For me personally, June has proven to be a rather disappointing and fruitless month. Just when things began to look brighter, I was involuntarily assigned to be the middle vehicle in a double fender-bender two days ago, and my car now needs almost $1,000-worth of repairs. And as a perfect metaphor for the crappiness of the past month, for whatever reason I was not paid my stipend yesterday for the month of June.

I don't often like to talk about my sour feelings with other people because a.) I'm bad at it, and b.) I have another outlet.

Everyday for the past 12 years (save for a few angsty months in 8th grade), I've been writing in a journal. A good, old-fashioned, hardbound, acid-free journal. Most entries are about the frivolous happenings of the day at school, but as I've gotten older, they've increasingly helped me outline my thoughts and feelings while keeping my head on straight.

Feeling so low, I journaled the night before my car accident, listing ten qualities I liked about myself. Remembering what I wrote as I spent the next day at the body shop and on the phone with the police and insurance companies is, I believe, what kept me from simply bursting into tears and throwing up my hands in defeat.

Writin . . . More

I received an e-mail requesting that I write a follow-up to last week's blog post on multiple sclerosis (MS). I was asked to detail the immune-modulating therapies available for MS patients.

As a neuroscientist, the purpose of my original post was to explain the basic neurology behind the disease: what myelin is, what happens to myelin during MS, and why lack of myelin results in the symptoms that manifest. I also wanted to inform readers of the latest research in the field. My intention was not to leave out information or misinform, but given my lack of knowledge in other fields, I confined the blog post to my expertise.

Today I'll take off my brain hat and (do my best to) trade it in for an immunologist's.

Together, let's explore the therapies out there for those suffering this mysterious disorder.


Types of MS
Firstly, I'd like to outline the four types of multiple sclerosis:

1. Relapsing-remitting (RRMS): 75-80% of patients are initially diagnosed with RRMS. People with RRMS experience days- to weeks-long flare-ups, or "relapses," followed by periods of no symptoms, called "remission."

2. Secondary-progressive (SPMS): symptoms worsen over time in this type of MS, with or witho . . . More