What special were you on?    When was it?     What a great thing to do - this 
disease needs to be brought to attention, along with TM.
  ----- Original Message ----- 
  From: jrushton 
  To: Grace M. ; tmic 
  Sent: Saturday, April 25, 2009 7:54 AM
  Subject: Re: [TMIC] Re: Janice--what is NMO?


        Gracie, Janice should watch that special you were on!!  Janice, Gracie 
is our movie star, doncha know???  Jeanne

        -------Original Message-------

        From: Grace M.
        Date: 4/25/2009 8:45:27 AM
        To: tmic-list@eskimo.com
        Subject: [TMIC] Re: Janice--what is NMO?

        Hello Janice,  

        What is NMO?  NMO is extremely rare, much more so than TM from other 
causes or Multiple Sclerosis.  It's a particularly devastating 
neuroimmunological disease of the central nervous system.  It consists of 
repeated attacks of  LETM (Longitudinal Extensive Transverse Myelitis) and 
Optic Neuritis.  Sixty per cent of patients will also present with brain 
lesions during the course of their disease, though not in a pattern consistent 
with MS.  Within five years, fifty per cent of patients will already be 
permanently blind in at least one eye (Often bilaterally.) and permanently 
paralyzed in at least one limb (Often more.)  Within that same time frame, 
estimates say that 33% of patients will expire during an acute attack.  It's a 
BCell mediated disease in the presence of an autoimmune antibody called the NMO 
IgG (Current research is attempting to establish whether or not the antibody 
itself, is pathological.)  Unlike TM or MS, our lesions are inordinately long 
(Covering three segments of cord or more.) and often present with necrosis and 
cavitations.  Also, unlike MS patients, we do not have the option of *riding 
out an attack*, but need medical intervention immediately.  Most neuros have 
not heard of it, let alone seen or treated a case, so the majority of us end up 
at the larger teaching and research facilities.

        I'm one of the lucky ones.  I still walk, and can still see.  Many of 
the members of our Advocacy Group are already chairbound, bed fast, blind, and 
more than a few are vented.  We have also lost members since our launching in 
2006.  It's not a walk in the park.

        Mr. Siegel (President of the TMA) has been instrumental in the growth 
and direction of our small group of patients.  Not only does he offer great 
insight, but gives me those much needed pep talks whenever I am overwhelmed by 
the seriousness of it all.  He will be publishing a seperate directory for NMO 
patients very shortly.  I will be forever indebted to him for his support and 
help.   

        Hope this helps to explain.
        Gracie     
       
               
       

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