- One thing people may be wondering with this, and maybe it's changed over the years, but is there a life expectancy that's different from people who don't have MS?

- I don't think that's a problem right now because it was in the past.

With the disease modifying treatment, they can enjoy all the privileges of a person who does not have MS.

They can bear children, they can breastfeed children, they can have, as I told you, the lady before, you know, she has climbed really well in the corporate ladder.

I mean, no, it doesn't hold you back.

But in the past, yes, you're right.

I mean, I do remember.

It was a death sentence at that time.

If you see MS, now, we are very, very reluctant to tell that.

It was so sad.

People are on wheelchairs and they are on indwelling catheter you know, and then cannot see and cannot even sit on a wheelchair because of something called truncal ataxia because they cannot hold their trunk and you know, they are losing balance even sitting on a wheelchair.

So it was pretty bad those years.

So since 1994, the world has changed.

We are living in a new world and it's unfortunate.

I have few patients who doesn't want to take medications despite telling all this.

- [Mark] Really?

- Really.

I cannot understand that.

Then we have 20 medicines, think about the time before you know, 1994, you know, 1990s, 1980s, there was only steroids.

There was no treatment.

Now we are 20 and counting and still if people, I just cannot get that.

- Are they worried that the side effects are gonna be worse than the MS?

- Some people are in denial.

Some people are in denial.

I think it's sad.

I mean, despite.

So the only thing we can do is try to educate.

I mean, that's the purpose of our talk today, right?

I mean, so that we don't want to deny that.

This is a real disease and there is treatment available and they can have a good life, good quality of life.