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	<title>Spiny Tim</title>
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	<link>http://spinytim.com</link>
	<description>MS or something like it. A journal of rapid decay.</description>
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		<title>Dark Silence In Suburbia • Elin Danielson-Gambogi , After Breakfast</title>
		<link>http://spinytim.com/2011/01/23/dark-silence-in-suburbia-%e2%80%a2-elin-danielson-gambogi-after-breakfast/</link>
		<comments>http://spinytim.com/2011/01/23/dark-silence-in-suburbia-%e2%80%a2-elin-danielson-gambogi-after-breakfast/#comments</comments>
		<pubDate>Mon, 24 Jan 2011 03:27:42 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[via darksilenceinsuburbia.tumblr.com]]></description>
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<div class="posterous_quote_citation">via <a href="http://darksilenceinsuburbia.tumblr.com/post/2895702974/elin-danielson-gambogi-after-breakfast">darksilenceinsuburbia.tumblr.com</a></div>
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		<slash:comments>3</slash:comments>
		</item>
		<item>
		<title>Silverlake Noir &#124; Flickr &#8211; Photo Sharing!</title>
		<link>http://spinytim.com/2011/01/21/silverlake-noir-flickr-photo-sharing/</link>
		<comments>http://spinytim.com/2011/01/21/silverlake-noir-flickr-photo-sharing/#comments</comments>
		<pubDate>Sat, 22 Jan 2011 01:24:20 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

		<guid isPermaLink="false">http://spinytim.com/2011/01/21/silverlake-noir-flickr-photo-sharing/</guid>
		<description><![CDATA[via flickr.com]]></description>
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<div class="posterous_quote_citation">via <a href="http://www.flickr.com/photos/31506719@N00/153221318/">flickr.com</a></div>
</p>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>All sizes &#124; Green House Across from Echo Park in Los Angeles, July 2008 &#124; Flickr &#8211; Photo Sharing!</title>
		<link>http://spinytim.com/2011/01/21/all-sizes-green-house-across-from-echo-park-in-los-angeles-july-2008-flickr-photo-sharing/</link>
		<comments>http://spinytim.com/2011/01/21/all-sizes-green-house-across-from-echo-park-in-los-angeles-july-2008-flickr-photo-sharing/#comments</comments>
		<pubDate>Sat, 22 Jan 2011 01:23:09 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[via flickr.com]]></description>
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<div class="posterous_quote_citation">via <a href="http://www.flickr.com/photos/elissacorsini/3926294155/sizes/z/">flickr.com</a></div>
</p>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>de</title>
		<link>http://spinytim.com/2010/12/28/de-2/</link>
		<comments>http://spinytim.com/2010/12/28/de-2/#comments</comments>
		<pubDate>Tue, 28 Dec 2010 22:19:57 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[]]></description>
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		</item>
		<item>
		<title>de</title>
		<link>http://spinytim.com/2010/12/28/de/</link>
		<comments>http://spinytim.com/2010/12/28/de/#comments</comments>
		<pubDate>Tue, 28 Dec 2010 22:14:58 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Room</title>
		<link>http://spinytim.com/2010/12/21/8918/</link>
		<comments>http://spinytim.com/2010/12/21/8918/#comments</comments>
		<pubDate>Tue, 21 Dec 2010 22:32:50 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>
		<category><![CDATA[MultipleSclerosis]]></category>

		<guid isPermaLink="false">http://spinytim.com/?p=8918</guid>
		<description><![CDATA[]]></description>
			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><!-- End Shareaholic LikeButtonSetTop Automatic --><p><a href="http://spinytim.com/wp-content/uploads/2010/12/b5_b.jpg"><img class="alignnone size-medium wp-image-8922" title="b5_b" src="http://spinytim.com/wp-content/uploads/2010/12/b5_b-199x300.jpg" alt="" width="199" height="300" /></a></p>
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		<item>
		<title>He Who Remains Vertical Wins</title>
		<link>http://spinytim.com/2010/12/14/he-who-remains-vertical-wins/</link>
		<comments>http://spinytim.com/2010/12/14/he-who-remains-vertical-wins/#comments</comments>
		<pubDate>Wed, 15 Dec 2010 00:25:12 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MultipleSclerosis]]></category>
		<category><![CDATA[ppms]]></category>
		<category><![CDATA[#multiplesclerosis]]></category>
		<category><![CDATA[multiple sclerosis]]></category>

		<guid isPermaLink="false">http://spinytim.com/?p=8754</guid>
		<description><![CDATA[Image by tim caynes via Flickr Wholly stolen from Johnny P&#8217;s new blog Living With Multiple Sclerosis Some rules that I live by Think before you act – don’t just jump up and do something because you’ve done it for years before you got MS. Your body may not work the way it used to. [...]]]></description>
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<div>
<dl class="wp-caption alignright" style="width: 250px;">
<dt class="wp-caption-dt"><a href="http://www.flickr.com/photos/70021771@N00/273413930"><img title="travelogue 14" src="http://spinytim.com/wp-content/uploads/2010/12/273413930_1e95153571_m.jpg" alt="travelogue 14" width="240" height="180" /></a></dt>
<dd class="wp-caption-dd zemanta-img-attribution" style="font-size: 0.8em;">Image by <a href="http://www.flickr.com/photos/70021771@N00/273413930">tim caynes</a> via Flickr</dd>
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</div>
</div>
<p><strong>Wholly stolen from Johnny P&#8217;s new blog <a href="http://johnnypmsman.blogspot.com/">Living With Multiple Sclerosis </a></strong></p>
<blockquote><p>Some rules that I live by<br />
Think before you act – don’t just jump up and do something because you’ve done it for years before you got MS.   Your body may not work the way it used to. Sit back and visualize first what you have to do or where you need to go.</p>
<p>Have a plan – plan each step or action first in your mind.  Think about what it’s going to take to get from point A to point B before taking action.  Break up longer ventures into smaller segments and do one segment at a time.  Plan rest stops along the way and use them until you know for sure that you can bypass them.  Put a cordless or cell phone in your pocket.  Keep your hands free for grabbing if need be.</p>
<p>Don’t take chances – the last thing we want is to end up on the floor.  Analyze the task at hand.  If you’re not sure you can do it, don’t do it alone.  Wait until someone is around that can spot you in case you need a lending hand along the way.  If your at all like me, and many of you are, you don’t like to ask for help.  MS’ers, are typically movers and shakers.   think of the worst case scenario. if you can manage that worst case, then go for it. i do. but, if its going to mean putting you in a situation you don&#8217;t want to be in or don&#8217;t want to deal with, asking for help is going to save you grief. choosing when to ask for help is a learned behavior. it really depends on ones own abilities. you&#8217;ll learn..Learn and become aware of your capabilities. Once you know you’re able to do it alone, you’ll be more comfortable doing it again.</p>
<p>Plan for the worse – Avoiding falls is our number one priority.  If you have a task that you routinely do and if it ever resulted in a fall, even once, there’s a chance that it might happen again.  Be aware of your vulnerable task.  Put a cordless phone on the floor in the general area just in case.  IE. Getting in and out of the shower.</p>
<p>Save Energy – don’t rush, Try to do things right the first tim</p></blockquote>
<h6 class="zemanta-related-title" style="font-size: 1em;">Related articles</h6>
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		<title>Untitled</title>
		<link>http://spinytim.com/2010/12/11/untitled-3/</link>
		<comments>http://spinytim.com/2010/12/11/untitled-3/#comments</comments>
		<pubDate>Sun, 12 Dec 2010 03:09:49 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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<p><a href="http://s1089.photobucket.com/albums/i343/spinytim/?action=view&amp;current=ce7b4d10.jpg" target="_blank"><img src="http://spinytim.com/wp-content/uploads/2010/12/ce7b4d10.jpg" border="0" alt="Photobucket Pictures, Images and Photos" /></a></p>
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		<item>
		<title>New MS Magazine</title>
		<link>http://spinytim.com/2010/12/11/new-ms-magazine/</link>
		<comments>http://spinytim.com/2010/12/11/new-ms-magazine/#comments</comments>
		<pubDate>Sat, 11 Dec 2010 21:13:07 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MultipleSclerosis]]></category>
		<category><![CDATA[ppms]]></category>
		<category><![CDATA[Demyelinating Diseases]]></category>
		<category><![CDATA[multiple sclerosis]]></category>
		<category><![CDATA[Timothy Scratchit]]></category>

		<guid isPermaLink="false">http://spinytim.com/?p=8632</guid>
		<description><![CDATA[http://montage.cloudapp.net/pages/edit/de144b6f-1b80-4558-a8f0-031b35ab6ddb?topic=multiple%20sclerosis# Related articles Decoding Searcher Intent: Is &#8220;MS&#8221; Microsoft Or Multiple Sclerosis? (seome.me) Cool Web App to make your own web Magazine (web-workathome.com)]]></description>
			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><!-- End Shareaholic LikeButtonSetTop Automatic --><p><strong><a href="http://montage.cloudapp.net/pages/edit/de144b6f-1b80-4558-a8f0-031b35ab6ddb?topic=multiple%20sclerosis#">http://montage.cloudapp.net/pages/edit/de144b6f-1b80-4558-a8f0-031b35ab6ddb?topic=multiple%20sclerosis#</a></strong></p>
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		<item>
		<title>Untitled</title>
		<link>http://spinytim.com/2010/12/08/untitled/</link>
		<comments>http://spinytim.com/2010/12/08/untitled/#comments</comments>
		<pubDate>Thu, 09 Dec 2010 00:03:02 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[via Posterous Post v0.13]]></description>
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<p><a href='http://posterous.com/getfile/files.posterous.com/spinytim/exAscJuioHIupjcguCbfprDlBygJCcDtcHjpikvfziHCIlewqtqECjggvvtt/vxqYU.png.scaled1000.png'><img src="http://spinytim.com/wp-content/uploads/2010/12/vxqYU.png.scaled500.png" width="500" height="659"/></a> </p>
<div class="posterous_quote_citation">via <a href="https://addons.mozilla.org/en-US/firefox/addon/97407/">Posterous Post v0.13</a></div>
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<p><a href="http://spinytim.com/wp-content/uploads/2010/12/reddy.png"><img src="http://spinytim.com/wp-content/uploads/2010/12/reddy.png" alt="" title="reddy" width="513" height="676" class="alignnone size-full wp-image-8518" /></a></p>
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		<title>monster hospital</title>
		<link>http://spinytim.com/2010/11/27/monster-hospital/</link>
		<comments>http://spinytim.com/2010/11/27/monster-hospital/#comments</comments>
		<pubDate>Sat, 27 Nov 2010 23:29:31 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[monster hospital Originally uploaded by Fraga_Braz]]></description>
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<a href="http://www.flickr.com/photos/brunofragabraz/5211505487/" title="photo sharing"><img src="http://spinytim.com/wp-content/uploads/2010/11/5211505487_6b05bec381_m.jpg" alt="" style="border: solid 2px #000000;" /></a><br />
<br />
<span style="font-size: 0.9em; margin-top: 0px;"><br />
<a href="http://www.flickr.com/photos/brunofragabraz/5211505487/">monster hospital</a><br />
<br />
Originally uploaded by <a href="http://www.flickr.com/people/brunofragabraz/">Fraga_Braz</a><br />
</span>
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<p><br clear="all" /></p>
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		<item>
		<title>end of the line #multiplesclerosis #ppms</title>
		<link>http://spinytim.com/2010/11/15/end-of-the-line-multiplesclerosis-ppms/</link>
		<comments>http://spinytim.com/2010/11/15/end-of-the-line-multiplesclerosis-ppms/#comments</comments>
		<pubDate>Tue, 16 Nov 2010 04:46:23 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[via flickr.com coming to the end of the line]]></description>
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<div class="posterous_bookmarklet_entry"> <img src="http://spinytim.com/wp-content/uploads/2010/11/media_httpfarm5static_omteH.jpg.scaled500.jpg" width="500" height="332"/>
<div class="posterous_quote_citation">via <a href="http://www.flickr.com/photos/cmdrcord/5179324832/sizes/l/">flickr.com</a></div>
<p>coming to the end of the line</p>
</div>
</div>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>My Brain</title>
		<link>http://spinytim.com/2010/11/12/my-brain/</link>
		<comments>http://spinytim.com/2010/11/12/my-brain/#comments</comments>
		<pubDate>Sat, 13 Nov 2010 00:52:25 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>
		<category><![CDATA[MultipleSclerosis]]></category>
		<category><![CDATA[ppms]]></category>
		<category><![CDATA[#multiplesclerosis]]></category>
		<category><![CDATA[MS Multiple Sclerosis]]></category>
		<category><![CDATA[primary progressive Multiple Sclerosis]]></category>
		<category><![CDATA[Timothy Scratchit]]></category>

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		<description><![CDATA[tumblr_lbscswXOH61qz6f9yo1_1280.jpg JPEG Image, 620&#215;491 pixels.]]></description>
			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><!-- End Shareaholic LikeButtonSetTop Automatic --><p><a href="http://s3.amazonaws.com/data.tumblr.com/tumblr_lbscswXOH61qz6f9yo1_1280.jpg?AWSAccessKeyId=0RYTHV9YYQ4W5Q3HQMG2&amp;Expires=1289695554&amp;Signature=lnpkXcHRg0VlcH2d04QYx0vJE1c%3D"></p>
<p style="text-align: center;"><a href="http://s3.amazonaws.com/data.tumblr.com/tumblr_lbscswXOH61qz6f9yo1_1280.jpg?AWSAccessKeyId=0RYTHV9YYQ4W5Q3HQMG2&amp;Expires=1289695554&amp;Signature=lnpkXcHRg0VlcH2d04QYx0vJE1c%3D"><img src='http://spinytim.com/wp-content/uploads/2010/11/tumblr_lbscswXOH61qz6f9yo1_1280.jpg' alt='My Brain' /></a></p>
<p>tumblr_lbscswXOH61qz6f9yo1_1280.jpg JPEG Image, 620&#215;491 pixels</a>.</p>
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		<title>My Mind</title>
		<link>http://spinytim.com/2010/11/12/my-mind/</link>
		<comments>http://spinytim.com/2010/11/12/my-mind/#comments</comments>
		<pubDate>Sat, 13 Nov 2010 00:50:29 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[via Posterous Post v0.13]]></description>
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<p><a href='http://posterous.com/getfile/files.posterous.com/spinytim/pHlxqBerppgwlqbugBtEoyypzGsszFwvvdBkemncJdiFsgIHfokupbjcsEei/tumblr_lbscswXOH61qz6f9y.jpeg.scaled1000.jpg'><img src="http://spinytim.com/wp-content/uploads/2010/11/tumblr_lbscswXOH61qz6f9y.jpeg.scaled500.jpg" width="500" height="396"/></a> </p>
<div class="posterous_quote_citation">via <a href="https://addons.mozilla.org/en-US/firefox/addon/97407/">Posterous Post v0.13</a></div>
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		<title>Caleb and MS « Re/Creating Tampa</title>
		<link>http://spinytim.com/2010/11/10/caleb-and-ms-%c2%ab-recreating-tampa/</link>
		<comments>http://spinytim.com/2010/11/10/caleb-and-ms-%c2%ab-recreating-tampa/#comments</comments>
		<pubDate>Wed, 10 Nov 2010 22:43:16 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[via recreatingtampa.com #ppms #multiplesclerosis]]></description>
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<div class="posterous_quote_citation">via <a href="http://www.recreatingtampa.com/2010/10/22/caleb-and-ms/">recreatingtampa.com</a></div>
<p>#ppms #multiplesclerosis</p>
</div>
</div>
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		<title>Feels Like This</title>
		<link>http://spinytim.com/2010/11/10/feels-like-this-14/</link>
		<comments>http://spinytim.com/2010/11/10/feels-like-this-14/#comments</comments>
		<pubDate>Wed, 10 Nov 2010 18:51:08 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>
		<category><![CDATA[MultipleSclerosis]]></category>
		<category><![CDATA[ppms]]></category>
		<category><![CDATA[#multiplesclerosis #ppms]]></category>

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		<description><![CDATA[Going Blind]]></description>
			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><!-- End Shareaholic LikeButtonSetTop Automatic --><p><img style="max-width: 800px;" src="http://spinytim.com/wp-content/uploads/2010/11/st-petersburg-1011.png" /><br /><img style="max-width: 800px;" src="http://spinytim.com/wp-content/uploads/2010/11/st-petersburg-1061.png" /><br /><img style="max-width: 800px;" src="http://spinytim.com/wp-content/uploads/2010/11/st-petersburg-1101.png" /><br />Going Blind</p>
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		<title>A Tampa Blog #Multiplesclerosis</title>
		<link>http://spinytim.com/2010/11/10/a-tampa-blog-multiplesclerosis/</link>
		<comments>http://spinytim.com/2010/11/10/a-tampa-blog-multiplesclerosis/#comments</comments>
		<pubDate>Wed, 10 Nov 2010 16:38:42 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>
		<category><![CDATA[MultipleSclerosis]]></category>
		<category><![CDATA[ppms]]></category>
		<category><![CDATA[#multiplesclerosis]]></category>
		<category><![CDATA[Demyelinating Diseases]]></category>
		<category><![CDATA[MS Multiple Sclerosis]]></category>
		<category><![CDATA[multiple sclerosis]]></category>
		<category><![CDATA[primary progressive Multiple Sclerosis]]></category>

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		<description><![CDATA[http://www.recreatingtampa.com/2010/10/22/caleb-and-ms/ Spiny Tim is a haunting journal of a local artist’s battle with primary progressive multiple sclerosis (PPMS). “It is difficult for me to write about my condition, because to commit to paper, so to speak, is to make it real. And even now, I am loath to make it real. “Every morning I wake [...]]]></description>
			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><!-- End Shareaholic LikeButtonSetTop Automatic --><p><a href="http://www.recreatingtampa.com/2010/10/22/caleb-and-ms/">http://www.recreatingtampa.com/2010/10/22/caleb-and-ms/</a></p>
<blockquote><p><span style="font-size: x-small;"><em><a href="../">Spiny Tim</a> is a haunting journal of a local artist’s battle with <a href="http://www.webmd.com/multiple-sclerosis/features/what-to-expect-with-primary-progressive-ms">primary progressive multiple sclerosis (PPMS)</a>.</em></span></p>
<p><span style="font-size: x-small;"><em>“It is difficult for me to write about my condition,  because to commit to paper, so to speak, is to make it real. And even  now, I am loath to make it real.</em></span></p>
<p><span style="font-size: x-small;"><em>“Every morning I wake diminished, and I think to myself: if I don’t  get any worse than this, then I will be able to go on. I will be able to  relieve myself, put some food in my stomach, take care of the dog and  the cat, and go be productive for someone. Every morning I wake to find  that my hands are more useless, curled, and insensate, add that my legs  are more distant meat objects, useful as stilts, perhaps, but not much  else.</em></span></p>
<p><span style="font-size: x-small;"><em>“And every morning I wake with fewer words.”</em></span></p>
<p><span style="font-size: x-small;"><em>Spiny Tim once kept a blog titled Calebism, where he posted occasional images of his art.</em></span></p></blockquote>
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		<title>Good Summation, Eileen</title>
		<link>http://spinytim.com/2010/11/02/good-summation-eileen/</link>
		<comments>http://spinytim.com/2010/11/02/good-summation-eileen/#comments</comments>
		<pubDate>Tue, 02 Nov 2010 20:36:17 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MultipleSclerosis]]></category>
		<category><![CDATA[ppms]]></category>

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		<description><![CDATA[Living the MS Life: Primary Progressive MS Primary Progressive MS is the saddest MS course to me. About 10% of people with MS have PPMS. From the beginning one who has this type has gradual continual worsening of MS symptoms. There may be a little fluctuation and temporary improvement but no relapses. There is no [...]]]></description>
			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><!-- End Shareaholic LikeButtonSetTop Automatic --><p><a href="http://livingthemslife.blogspot.com/2010/10/primary-progressive-ms.html">Living the MS Life: Primary Progressive MS</a><br />
<blockquote>Primary Progressive MS is the saddest MS course to me. About 10% of people with MS have PPMS. From the beginning one who has this type has gradual continual worsening of MS symptoms. There may be a little fluctuation and temporary improvement but no relapses.  There is no real treatment for this type of MS and most have trouble walking in various degrees. My Mom had  Primary Progressive MS and it was so  upsetting to see her get worse right before my eyes and I could do nothing. </p></blockquote>
<p>Technorati Tags: <a class="performancingtags" href="http://technorati.com/tag/ppms" rel="tag">ppms</a></p>
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		<title>Feels like this</title>
		<link>http://spinytim.com/2010/11/01/feels-like-this-13/</link>
		<comments>http://spinytim.com/2010/11/01/feels-like-this-13/#comments</comments>
		<pubDate>Tue, 02 Nov 2010 00:15:14 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MS poisons my dreams]]></category>

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		<description><![CDATA[via flickr.com]]></description>
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<div class="posterous_quote_citation">via <a href="http://www.flickr.com/photos/wojszyca/5137063943/">flickr.com</a></div>
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		<title>Data against CCSVI role in ms,  Multiple Sclerosis, #multiplesclerosis, #ppms,, primary progressive Multiple Sclerosis,</title>
		<link>http://spinytim.com/2010/10/28/data-against-ccsvi-role-in-ms/</link>
		<comments>http://spinytim.com/2010/10/28/data-against-ccsvi-role-in-ms/#comments</comments>
		<pubDate>Fri, 29 Oct 2010 01:52:11 +0000</pubDate>
		<dc:creator>spinytim</dc:creator>
				<category><![CDATA[MultipleSclerosis]]></category>
		<category><![CDATA[ppms]]></category>
		<category><![CDATA[Chronic cerebrospinal venous insufficiency]]></category>
		<category><![CDATA[multiple sclerosis]]></category>
		<category><![CDATA[Paolo Zamboni]]></category>

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		<description><![CDATA[Chronic cerebrospinal venous insufficiency and the doubtful promise of an endovascular treatment for multiple sclerosis &#8212; Dorne et al. &#8212; Journal of NeuroInterventional Surgery Data against CCSVI role in MS Although the Zamboni papers have been quite supportive of CCSVI, there are a growing number of papers that raise serious questions about its validity. In [...]]]></description>
			<content:encoded><![CDATA[<!-- Start Shareaholic LikeButtonSetTop Automatic --><!-- End Shareaholic LikeButtonSetTop Automatic --><p><a href="http://jnis.bmj.com/content/early/2010/10/23/jnis.2010.003947.full">Chronic cerebrospinal venous insufficiency and the doubtful promise of an endovascular treatment for multiple sclerosis &#8212; Dorne et al. &#8212; Journal of NeuroInterventional Surgery</a></p>
<blockquote><p>Data against <a class="zem_slink" title="Chronic cerebrospinal venous insufficiency" rel="wikipedia" href="http://en.wikipedia.org/wiki/Chronic_cerebrospinal_venous_insufficiency">CCSVI</a> role in MS</p>
<p>Although the Zamboni papers have been quite supportive of CCSVI, there are a growing number of papers that raise serious questions about its validity. In early 2010, Khan et al described a number of independently accepted characteristics of venous disease and MS that contradict the CCSVI theory.6</p>
<p>1.</p>
<p>Similar to other autoimmune diseases, MS is more common in young women while chronic venous insufficiency syndromes are not.<br />
2.</p>
<p>There are well known strong epidemiological associations between MS and geography, ethnicity, sun exposure, low vitamin D levels, gender, genetics and immigration studies that are not mirrored by chronic venous insufficiency.<br />
3.</p>
<p>Central <a class="zem_slink" title="Hepatic veno-occlusive disease" rel="wikipedia" href="http://en.wikipedia.org/wiki/Hepatic_veno-occlusive_disease">veno-occlusive disease</a> can lead to syndromes of idiopathic intracranial hypertension, ischemic and hemorrhagic infarcts and edema, none of which is typically seen in MS patients.<br />
4.</p>
<p>Vascular abnormalities related to chronically diminished venous flow would be expected to increase over time, yet after the age of 50 years the incidence of MS is quite low.<br />
5.</p>
<p>There is no other model of decreased venous drainage and an organ specific immune response.<br />
6.</p>
<p>Transient global ischemia is known to occur with jugular insufficiency but this entity is not seen in MS.<br />
7.</p>
<p>Radical neck dissections remove all jugular veins but they have never been seen to cause MS.6</p></blockquote>
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