CategoryClinicSpeak

#MSCOVID19: Vaccine Q&A page is now live

Barts-MS rose-tinted-odometer: ★★★★★ Just to let you know that the I have answered all the reasonable questions that have come in via the COVID-19 decision aid. To keep it simple and to allow me to be more responsive I will simply update the online document every day or so. This is similar to what I did with the MS-Selfie Microsite I ran for at the beginning of the pandemic. Loading… Loading…...

#MSCOVID19: Vaccine Decision Aid ver. 2.0

Barts-MS rose-tinted-odometer: ★★★★★ Thank you for the feedback on my rough-and-ready decision aid. It is clear there is a need for it. I have spent a bit of time adding DMT-specific pages to the aid and added sections on ‘Which vaccine?’ and ‘Pregnancy’. I have also added a page with useful links. I have also set the sound to be on-demand rather than being automatic; so...

What has my age got to do with having MS?

Barts-MS rose-tinted-odometer: ★★★ (some readers have asked for this feature to stay) How old are you? It depends. You may be aware that there can be a disconnect between your chronological or actual age and your biological age. As ageing or senescence is a biological process driven by metabolic, genomic and environmental factors you can see how there can be a disconnect between the two. As a...

PTSD

Barts-MS rose-tinted-odometer: zero ★s I look after a patient with MS who is now in her late 60’s. She was diagnosed with MS almost 30 years ago in the early ’90s. She has done very well and has by definition benign MS. Apart from mild unsteadiness of gait, a weak right leg that causes a mild limp when she is tired and back pain, she is fully functional. She was treated with interferon-beta for...

Progressive multiple sclerosis is a misnomer

Barts-MS rose-tinted-odometer: ★ In my opinion, the term ‘progressive multiple sclerosis’ is a misnomer. In general, progression means improvement, which is one of the reasons I prefer the term ‘late-stage MS’, which not only differentiates the terminologies but captures the associated disability that comes with this phase of the disease. It is important to stress that the pathologies that drive...

#DietSpeak: is there an ideal MS diet?

Barts-MS rose-tinted-odometer: ★★★★★ I am always being asked about what is the ideal diet for someone with MS. The simple answer is there is no ideal MS diet. What you eat is about personal choices and has to be compatible with your cultural background and your social circumstances. There is so much more to eating food than what you actually eat. I have written a piece on Medium called ‘Diet as a...

#ClinicSpeak: a double-whammy

If you thought having MS was bad enough the Swedish study below confirms that people with MS are more likely to have a raft of other diseases, which include cardiovascular disease (CVD), stroke, heart failure, venous thromboembolism, other autoimmune conditions, bowel dysfunction, depression and fractures. These results replicate what we see from other studies and are not dissimilar what we see...

#ClinicSpeak: vaccinations

In clinic yesterday a patient told me that a vaccine post they read on the blog was very confusing. After reading it they didn’t know what to do. It is important to emphasise that this blog is primarily about MS research and not necessarily about clinical advice. I always tag my clinical posts with the hashtag #ClinicSpeak. In future, I will also colour code them. Will this help?The...

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