2. Thesis I plan to educate the class on what multiple sclerosis is and how it affects thousands of people in the United States. As Time goes on this disease effects more and more families around the world.It is important for people to know the basic of the disease. So they have a better understanding on what they are going through and how they can help out.
3. Personal Relevance I choose this subject because of my dad. He has had MS for over 25 years and I have watched him struggle. Recently my dad was in the hospital/ physical therapy for 7 weeks because his leg got infected and was unable to use his legs. It took him 5 weeks to regain some of his strength back and he is still not back to normal. Now this effect me more than ever.
4. What Is MS? "About MS." National Multiple Sclerosis Society. Nap., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/about-multiple-sclerosis/index.aspx>.
5. Central Nervous System "Central Nervous System." Multiple Sclerosis. N.p., n.d. Web. 27 Feb. 2010. <http://www.mult-sclerosis.org/centralnervoussystem.html>.
16. Living With MS "Lifestyle and Home Remedies." Mayo Clinic. N.p., n.d. Web. 29 Feb. 2010. <http://www.mayoclinic.com/health/multiple-sclerosis/DS00188/ DSECTION=lifestyle%2Dand%2Dhome%2Dremedies>.
17. Adapting Your Home "Living With MS." National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/living-with-multiple-sclerosis/ index.aspx>.
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25. Stress/Depression "Lifestyle and Home Remedies." Mayo Clinic. N.p., n.d. Web. 29 Feb. 2010. <http://www.mayoclinic.com/health/multiple-sclerosis/DS00188/ DSECTION=lifestyle%2Dand%2Dhome%2Dremedies>. "Lifestyle and Home Remedies." Mayo Clinic. N.p., n.d. Web. 29 Feb. 2010. <http://www.mayoclinic.com/health/multiple-sclerosis/DS00188/ DSECTION=lifestyle%2Dand%2Dhome%2Dremedies>.
26. Diet All About Multiple Sclerosis. N.p., n.d. Web. 1 Apr. 2010. <http://www.mult-sclerosis.org/Paleolithicdiet.html>.
28. Medicines Medicine Medicine Net. N.p., n.d. Web. 3 Apr. 2010. <http://www.medicinenet.com/ multiple_sclerosis/page5.htm>.
29. Side Effects Side Effects "Interferons for relapsing multiple sclerosis." Medicine Net. N.p., n.d. Web. 1 Apr. 2010. <http://www.medicinenet.com/multiple_sclerosis/ page4.htm#inter>.
32. Interferon's for relapsing multiple sclerosis "Other medications approved for relapsing multiple sclerosis." Medicine Net. N.p., n.d. Web. 3 Apr. 2010. <http://www.medicinenet.com/ multiple_sclerosis/page5.htm#other>.
33. Different Types Of Interferon's "Other medications approved for relapsing multiple sclerosis." Medicine Net. N.p., n.d. Web. 3 Apr. 2010. <http://www.medicinenet.com/ multiple_sclerosis/page5.htm#other>.
34. MS Society "About the Society." National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/about-the-society/ index.aspx>.
35. What You Can Do "Get Involved." National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/get-involved/index.aspx>.
36. Bike MS "Bike MS." National MS Society. N.p., n.d. Web. 10 May 2010. <http://bikepae.nationalmssociety.org/site/ PageServer?pagename=BIKE_PAE_homepage>.
37. "Bike MS." National MS Society. N.p., n.d. Web. 10 May 2010. <http://bikepae.nationalmssociety.org/site/ PageServer?pagename=BIKE_PAE_homepage>.
45. Classroom Activity Left Handed- If you are left handed you want to put your left hand behind your back. Tape your right hand’s thumb down Right Handed- Do the reverse and tape your left hand’s thumb down
46. Classroom Activity 1. Try to tie both of your shoes (double knot them) 2. Write one paragraph (3 to 4 sentences) about anything and try drawing these pictures 3. Try Getting Dress
47. Work Cited Works Cited “About MS.” National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/about-multiple-sclerosis/index.aspx>. “About the Society.” National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/about-the-society/index.aspx>. “Central Nervous System.” Multiple Sclerosis. N.p., n.d. Web. 27 Feb. 2010. <http://www.mult-sclerosis.org/centralnervoussystem.html>. “Classification.” Library Of Med (Utah). N.p., n.d. Web. 27 Feb. 2010. <http://library.med.utah.edu/kw/ms/mml/ms_class.html>. “Diagnosing MS.” National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/diagnosing-ms/index.aspx>. “Get Involved.” National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/get-involved/index.aspx>. “Lesions.” Multiple Sclerosis . N.p., n.d. Web. 28 Feb. 2010. <http://www.mult-sclerosis.org/lesion.html>. “Lifestyle and Home Remedies.” Mayo Clinic. N.p., n.d. Web. 29 Feb. 2010. <http://www.mayoclinic.com/health/multiple-sclerosis/DS00188/DSECTION=lifestyle%2Dand%2Dhome%2Dremedies>. “Living With MS.” National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/living-with-multiple-sclerosis/index.aspx>. “Multiple Sclerosis: Depression and MS.” WebMed. N.p., n.d. Web. 29 Feb. 2010. <http://www.webmd.com/multiple-sclerosis/guide/ms-depression>. “Rehabilitation.” Multiple Sclerosis Health Center. N.p., n.d. Web. 28 Feb. 2010. <http://www.webmd.com/multiple-sclerosis/rehabilitation-for-multiple-sclerosis>. “Symptoms.” Google Health. N.p., n.d. Web. 27 Feb. 2010. <https://health.google.com/health/ref/Multiple+sclerosis>. “Treatment.” Google Health. N.p., n.d. Web. 27 Feb. 2010. <https://health.google.com/health/ref/Multiple+sclerosis>. “What Causes MS?” National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/what-causes-ms/index.aspx>. “Who Gets It?” National Multiple Sclerosis Society. N.p., n.d. Web. 25 Feb. 2010. <http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/who-gets-ms/index.aspx>.
48. Work Cited Works Cited All About Multiple Sclerosis. N.p., n.d. Web. 1 Apr. 2010. <http://www.mult-sclerosis.org/.html>. “Available beta-interferons include.” Medicine Net. N.p., n.d. Web. 3 Apr. 2010. <http://www.medicinenet.com/_sclerosis/page4.htm#inter>. “Bike MS.” National MS Society. N.p., n.d. Web. 10 May 2010. <http://bikepae.nationalmssociety.org//?pagename=BIKE_PAE_homepage>. “How MRI Works.” How Stuff Works. N.p., n.d. Web. 6 Apr. 2010. <http://www.howstuffworks.com/.htm>. “Interferons for relapsing multiple sclerosis.” Medicine Net. N.p., n.d. Web. 1 Apr. 2010. <http://www.medicinenet.com/_sclerosis/.htm#inter>. Medicine Net. N.p., n.d. Web. 3 Apr. 2010. <http://www.medicinenet.com/_sclerosis/.htm>. “Multiple Sclerosis Exercise.” Webmd.com. N.p., n.d. Web. 1 Apr. 2010. <http://www.webmd.com/sclerosis//sclerosis-exercise>. New Science Health. N.p., n.d. Web. 2 Apr. 2010. <http://www.newscientist.com//-multiple-sclerosis-reversed-with-stem-cell-therapy-.html>. “Other medications approved for relapsing multiple sclerosis.” Medicine Net. N.p., n.d. Web. 3 Apr. 2010. <http://www.medicinenet.com/_sclerosis/.htm#other>. “Tremors as a Symptom of Multiple Sclerosis.” About.Com. N.p., n.d. Web. 3 Apr. 2010. <http://ms.about.com////_overview.htm>.
49. Conclusion I hope from my presentation you have learned the basics of MS. Just because a disease may not kill, it doesn’t mean it can’t affect you and family just as much. I hope you will participate in a walk or some other form of charity. I hope you will walk away more knowable then when you did when you took your seat.
Hinweis der Redaktion
I choose this subject because of my dad. He has had MS for over 25 years and I have watched him struggle. Recently my dad was in the hospital/ physical therapy for 7 weeks because his leg got infected and was unable to use his legs. It took him 5 weeks to regain some of his strength back and he is still not back to normal. Now this effect me more than ever. So by doing research it would help me where he is at and what I can do to help out more.
Multiple Sclerosis is a disease that attacks the central nervous system. Fatty myelin sheaths around the axons of the brain and spinal cord are damage. MS affects the ability of cells to communicate with each other. This leads to most cases to some sort of paralysis in the body.
The central nervous system coordinates all parts of the bodies functions. The central nervous system is made up of the brain and the spinal cords. Your brain is protected by your skull and your spinal is protected by your vertebrae. Millions of nerves all communicate through this delicate highway to make your life possible. From the littlest of things like picking up a spoon to eating your daily breakfast requires cooperation of thousands of nerves. In cases of MS patient this highway gets destroy. the delicate protein get eaten away which no longer able to send signals to your brain. This interns causes your body to not be able to function properly. Muscle spasm usually accrues and the person is unable to break them. You either must wait it out or try slowly to exercise that point to help break the spasm. If you are lucky enough it will just slightly be damaged. In that case you start to loose the balance, coordination and other basic functions. Usually however it deteriorates to point where the person can no longer walk and will accrue wheelchair assistance.
There is no direct link to a specific cause for MS. Scientist are still trying to solve this mystery. From what we do know there is no direct genetic link to the disease. Another 3 key factors that might determine what causes MS is other diseases, Environmental and immunologic. Diseases. These Include measles, canine distemper, human herpes virus-6, Epstein-Bar and Chlamydia are being investigating as being a trigger. In the environmental cases it shows that vitamin D may be playing a roll in this. Studies show that people who were born near the equator then move to a different part of the world before 15 there chances increase. Reasons for this are vitamin D impact your immune system helping to fight autoimmune diseases like MS. So people near the equator living there get more sunlight which means more vitamin D. so somewhere in-between the age of 15 and moving it seems some sort of change is accruing.
MS accurse in women 2 to 3 times more like then men which is a significant differerance. This most likely has to the role of hormones and how they affect you. The risk for the general public is 1/750 this rises to 1/40 in children who's parents have it. Most cases are diagnosed in the age range of 20-50. teens and children can get it but it very rare. It is most common in Caucasians but all ethics group can acquire it. About every 2 weeks 2 people are diagnosed with it. There about 400,00 people with the disease.
There is a wide rage of symptoms. The most common symptoms are having walking/balance issue, numbness, fatigue, bladder/bowel dysfunction and so on. Less common symptoms speech disorders, seizers, tremor, respiration/breathing problems. Symptoms of MS usually appear in periods called relapses. Some attacks are preceded by commons triggers. Relapses are more random and can happen at anytime.
A tremor is an involuntary, repetitive, rhythmic shaking or twitching movement. This usually happens in the hands and head. The most common kind of tremors is called a Essisential tremors. This kind of tremors only occurs when a person is moving. These tremors basically cause iritic shaking. The best example of this is back in cartoons when they haven't slept in “weeks” they go to pick up a cup of coffee. It starts spilling all over the place because it basically looks like there shivering. It can also effect there speech making them hard to understand.
Lesions are the scars that form in the nervous system. Lesions cause inflammation in the central nervous system in which neurons have their myelin destroyed. Myelin are proteins sheets that control the signals in your central nervous system. This is why many MS patients are reduced to wheelchair because their myelin sheaths have been ruined. This destructive processed is called Demyelinated. Modern technologies such as MRI scans and CT scans show where the lesions are. Before there was no way to determine where they where in the body. In recent year studies have showed there are four different types of lesions which may mean there is for different forms of multiple sclerosis. That could even be that MS is four different disease together in its entirety.
One of the problem with ms there is no real physical findingsor lab test that they can use to determine if you have MS. They also may be similar to other medicinal conditions so all others most get ruled out. Find evidence of two serrate damages in the central nervous system. This can be found by using a Neuroimaging. This analysis shows the cerebrospinal fluid. You can also test for cerebrospinal fluid obtained from lumbar punctures. This test for oligoclonal bands which are inflammation markers found in 75%-85% of MS patients. One other way you can test for MS is evoked potentials. This tests for responses in the body using visual and sensory test. Since MS patients nervous systems are block/damaged their responses are less then normal stimulation of a normal person.
MRI stands for Magnetic resonance imaging. MRI works by using magnetic fields/pulses of radio wave energy to produce pictures of your body. MRI’s Take place in a 7 foot tall white cylinder. When they lay you in the machine the body part they are examining is held down and they slide you in. Sometimes these machines can cause claustrophobia because your are in a small space and not aloud to move for 45 minutes to a hour. Sometimes to provide a even clearer view, they inject you with dye. When you are in the machine the different magnetic fields examine that one body part. If you do not stay absolutely still they will not get a clear images. Otherwise you will half to repeat part of the procedure again. These images allow extraordinary views to be showed of the inside works of the human body.
There is no cure for MS at this time period. At this point in time they focus on trying to control the flare-ups of MS. One of the problems with the drugs they use are very dangerous. Similar ways to control ms is with physical therapy. This keep their muscle in shape. It helps strengthen what little strength they have to do the simple things like take a step or two that they might not be able to do on their own. In worse cases speech therapy might be needed. Another common way that helps MS patient is getting infusion in there body once a month. It helps stop flare up and subdues symptoms. They will be very week however a few days after the infusion so sleep and rest is necessary.
There are four classifications of MS the first one is relapsing remitting, this is characterized by relapse then followed by periods of time of remission. This can be anywhere from a few months to years of no signs of having disease activity. The 2nd classification is called secondary progressive. This is when you have progressive neurologic decline between attacks without any definite periods of remission. The 3rd type is called primary progressive. Where individuals who never have remission after their initial MS symptoms. The 4th and final one is called Progressive relapsing (Benign). In this the person suffers steady neurologic decline but also suffer superimposed attacks.
The goal of rehabilitation is to improve and maintain the normal body function. Rehabilitation is considered necessary component of comprehensive, quality health care for people with MS. It is necessary for all stages of the disease. Physical therapy evaluates what ability and functions you are struggling with. Whether it is walking, strength, balance, fatigue or pain. The finally end is strengthening your muscles so you can increase your mobility. Excises include strength training, range-of-motion exercises, gait training. They also train in mobile aids such as crutches, scooters, and wheelchair.
There are a lot of struggles people living with MS half to face. From the everyday habits that we take for granted like be able to move freely to getting a job. Sleep problems may accrue due to muscle spasms and other factors. To help with this they suggest not taking naps during the day, not smoking during night, going to bed when you are tired and try to do the best to relax yourself. Something people with MS people must do is exercise. Do not over do it because they may hurt themselves in the process. Stress can be a trigger for MS and makes the body week. So try your best to stay calm and relaxed.
A person living with MS is going to need help getting around the house. They are going to half to have devices to help them do there everyday activities. Devices for the home that can help out at the house are built-up utensils, grab bars, reacherdevices and sliding bars. If worse comes to worse and the person is no longer able to walk, you will need some type of wheelchair. Building ramps where your stairs is the best solution to making your house wheelchair accessible.For clothing wise they are going to have a hard time getting dress. Having a sitting chair with arms rest where they can get dress will keep them from losing there balance. Wear clothes that are loose fitting or have elastic waistbands. Also you can always use devices like shoehorn or sockaid for additional assistance. For bathing install grab bars inside and outside of the shower. This is one of the most dangerous places for them because they have the ability to easily loose balance and potential injure themselves severely. Make sure there is someone home incase they fall. use nonskid mats in the bathroom. Always makes sure the floor is not slippery. Use lukewarm water. Very hot water can cause fatigue and aggravate your symptoms. These days there are wheelchair accessible bathtub they may be more fitting for your situation.
These are grabs bars which you can install anywhere in your house that they may be needed. They are steel and they are simple to install. All you need is a screwdriver and some screws.
This a chairlift. If the person living with MS is living up stairs this is the best thing possible for them. It has a track which it rides and is powered by a battery. Make sure you are with them with going up. When they get to the top you want make sure they don’t lose their balance and fall down the stairs.
This is a portable toilet. A lot of times they have blatter problems. This makes it convenient if they are unable to make it to a toilet.
A chair for a shower which you can sit it. Provides a stable ground for a person to take a shower
A shower like this makes it easy for a person to bath. They can pull it of and sit down in a bath chair and not half to worry about slipping and falling,
These are grab bars that you would install in your bathroom
This toilet is a bit higher then normal toilets. It makes it easier for the person to get off after using.
Disease like MS can lead to frustration, anger, hopelessness and depression. Depression is defined as a mood disorder, and there are several subtypes. Bipolar disorder, also known as manic-depressive illness, is considered in a separate category. Stress is bad and can be a trigger for the disease. Warning signs can include anger, sadness and mood swings. this behavior might change like acting on impulse and overacting. Best for him and everyone is to find something that will calm him down. From taking him out of the house to just keeping his mind occupied. Depression happens a lot because of the hopeless they feel. They feel as if there life is gone and they are useless. So make them feel like there still apart of the family. This will be a lifetime battle for everyone.
It is believed that Paleolithic diet is effective in treating MS. It was founded by MichuelMacdougall. He had not been able to use his legs, eyes and fingers. After years of this diet he was able to gain back muscle control/reflexes. They all went back to normal. In his diet he believes that you should not eat any food that contain gluten. This means avoids breakfast cereals, pasta and bread. No foods that contain dairy produce such as liquid milk and cream, butter and cheese. MacDougal reframes from eating refined sugar and placing it with such things as honey and fruit sugars to sweeten food. Vitamin and Minerals are essential in the diet from getting enough vitamin B12 to Calcium Gluconate. The whole theory behind this diet is that humans evolved in millions of years. In the past 11,000 years modern day food has changed. This modern aged agriculture, our bodies have not yet adjusted to eat. we were not designed to eat these. Advocates of this diet say because our bodies have not evolved for such food, it is part of the root for a whole list of disease. Even if you do not believe in his reasons you should still try the diet. The explanation you may not agree with but it could help with your MS. Always make sure a MS patient is getting all the vitamins and protein and can get.
Exercise is one of the most important things you can do for ms patient . It will help them relieve symptomsand keep whatever strength in there muscles left. The key things when it comes to exercise is not do overdo it. This could cause serious damage to the person’s body with permanent consequences. 3 key things when it comes to exercise is the types of exercises which are best suited for you. You don’t want to do any that might hurt you. 2nd is the intensity of the work out. You want to push them enough that they get enough exercise but not enough that they get overworked and overtired. Finally is the duration of the workout and any physical limitations of the person.
There are many different types of medicines for treating MS due to the fact that there is no official cure. Medicines such as Glatiramer Acetate, Natalizumab, and Mixoxtantrone. Glatiramer acetate is a drug for reducing the frequency of relapses. It is believed that this drug blocks the effects of MS. Natalizumb is another drug for treating the relapsing of MS. It is used to the progression of physical disability. This medicine is recommended for people who are unable to tolerate an alternate multiple sclerosis therapy. Mixotoxantrone is a medicine reserved for advanced/worsing cases of MS. It it used for reducing neurologic disabilities. It is only used for people status who's have abnormal relapses
For every medicines there is apossibly side effect. The side effects for a lot offers these drugs are dangers. Mixtoxantrone is only used for serious cases because it carries the risk of serious side effects like leukemia. People who also take Natalizumab face risk of a infection of the brain and other fatal diseases.1 out of every 10 patients who take Glatiramer Acetate get a reaction of chest pain/tightness, palpitations, anxiety and the list goes on. In many cases the side effects are worse then the actually disease. I know from personal experience my dad has been offer to use new drugs but after going through the side effects on it she has decline several times. It a serious thing when the medicine to make you better can kill.
People with MS usually go to get infusions to slow the effects Multiple Sclerosis. Depending on the medicine you are taking with it. You can get them as often as 3 times a month or it could be taken every 28 days for 2 hours a day. In a Infusion they take a iv-bag and put medicine and let it drip directly in your body. It is a long process. After infusions MS patients are usually week and tired. It takes a lot out of them. They usually get back to there old selves within in a day or 2.
Stems cell research is one of the most debated subjects in recent health history. It has the ability to heals and treat such diseases and multiple sclerosis. In trail a doctor recruited 12 women and 11 men in early stages of relapsing-remitting MS. They used stem cell from the patients bone marrow and killed existing immune systems cells with chemicals. Three years later 17 of the patients have improved at least 1 point on standard disability scale. No patients showed any signs of any sort of deterioration from getting the stem cells. Doug Brown from the UK’s MS Society said this encoring results for the first time it appears the MS has been reversed. He says that more test are needed. The new challenge we face is providing effective trails involving large amounts of people.
Since 1993 they have been using interferon to manage multiple sclerosis. interferon's are protein messengers that cells of the immune system manufacture and use to communicate with one another. They regulate the immune system and also help them fight against viruses. Each interferon's function differently such as alpha, beta, and gamma) Patients experiences less relapses and longer times spans in-between them. Giving them chances to get better without the worry of another attack. By taking these you can have side effects such as fever, tiredness/weakness and muscles aches. As time goes on these symptoms should go away.
There are three types of interferon treatments that are FDA approved. Interferon beta-1b are used for relapsing patients. It reduces the frequencies of these attacks. Interferon beta-1a is used to delay the accumulation of physical disability. Interferon beta-1a (Alone) is used for slow relapsing forms of the multiple sclerosis. It does the same as the first one just another options medicine wise.
The MS society is a non-profit organization that is nationwide promoting advance on issue relating to multiple sclerosis. They organize a wide range of programs to help raise money forthe organization. It was founded in 1946 and has ever grown stronger and doing great goods for the cause. They are relentlessly pursuing prevention, treatment and cure for MS. They help families with MS by throwing events for families living multiple sclerosis. They are the biggest group right now helping people with MS.
There are many things the average person can do to help out. There are nearly 600 MS walk around the country that you can participate in. For peoplelooking for more of a challenge there 30-50 mile walks over a 2-3 day period. You can host/create community events to help raise awareness and fundraise for the MS movement. If walks are not your thing there are places like VolunteerMatch.com where you can do volunteer work and help out. Also you can go through the MS society to the dozens of programs they offer. You can even involve your companies in the support. There are hundreds of companies that have partnered with the MS society so go support and help out.
Bike MS originally start in 1980 as a 1 day thing and has flourished something they could not have foreseen. There are are almost 250 cycling events in a year and can be found in almost every state. They run anywhere from 3 miles for a family event/little kids to 250 miles and can take place of several days.
On there website you can use there map to find a event near you. You use the top to select state, rating and month. Then at the bottom from the info you have provide it will pop up and you scroll threw the results.
For my application part of my sgp I decided to put my love for music into place. Ihad some friends that played in bands that I knew that would want to help out. I called them up and we came together on a date that would work for everyone January 22nd 2010. It was going to be sooner but due to everyone havingcomplications with there schedule that was the date everyone was free and it was a Friday. That meant more kids would be able to come. Originally there were to be 6 bands to play but we mananged to squeeze a 7thband in there because they we able to play a quick set.
I had my friend Steve film for a good part of the show and with his footage I put this together.
At the end of it all the concert turned out a success. Everything ran smoothly for the most part. The show lasted a little bit longer due to issues with set up times but other then that it was all good. At the end of it all I had raised $350 for the ms society and I felt real good about myself knowing I made a difference. Every penny helps them in fight for a cure. I would half to say more then 100 showed up. I would have made more money but due to some miscommunication some people thought it was free/got the money count wrong. At the end of it all I decided not to kick them out because they at least came to support and I wasn’t going to be rude and make them drive home. All and all everyone who was there said it was one of the best shows they been to. Me personally I never danced as hard as I did at the show. The energy was great, the bands were awesome and the kids were amazing. It was a win win for everyone.
After the concert my dad called and had the MS Society mail us this envelope with all the information we would need.
