March is Multiple Sclerosis Awareness Month. Widely misunderstood, MS has a profound effect on those who must live with it, or in its wake. The physical, emotional, and financial toll on the entire family is enormous.
What MS is:
* MS is a neurological disease in which lesions form in the central nervous system, interrupting the transmission of signals to the rest of the body.
* Relapsing/remitting MS, the most common form at onset, causes flare-ups followed by periods of remission.
* There are several types of progressive MS in which symptoms worsen over time.
* Symptoms vary greatly from patient to patient (and from day to day) and include fatigue, numbness, visual impairment, slurred speech, difficulty swallowing, cognitive impairment, tremors, vertigo, pain, lack of coordination, paralysis, and blindness.
* MS is more common in women. Most people are diagnosed between the ages of 20 and 45. Due to MRI, more children are being diagnosed with MS.
* There is currently no single definitive test for MS. Rather, it is diagnosed through clinical history and a series of tests, along with elimination of other diseases.
* MS is not contagious.
* The cause remains a mystery. A combination of genetics and environmental factors is one avenue that researchers are pursuing.
* Though symptoms are often invisible, it is a serious medical condition.
* There is no cure, but there are disease-modifying drugs thought to slow progression.
What MS is not:
* A psychological condition, although depression in MS patients is common.
My own journey through diagnosis, acceptance, and learning to cope has taught me a lot about this business of living. Just as I was hitting midlife, the body I knew so well became a stranger, and a frightening one at that. As the daily struggle with MS continues, I must constantly re-evaluate my physical self and make adjustments. But the person who lives inside this mutinous body is not only surviving, but thriving, with the support of my loving husband and children, as I approach my 50th birthday.
Obstacles? We’ve all got them. It’s in how we choose to handle them that our true self emerges. Inside, I’m still me, only older and wiser.

Ann Pietrangelo (aka Mandy Crest) is a Virginia-based freelance writer for WebCamp One, LLC. She is a featured blogger at Multiple Sclerosis Central and Care2.com, and has been a frequent contributor to Women Over 40 Rock! She is a passionate advocate for multiple sclerosis patients and health care reform. For more information, visit AnnPietrangelo.com.
Cross posted on In The Trenches Productions‘ blog, Women Over 40 Rock!