MS-Selfie

Home
Notes
MS-Selfie Research
MS-Selfie Microsite
Contact
Q&A
Archive
Leaderboard
About
Q&A-42: to do a neurological examination or not
A counterfactual could be a delayed diagnosis, a lower efficacy platform DMT, several breakthrough relapses, disability with significant end-organ…
 • 
Gavin Giovannoni
30
Why is the NHS not delivering?
The report highlights the effect of so-called NHS reforms on the NHS culture but doesn’t finger this as the main reason for poor productivity growth. I…
 • 
Gavin Giovannoni
30
Q&A 41: To switch from ocrelizumab or not
I was admitted to the hospital and treated with antibiotics. Investigations revealed I had multiple pulmonary emboli. Should I stop ocrelizumab?
 • 
Gavin Giovannoni
36
Are MS treatment algorithms good or bad?
The problem with the classifiers these algorithms are based on is that they are all flawed and not underpinned by biology. Is it not time for a change?
 • 
Gavin Giovannoni
76
17:34
Q&A-40: should I take testosterone replacement therapy?
Testosterone and remyelination; does it work?
 • 
Gavin Giovannoni
7

June 2024

Q&A 39: can multiple sclerosis cause dementia?
About 3% of people diagnosed with MS present with cognitive symptoms.
 • 
Gavin Giovannoni
34
Are ultra-processed foods a problem in multiple sclerosis?
A poor diet, high in ultra-processed foods (UPFs), low in fibre, and insufficient water consumption underlies chronic constipation. What can be done…
 • 
Gavin Giovannoni
37
Q&A 38 - to take aciclovir or not
Do the risks of taking a daily antiviral outweigh the benefits, or vice versa? My consultant is happy for my GP to prescribe it, so I would like to know…
 • 
Gavin Giovannoni
22
13:44
Artificial sweeteners, taste and multiple sclerosis
From an evolutionary medicine perspective, it is best to avoid artificial sweeteners. Why would we hijack a physiological system (calorie-sensing) to…
 • 
Gavin Giovannoni
40
15:49
Prof G is retiring
My partial retirement is a misnomer. I will use the time freed from stopping clinical work to do something completely different: MS prevention.
 • 
Gavin Giovannoni
60
12:09
Exercise matters
Exercise is the most underrated and under-utilised multiple sclerosis disease-modifying therapy we have, and it should be part of the standard MS care…
 • 
Gavin Giovannoni
57
14:52
Q&A 37 - Extended toe and bent knee
It seems as if you and your MS team have neglected your spasticity management.
23
21:02
© 2024 Gavin Giovannoni
Privacy ∙ Terms ∙ Collection notice
Start WritingGet the app
Substack is the home for great culture