BMJ  2005;330:885-888 (16 April), doi:10.1136/bmj.330.7496.885

Clinical review

The patient's journey: multiple sclerosis

Michaela Langgartner, specialist in training, Department of Pediatrics1, Ingrid Langgartner, technician2, Marcus Drlicek, pathologist, Clinical Institute for Neurology1

1 Medical University Vienna, Allgemeines Krankenhaus Wien, Währinger Gürtel 18-20, A-1090 Wien, Austria, 2 Department of Anesthesiology, Laboratory for Blood Groups, Landeskrankenhaus Kirchdorf, Hausmanningerstraße 8, A-4560 Kirchdorf, Austria

Correspondence to: M Langgartner (Michaela.langgartner@meduniwien.ac.at)

The first 150 words of the full text of this article appear below.

Introduction

Wenn einer eine Reise tut, dann kann er was erzählen

When someone goes on a journey there will be lots to tell afterwards, according to the above Austrian saying. This is how we feel about our description of the journey that is multiple sclerosis. We will not focus on its aetiology, diagnosis, or treatment, but we will concentrate on the experiences of a patient (MD), his wife (IL), and the impressions of one of their children (ML). Looking back on our journey together we will discuss and share our thoughts. A short description of our experiences at time of diagnosis (box 1) and a personal outlook on the future (box 2) are given here; a more detailed description of the journey is on bmj.com

The map

The map of the journey is characterised by good and bad news. The "companions" of the patient and their influence are most important. Our review therefore . . . [Full text of this article]

The good news

The bad news

The companions

The neurologist

The patient

Next of kin: the patient's wife

Relatives and friends

Doctors, nurses, therapists...

Colleagues in the workplace and other patients

"Inanimate" companions

The decision: "ship or plane?"

Conclusion


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