#MSCOVID19 – a pyrrhic victory

Some of you may have read and being appalled by the following piece in this morning’s Guardian. Robert Booth. Coronavirus: real care home death toll double official figure, study says. 13th May 2020 Excerpt: “More than 22,000 care home residents in England and Wales may have died as a direct or indirect result of Covid-19, academics have calculated – more than double the number stated as passing...

#MSCOVID19: assessing and managing relapses remotely

Can we assess MS relapses remotely?  Yes, I think we can. Most neurological assessments are based on history and examination. You definitely can take a history of new-onset neurological symptoms by telephone, or preferably using video consultation. I am currently using accuRx the most widely adopted NHS platform for remote consultations. It is remarkably easy to use and satisfaction levels are...

Temperature Sensitivity

Are you temperature sensitive?  In my experience the vast majority of pwMS are affected by changes in temperature; typically it is hot or cold temperature that triggers changes in central nerve conduction velocity that brings on old symptoms. One of my patients reports becoming paralysed if sits outdoors in the sunshine for as little as 30 minutes in the middle of summer. Other report worsening...



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