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The author’s new novel centres around an elderly couple bound in a suicide pact. Watching her parents age, the subject of dying with dignity is never far from her mind
Dear Care and Feeding,
Is there ever a time when telling a preteen about a parent’s lack of child support/refusal to get a decent job is appropriate? My ex and I share an 11-year-old daughter. My husband and I moved halfway across the country a year and a half ago for a rare and great job opportunity. I have paid to fly us back to visit her dad about every three months, with one longer span when I took her on a holiday trip instead. As my ex only ever had minimal visitation rights, the transition was not super difficult, with the exception of when he cries to her about not seeing her.
To treat or not to treat?
I’ve been treated with four DMTs in my four decades of living with MS. The first was Avonex (interferon beta 1a) in 1996. Then came Tysabri (natalizumab) and Aubagio (teriflunomide). The most recent was Lemtrada (alemtuzumab) in late 2016. I believe Lemtrada was the most effective of the four, and I was 68 when this treatment began. Lemtrada halted my progression and improved some of my symptoms.
But some neurologists won’t prescribe a DMT for someone older than 50 or 60. There is some indication that the older you get, the less your MS will progress, so those doctors think you don’t need treatment. There’s also a concern that older people may poorly tolerate a DMT’s side effects.