{"id":210659,"date":"2024-03-07T09:53:44","date_gmt":"2024-03-07T14:53:44","guid":{"rendered":"https:\/\/today.uconn.edu\/?p=210659"},"modified":"2024-03-08T12:15:58","modified_gmt":"2024-03-08T17:15:58","slug":"making-early-signs-of-multiple-sclerosis-visibl","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2024\/03\/making-early-signs-of-multiple-sclerosis-visibl\/","title":{"rendered":"Making Early Signs of Multiple Sclerosis \u2018VISIBL\u2019"},"content":{"rendered":"<p>Awareness about a disease in at risk-population improve outcomes.<\/p>\n<p>That\u2019s the simple idea behind a new, bilingual resource for both patients, medical students, and providers to help them overcome cultural barriers and recognize the early and critical symptoms of multiple sclerosis.<\/p>\n<p>Social determinants of health, such as education, awareness, cultural, language, socio-economic or access obstacles, can cause unintended delays in diagnosing and treating MS, which result in patients missing out on timely interventions to avoid the onset of disability and progression.<\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/multiple-sclerosis\/about-us\/\">Dr. Jaime Imitola<\/a>, chief of UConn Health\u2019s Division of Multiple Sclerosis and Translational Neuroimmunology, says the intention is to address a lack of education in medical students and general neurologists, and empower the community to remember the early signs of MS that require immediate attention.<\/p>\n<figure id=\"attachment_167809\" aria-describedby=\"caption-attachment-167809\" style=\"width: 300px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"size-medium wp-image-167809 img-responsive lazyload\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-300x300.jpg\" alt=\"Dr. Jaime Imitola headshot\" width=\"300\" height=\"300\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-300x300.jpg 300w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-150x150.jpg 150w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-768x768.jpg 768w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-420x420.jpg 420w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-100x100.jpg 100w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-275x275.jpg 275w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-32x32.jpg 32w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-50x50.jpg 50w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-64x64.jpg 64w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-96x96.jpg 96w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission-128x128.jpg 128w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2021\/01\/Imitola-headshot-submission.jpg 1000w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><figcaption id=\"caption-attachment-167809\" class=\"wp-caption-text\">Dr. Jaime Imitola leads UConn Health&#8217;s Multiple Sclerosis Center. (Photo by Tina Encarnacion)<\/figcaption><\/figure>\n<p>\u201cWe have worked for the last five years to improve the care of the MS patients of the state of Connecticut, and we have created several strategies and research and build a national recognized MS center,\u201d Imitola says. \u201cIn the last two years, with input of medical students, scientists and patients, we created a bilingual \u00a0tool that collects, in a very clear, succinct manner, both compelling graphic and in words, the most relevant and alarming symptoms in early MS. We put it together in a framework that helps anyone to be educated about the initial red flags for multiple sclerosis.\u201d<\/p>\n<p>That led to the mnemonic \u201cVISIBL-MS,\u201d which is the basis for \u201cVISIBLY\u201d in English and \u201cVISIBLE\u201d in Spanish.<\/p>\n<p>Spelling out the English example:<\/p>\n<ul>\n<li><strong>VISI<\/strong>: Vision changes, including painful vision loss of color vision, or double vision<\/li>\n<li><strong>B<\/strong>: Belly or back numbness or balance problems<\/li>\n<li><strong>L<\/strong>: Limb weakness or numbness<\/li>\n<li><strong>Y<\/strong>: Young people<\/li>\n<\/ul>\n<p>Imitola reports on this novel framework <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/13524585241228739\">in the <em>Multiple Sclerosis Journal<\/em><\/a>, a leading peer-reviewed publication in MS, with UConn medical student co-authors Shivam Patel and Seamus Rafferty and collaborators from Quinnipiac University in Hamden, Sacred Heart University in Fairfield, and the Lake Erie College of Osteopathic Medicine in Bradenton, Florida.<\/p>\n<p>Noting how the acronym BEFAST has become synonymous with how to recognize signs of stroke, Imitola is hopeful VISIBL-MS will help the community identify people who may have early signs of multiple sclerosis.<\/p>\n<p>As the authors explain, early MS symptoms are not often recognized by patients and general practitioners, and many patients are dismissed because of the transient nature of the initial symptoms or the belief that only Caucasian people get MS, only to come back with another attack contributing to delays in diagnosis and treatment.<\/p>\n<p>\u201cWe hope to integrate our new tool into medical students\u2019 education, but also that it can be helpful for patients and families, since the design is simple but very informative and the mnemonic can be used in English or Spanish,\u201d Imitola says.<\/p>\n<p>He notes that Connecticut has an increased prevalence of MS, around 370 per 100,000 people, \u201cand there is enough evidence that diverse patients have worse MS due to intrinsic biological aggravated by social factors. UConn Health serves as the flagship safety net institution for the state and we need to make an effort to raise awareness in our populations that are minorities \u2014 African Americans, Hispanics, and others \u2014 because early awareness leads to early treatment and leads to prevention and changing the trajectory of the disease process.\u201d<\/p>\n<p>The <a href=\"http:\/\/www.imitolab.org\/visiblms.html\">VISIBL-MS tool is published as open access<\/a> and free to all.<\/p>\n<p>\u201cThese tools, developed by my team, encompass the strategic vision and identification of gaps in the real-world for our patients in Connecticut, harmonizing the mission of UConn Health, to bring solutions to the people of Connecticut through care, education and research,\u201d Imitola says.<\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/multiple-sclerosis\/\">Learn more about UConn Health\u2019s Multiple Sclerosis Center.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>UConn Health\u2019s MS director works with medical students to create 1st bilingual tool to help overcome cultural barriers<\/p>\n","protected":false},"author":111,"featured_media":210681,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[1715,2231,2288,1868,2235,179],"tags":[],"magazine-issues":[],"coauthors":[2010],"class_list":["post-210659","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community-impact","category-health-well-being","category-neurology","category-meds","category-today-homepage","category-uconn-health"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-22 11:19:48","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/210659","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/users\/111"}],"replies":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/comments?post=210659"}],"version-history":[{"count":4,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/210659\/revisions"}],"predecessor-version":[{"id":210861,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/210659\/revisions\/210861"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media\/210681"}],"wp:attachment":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media?parent=210659"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/categories?post=210659"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/tags?post=210659"},{"taxonomy":"magazine-issue","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/magazine-issues?post=210659"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/coauthors?post=210659"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}