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Q&A 140 - therapeutic inertia
In my opinion, this patient has been inadvertently mismanaged.....
Jan 22
•
Gavin Giovannoni
7
14
9:52
Conscious or not
I didn’t really expect to win the prize (well done Anil Seth), but what triggered my entry was my sister’s death last year in July.
Jan 21
•
Gavin Giovannoni
7
6
Male and female-specific MS care pathways
The evidence for a male-specific MS pathway is grounded in the need for aggressive management of MS, specific symptom control and managing…
Jan 20
•
Gavin Giovannoni
7
14
1
23:13
Gender inequality in MS care
MS services mainly cater for women. Do men need their own services?
Jan 19
•
Gavin Giovannoni
6
18
6:08
Q&A 139 - tolebrutinib and the FDA
I think the MS community should push back on the FDA decision not to license tolebrutinib and find a path forward to get tolebrutinib to market for…
Jan 15
•
Gavin Giovannoni
12
31
1
17:18
Necessary, but insufficient
Getting naysayers to understand and accept “EBV is necessary, but insufficient to develop MS” is important, as they often review and reject grant…
Jan 13
•
Gavin Giovannoni
13
36
2
4:37
Q&A 137: Menstrual problems and MS
The important message from your case study is not to assume that your menorrhagia is MS-related. Women with MS develop other problems. I suspect, based…
Jan 12
•
Gavin Giovannoni
3
2
26:58
New MS subtypes or not?
It isn't easy to see how this model and subtypes will impact precision medicine.
Jan 5
•
Gavin Giovannoni
18
16
2
14:36
Q&A 135: Tooth loss and periodontal disease in MS
Do you have gum disease? Has your MS team screened you for gum disease? Have any of you lost teeth due to gum disease?
Jan 3
•
Gavin Giovannoni
10
21
25:44
December 2025
Q&A 134: Spinal MRI monitoring - to do it or not
Why don’t I have routine spinal cord monitoring as part of my annual MS assessments? Do standard MRIs detect smouldering lesions and smouldering MS?
Dec 30, 2025
•
Gavin Giovannoni
17
36
13:28
Sylvia
The question Sylvia asks me whenever I see her is: What can be done to slow or stop this process? She is clearly interested in tolebrutinib.
Dec 29, 2025
•
Gavin Giovannoni
19
75
1
13:38
Christmas 2025
I sincerely hope Mary gets plenty of calls on Christmas Day. Do you?
Dec 24, 2025
•
Gavin Giovannoni
19
31
3
10:51
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