How should I prepare for a fire if I have multiple sclerosis?

If you have multiple sclerosis (MS), it is important to let your local fire department know if you might have difficulty escaping from your home in the event of a fire. If you have family members living with you, practice a fire drill at home. Show children how the smoke detector works and what it sounds like.

Encourage your children to sleep with their doors closed; doing so will buy them time by keeping the smoke and heat out of the room if there is a fire. Be sure to discuss how important it might be to run to a neighbor's house to get help and call the fire department, emphasizing that leaving the house to get help would not mean they are abandoning their pets or family members. Contact your local fire department for more information on teaching home fire safety.

Here's how to prepare for a doctor visit if you have multiple sclerosis (MS): Discuss how much time you will spend with the doctor at the time you make the appointment. Depending on the reason for the visit, you may be scheduled for as little as 5 minutes or as much as half an hour. Also, tell the receptionist if you will require any special help -- for example, undressing or getting onto the examining table.

Request answers to practical questions such as: Where is there parking? What is the closest bus stop? Is there an elevator?

Is the building and bathroom wheelchair-accessible? Does the clinic have a wheelchair you may use? If your energy level is highest in the morning, try to get the doctor's first appointment of the day.

If you schedule your appointment first thing in the morning or immediately after lunch, you will be less likely to have to wait very long. If you are anxious to see the doctor soon, ask the receptionist if there is a "short list" -- a list of patients who might be able to come in on short notice if a cancellation occurs. If you have not heard from the receptionist in a few days, call back and ask about any cancellations.

Call your doctor's office before leaving home for your appointment and ask if the doctor is running on schedule. The receptionist may suggest you come in a little later instead of spending so much time in the waiting room. Regardless of the wait time quoted over the phone, it always is wise to bring some work or a good book with you.

Bring a friend or family member with you; between the two of you, you will remember more of what the doctor has to say about your condition and treatment options. Or, tape record your visit so that you can review your doctor's explanations and answers to your questions after you get home. At the very least, you -- or the person who accompanies you -- should take notes of what your doctor says.

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