CategoryLifestyle and self-management

Not COVID-19: obesity and MS

Are you sick and tired of hearing about COVID-19 and MS? How about something completely different; the destigmatization of obesity?  Finally, the medical community or at least a part of it are making amends for the half-century or more of treating obesity as a disorder of self-control. The joint internal consensus statement for ending the stigma of obesity is long overdue (see article and...

#MSCOVID19: pulse oximetry

If you are single I suggest going to extraordinary lengths to protect yourself if you have to self-isolate with COVID-19. You may have heard about the tragic death of a young surgical trainee who died alone at home from COVID-19 in Belfast last week. He probably died from pulmonary complications of COVID-19 that had gradually crept up on him and by the time he needed hospitalisation and...

#MSCOVID19: vitamin D & zinc

I have already made the case for pwMS to prehabilitate, i.e. to prepare themselves for getting COVID-19. You can read my proposed prehabilitation programme on MS-Selfie. One of the topics I cover is diet and I mention that you should ensure that you are vitamin D (vD) replete. There are three ways to do this. (1) The first is to get a healthy daily exposure to sunshine (~20mins of upper body...

#MSCOVID19: Fighting diet dogma

I did a video consultation yesterday with a patient with MS who in the event of getting COVID-19 is at very high risk of severe COVID-19. This patient has type 2 diabetes with poor glucose control, is hypertensive and is also obese (BMI of 32). I asked what their GP had done to help them lose weight. The GP had recommended exercise and believe it or not hadn’t discussed diet with them.  The...

#MSCOVID19: how to prepare for getting COVID-19

Is there anything you can do to prepare for when you get COVID-19? If you live in the UK you will have realised by now that the government plans to extend the tail of the SARS-CoV-2 epidemic to allow herd immunity to develop and at the same time protecting the most vulnerable people from getting COVID-19 by shielding. I have already said this strategy is dangerous and likely to be very leaky and...

MSers and COVID-19: trying to find clarity in the confusion

By Rachel Horne Recently a great post on Shift.ms – the social network for people with multiple sclerosis – caught my eye. Titled “We’ve got this…” the writer “Clare80” sums up how people with MS may be better at dealing with the coronavirus outbreak – compared to those around us. Because we live with the disease, we are used to: being stuck in limbo and living with uncertainty...

Cannabis use in MS is here to stay

Muscle spasms, stiffness (also known in medical speak as spasticity) and pain are major problem areas in MS. Most are on tablets for this, commonly baclofen, with fewer individuals receiving botox for focal areas of stffness or intrathecal (via lumbar puncture directly into the CSF) baclofen for severe lower limb stiffness. Many also use cannabis for this indication, but the exact usage is...

Could diet be the new add-on DMT?

Barts-MS rose-tinted-odometer  ★ ★★ ★ ★ I gave my first on using diet as a potential symptomatic and disease-modifying treatment for MS and as a preventative therapeutic strategy in MS, last night. The symptomatic part of my talk was about food coma and using diet to prevent or reduce the impact of food coma. We are still studying why pwMS are so susceptible to food coma. I suspect it is because...

Pressure ulcer risk

As clinicians so much of our time nowadays is focused on MS DMTs that we lack the time or forget to ask questions about general health and well being during our consults; for example, cognition, employment, co-morbidities and in some instances the risk of pressure ulcers. According to this publication (see below for abstract) 4% of PwMS have pressure ulcers; sacral ulcers being the commonest...

Science Fiction: Vitamin D

Failed vitamin D trial..Failed to infrom:-( ProfG has done a post on medical fiction. It is perhaps approriate to do a post on science fiction. As you know scientists are like sheep and they herd together and follow one and other. They stick close to the “dogma machine” and follow trends because, this is where money gets put. I have gone on the record of discussing a few. Some I have...

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