affect general population (heart disease, cancer). Multiple Sclerosis symptoms can negatively affect the quality of life. Suicide rates among patients with multiple sclerosis are higher than average. The majority of patients with MS do not become severely disabled. Women tend to have a better outlook than men. MS has long been known, yet diagnosis remains difficult due to the complexity of the disease and its wide array of signs and symptoms. Treating MS still relies on symptomatic relief, but therapeutic advances in the form of DMDs have shown promising
Multiple Sclerosis is a nervous system disease that affects the spinal cord and the brain by damaging the myelin sheaths that protects nerve cells. Destroyed myelin prevents messages from communicating and sending properly from the brain, through the spinal cord, to internal body parts. In the United States, more than 350,000 people are diagnosed with this disease. Anyone can get this disease, but it is more common among Caucasian women. MS symptoms begin between the ages 20-40 and are caused by nerve lesions being present in multiple areas of the Central Nervous System, symptoms differ on the lesion’s location.
“Life is 10% what happens to you and 90% how you react to it,” says Charles R. Swindoll. This statement, although seemingly inaccurate, is brought to life by the testimony of Nancy Mairs. After being diagnosed with Multiple Sclerosis (MS), Mairs had every reason to give up on life, but in “On Being a Cripple” she shows her audience that pushing forward was worth the challenge. Her life as a cripple isn’t easy, but through her writing, Mairs hopes to explain and create awareness about her life living with MS. Through her personal experience and positive attitude, Mairs shows her audience that not only is she a source that others can trust but that life is exactly what you make it, no matter what cards you are dealt.
2007). However, in context to the body’s immune response, cytokines are inflammatory molecules that rush to the site of infection or injury with the goal of influencing the inflammation process (Yarlagadda et. al. 2009). During both the innate and adaptive immune responses of MS, the effector function of T cells is significantly altered, as both toll-like receptors and antigen presenting cells trigger T cells to differentiate into Th1, Th2, or Th17 phenotypes. When polarized to these phenotypes, the T cells begin to secrete the pleiotropic cytokines, thus making T cells the predominant producer of cytokines (Loma & Heyman, 2011). Cytokines can be categorized into two broad categories: proinflammatory and anti-inflammatory; many, however, evidently share properties from both groups. While proinflammatory cytokines, secreted by Th1 and Th17 cells, work to promote inflammation and “launch the immune response,” anti inflammatory cytokines, secreted by Th2 cells, work to counteract the proinflammatory response and “block or dampen the immune response.” (Yarlagadda et. al. 2009). Throughout the course of MS, both proinflammatory and anti inflammatory cytokine levels are upregulated; proinflammatory cytokine levels are greater during relapse and antiinflammatory cytokine levels are greater during remission (Martins et. al 2015) (Amedei et. al. 2012). Despite this knowledge however, it has been found that even proinflammatory cytokines hold protective properties, as inflammation is a protective mechanism (T. Makar, Interview, December 22, 2016). Therefore, both categories of cytokines are vital to the immune response. However, attempting to restore the balance between the two during a relapse may reduce the intensity and duration of the
The nervous system plays a major role in co-ordinating and controlling the body’s activities. It is made up of billions of nerve cells. These cells are linked to form a massive communications network. Nerve cells carry messages in the form of electrical impulses. These impulses are carried at high speed around the body to keep it safe and functioning normally. Multiple sclerosis (MS) is a disease which progressively injures the nerves of the brain and spinal cord. Injury to the nerves in multiple sclerosis may be reflected by alterations of virtually any sensory or motor (muscular) function in the body.