Uploaded November 2025 | Updated September 2026, 1 week ago
You can view Dr. Gombolay's presentation slides here:
files.wearesrna.org/symposia/2025_rnds/slides/2025RNDS-Symptom_Management-Grace_Gombolay.pdf
During this panel at the 2025 RNDS, medical professionals shared how lifestyle changes can benefit health and allow people with rare neuroimmune disorders to better manage their symptoms. Prioritizing sleep, keeping a good diet, incorporating physical activity in whatever way it is possible, taking vitamin D, practicing mindfulness, taking part in social activities, limiting screen time, and pursuing personal hobbies can all benefit health. They also discussed fatigue management strategies, like planning activities and taking breaks and naps.
Strategies on managing mood disorders like anxiety and depression were also shared, such as psychotherapy and medications. Pain is often managed by prioritizing sleep, diet, exercise, and mindfulness, in addition to medication and alternative therapies like acupuncture. Brain fog can be minimized by keeping reminders on an electronic device or through cognitive rehabilitation. Urination difficulties can be managed through limiting caffeine, managing fluids, planning bathroom breaks, pelvic physical therapies, medications, nerve stimulation devices, and catheters. The medical professionals then answered questions from audience members regarding symptom management.
You can view Dr. Gombolay's presentation slides here:
files.wearesrna.org/symposia/2025_rnds/slides/2025RNDS-Symptom_Management-Grace_Gombolay.pdf
During this panel at the 2025 RNDS, medical professionals shared how lifestyle changes can benefit health and allow people with rare neuroimmune disorders to better manage their symptoms. Prioritizing sleep, keeping a good diet, incorporating physical activity in whatever way it is possible, taking vitamin D, practicing mindfulness, taking part in social activities, limiting screen time, and pursuing personal hobbies can all benefit health. They also discussed fatigue management strategies, like planning activities and taking breaks and naps.
Strategies on managing mood disorders like anxiety and depression were also shared, such as psychotherapy and medications. Pain is often managed by prioritizing sleep, diet, exercise, and mindfulness, in addition to medication and alternative therapies like acupuncture. Brain fog can be minimized by keeping reminders on an electronic device or through cognitive rehabilitation. Urination difficulties can be managed through limiting caffeine, managing fluids, planning bathroom breaks, pelvic physical therapies, medications, nerve stimulation devices, and catheters. The medical professionals then answered questions from audience members regarding symptom management.
![601. Body Dysmorphia
In the ABCs of NMOSD episode, Landy Thomas of SRNA was joined by Heather Dawn Sowalla and Dr. Meghan Beier to discuss post-diagnosis body dysmorphia that might be experienced by people who are diagnosed with neuromyelitis optica spectrum disorder (NMOSD) [00:00:12]. Heather shared her misdiagnosis journey, the impact of steroids, and her coping mechanisms [00:06:24]. Dr. Beier highlighted the importance of finding a supportive community and suggested strategies for managing new identities and body perception [00:08:02]. Both emphasized the significance of connecting with others and seeking professional help to navigate these challenges [00:11:25].
00:00 Introduction to ABCs of NMOSD
01:10 Meet the Guests: Heather Sawala and Dr. Megan Beier
03:26 Heathers Diagnosis Journey
05:04 Dr. Beiers Work and Find Empathy
08:02 Discussion on Post-Diagnosis Body Dysmorphia
11:25 Coping Strategies and Personal Experiences
24:57 Advice for Newly Diagnosed Patients
33:18 Final Thoughts and Resources
Heather Sowalla has lived most of her life in Pennsylvania. After earning her bachelors degree in Environmental Science and her masters degree in Environmental Studies, she returned home to her familys dairy farm where she utilized her degree focusing on sustainable agriculture. Heather also spent two summer seasons working in Alaska with the Fish and Wildlife Department focusing on sustainable fisheries. Heather first became symptomatic for NMOSD around 2004 and has since lost a good deal of her vision, but she is doing well otherwise. Heather is newly engaged to Doug, a fellow NMOSD patient, and they plan on creating a life together in Vintondale, Pennsylvania.
Meghan Beier, PhD is on faculty at Johns Hopkins and is a Health and Rehabilitation Psychologist specializing in multiple sclerosis at the Rowan Center for Behavioral Medicine. Dr. Beier completed her PhD in Clinical Psychology, Health Emphasis, from Yeshiva University then completed a postdoctoral fellowship, funded by the National MS Society, at the University of Washington where she focused on the rehabilitation, cognition, and mental health of individuals living with MS.
Dr. Beier has been featured in well-known publications such as the New York Times, People Magazine, and Psychology Today. She is an internationally invited keynote speaker and also an active consultant and speaker for organizations such as National MS Society, Can Do Multiple Sclerosis, and more. Dr. Beier’s research interests include neuropsychological outcomes for individuals living with MS; cognitive rehabilitation; and behavioral approaches to wellness. She continues to remain active in research as an adjunct faculty member of Johns Hopkins University School of Medicine.
Dr. Beier’s passion for improving care for people living with challenging medical conditions led her to create Find Empathy, which provides a free directory of mental health providers that specialize in working with medical populations. Find Empathy also provides continuing education for mental health professionals focused on how best to serve those living with or affected by life altering illnesses.
https://www.nationalmssociety.org/
https://cando-ms.org/
https://scholar.google.com/citations?user=KUPu4O4AAAAJ&hl=en
https://findempathy.com/
https://findempathy.com/learn/ 601. Body Dysmorphia](https://i.ytimg.com/vi/pKB_cuZEMmA/mqdefault.jpg)
![2024 RNDS | Synaptic Dysfunction in Rare Neuroimmune Disorders
At the 2024 RNDS, Dr. Haiwen Chen shared her journey as a James T. Lubin Fellow and her transition into pediatric neuroimmunology [00:00:30]. She highlighted the prevalence of MOGAD in pediatric demyelinating syndromes and the significance of examining both white and gray matter in such diseases [00:04:12]. Through detailed in vitro studies, she demonstrated how oligodendrocytes influence neuronal activity and synaptic signaling, shedding light on rare neuroimmune diseases effects [00:07:00]. She emphasized the need for better biomarkers and continued research to improve treatment and understanding of these diseases [00:14:57]. Finally, Dr. Chen answered questions from the audience [00:16:48]. Please note that the information shared during this session is for informational purposes only and is not medical advice.
You can view the presentation slides here:
https://files.wearesrna.org/symposia/2024_rnds/slides/2024RNDS_Chen.pdf
00:00 Introduction and Personal Journey
01:19 Understanding Pediatric Neuroimmune Diseases
02:10 MRI Insights and Cognitive Impairment
04:07 Neuronal Circuits and Synapses
05:34 Role of Glial Cells in Neuronal Function
07:00 In Vitro Models and Experimental Findings
09:38 Neuronal Signalling and Synaptic Function
14:57 Future Research Directions
16:00 Conclusion and Acknowledgements
16:48 Q&A Session 2024 RNDS | Synaptic Dysfunction in Rare Neuroimmune Disorders](https://i.ytimg.com/vi/pOeIH4DCPUA/mqdefault.jpg)
![602. NMOSD and Romantic Relationships
In this episode of ABCs of NMOSD, host Landy Thomas, joined by Doug Newby, Heather Dawn Newbie, and Caitlyn Flickinger, discussed the impact of NMOSD on romantic relationships. The guests shared their personal experiences with relationships and how they manage living with NMOSD [00:02:27]. They also addressed how they met, support each other during treatment, and the importance of understanding and patience in relationships [00:09:37]. Finally, they provided advice on dating with a chronic illness and the significance of self-love and finding a supportive partner [00:35:06].
Johnney (Doug) Newby lived most of his life in Colorado, only moving recently to Pennsylvania in the last year. Doug has a background in criminal justice and worked as a security guard the last few years in Colorado. Doug became symptomatic more than ten years ago with neuromyelitis optica spectrum disorder (NMOSD) spending many weeks in and out of hospitals with transverse myelitis (TM) and optic neuritis (ON). Doug is newly married to Heather ,who is also an NMO patient, and they’re making a life together in Pennsylvania along with their dog, Bailey and their cats.
Heather Dawn Newby has lived most of her life in Pennsylvania. After earning her bachelors degree in Environmental Science and her masters degree in Environmental Studies, she returned home to her family’s dairy farm where she utilized her degree focusing on sustainable agriculture. Heather also spent two summer seasons working in Alaska with the Fish and Wildlife Department focusing on sustainable fisheries. Heather first became symptomatic for neuromyelitis optica spectrum disorder (NMOSD) around 2004 and has since lost a good deal of her vision, but she is doing well otherwise. Heather is newly married to Doug, a fellow NMOSD patient, and they are creating a life together in Pennsylvania along with their dog, Bailey and their cats.
Caitlyn Flickinger is a care partner to Landy Thomas, her fiancée, who has NMOSD. Starting college at only 14 years of age, Caitlyn is pursuing her bachelors degree in political science, with minors in sociology and business. A prolific writer, Caitlyn spends most of her free time writing sci-fi books and letters to her soon-to-be wife, dreaming of one day breaking into the industry and getting her work published and in the hands of readers. Caitlyn also serves as president of the UCF student club she and Landy helped establish, called Epoch: A Minecraft SMP.
00:00 Introduction and Guest Bios
02:27 Meet Doug and Heather Newbie
06:22 Meet Landy Thomas and Caitlyn Flickinger
09:37 Doug and Heathers Love Story
14:46 Landy and Caitlyns Love Story
20:00 Living with NMOSD
25:50 Navigating Relationships with NMOSD
26:38 Commitment and Understanding
29:47 Challenges and Support
35:06 Dating Inside and Outside of the Community
47:00 Advice for NMOSD Patients on Dating
55:17 Final Thoughts and Encouragement 602. NMOSD and Romantic Relationships](https://i.ytimg.com/vi/p_O-Am_dJOU/mqdefault.jpg)


![205. Dr. Alexandra Kornbluh
The Community Meets Clinic podcast series introduces clinicians and healthcare personnel specializing in rare neuroimmune disorders. In this episode, Krissy Dilger of SRNA interviewed Dr. Alexandra Kornbluh from Childrens National Hospital in Washington, D.C. about her role and journey into neurology and neuroimmunology.
Dr. Kornbluh discussed her interest in the fast-paced nature of neuroimmunology and her involvement in clinical research, particularly in MOG antibody disease (MOGAD) [00:01:32]. She elaborated on the multidisciplinary approach at Childrens National Hospital that supports comprehensive care and ongoing research for pediatric neuroimmune disorders [00:04:58]. Dr. Kornbluh emphasized her commitment to holistic care and the future advancements in treatment and diagnostics for rare neuroimmune conditions [00:05:44].
Alexandra Kornbluh, MD is Associate Program Director for the Child Neurology residency and Co-Program Director of the Pediatric Neuroimmunology Fellowship at Children’s National Hospital in Washington, D.C. She completed her medical training at the Johns Hopkins School of Medicine and her pediatric and child neurology residency training through Nationwide Children’s Hospital in Columbus, Ohio. She then pursued additional subspecialty fellowship training in pediatric multiple sclerosis and related demyelinating diseases. Through this fellowship, she gained expertise in caring for both children and adults across the age-span of neuroinflammatory diseases at the Children’s Hospital of Philadelphia and the University of Pennsylvania.
Dr. Kornbluh sees patients from the greater Washington, D.C., area as well as second opinion consultations for pediatric demyelinating disease and related disorders within the multidisciplinary neuroimmunology program. She also evaluates patients with headaches and provides general neurology care for patients.
Dr. Kornbluh serves as the Director of Investigational Therapeutics through the pediatric neuroimmunology program and is the principal investigator for clinical research studies in pediatric demyelinating conditions. Her research interests include pediatric multiple sclerosis (MS), myelin oligodendrocyte glycoprotein antibody-associated disorders (MOGAD), and other related demyelinating conditions. You can view her medical profile here:
https://appointments.childrensnational.org/provider/alexandra-behar-kornbluh/2359826
01:32 Dr. Kornbluhs Journey into Neuroimmunology
03:29 Focus on Rare Neuroimmune Disorders
04:58 Childrens National Neuroimmunology Clinic
05:44 Multidisciplinary Care Approach
07:31 Personal Insights and Self-Care
08:25 Message to Families and Final Thoughts
09:48 Hope for the Future 205. Dr. Alexandra Kornbluh](https://i.ytimg.com/vi/qaYjK7b0caE/mqdefault.jpg)




![1307. Parenting is Hard | Part 3
At the end of this mini-series, we will host a Q&A episode where Barbara will answer questions from the community. To submit your question, please visit https://srna.ngo/submit
In the third part of the “Ask the Expert, Research Edition” mini-series, “Parenting is Hard,” Krissy Dilger of SRNA was joined by Barbara Babcock to further explore her research concerning the changing beliefs around parenting when a child has been diagnosed with a rare neuroimmune disorder. Barbara discussed how beliefs around being fair as a parent could change and the various sub-themes supporting this idea, including redefinition of fairness and the challenge of balancing attention among children [00:03:30]. She highlighted the impact of societal and historical contexts on parenting norms and the struggles parents face in managing new caregiving responsibilities and learning new skills [00:12:45]. The importance of redefining what it means to be a good parent in the context of a child with additional needs was emphasized throughout the episode [00:24:00].
Barbara Babcock works as a Family Therapist in a child and adolescent mental health outpatient unit in the United Kingdoms National Health Service. In her private practice, she works with individuals and couples who are navigating challenging health issues and wish to get their lives back. She obtained her Master of Science in Family Therapy from the Institute of Psychiatry, Psychology, and Neuroscience at Kings College London. Barbara also has a Master of Arts in Coaching Psychology/Psychological Coaching and her dissertation research focused on the impact that a systemic approach to coaching has on the wellbeing of adults who have a rare neuroimmune disorder and their primary caregivers. Previously, she was Chair of the Transverse Myelitis Society, from 2013 to 2016, and led their Family Weekend from 2015 to 2019, an event to support families who have a child/adolescent with a rare neuroimmune disorder to discover their potential through challenging outdoor activities. She had transverse myelitis in 2008 and is originally from Pennsylvania, USA. You can contact her at barbara@returntowellness.co.uk and her website is www.returntowellness.co.uk
00:00 Introduction
00:27 Meet the Expert: Barbara Babcock
01:38 Exploring Parental Beliefs and Fairness
03:37 Balancing Attention Among Children
07:49 Cultural and Societal Influences on Parenting
11:08 Challenges in Managing Illness and Fairness
19:37 Learning New Skills and Roles
25:52 Redefining Good Parenting
27:43 Conclusion 1307. Parenting is Hard | Part 3](https://i.ytimg.com/vi/rxP73iY4HjA/mqdefault.jpg)