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My doctor wrote " Probably PLS " ---------- in 1991.

I met him again in 2005. He again wrote " Probably PLS " !

Jagan

Re: re legs

> Hi Carolyn,

>

> Did it take 15 years for you to be diagnosed!!??? I am still waiting

> after 11 years. And like you have been to Dr after Dr.

> ..........................................................

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there is no dx that says probably!!! is he still ruling things out or what or

waiting until after the 5 year rule of the old dx standards? newer standards

are 3 with the understanding the doc will continue to monitor for lower motor

neuron involvement. probably---holy cow!

Jagan jagancaca@...> wrote: My doctor wrote " Probably PLS " ---------- in

1991.

I met him again in 2005. He again wrote " Probably PLS " !

Jagan

Re: re legs

> Hi Carolyn,

>

> Did it take 15 years for you to be diagnosed!!??? I am still waiting

> after 11 years. And like you have been to Dr after Dr.

> ..........................................................

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I am the same as you Jagan with " possible PLS " . So you have been

waiting a long time too then. Its good to hear that I am not the only

possible medical mystery out there.

Aussie Maureen

My doctor wrote " Probably

PLS " ---------- in 1991.

> I met him again in 2005. He again wrote " Probably PLS " !

> Jagan

> Re: re legs

>

>

> > Hi Carolyn,

> >

> > Did it take 15 years for you to be diagnosed!!??? I am still waiting

> > after 11 years. And like you have been to Dr after Dr.

> > ..........................................................

>

>

>

>

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cannot imagine the frustration for you guys---but then maybe we all probably

have PLS since they really know so little?

Maureen mazzie20022000@...> wrote: I am the same as you Jagan with

" possible PLS " . So you have been

waiting a long time too then. Its good to hear that I am not the only

possible medical mystery out there.

Aussie Maureen

My doctor wrote " Probably

PLS " ---------- in 1991.

> I met him again in 2005. He again wrote " Probably PLS " !

> Jagan

> Re: re legs

>

>

> > Hi Carolyn,

> >

> > Did it take 15 years for you to be diagnosed!!??? I am still waiting

> > after 11 years. And like you have been to Dr after Dr.

> > ..........................................................

>

>

>

>

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Sorry Duke but the standards used by neurologists have written

guidelines for " possible ALS " , " Probable ALS " , and confirmed ALS. The

first two include PLS. The guidelines state for upper motor neuron

involvement only to use either of the two for 3 years then DX as PLS

unless its a bulbar onset (speech) then there is a 6 year waiting

period until DX PLS.

Eva

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I stand corrected, humbly, as i am not as well read and struggle actually

finding research on the topic----I did read one that said the 3 and 5 for the

PLS tho but that was only one. i like the PLS rather than probable ALS or

possible ALS tho!

Tawny

briteeyestwo briteeyestwo@...> wrote:

Sorry Duke but the standards used by neurologists have written

guidelines for " possible ALS " , " Probable ALS " , and confirmed ALS. The

first two include PLS. The guidelines state for upper motor neuron

involvement only to use either of the two for 3 years then DX as PLS

unless its a bulbar onset (speech) then there is a 6 year waiting

period until DX PLS.

Eva

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Amen to that. But calling it possible ALS gets you on SSDI faster.

In my case they started out saying confirmed ALS so backing backdown

to possible was a relief. Another point of view came from my

daughter who said that since I just kept reporting possible ALS for 6

years she was ....well worn out from expecting my death. Kids, gotta

love 'em

Eva

> Sorry Duke but the standards used by neurologists have written

> guidelines for " possible ALS " , " Probable ALS " , and confirmed ALS.

The

> first two include PLS. The guidelines state for upper motor neuron

> involvement only to use either of the two for 3 years then DX as

PLS

> unless its a bulbar onset (speech) then there is a 6 year waiting

> period until DX PLS.

> Eva

>

>

>

>

>

>

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Don - Since lives in England you hit the nail squarely on the

head. England lumps all motor neuron diseases together.

Is Bettie Jo germinating her seeds for her beautiful flowers?

Eva

>

> The guidelines mentioned by Eva are by no means universal. The

vast

> majority of neurologists never see a case of classical PLS. Those

> physicians generally will follow a patient for a at least five

years

> before even making a tentative diagnosis. In Bettie Jo's case, it

> took seven years.

>

> A fairly large number of neurologist are " lumpers " , lumping a

number

> of neurological diseases as ALS, rather than recognizing the

separate

> diseases, including PLS. One said " If you have to have ALS, this

is

> the better form to have. "

>

> This line of thought is supported by a study by Le Forestier, et.

al,

> who, after an extensive study of 20 patients diagnosed as PLS. The

> conclusion drawn by the results of that study: " Our results, taken

> in conjunction with those reported in clinical and post-mortem

> studies, lead us to conclude that PLS is not a discrete disease.

To

> take this concept one stage further, the idea that motor neurone

> disease itself should be considered as a member of a family on

> neurodegenerative diseases with no absolute boundaries between them

> has emerged in recent publications. "

>

> Don

>

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