RESOURCES

The following is a list of agencies and services. Many other sources are available but this should give you a start. For information about local chapters & branches, unless otherwise notes, contact the respective national office.

Family

Family Caregiver Alliance
690 Market Street, Suite #600
San Francisco, CA 94104
(415) 434-3388
(800) 445-8106 (CA only)
http://www.caregiver.org

National Family Caregivers Association
10400 Connecticut Ave., Suite #500
Kensington, MD 20895
(800) 896-3650
http://www.nfcacares.org

Disability Organizations

Governors Committee For Employment Of Disabled Persons
800 Capitol Mall-Mic 41
Sacramento, CA 95814
(916) 654-8055
(800) 695-0350
http://www.edd.cahwnet.gov/gcedpind.htm
http://www.gcedp.org

Association For Higher Education And Disability (AHEAD)
P.O. Box 21192
Columbus, OH 43221-0192
(614) 488-4972 (VOICE/TDD)
http://www.ahead.org

Equal Employment Opportunity Commission
Office Of Communication And Legislative Affairs
1801 L St, N.W. 9th Floor
Washington, DC 20507
(202) 275-7377
(800) 669-3362 (publications)

901 Market St., Suite #500
San Francisco, CA 94103
(800) 669-4000
http://www.eeoc.gov
EEOC handles question and concerns about employment discrimination.

National Council On Disability
1331 F Street, N.W.
Suite 850
Washington, DC 20004
(202) 272-2004
http://www.smart.net/~ncd
The National Council on Disability studies and makes recommendations about public policy for people with disabilities. The council also publishes Focus, a free newsletter.

President’s Committee On Employment Of People With Disabilities
1331 F Street, N.W., Suite 300
Washington, DC 20004-1107
(202) 376-6200
http://www.dol.gov/dol/odep
The President’s Committee on Employment of People with Disabilities sponsors a job accommodation network and publishes information on employment issues for people with disabilities and their employers.

Center For Independent Living
2539 Telegraph Ave.
Berkeley, CA 94704
(510) 841-4776
http://www.cilberkeley.org

U.S. Department Of Justice
Civil Rights Division
P.O. Box 66738
Washington, DC 20035-6738
(202) 514-0301
(800) 514-0301 (VOICE)
(800) 514-0383 (TDD)
http://www.usdoj.gov/crt/ada/adahom1.htm
The department of Justice, Civil Rights Division is responsible for enforcement of the Americans with Disabilities Act (ADA). Copies of the ADA can be obtained from that office.

Library Of Congress, Division For The Blind And Physically Handicapped
1291 Taylor Street, N.W.
Washington, DC 20542
(800) 424-8567
(800) 424-9100
(202) 707-5100
http://www.loc.gov/mls
The Library of Congress provides a variety of services for people with visual impairments, including free books on tape, along with the loan of listening equipment; library services through 140 cooperating libraries; and a free booklet, Information for Handicapped Travelers.

Adapt
P.O. Box 9598
Denver, CO 80223
http://www.adapt.com

Bay Area Outreach Recreation Program (Borp)
830 Bancroft Way, Suite #205
Berkeley, CA 94710
(510) 849-4663
http://www.borp.org

Canine Companions
2965 Dutton Ave
Santa Rosa, CA 95407
(707) 577-1700
(800) 572-2275
http://www.caninecompanions.org

National Association For Continence Clearinghouse
P.O. Box 8310
Spartanburg, SC 29305-8310
(864) 579-7900
(800) 252-3337
http://www.nafc.org

Jimmie Huega Center
27 Main Street, Suite #303
Edwards, CO 81632
(970) 926-1290
(800) 367-3101
http://www.heuga.org

National Multiple Sclerosis Society
Northern California Chapter
150 Grand Ave
Oakland, CA 94612
(510) 268-0572
(800) FIGHT MS (800-344-4867)
http://www.nationalmssociety.org/can/home/ (Northern California Chapter)
http://www.nationalmssociety.org/
http://www.msconnections.org

Consortium Of Multiple Sclerosis Centers
Bernard W. Gimbel MS Comprehensive Care Center
c/o Holy Name Hospital
718 Teaneck Road
Teaneck, New Jersey 07666
Telephone: (201) 837-0727
Fax: (201) 837-8504
The CMSC provides a list of MS centers in the United States with the resources available at each center.

International MS Support Foundation
P.O. Box 90154
Tucson, Arizona 85752-0154
http://www.msnews.org

United Way Of The Bay Area
50 California Street, Suite 200
San Francisco, CA 94111
(415) 772-4300
Helpline: (800) 273-6222
Fax: (415) 986-3605
http://www.theunitedway.org

Long Term Care Policy

National Institute On Community Based Long Term Care
c/o National Council On Aging
409 Third Street, S.W., Suite #200
Washington, D.C. 20024
(202) 479-1200
(800) 424-9046
http://www.ncoa.org

Facility Placement

National Citizens Coalition For Nursing Home Reform
1424-16th St NW, Ste 202.
Washington, D.C. 20036-2211
(202) 332-2275
http://www.nursinghomeaction.org

Ombudsman Program Crisis Line
6221 Geary Blvd. 3rd Floor
San Francisco, CA 94121
(415) 751-9788
(800) 231-4024

California Advocates For Nursing Home Reform
1610 Bush St.
San Francisco, CA 94109
(415) 474-5171
(800) 474-1116
http://www.canhr.org

Home & Day Care

UCSF/Mt Zion Home Care
3330 Geary Blvd.
San Francisco, CA 94118
http://mzweb.his.ucsf.edu

The Goldman Institute On Aging
3600 Geary Blvd.
San Francisco, CA 94118
(415) 750-5350
http://www.gioa.org

National Institute On Adult Day Care
c/o National Council On Aging
409 Third Street, S.W., Suite #200
Washington, D.C. 20024
(202) 479-1200
(800) 424-9046
http://www.ncoa.org (National Council of Aging)

Legal Assistance

California Health Decisions
505 S. Main Street, Suite 400
Orange, CA 92868
(714) 647-4920
http://www.cahd.org

National Clearinghouse For Legal Services
205 W. Monroe, 2nd Floor
Chicago, IL 60606
(312) 263-3830
(800) 621-3256
http://www.povertylaw.org

Federal Communications Commission
(ADA Documents & General Information)
445 12th Street, S.W.
Washington, D.C. 20554
(202) 418-0200 / (888) 225-5322
http://www.fcc.gov

Other

American Self-Help Clearinghouse
Northwest Covenant Medical Center
25 Pocono Rd.
Denville, NJ 07834
http://www.cmhc.com/selfhelp
http://www.medhelp.org/web/ncmc.html (Northwest Covenant Med. Center)

Department Of Health Services
Medi-Cal Information
9343 Tech Center Drive #260
Sacramento, CA 95826

Medi-Cal Information
100 Moffett Blvd.,
Mountain View, CA 94043

Federal Emergency Management Agency (FEMA)
(Disaster Preparedness Publications)
P.O. Box 70274
Washington, D.C. 20024
http://www.fema.gov

Medicare Claim Department
Chico, CA 95927
(800) 952-8627
http://www.medicarenhic.com

National Self-Help Clearinghouse
Graduate School & University Center Of The City University Of New York
25 West 43rd Street, Room 620
New York, N.Y. 10036

Planetree Health Library
2040 Webster Street
San Francisco, CA 94115
(415) 600-3681

Social Security Administration
6401 Security Boulevard
Baltimore, MD 21235
(800) 772-1213
http://www.ssa.gov/SSA_Home.html
Contact the Social Security Administration to determine your local branch and if you are entitled to receive benefits, based on your level of disability.

Scooter Manufacturers

Electric Mobility Corporation
One Mobility Plaza
P.O. Box 156
Sewell, NJ 08080
1-800-718-2082
http://www.rascalinsurance.com

Orthokinetics / Lark of America
W220 N507 Springdale Road,
Waukesha, WI 53187
800-558-7786
http://www.orthokinetics.com

Pride Mobility Corporation
182 Susquehanna Ave.
Exeter, PA 18643
(800) 800-8586
http://www.pridemobility.com

Leisure-Lift
1800 Merriam Lane
Kansas City, KS 66106
(800) 255-0285
http://www.pacesaver.com/prodpage.htm

Online Services

Avonex Home Page
http://www.biogen.com

MS Active Source- A Biogen sponsored site providing information for all patients living with MS.
http://www.msactivesource.com

Betaseron Home Page
http://www.betaseron.com

MS Pathways- A Berlex sponsored site providing information for MS patients and their families.
http://www.mspathways.com

Copaxone Home Page
http://www.tevamarionpartners.com

Shared Solutions- A Teva Sponsored site providing information for MS patients and their families.
http://www.sharedsolutions.com

Rebif Home Page
http://www.rebif.com

National Multiple Sclerosis Society Home Page
http://www.nmss.org

Northern California Chapter of the NMSS Home Page
http://www.msconnection.org

International Federation Of Multiple Sclerosis Societies
http://www.ifmss.org.uk

National Institute Of Neurological Disorders And Stroke
http://www.ninds.nih.gov

Multiple Sclerosis Education Network
http://www.htinet.com/msen.html

Consortium Of Multiple Sclerosis Centers
http://info.med.yale.edu/cmsc

International Multiple Sclerosis Foundation
http://www.msnews.org

Dr. Allen Bowling's Website describing complementary and alternative therapies in MS
http://www.ms-cam.org

Aging Parents and Elder Care
http://www.aging-parents-and-elder-care.com

Useful Reading

The following is a selected list of fine books available on MS. Consult the resource section for more specific information.

Health Insurance: How to Get it, Keep it, or Improve What You've Got
Enteen, Robert
Demos Vermande, 1996

Multiple Sclerosis: A Guide for the Newly Diagnosed
Holland, Murray and Stephen C.Reingold
Demos Vermande, 1996

Multiple Sclerosis and the Family
Kalb, Rosalind and Labe Scheinberg
Demos Vermande, 1992

Multiple Sclerosis: The Questions You Have, The Answers You Need
Kalb, Rosalind
Demos Vermande, 1996

Multiple Sclerosis Fact Book
Lechtenberg, Richard
F.A. Davis Company, 1995

Plain Text
Mairs, Nancy
University of Arizona Press, 1986

Multiple Sclerosis: the Facts
Mathews B
Oxford University Press 1985

Multiple Sclerosis: Your Legal Rights
Perkins, Lanny and Sara Perkins
Demos Vermande, 1996

Multiple Sclerosis: New Hope and Practical Advice for People with MS and Their Families
Rosner, Louis and Shelly Ross
Simon & Schuster. 1992

Symptom Management in Multiple Sclerosis
Schapiro, Randall
Demos Vermande, 1996

Multiple Sclerosis: A Guide for Patients and Their Families
Scheinberg, Labe and Nancy Holland
Raven Press, 1987

Therapeutic Claims in Multiple Sclerosis
Sibley, William A.
Demos Vermande, 1996

Multiple Sclerosis in Clinical Practice
Van den Noort S, Holland NJ
Demos Vermande, 1999

Fall Down Seven Get Up Eight
Wolfe, John
Academy Books, 1991

Glossary

Abnormal Reflexes Muscle responses to a stimulus, which can be increased when there is a malfunctioning of the central nervous system.

ACTH (Adrenocorticotropic hormone) Hormone produced by the pituitary gland which stimulates the adrenal glands to produce cortisone.

Attack See Exacerbation.

Ataxia Inability to properly coordinate movement. This usually refers to walking and movement of the arms.

Auto-Immune Disease Refers to conditions in which the immune system goes awry and develops a response against its own cells or tissues.

Autonomic Nervous System Portion of the peripheral nervous system which is not under voluntary control. Governs "automatic" functions like sweating, heart rate, sexual functions, bowel motility.

Central Nervous System (CNS) The CNS consists of the brain and the spinal cord, which are enclosed in the skull and in the spinal canal that is formed by the vertebrae. It is where many of the bodily functions are controlled, where many sensations are processed, and from which signals are sent to the different parts of the body. These functions include muscle control, eyesight, breathing, memory, etc. The CNS is distinguished from the peripheral nervous system, which includes the actual nerves to and from the muscles and other body parts.

Cerebellum The part of the brain (at the base) dealing with the control of balance. It is part of the CNS. Cerebral Spinal Fluid (CSF) A water-like fluid which surrounds and bathes the brain and the spinal cord.

CSF Protein Protein is normally dissolved in spinal fluid and its concentration can be measured. It may be increased when there is inflammation

Cortisone Hormone of the adrenal glands known to have anti-inflammatory and immune system suppressing properties. Also called glucocorticoid or steroid.

Cytokines Messenger chemicals released by T-cells that signal and mobilize other components of the immune system or other organs.

Decubitus Refers to body position that causes an undue pressure on certain parts of the body. This pressure can lead to the eventual breakdown of skin and underlying tissue. Decubitus sores are also called bed sores or pressure sores.

Demyelinating Disease A disease causing loss (or damage) of myelin. Multiple sclerosis is one example of a demyelinating disease in the central nervous system, although other conditions can also lead to dymyelination.

Demyelination Abnormal process that leads to the loss or breakdown of myelin .

Dementia A deteriorated mental state due to a disease process. It canresult from many disorders of the nervous system.

Dexamethasone (Decadron) A high potency glucocorticoid (steroid) which is used to decrease swelling and inflamation in the nervous system.

Diplopia Double vision.

Dysarthria Slurring of speech.

Dysphagia Difficulty with swallowing, often due to weakness or spasm of the esophagus.

Evoked Potentials Diagnostic tests done using stimulation of the special senses (seeing, hearing, feeling) to assess the function in these CNS neural pathways.

Exacerbation (Attack or Relapse) Sudden onset of new symptoms or worsening of old ones due to MS. In general, these symptoms must last for more than 24 hours before it is considered an attack.

Edema A condition in which the body tissues contain an excessive amount of fluid (i.e., when there is swelling of the tissue).

Gamma Globulin A specific proteins found in normal human serum and human CSF which are increased in the CSF in 70-80% of persons with multiple sclerosis. These proteins are antibodies.

Immune Defect General term describing different malfunctions in the immune system where it either does not respond to a foreign substance by destroying or neutralizing it, or where the immune system erroneously destroys normal body structures (auto-immune disease). Examples of the latter condition are lupus erythematosus, rheumatoid arthritis, and multiple sclerosis.

Immune System Consists of a number of different structures in the human body (lymph nodes, bone marrow, thymus gland, etc.) which produce certain types of white blood cells and antibodies which have the ability to destroy or neutralize various germs, substances, and poisons which are foreign to the self.

Incontinence Inability to control the urinary bladder or bowels.

Intrathecal Within the spinal canal.

Lhermitte's Sign Sensation of tingling running down the middle of the back upon bending the neck forward. Can occur in different conditions involving the neck portion of the spinal cord. It is sometimes felt in arms and legs as well.

Lumbar Puncture (Spinal Tap) Insertion of a needle into the spinal canal in order to obtain a sample of CSF, and/or to inject special materials intrathecally.

Lymphocytopheresis Removal of white blood cells from the blood.

Magnetic Resonance Imaging (MRI) A new and powereful technique that produces images of deep internal body structures. This procedure uses magnetic fields rather than radiation to obtain the images.

Motor Usually refers to the ability to carry out activities which require the use of body muscles (i.e., involved in movement).

Myelin Fatty substance which acts as an insulator around most of the nerve fibers in the human body. Cholesterol is main ingredient. Found in the central as well as the peripheral nervous system.

Multiple Sclerosis CNS disorder characterized by worsening (exacerbations) and improvements (remission) of symptoms. This leaves multiple scars (plaques) in the CNS. Frequently encountered symptoms include loss of strength, difficulty with balance and bladder control, numbness and tingling, and blurred or double vision.

Neurogenic Bladder Condition in which the control of urinary bladder control is disturbed. Manifested by frequent or urgent urination, loss of the urge sensation, inability to empty the bladder even though the urge may be present, or loss of bladder control, which then empties itself irregularly and spontaneously.

Nystagmus Abnormal eye movements consisting of repetitive jerks.

Oligoclonal Bands (Immunoglobulin G) Specific gamma globulin proteins (antibodies) that are increased in 80% of persons with MS.

Optic Neuritis Inflammation of the nerve which connects the eye with the brain and which manifests itself mainly as blurring or loss of vision and occasionally pain.

Paresis Weakness, usually in extremities.

Paresthesias Abnormal sensations including, but not limited to tingling, "pins and needles", super-sensitivity to touch, constriction and discomfort.

Peripheral Nervous System (PNS) Consists of all of the nerves in the body (outside the CNS) which carry signals from the CNS to the muscles and organs as well as signals from the body into the CNS.

Plaque Patchy area of inflammation, demyelination, sclerosis in the CNS characteristic of MS damage.

Plasmapheresis Removal of plasma (the fluid portion of the blood that does not include cells) from the blood. This fluid contains the antibodies and its removal is an experimental treatment for MS.

Position Sense bAbility to feel slight movements of fingers or toes and know where body parts are in space.

Reflex An involuntary response of a certain part of the human body to a brief stimulus which usually does not require processing of the stimulus through the conscious mind. Example: jerking of leg upon striking the knee (patellar) tendon.

Remission Improvement or complete disappearance of one or more of the neurological symptoms that result from MS.

Romberg's Sign Inability to maintain balance in the standing position with feet and legs drawn together and eyes closed.

Scanning Speech A type of slurred speech resulting from involvement of the cerebellum. (Also called explosive or ataxic speech).

Spasticity Increased resistance to muscle stretching and loss of normal elasticity of leg and/or arm muscles resulting from CNS disease process. Often manifested by muscle stiffness, which can result in difficulty with movements of the extremities. Steroids (See Cortisone).

Tremor Various rhythmic involuntary movements involving arms, legs or head, occurring in numerous illnesses and conditions and greatly varying in type and severity.

Urodynamic Testing Specialized diagnostic tests of the bladder that measure functional integrity of the urinary system.

Vertigo Dizziness or spinning sensation.

Visual Evoked Potential (VEP) (See Evoked Potentials)

Visual Field Portion of space extending in all directions which can be seen by one eye without changing its position.

White Blood Cells Cells found in normal human blood or spinal fluid known to have protective properties and which are part of the immune system.