![]() The author argues that in a patient with no clinical history of MS-like relapses and a normal neurologic examination- improbable MS-the absence of lesions typical for demyelination makes the diagnosis of MS untenable. Could this patient have multiple sclerosis (MS), a potentially crippling, neuroinflammatory disorder characterized by diverse symptomatology and multiplicity of white matter lesions? 1 The situation is particularly vexing if the patient with multiple nonspecific brain lesions also has multiple nonspecific sensory, vestibular, cognitive, and affective symptoms. Matthews about ‘dizziness,’ there can be few physicians so dedicated to their art that they do not experience a slight decline in spirits when they learn that a patient’s brain MRI shows nonspecific white matter T2-hyperintense lesions compatible with microvascular disease, demyelination, migraine, or other causes. The Government of Canada also has additional resources about how to self-isolate and how to care for someone with COVID-19.Paraphrasing W.B. follow hand washing guidelines, cough and sneeze guidelines and cleaning and disinfecting guidelines.book a COVID-19 test if you’re experiencing COVID-19 symptoms you can call 811 if you’re unable to book a test online (or to speak with a nurse).avoid having visitors to your home or where you’re self-isolating.avoid anyone with chronic conditions or a compromised immune system and older adults.have groceries and other supplies delivered.avoid leaving your property, apartment building, condo or hotel except for outdoor exercise within walking or running distance of where you’re self-isolating – you shold keep a physical distance of 2 metres (6 feet) from others (or wear a mask).wear a mask in common areas if you’re self-isolating in an apartment building, condo or hotel and need to leave the property for outdoor exercise, necessary healthcare or getting tested for COVID-19.avoid elevators or stairwells if you live in an apartment building, condo or hotel (stay inside your unit if you can). ![]() if you need to share a space (like a bedroom or bathroom), disinfect surfaces that were touched.use a separate bedroom and bathroom, if you can. ![]()
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