I took this figure from a paper that has little to do with the point I’m going to make here today.
After having done this for a few years I hope I have earnt the right to speak my mind?
The Figure demonstrates that only 30% of individuals experience slow progression, whilst an overwhelming 70% deteriorate rapidly without treatment.
Its true MS evolves over a number of years and the trajectory may not be clear at the outset, but the fact remains that MS should be treated early as conceivably possible to avoid long-term disability progression (CDP). This should be the prima facie take home message from this figure, and not that MS is heterogenous condition and affects everyone differently mantra. Because, ruminations and thoughtful contemplation’s are perfectly acceptable in works of fiction and research publications, but have little place in illness.