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Rita, PLS is one of their covered conditions, at least here

in Colorado. I was referred to the clinic in Denver for

possible rehab evaluation for HSP. My records weren't sent

(nobody seemed to know what the other hand was doing at the

clinic.), but without records, MRI's, etc. the doctor I saw

was sure I have PLS. (I'm not so sure, but we'll see.) As

a result, she introduced me to the MDA social worker, who

has put me on the MDA mailing list. Since I'm not paying

for their month magazine QUEST, I'm assuming PLS is a MDA

covered condition. It sure wouldn't hurt you to ask them.

By the way, I almost lived in Hollis from 85-89. They

didn't have what my daughter needed at the high school

there, so we wound up living in Derry, NH while my husband

worked in MA. Hollis really is a beautiful little town --

much prettier than Derry.

Hope you find help. Annette

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You know, it does seem like everything we try to do is an uphill battle,

isn't it? I am trying to find a scooter that will fit in the trunk of my

car. My trunk is big and will hold the mechanical lift to get the scooter

in and out. Sounds easy--right? Yeah, except that you have to lift the seat

off the scooter in order to close your trunk and the seat weights 20-22

pounds!! Does that even begin to make sense? Who would be in the condition

to need a scooter and a lift and still be able to lift a 22 pound seat? I

don't honestly know how to solve this one.

As far as the MDA goes, I think some states do recognize PLS under their

umbrella, although national does not--or the other way around. It is a

murky topic.

Dolores

MDA

> Hi Folks:

>

> Well as most of you know I am looking for a van, and things are not

> looking good for me. They are so expensive, and to find a good used one

> seems almost impossible. The ones we have looked at are high mileage,

> vehicles that people are trying to get rid of for that very same reason.

>

> I called the VA, and even though I am a vet, because my condition is not

> service related they won't help.

>

> Now my question to you is regarding the MDA. Has anybody had any

> experience dealing with them? If I were to buy a van (which we could

> do), would they help with the conversion? We have been quoted $16,000

> for the conversion. Some one had suggested Easter Seals, but thought

> that was birth defects.

>

> I would like some feedback on your experience with the MDA. I did go to

> them back in 1986, and was told PLS was not one of there covered

> diseases. Woe is me!!!!

>

> Rita

>

> Luv & Hugs!

>

>

>

>

> *************************************

> Some people succeed in spite of their handicap. Others succeed because

> of them.

>

>

> Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

> *************************************

>

>

>

>

>

>

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Hey Rita,

Ever listen to Car Talk on NPR? Tom and Ray? On their website (which you

get to through cars.com) there is a section called Special Needs Zone in

which there is a bulletin board called Special Needs Booth. It may be a

long shot, but you could post what you need there. Maybe somebody is

getting rid of exactly what you need.

MDA

Hi Folks:

Well as most of you know I am looking for a van, and things are not

looking good for me. They are so expensive, and to find a good used one

seems almost impossible. The ones we have looked at are high mileage,

vehicles that people are trying to get rid of for that very same reason.

I called the VA, and even though I am a vet, because my condition is not

service related they won't help.

Now my question to you is regarding the MDA. Has anybody had any

experience dealing with them? If I were to buy a van (which we could

do), would they help with the conversion? We have been quoted $16,000

for the conversion. Some one had suggested Easter Seals, but thought

that was birth defects.

I would like some feedback on your experience with the MDA. I did go to

them back in 1986, and was told PLS was not one of there covered

diseases. Woe is me!!!!

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

*************************************

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Don and all you other folks.

As you all might know, my daughter has been in contact with MDA National

Headquarters in Arizona. She asked them " if PLS was covered " and they

told her " yes " . Don you told me she was misinformed, and I sent her

your letter's and she said " she never read them " . The person she spoke

to called her back today and verified that PLS was covered by the MDA

linked with ALS, and that I was eligible for their services. I was

skeptical because of your letter Don. She advised my daughter to call

MDA in Portland,Maine. My daughter called Maine, and the gal she spoke

with also said PLS was covered. All I had to do was hookup with a MDA

doctor who is familiar with PLS, register and thats all there is to it.

Once I am registered I am entitled to all there services. I am waiting

for the Lahey Clinic to call and they will set up an appointment with

the MDA neurologist at that facility. In fact that is where I was

diagnosed back in 1986, and Dr. Gross who diagnosed me is still on staff

and could very well go back to see him. I don't know what happened to

you Don, but my daughter asked why PLS was covered in some states and

not in others and she was told, that it should not be.

This all came about when my son-in-law (her husband) went to Lahey to

get his own diagnosis of (MG) Myothenia Gravis (spelling ???). He

mentioned to the doctor about me having PLS and this MDA doctor told him

that PLS is covered. The rest is history. They also told my daughter

that I mat eligible to receive $2000.00 towards my new Power Chair.

Thats all I can tell you, and I guess it pays to do your homework. I

will keep you posted on further developments.

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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Don and all you other folks.

As you all might know, my daughter has been in contact with MDA National

Headquarters in Arizona. She asked them " if PLS was covered " and they

told her " yes " . Don you told me she was misinformed, and I sent her

your letter's and she said " she never read them " . The person she spoke

to called her back today and verified that PLS was covered by the MDA

linked with ALS, and that I was eligible for their services. I was

skeptical because of your letter Don. She advised my daughter to call

MDA in Portland,Maine. My daughter called Maine, and the gal she spoke

with also said PLS was covered. All I had to do was hookup with a MDA

doctor who is familiar with PLS, register and thats all there is to it.

Once I am registered I am entitled to all there services. I am waiting

for the Lahey Clinic to call and they will set up an appointment with

the MDA neurologist at that facility. In fact that is where I was

diagnosed back in 1986, and Dr. Gross who diagnosed me is still on staff

and could very well go back to see him. I don't know what happened to

you Don, but my daughter asked why PLS was covered in some states and

not in others and she was told, that it should not be.

This all came about when my son-in-law (her husband) went to Lahey to

get his own diagnosis of (MG) Myothenia Gravis (spelling ???). He

mentioned to the doctor about me having PLS and this MDA doctor told him

that PLS is covered. The rest is history. They also told my daughter

that I mat eligible to receive $2000.00 towards my new Power Chair.

Thats all I can tell you, and I guess it pays to do your homework. I

will keep you posted on further developments.

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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Don and all you other folks.

As you all might know, my daughter has been in contact with MDA National

Headquarters in Arizona. She asked them " if PLS was covered " and they

told her " yes " . Don you told me she was misinformed, and I sent her

your letter's and she said " she never read them " . The person she spoke

to called her back today and verified that PLS was covered by the MDA

linked with ALS, and that I was eligible for their services. I was

skeptical because of your letter Don. She advised my daughter to call

MDA in Portland,Maine. My daughter called Maine, and the gal she spoke

with also said PLS was covered. All I had to do was hookup with a MDA

doctor who is familiar with PLS, register and thats all there is to it.

Once I am registered I am entitled to all there services. I am waiting

for the Lahey Clinic to call and they will set up an appointment with

the MDA neurologist at that facility. In fact that is where I was

diagnosed back in 1986, and Dr. Gross who diagnosed me is still on staff

and could very well go back to see him. I don't know what happened to

you Don, but my daughter asked why PLS was covered in some states and

not in others and she was told, that it should not be.

This all came about when my son-in-law (her husband) went to Lahey to

get his own diagnosis of (MG) Myothenia Gravis (spelling ???). He

mentioned to the doctor about me having PLS and this MDA doctor told him

that PLS is covered. The rest is history. They also told my daughter

that I mat eligible to receive $2000.00 towards my new Power Chair.

Thats all I can tell you, and I guess it pays to do your homework. I

will keep you posted on further developments.

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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Hi folks. That sounds more in line with my experiences (dx'd first with ALS in

11/95 and now with PLS, even by MDA's own neurologist. I hope everything goes

better with you.

MDA

Don :

I received the copy of the answer to your question to the MDA relative

to PLS. Now this is strange, our daughter when we told her about all

that I have been going thru in the past month or so, contacted MDA

Headquarter's in Arizona, and spoke with a young lady who said just the

opposite. She told my daughter that PLS has been covered by the MDA

since 1996, and because there is no MDA clinic here in NH, that I should

contact the MDA in Portland Maine. She also told her of my current

plight, and her comment was " poor thing " (me) that I should contact them

immediately. Now how can that be? This is all so confusing to , that my

daughter is taking over, and told me to sit tight. So I guess I will do

that till she gets more info. She also said " that no state has the

right to deny help to any PLS patient as of 1996 it was covered and

treated under ALS " .

When was that letter send to you?

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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  • 1 month later...

Rita,

Sounds like your visit to the Clinic went very well. You seem to feel at

ease with both neurologists and believe they really listened to you.

That is important. It helps to know someone cares enough to take the

time to listen to something that sometimes cannot be fully described.

You may have been educating them the whole time without knowing it.

Sounds like you have fallen into a good group, sort of like

PLS-FRIENDS. Certainly hope you can get some help from MDA with your van

modification Good luck to you and ,

Mike

ritadfromhollis@... wrote:

> Hi All:

>

> Just got in from my appointment with Dr. and Dr. at the

> MDA Clinic, at the Lahey Clinic just outside of Boston. What a

> wonderful group. Dr. came in to do the preparation for Dr.

> . She (Dr. ) was from Australia, and what a delight she

> was. She had all my original records when I was diagnosed back in 1986,

> We sat and talked for almost an hour and she was truly interested in

> the fact that I had a problem since my late 20's but not diagnosed till

> I was 50, she found this a fascinating fact. She had never encountered

> anybody who had had PLS for so many years, and still be as functional as

> I am.

>

> Then the big boy came in Dr. , what a wonderful man he was. He

> went over everything with me into detail. He commended my current

> neurologist and myself on how I have handled my having PLS, by stopping

> work when I did, selling our home, and living in a handicapped

> environment, where there is less physical stress on my body. I told

> him, I have never fought this disease just went with it. As most of you

> know I recently purchased a van, and Dr. called in a MDA social

> worker. and she indicated that even though the MDA has it's limits, they

> are there for anybody with a neuroligal problem like I have. She is

> almost 100% sure the MDA will help me with funding to help modify the

> van. I have to make some phone calls tomorrow to the right person to

> find out.

>

> Then I asked Dr. the big question, and that was " why in so many

> cases, is it so difficult to dx PLS " , and why are so many PLSer's worse

> then other's. His explanation was " that there are so many different

> types of neuromuscular diseases the mirror each other, that in many

> cases a doctor uses a judgement call based on what we as patients tell

> him because there are no specific test or x-rays that say of there it

> is, she or he have PLS. He said that down the road other symptoms show

> up that could change the diagnosis to full blown ALS or HSP or whatever!

> He said that even in my case, where I have had PLS for 30 years, down

> the road I could be given a different diagnosis " . I hope I am making

> this clear, I am not very good at explaining medical terms, although he

> made it very clear to and I, that I am very very lucky to have had

> it for so long.

>

> He did make comments about Baclofan, that it does help spastic legs, and

> to much can make the rubbery, and that any neurologist who knows what he

> is doing, will monitor the baclofan very carefully, it very very

> important to us the patient. His dead set against the Baclofan Pump, in

> his opinion it's a waste, and that he has never seen anybody get up and

> walk after having the pump installed (my neurologist feels the same

> way). Don't jump on me for what he thinks, I am only the messenger.

>

> So he told me to keep doing what I am doing to maintain my quality of

> life and he will see me in a year. He is the third doctor I have seen

> over the past 16 years, who makes me feel like he knows what he is

> talking about regarding PLS.

>

> So thats about it, from here. I have tried to explain my visit to the

> best of my ability, like I said before I am just a Grandma doing the

> best I can.

>

> Rita

>

> Luv & Hugs!

>

>

>

>

> *************************************

> Some people succeed in spite of their handicap. Others succeed because

> of them.

>

>

> Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

>

>

>

> When you worry it's like sitting in a rocking chair, it gives you a good

> ride, but it doesn't get you any where.

> *************************************

>

>

>

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Thanks Mike!

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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Thanks Mike!

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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Thanks Mike!

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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> Hi All:

>

> Just got in from my appointment with Dr.

Hi Rita,

I had my appointment with Dr. last week! I like him a lot.

He is an expert on ALS but also has a handful of PLS and HSP patients

so he's pretty up to speed there, fortunately.

We also talked a lot about PLS/HSP/ALS because a medical student was

with him and he wanted her to learn about the differences. He showed

off my hyper reflexes and clonus and how my legs are spastic as well

as weak. It was a great opportunity to help her get to know these

rare disorders, and I trust this will help her in the future when she

has to diagnosis rare people like us.

I had an easy time of diagnosis since my mother has HSP. I'd say I

was " lucky " there, but I don't want to feel lucky to have this

disorder! On the other hand, we were scared when my mom first walked

funny when she was in her mid-40's. We were afraid it was ALS.

There wasn't a family history, and it took a while to deduce it must

be HSP.

I hope we can do a big conference next year in Boston, and that Dr.

might get involved. He always cares a lot about patients and

isn't in a hurry to rush them off. I'm glad you got to see him.

Looking forward to meeting you soon!

Kathi

SPF

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> Hi All:

>

> Just got in from my appointment with Dr.

Hi Rita,

I had my appointment with Dr. last week! I like him a lot.

He is an expert on ALS but also has a handful of PLS and HSP patients

so he's pretty up to speed there, fortunately.

We also talked a lot about PLS/HSP/ALS because a medical student was

with him and he wanted her to learn about the differences. He showed

off my hyper reflexes and clonus and how my legs are spastic as well

as weak. It was a great opportunity to help her get to know these

rare disorders, and I trust this will help her in the future when she

has to diagnosis rare people like us.

I had an easy time of diagnosis since my mother has HSP. I'd say I

was " lucky " there, but I don't want to feel lucky to have this

disorder! On the other hand, we were scared when my mom first walked

funny when she was in her mid-40's. We were afraid it was ALS.

There wasn't a family history, and it took a while to deduce it must

be HSP.

I hope we can do a big conference next year in Boston, and that Dr.

might get involved. He always cares a lot about patients and

isn't in a hurry to rush them off. I'm glad you got to see him.

Looking forward to meeting you soon!

Kathi

SPF

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> Hi All:

>

> Just got in from my appointment with Dr.

Hi Rita,

I had my appointment with Dr. last week! I like him a lot.

He is an expert on ALS but also has a handful of PLS and HSP patients

so he's pretty up to speed there, fortunately.

We also talked a lot about PLS/HSP/ALS because a medical student was

with him and he wanted her to learn about the differences. He showed

off my hyper reflexes and clonus and how my legs are spastic as well

as weak. It was a great opportunity to help her get to know these

rare disorders, and I trust this will help her in the future when she

has to diagnosis rare people like us.

I had an easy time of diagnosis since my mother has HSP. I'd say I

was " lucky " there, but I don't want to feel lucky to have this

disorder! On the other hand, we were scared when my mom first walked

funny when she was in her mid-40's. We were afraid it was ALS.

There wasn't a family history, and it took a while to deduce it must

be HSP.

I hope we can do a big conference next year in Boston, and that Dr.

might get involved. He always cares a lot about patients and

isn't in a hurry to rush them off. I'm glad you got to see him.

Looking forward to meeting you soon!

Kathi

SPF

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Hi Kathi:

Wouldn't that be great!

See you at Skips.

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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Hi Kathi:

Wouldn't that be great!

See you at Skips.

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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What is HSP? I am having huge muscle twithces at night..... am taking

Clonazepam but it doesn't seem to help. Had adverse reactions to

Baclofen.

Raine

This is sent with Love

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Dr. of the MDA, indicated to me (and I will probably screw this

up), said in his opinion, there is a bad male gene, and a bad female

gene, and it can go back generations, and passed on to one another and

never surface until they get into our system, and bingo, PLS. In other

words, it may take many generations for the two genes to hookup. Did I

explain that correctly????

Rita

Luv & Hugs!

*************************************

Some people succeed in spite of their handicap. Others succeed because

of them.

Lord Keep Your Arm Around My Shoulder And Your Hand Over My Mouth

When you worry it's like sitting in a rocking chair, it gives you a good

ride, but it doesn't get you any where.

*************************************

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Thanks, Melinda.

I have pain associated with my PLS in the form of muscle strain. This is from

Dr. Armon's PLS paper (I'm always quoting this paper, sorry about that :-)...):

http://www.emedicine.com/neuro/topic324.htm

a.. PLS usually presents with gradual-onset, progressive, lower-extremity

stiffness and pain due to spasticity.

a.. As PLS progresses, patients may develop balance problems with a tendency to

fall. Axial muscle involvement may result in lower back and neck pain, which may

aggravate back or neck pain from other causes (eg, degenerative disc disease,

osteoporosis).

a.. Physical therapy: Stretching exercises, usually used in combination with

pharmacologic treatment, may help alleviate spasticity. A program of

stretching/strengthening exercises, which may be done at home, may promote full

range of joint motion and reduce the risk of contractures. Patients who are weak

may require passive range of motion exercises to be administered by their

caregivers. Attempting to overcome severe spasticity with physical therapy alone

may result in torn or strained muscles or tendons. Hence, physical therapy that

causes pain should be avoided or modified. Other modalities, such as massage or

pool therapy, may provide symptomatic relief.

Dr. Armon, Dr. Siddique and Dr. Fink are all going to be at the California

Connection this Saturday, San Diego, CA. I'd be happy to ask them any specific

questions anyone might have. Just get them to me ASAP! :-) Label them:

Questions for Drs

Thomson

Solana Beach, Ca

Visit www.als-pls.org

and www.geocities.com/mdmfoo/pls.html

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Thanks, Melinda.

I have pain associated with my PLS in the form of muscle strain. This is from

Dr. Armon's PLS paper (I'm always quoting this paper, sorry about that :-)...):

http://www.emedicine.com/neuro/topic324.htm

a.. PLS usually presents with gradual-onset, progressive, lower-extremity

stiffness and pain due to spasticity.

a.. As PLS progresses, patients may develop balance problems with a tendency to

fall. Axial muscle involvement may result in lower back and neck pain, which may

aggravate back or neck pain from other causes (eg, degenerative disc disease,

osteoporosis).

a.. Physical therapy: Stretching exercises, usually used in combination with

pharmacologic treatment, may help alleviate spasticity. A program of

stretching/strengthening exercises, which may be done at home, may promote full

range of joint motion and reduce the risk of contractures. Patients who are weak

may require passive range of motion exercises to be administered by their

caregivers. Attempting to overcome severe spasticity with physical therapy alone

may result in torn or strained muscles or tendons. Hence, physical therapy that

causes pain should be avoided or modified. Other modalities, such as massage or

pool therapy, may provide symptomatic relief.

Dr. Armon, Dr. Siddique and Dr. Fink are all going to be at the California

Connection this Saturday, San Diego, CA. I'd be happy to ask them any specific

questions anyone might have. Just get them to me ASAP! :-) Label them:

Questions for Drs

Thomson

Solana Beach, Ca

Visit www.als-pls.org

and www.geocities.com/mdmfoo/pls.html

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Thanks, Melinda.

I have pain associated with my PLS in the form of muscle strain. This is from

Dr. Armon's PLS paper (I'm always quoting this paper, sorry about that :-)...):

http://www.emedicine.com/neuro/topic324.htm

a.. PLS usually presents with gradual-onset, progressive, lower-extremity

stiffness and pain due to spasticity.

a.. As PLS progresses, patients may develop balance problems with a tendency to

fall. Axial muscle involvement may result in lower back and neck pain, which may

aggravate back or neck pain from other causes (eg, degenerative disc disease,

osteoporosis).

a.. Physical therapy: Stretching exercises, usually used in combination with

pharmacologic treatment, may help alleviate spasticity. A program of

stretching/strengthening exercises, which may be done at home, may promote full

range of joint motion and reduce the risk of contractures. Patients who are weak

may require passive range of motion exercises to be administered by their

caregivers. Attempting to overcome severe spasticity with physical therapy alone

may result in torn or strained muscles or tendons. Hence, physical therapy that

causes pain should be avoided or modified. Other modalities, such as massage or

pool therapy, may provide symptomatic relief.

Dr. Armon, Dr. Siddique and Dr. Fink are all going to be at the California

Connection this Saturday, San Diego, CA. I'd be happy to ask them any specific

questions anyone might have. Just get them to me ASAP! :-) Label them:

Questions for Drs

Thomson

Solana Beach, Ca

Visit www.als-pls.org

and www.geocities.com/mdmfoo/pls.html

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,

Can you tell me what, if known, is the youngest PLS onset? I was 15 years

old when my 'complications' started. They thought that maybe I had MS because I

had a second cousin who was diagnosed with MS. In the end they called it spastic

paraparesis. In 1997, my current neurologist gave me a diagnosis of PLS. Also,

my spine is deteriorating; I received a diagnosis of Rheumatoid Arthritis in

1998. In 1989, I broke my leg in two places and still have the rod and pins

in the leg (I wasn't even having a good time when it happened). It is hard for

me and maybe unnecessary to distinguish what pain belongs to what. Anyway, I

have always wondered if the deteriorating spine

came first or the PLS or are they the same thing. Can you provide any data?

Thanks. kathy hillary

Thomson wrote:

> Melinda,

> I thought I'd try to answer your question about family history of PLS.

> Most of the data available states that PLS is a sporadic disease but there is

a rare, childhood onset form that is familial. It is very rare. In fact, the

gene was just found for this form of PLS last year and was linked to the rare

form of ALS that is also childhood onset and slow in progression.

> By the same token, it is possible that there are familial cases of PLS but

they haven't been officially documented. It is really important that each and

every person that has a diagnosis of PLS, or suspected PLS, participate in the

blood marker study so that we can find out more about our disease. It is even

more important that anyone suspecting family history participates. They might

provide the key needed to give the researchers the answer they are looking for.

All it takes is one family!

> Please ask your husband and his cousin to participate in the our research. It

is easy and almost painless (just a blood draw).

> Here is some information for you:

>

> December 11, 2001

>

> Dear Member of the PLS community,

>

> Our Neuromuscular Disorders Program is continuing a study involving

sporadic (or non-inherited) diseases of the motor neurons, such as PLS and ALS,

that we thought might be of interest to you. As you know, the cause(s) of these

disorders are not known. We are interested in determining whether genetic

factors may " predispose " an individual to developing sporadic cases of ALS and

PLS. We suspect that sporadic cases of these disorders may be the result of not

one, but several genetic factors coming together. Recent advances in the field

of statistical genetics make it possible to answer such questions if there are

sufficient study participants available.

>

> Blood samples from patients and their living parents and brothers

and sisters are needed for this study. We need 400 sets of samples from a

patient and both of that patient's parents for each disease. Additionally, we

need 400 sets of samples from a patient and that patient's brother or sister,

who is preferably at least as old as the patient was when he or she first noted

symptoms of the disease.

>

> We need 2 tablespoons of blood from each participant. We will

supply the needed tubes and instructions for returning the samples via Federal

Express without charge to the participants. Most physicians and labs will draw

the samples without charge, but we will pay for drawing of samples if

applicable.

>

> Obviously there will not be an immediate benefit to patients, but an

understanding of the causes of disease of the motor neuron may eventually

benefit patients with these diseases.

>

> Anyone willing to participate in this study, or wishing to discuss

it, please contact us. We look forward to working with you on this endeavor.

>

> Dellafave MS

> Nailah Siddique RN MSN

> Teepu Siddique MD

>

> Genetic Counseling

> Clinical Nurse Specialist

> Director, Neuromuscular Disorders Program

>

>

>

> Professor of Neurology

>

> 1-dellafave@...

> nsiddique@...

> Professor of Cell and Molecular Biology

>

>

> If you would like to participate in this study, please register on the

research page or contact Nailah directly.

>

> If you are unable to participate in this research study (or did so

already), and would be interested in participating in future studies, please

register on the research page.

>

> You can also register from the website:

>

> http://www.als-pls.org/research.htm

>

>

> Thomson

> Solana Beach, Ca

> Visit www.als-pls.org

> and www.geocities.com/mdmfoo/pls.html

>

>

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,

Can you tell me what, if known, is the youngest PLS onset? I was 15 years

old when my 'complications' started. They thought that maybe I had MS because I

had a second cousin who was diagnosed with MS. In the end they called it spastic

paraparesis. In 1997, my current neurologist gave me a diagnosis of PLS. Also,

my spine is deteriorating; I received a diagnosis of Rheumatoid Arthritis in

1998. In 1989, I broke my leg in two places and still have the rod and pins

in the leg (I wasn't even having a good time when it happened). It is hard for

me and maybe unnecessary to distinguish what pain belongs to what. Anyway, I

have always wondered if the deteriorating spine

came first or the PLS or are they the same thing. Can you provide any data?

Thanks. kathy hillary

Thomson wrote:

> Melinda,

> I thought I'd try to answer your question about family history of PLS.

> Most of the data available states that PLS is a sporadic disease but there is

a rare, childhood onset form that is familial. It is very rare. In fact, the

gene was just found for this form of PLS last year and was linked to the rare

form of ALS that is also childhood onset and slow in progression.

> By the same token, it is possible that there are familial cases of PLS but

they haven't been officially documented. It is really important that each and

every person that has a diagnosis of PLS, or suspected PLS, participate in the

blood marker study so that we can find out more about our disease. It is even

more important that anyone suspecting family history participates. They might

provide the key needed to give the researchers the answer they are looking for.

All it takes is one family!

> Please ask your husband and his cousin to participate in the our research. It

is easy and almost painless (just a blood draw).

> Here is some information for you:

>

> December 11, 2001

>

> Dear Member of the PLS community,

>

> Our Neuromuscular Disorders Program is continuing a study involving

sporadic (or non-inherited) diseases of the motor neurons, such as PLS and ALS,

that we thought might be of interest to you. As you know, the cause(s) of these

disorders are not known. We are interested in determining whether genetic

factors may " predispose " an individual to developing sporadic cases of ALS and

PLS. We suspect that sporadic cases of these disorders may be the result of not

one, but several genetic factors coming together. Recent advances in the field

of statistical genetics make it possible to answer such questions if there are

sufficient study participants available.

>

> Blood samples from patients and their living parents and brothers

and sisters are needed for this study. We need 400 sets of samples from a

patient and both of that patient's parents for each disease. Additionally, we

need 400 sets of samples from a patient and that patient's brother or sister,

who is preferably at least as old as the patient was when he or she first noted

symptoms of the disease.

>

> We need 2 tablespoons of blood from each participant. We will

supply the needed tubes and instructions for returning the samples via Federal

Express without charge to the participants. Most physicians and labs will draw

the samples without charge, but we will pay for drawing of samples if

applicable.

>

> Obviously there will not be an immediate benefit to patients, but an

understanding of the causes of disease of the motor neuron may eventually

benefit patients with these diseases.

>

> Anyone willing to participate in this study, or wishing to discuss

it, please contact us. We look forward to working with you on this endeavor.

>

> Dellafave MS

> Nailah Siddique RN MSN

> Teepu Siddique MD

>

> Genetic Counseling

> Clinical Nurse Specialist

> Director, Neuromuscular Disorders Program

>

>

>

> Professor of Neurology

>

> 1-dellafave@...

> nsiddique@...

> Professor of Cell and Molecular Biology

>

>

> If you would like to participate in this study, please register on the

research page or contact Nailah directly.

>

> If you are unable to participate in this research study (or did so

already), and would be interested in participating in future studies, please

register on the research page.

>

> You can also register from the website:

>

> http://www.als-pls.org/research.htm

>

>

> Thomson

> Solana Beach, Ca

> Visit www.als-pls.org

> and www.geocities.com/mdmfoo/pls.html

>

>

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