Most people living with MS don't see their neurologist often. For many, it might be only once or twice a year. A lot of important things take place during that appointment. Symptoms are assessed. Decisions about disease-modifying therapies are made or, sometimes, changed. Questions get asked and, hopefully, answered. Dr. Barbara Giesser returns to the podcast, this time, to review the things that should be discussed and followed up on at your appointment with your neurologist or MS specialist. We're also sharing some good news about MS research funding from the National MS Society and the International Progressive MS Alliance. We'll tell you how you can catch the replay of the International Progressive MS Alliance's webcast focused on putting people with MS at the center of MS research. We're sharing the encouraging outcome of the Phase 2 clinical trial for vidofludimus calcium and progressive MS. We'll tell you how you or a family member can participate in the GEMS study. And we'll tell you about a new AI tool that can accurately diagnose a patient's transition from relapsing-remitting MS to secondary progressive MS, often before a clinician can!

Lumbar discectomy is a surgical procedure designed to relieve pressure on spinal nerves caused by a herniated disk. Unlike traditional open surgery, this technique uses small incisions and specialized tools to remove damaged disk material with minimal impact on surrounding tissue. Patients typically experience less pain and quicker recovery, making it a preferred option when conservative treatments fail.

Cochlear implants are neat little devices that drastically improve one's quality of life. However, only about 10% of those that qualify for cochlear implants have actually received one. When one thinks of cochlear implants, the first thing that might come to mind is surgery--invasive, lengthy, with a long time of recovery. However, at PNI, patients can expect a much faster, minimally invasive treatment option. Dr. Rebecca Lewis, the Audiology Director of the Adult & Pediatric Cochlear Implant Program, highlights the importance of getting an evaluation done, and early. Studies have shown that the earlier one gets treatment for their hearing issues, the better the outcome. Mathilde Tranberg, an outreach and patient support specialist at PNI, is a cochlear implant recipient herself. As she was implanted as a child, she knows firsthand how helpful it can be. Her goal is to spread the word about cochlear implants through community outreach and education. Listen in and learn about how these innovative devices are changing lives.

Charles was living a full life when Parkinson's disease hit. Although a progressive neurodegenerative disease affecting movement, there are many medical treatments available to help with symptom management. While Levadopa, the standard of care treatment helped Charles with his symptoms of tremor, he was unable to tolerate it due to the extreme Restless Legs Syndrome he developed. Deep Brain Stimulation (DBS) surgery and treatment at the Movement Disorders Center at Pacific Neuroscience Institute, has saved his life and put him on a new trajectory full of movement and joy. Learn more.

Vivian F. Wu, MD, MPH, is a surgeon-scientist specializing in all cancers of the head and neck, including those of the tongue, throat, voice box, thyroid, skin, and salivary glands. She is the Director of the Head and Neck Cancer Center of Excellence at Saint John’s Cancer Institute and Pacific Neuroscience Institute (PNI).

Dr. Wu earned her medical degree from Howard University and completed her residency at Oregon Health & Science University. She pursued fellowship training at the University of Michigan. She also holds a Masters in Public Health from Yale University. With over a decade of experience, she provides advanced treatments such as minimally invasive thyroid surgery, transoral robotic surgery, and sentinel node biopsy skin and oral cavity cancers.

A believer in multidisciplinary care, Dr. Wu collaborates with experts in oncology, radiation, endocrinology, and dermatology. She is an advocate for HPV vaccination and a former Vice Chair of Research. Dr. Wu is dedicated to improving patient outcomes through innovative care and research, compassionately treating patients at Pacific Head & Neck, Pacific Neuroscience Institute in Southern California.

Located in Los Angeles, we are here for patients from around the globe.

If you are living outside the greater Los Angeles area, out-of-state, or abroad, and want a consultation for a newly diagnosed or recurrent pituitary tumor, brain tumor, skull base tumor, or orbital tumor, our physicians can promptly review your imaging studies and other tests, and provide a recommendation on treatment options, including possible clinical trial participation. We also help patients with spine and neck problems.

These preliminary reviews and recommendations can be done through email or online consultation technology. Based on our review of your records and imaging, we can typically provide a financial quote for all services recommended within 1-2 days.

More than 20% of adults over the age of 55 experience depression, anxiety, and cognitive decline as they age. Shannel Elhelou, PsyD and Ryan Glatt, MS, CPT, NBC-HWC, however, are firm believers in six core pillars for combating cognitive decline. They're called the Vital 6 and consist of stress management, sleep, nutrition, exercise, socialization, and cognitive training. By focusing on interventions that most people can do at home, Dr. Elhelou and Ryan are making cognitive wellness accessible. Ryan Glatt is even the Director of the FitBrain Program at PNI, which combines brain and body training with "exergaming." Tune in and discover how these Brain Wellness & Lifestyle Program experts are helping patients optimize their own Vital 6.

On New Year's Eve of 2017 Ashley had a seizure and passed out. She woke up in an ambulance, passed out again and woke up in an emergency room. An MRI revealed a glioma, a type of brain tumor. After surgery, recovery has been long, but in the hands of expert neuro-oncologist Dr. Naveed Wagle at Pacific Neuroscience Institute - South Bay, Ashley is hopeful, determined, and full of her original spirit. Watch this heartwarming and courageous story.

Tonsil stones are small, calcified formations that occur within the crevices of the tonsils. Composed of hardened minerals or food particles, these growths are generally harmless but can cause unpleasant symptoms such as bad breath or sore throat. Tonsil stones typically appear as small, white or yellowish pebbles on the tonsils. In most cases, they can be removed at home, although surgical intervention may be necessary if they persist or cause discomfort.

Sudden Sensorineural Hearing Loss (SSHL), or sudden deafness, is a rapid loss of hearing. SSHL can happen to a person all at once or over a period of up to 3 days. It should be considered a medical emergency. Hearing loss affects only one ear in 9 out of 10 people who experience SSHL. Many people notice it when they wake up in the morning. Others first notice it when they try to use the deafened ear, such as when they make a phone call. Still others notice a loud, alarming “pop” just before their hearing disappears. People with SSHL often experience dizziness or a ringing in their ears (tinnitus), or both.

Dr. Abbas Anwar, a native of Southern California, is a board certified otolaryngologist – head and neck surgeon, at the Pacific Eye, Ear & Skull Base Center, Pacific Neuroscience Institute. He specializes in all aspects of general and pediatric ENT and has special interests in sinonasal diseases and infections, head and neck surgery, otologic disorders, and throat complaints. He is well trained in the latest leading-edge innovations in otolaryngology including balloon sinuplasty, CT guided sinus surgery, and microlaryngeal laser surgery.