
The Puzzle of Progression
From Can Do MS Podcast by Can Do Multiple Sclerosis
March 18, 2026 · 30 min · Episode 198
About this episode
This episode discusses the evolving understanding of multiple sclerosis progression beyond relapses with physician’s assistant Lisa Fox.
The Puzzle of Progression – Episode 198 Multiple sclerosis (MS) is evolving—and so is the way we understand it. In this episode, host Stephanie Buxhoeveden sits down with physician’s assistant Lisa Fox to unpack one of the most important shifts in MS care: recognizing progression beyond relapses. They explore the concept of PIRA (progression independent of relapse activity), why patients may feel worse even when MRIs look stable, and how new research, biomarkers, and diagnostic tools are changing the conversation. From distinguishing different progressions to navigating the emotional impact of a changing diagnosis, this episode offers clarity, validation, and hope. This podcast episode was created in collaboration with Novartis. Disclaimer: This podcast provides general educational information. Can Do MS does not endorse, promote, or recommend any product or service associated with the content of this program
People in this episode
Host: Stephanie Buxhoeveden
Guest: Lisa Fox
Topics covered
- multiple sclerosis
- progression
- PIRA
- emotional impact
- diagnosis
Keywords
- MS care
- biomarkers
- diagnostic tools
- research
Sponsors
Novartis
Mentioned in this episode
Books & works: The Puzzle of Progression
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