Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 44 Page 45 Page 46 Page 47 Page 48 Page 49 Page 50 Page 51 Page 52 Page 53 Page 54 Page 55 Page 56 Page 57 Page 58 Page 59 Page 60 Page 61 Page 62 Page 63 Page 64 Page 65 Page 66MSFocus Summer 2016 8 I am having a hard time finding the right words to tell you how very, very thrilled and appreciative I am for the awesome and wonderful exercise bike. I use it a few times every day. I am very optimistic that using the bike will strengthen my legs because they have become weaker due to the MS. Brenda L. Shatara, Bradford, Pa. Hi, all! Just talked with a very nice rep about the scooter. I'm so excited! Just last week, I got my ramp adjusted so that I can go in and out on my own. I have a major case of spring fever. Can't wait to get the scooter now and be back out in the beautiful springtime! Thank you, all of you, for helping to make this possible. Rev. Rebecca Schroeder, Santa Rosa, Calif. I just finished the latest copy of MSFocus dealing with MS-related cognitive fatigue. This is a well written and very informative issue. I was curious though, as to why there was no mention of using ADHD stimulants like Ritalin, Adderall, Concerta or Vyvanse for the treatment of this very disabling symptom. I have been diagnosed since April, 1994 with relapsing-remitting MS. I have rather significant cognitive fatigue issues from my MS: 2+2 does not = 4. I do not know what I would do without this medication. I could not keep track of my life, take part in a three-way conversation or put together a coherent argument on something. I wonder why this has not been studied further. They are doing two studies: one with Vyvanse, and another with a new medication labeled C105 for MS cognitive fatigue. They are both being run out of the University of Buffalo. Ben Elisofon, Waterloo, N.Y. Editor’s Note: As mentioned in Ellen Whipple’s article in that issue [Updates by the Pharmacist, Vol. 18, Issue 2], “There are currently no Food and Drug Administration products approved to treat MS-related cognitive impairment.” However, some healthcare providers do prescribe off-label medications (those that have been FDA-approved for other conditions) to people with MS experiencing cognitive impairment. If a person feels they would benefit from such medications, they should discuss it with their health- care provider. Because there are no specific pharmaceutical treatments for MS cognitive impairment, we chose cognitive rehabilitation as the focus for our articles. But we share your hope that further research will generate additional treatment options for those with MS. I have received more support from your organization than from anyone. I was only diagnosed last year, but my first severe flare up was in 2007. I am an activist for veterans, animals and our environment, and when my MS showed its strength and took my ability to be “me,”