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"I learned to see life in a different way."

Living Well with MS

1) How often do you visit with your neurologist?

2) How often do you receive an updated MRI?

Our next program:
Hit the Books! -- Understanding the Research Behind MS
Wednesday, 05/28/2008 at 8:00PM ET

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Thinking Ahead! Tips to Prepare for Your Next Office Visit

"Be prepared" may be the official motto of the Boy Scouts of America, but it's also sound advice for those who are living well with MS.

"The tip I always tell people before they visit their neurologist is to 'do some prepwork ahead of time,'" explains Jennifer Smrtka, MS, APRN-BC, ANP, Faculty Nurse Practitioner at Columbia University Multiple Sclerosis Clinical Care Center. "A little preparation can go a long way towards helping you make the most of your next office visit."

Take a moment to review the following helpful tips from Jennifer, and make your next trip to the neurologist's office a successful one!

  1. Write Down Your Questions.

    "You should write down all of the questions you have for the doctor," says Jennifer. "But, it's imperative that you prioritize them before you go for your office visit."

    Between the examination, review of an MRI, and doing any necessary lab work-ups, you don't have much "spare time" left during a standard visit to the neurologist's office. By writing down your questions and prioritizing them, you give yourself a better chance of having your top issues addressed before you leave the office.

  2. Do Your Homework!

    Don't worry. Odds are your neurologist isn't going to spring a pop quiz on you, but that doesn't mean you shouldn't do your homework. If you haven't already done so during a previous office visit, take some time to prepare the following information for your neurologist. By doing so, you will give your doctor the background information necessary to provide you with optimum care

    • A list of current medications (including dosages, frequency taken, and names of medications requiring a refill)
    • A list of medication allergies
    • A medical history for three generations of your family (e.g., you/siblings; your children; your parents/aunts/uncles)
    • A copy of your most recent MRI
    • A copy of your medical records (faxed from your other health care provider(s) to your neurologist's office)
    • Your up-to-date treatment journal
  3. Don't Go it Alone.

    It is a great idea to bring a spouse, significant other, or trusted family member or friend with you during your visit.

    "Have someone with you that you trust implicitly," explains Jennifer. "The other person will hear things that you don't. Plus, your family member or friend can take notes while you ask questions, which can be very helpful."

  4. Make the Paperwork Work for You.

    For those people who will be visiting with their neurologist for the first time, it's a good idea to discuss the paperwork with the office staff before you arrive for your appointment.

    "Sometimes filling out the initial paperwork alone can take up to an hour," says Jennifer. "Find out how early you should arrive at the office. You can also ask if they can provide you with any paperwork in advance. This could save you both time and energy."

Brought to you by EMD Serono, Inc. and Pfizer Inc., the co-marketers of Rebif® (interferon beta-1a) in the US EMD SeronoPfizer

Prescribing Information - Medication Guide

This information is intended only for residents of the United States.

Rebif is used to treat relapsing forms of MS to decrease the frequency of relapses and delay the occurrence of some of the physical disability that is common in people with MS. Rebif is not approved for the treatment of chronic progressive multiple sclerosis. Rebif is available by prescription only in 22 mcg and 44 mcg pre-filled syringes and a titration pack.

Before beginning treatment, patients should discuss with their doctor the potential benefits and risks associated with Rebif. Let your doctor know if you have a history of depression, seizures, liver disease, thyroid problems, and blood count or bleeding problems or if you have had previous allergic reactions to medications. Tell your doctor about all medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Rebif and other medicines may affect each other causing serious side effects. Talk to your doctor before you take any new medicines. Rebif is not recommended for women who are or plan to become pregnant.

Potential serious side effects of Rebif include depression, liver problems, risk to pregnancy, injection site problems and severe allergic reactions. Allergic reactions are rare and may be associated with difficulty breathing and loss of consciousness, which requires immediate medical attention.

The most common side effects with Rebif are injection site reactions, flu-like symptoms (fever, chills, muscle aches, tiredness), depression, abdominal pain, increased liver enzymes, and blood cell count decreases. Let your doctor know immediately if you have any of these symptoms or feel sad, tired, hot or cold, experience hives, rashes, bruising, yellowing of the skin, or a change in body weight (gain or loss).

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

This information is not intended to replace discussions with your healthcare provider. For additional information about Rebif, please consult the Medication Guide or Prescribing Information and talk to your doctor. You can also call toll free 1-877-44-REBIF (1-877-447-3243). Rebif is available by prescription only.

MS LifeLines is an educational support service for people living with MS and their families. MS LifeLines and MS LifeLines Ambassadors are sponsored by EMD Serono, Inc. and Pfizer Inc.

Rebif, Rebiject II, and MS LifeLines are registered trademarks of EMD Serono, Inc. or its affiliates.

MS in Balance is a service mark of EMD Serono, Inc. or its affiliates.

Copyright 2008 EMD Serono, Inc. All rights reserved.