John Rinker II, MD

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Medical: PTSD<br />

Social: Smokes cigarettes<br />

Family: No history of MS or autoimmunity

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Medical: PTSD Social: Smokes cigarettes Family: No history of MS or autoimmunity

1998 MRI showed worsening lesion burden compared to 1994 Lumbar puncture ‘abnormal’ Evoked potentials confirmed optic nerve conduction delay Vitamin B12 normal, MS mimics ‘ruled out’ MS diagnosed May 1998

Page 2 and 3: John R. Rinker II, MD University of
Page 4 and 5: John Rinker, MD • Grants/research
Page 6 and 7: 56 y/o white male, born 1955 1973:
Page 8 and 9: 1990-91: Desert Shield/Desert Storm
Page 12: Sep 1998: Started SQ interferon bet
Page 16 and 17: Pre-deployment: Vaccinations agains
Page 18 and 19: Medical: PTSD; Migraines Social: Ci
Page 20 and 21: CSF: • WBC - 4, RBC - 0 • Prote
Page 22 and 23: Started SQ Interferon beta-1a mid-2
Page 24: If you would like to receive contin

John Rinker II, MD

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