b'Your healthcare provider tells you that your vitals are normal or within range, but you do not know what that means and dont want to ask. Bring a journal or notebook to your next visit and record down your blood pressure, heart rate, and oxygen level. When you go home, research the normal range so you can also understand. Your healthcare provider asks you about your daily lifestyle and you have trouble recalling certain details. Bring a family member or loved one with you on your next visit. They can help to ll in the gaps and make you feel at ease in the exam room.Your healthcare provider gave you a lot of information to process and you cannot remember it all but do not want to ask them again. Remember, your community is there to help you. Kindly ask your healthcare provider for a quick recap at the end of your visit.You are not a visual learner and listening only did not help you grasp the information provided by your healthcare team. Ask your healthcare provider if you can recite the information they are giving you back to them. You might understand better by putting it into your own words, and they can ll in the gaps.Being prepared for changes in the MS treatment paradigm In todays world, the treatment landscape for MS is rapidly changing. Just as weve begun to understand the options for disease-modifying therapies available, new drugs are approved by the FDA. New nondrug treatments, such as hematopoietic stem cell treatments, are becoming available in some centers. Different types of drug treatments and stem cell therapies are under investigation. And, to top it off, some medications are being released as generics or biosimilars. What does it all mean, and how can you keep up with the changes to know whats best for you? Trying to keep track of the new types of treatment can be intimidating. Especially if you do not have a science background, which lets face it, most of us will not. Fear not, there are always resources available to help guide you through this process.GLOSSARY 1. Disease-modifying therapies: Medications that can alter the course of MS by reducing the risk of relapses, decreasing disease activity as assessed on MRI scans, and slowing the accumulation of MS symptoms that interfere with daily life. 2. Biologics: Biologics include medicines that generally come from living organisms, which can include animal cells and microorganisms, such as yeast and bacteria. That makes biologics different from conventional medications, which are commonly made from chemicals. 3. Biosimilars: A biosimilar, or biosimilar drug, is a medicine that is very close in structure and function to a biologic medicine.9'