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Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. MRI for re-establishing baseline can be obtained at 6 months after disease modifying therapy initiation, and thereafter every 6-12 months individualized according to disease severity, activity when disease modifying therapies are started, as well as type of disease modifying medication (please see the individual Mellen Approaches for the timing of onset of therapeutic effect with each therapy). See or call your doctor & ask. Contrast can rarely cause nephrogenic sclerosing fibrosis, but this is seen only in patients with severe renal disease and only in a small fraction of patients treated with contrast. In general, the pump is deactivated by the MRI, and then restarts automatically, but this should always be checked by qualified personnel after the MRI scan. Non-specific is used for a symptom, sign, test result, radiological finding, etc., that does not point towards a specific diagnosis or etiology. The existence of nonspecific findings and symptoms highlights the importance of research that advances the ability to diagnose illness quickly and accurately. The cookie is used to store the user consent for the cookies in the category "Other. Patients whom we are considering switching disease modifying therapy should also obtain MRIs. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. If the lesions are changing. I know you feel terrible but nothing catastrophic is occurring. Sagittal T2 weighted sequence, sagittal STIR sequence, sagittal T1 weighted sequence, axial T1 weighted sequence, axial T2 weighted sequence, axial and sagittal T1 weighted post-contrast sequences (if needed). If (s)he can't, then (s)he's obligated to find someone who can. We are more cautious regarding the certainty of the diagnosis in such patients, and rely more heavily on lumbar puncture results and other supportive diagnostic testing results such as evoked potentials and optical coherence tomography.