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Dr. Virginia Simnad

Neurology
Kirkland, WA
29 years experience

Locations

Office

Kirkland, WA

Address

Multiple Sclerosis Center at Evergreen, 12039 NE 128th Street, Suite 300, Kirkland, WA
Directions

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Neurology

Languages spoken

English

Doctor Q&A

39 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 39-year-old female asked:
Dr. Virginia Simnad
Neurology 29 years experience
No: Mri shows the anatomy of the spinal cord tissue. X-ray does not, but may show pathology which may account for symptoms, unrelated to a question of ms... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Detective Work: No one diagnostic study can stand alone to conclusively diagnose ms. A neurologist must be a detective, hunting out clues from symptoms suggesting abn... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Unclear: Lots of interest currently in the interplay of genetic background of a population and environmental triggers. No one clear winner here, but studies o... Read More
A 22-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Uncertain: Much interest recently in epstein barr virus (ebv), the virus causing mononucleosis and its association with future risk of developing ms. Other viru... Read More
A 50-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Yes: Both drug and non-drug approaches can be very helpful. Physical therapy can direct you in helpful stretching exercises. Medications such as tizanidin... Read More
A 31-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
See below: Disease modifying therapies lessen the frequency and extent of immune cell attacks in the central nervous system. However, optic atrophy can occur af... Read More
A 45-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
In some cases: The most robust benefit of currently available treatment appears to be in the earlier phases of relapsing forms of ms. As times goes on, and with the ... Read More
A 29-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Yes: Unfortunately, many symptoms of MS are shared in common with other medical conditions. Your neurologist will be in a good position to screen for thes... Read More
A 31-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Neurologists: Typically general neurologists can be very helpful. In some cases a movement disorders neurologist is consulted for tough to treat tremors.
A 45-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Not fully understood: Multiple sclerosis is a very complex disease. There is a large collection of research identifying certain genes (most governing control of the immune... Read More
A 41-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Uhthoff's phenomenon: Ms used to be diagnosed using the "hot tub test": demyelination, or loss of insulation around nerve fibers in the brain or spinal cord can slow or dr... Read More
A 33-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Many possible: Changes in vision out of one eye, double vision, whole segments of the body with sensory changes not mapping to a single nerve root, weakness in a lim... Read More
A 25-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Yes: No single gene for MS has been found or likely to be found. Multiple genes have been identified which in different population studies worldwide seem ... Read More
A 52-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Yes: 15-20% of individuals followed over time will meet criteria for benign ms. This means that their disability does not increase over time, either cogni... Read More
A 53-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
It cannot by itself: Spinal fluid analysis is only one piece of the puzzle, and is not specific enough to stand alone to diagnose ms. Certain patterns are recognized in w... Read More
A 23-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
In part: Hereditary risk is one factor, but the interplay between genetic background and environment is likely in this disease. Identical twins studies show ab... Read More
A 36-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Not yet: This type of MS behaves differently from relapsing remitting ms, but share some characteristics in common with secondary progressive ms. Recent therap... Read More
A 46-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Old MS pathways: Electric signal transmission across nerve fibers (axons) requires good insulation (myelin). While MS inflammation is followed by myelin repair, the ex... Read More
A 53-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
See below: Spinal stenosis happens in the adult population, and can cause compression on the spinal cord. Symptoms from spinal stenosis can in part mimic MS dis... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Several things: First, screen for signs/symptoms of infection, as old neurological symptoms can worsen, or potentially new MS related inflammation can be triggered. H... Read More
A 22-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Not usually: Ms is a chronic neurological condition, characterized by episodes of neurological disability of variable severity and recovery. A minority of inidivi... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
The most common type: This is the most common type (85% of cases), which describes the clinical course of episodes of neurological impairment lasting greater than 24 hours ... Read More
A 23-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Yes: Recent studies do not show MS as a risk for increased fetal loss or abnormalities. Generally, the disease quiets down during pregnancy. Pregnancy per ... Read More
A 44-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
See answer below: Currently there is not genetic or other diagnostic testing for multiple sclerosis. Neurological symptoms history is only partially helpful, as other ... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
No: Ms disability progresses at a variable pace, influenced in part by age at symptoms onset, use of disease modifying therapy, effective use of rehabilit... Read More
A 30-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
No: Population studies have suggest that mononucleosis in adolescence, smoking, and possibly childhood obesity are risks for developing ms. However ms is... Read More
A 31-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
See below: Ms is a disorder of the central nervous system, meaning brain and spinal cord. Symptoms relate to pathways impacted by damage to myelinated fibers, r... Read More
A 23-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
MRI guidelines : Mri of brain and spinal cord may show areas of abnormal signal which are consistent with ms but must be taken in the context of the individual's clini... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
See below: Typical age range between 30-50, but clearly there are cases in both younger and older adults, as well as in children. Certain populations worldwide h... Read More
A 44-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Pivotal role: This is a complex and not fully understood aspect of ms. Certain immune cell population recognize proteins in the insulation coating surround nerve f... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
See below: Ideally, talk with an MS specializing neurologist. Many factors go into the decision on starting disease modifying therapy and also into which one. V... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
No: Ms is not a contagious disorder. It is a complex disease with genetic, environmental, and likely hormonal interplay.
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
A subtype of MS: This subtype represents about 10-15% of all ms, tends to occur at an older median adult age. It is characterized by progressive worsening neurological... Read More
A 41-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Yes: Multiple sclerosis is defined as relapsing remitting or a progressive form. About 85% of individuals start out relapsing remitting (episodes of new sy... Read More
A 21-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
See below: This discription likely reflects progressive stage disease with an accumulation of neurological disability.
A 30-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Knowledge different: Ms specialist serve a very specific and special group of patients. Therapeutic interventions are rapidly changing and an expert needs to keep abreast ... Read More
A 43-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Stay tuned: Stay tuned! this field is changing rapidly. Whereas injectable medications are the first tier of therapy, we are entering an era of oral medications a... Read More
A 42-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Maybe non-MS reasons: It is important to look carefully for non-ms factors contributing to fatigue. The list may include poor sleep quality, mood disorder, additive medicat... Read More
A 35-year-old member asked:
Dr. Virginia Simnad
Neurology 29 years experience
Possibly: Trigeminal neuralgia in a younger adult may be caused by multiple sclerosis. However, there must be more than just trigeminal neuralgia to define def... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

7
Recommendations
278
Thank you notes
Dr. Theodore Brown
Dec 2, 2012
She is an outstanding caregiver. She is dedicated to her patients and emphasizes education and a wellness approach in dealing with chronic disease
Dr. David Likosky
Dec 2, 2012
I endorse this doctor.
HealthTap member
May 9, 2013
She changed my quality of life! I cried the day she left the UVA MS clinic. I haven't been able to replace her no matter where I tried or who I saw. She is a true treasure! What is miss the most i...Read More
HealthTap member
This was very helpful. Thanks! This will be my 8th year since diagnosis, but I'm glad you're getting the word out about this. Thanks
HealthTap member
Thank you, your answer or tip was very helpful! I was set up to get this...had mono at 4 and overweight by 10 my aunt had this too
HealthTap member
Thanks for your quick reply! Genetics, probability of children getting Ms?

Education & Training

Medical/Graduate school

University of North Carolina School of Medicine, NC
Graduated 1993MD

Awards

Community Programs Award Inductee (Health Professions Category), Volunteer Hall of Fame. National MS Society, Blue Ridge Chapter.
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less