38 Comments
Mar 13, 2023Liked by Gavin Giovannoni

Looks excellent but it needs to be painfully clear if 10 is good or bad. This may seem unnecessary to you , but cognitive difficulty can make the most obvious blurred. Putting all the pros and cons together on one card is an excellent idea, but every card needs to remind the reader what is “good” and “bad”.

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Mar 14, 2023Liked by Gavin Giovannoni

Yes, I’m a bit unclear.

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Mar 14, 2023Liked by Gavin Giovannoni

My mistake. I didn’t get all the way to the end.

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I would think on the needle scale above they could put a 10 in the green and a 1 in the red

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this was my first thought as well, including the fact that whether 10 is good or bad is also affected by the category - side effects of 1 vs vaccine friendliness of 1

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A very good point.

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Mar 13, 2023Liked by Gavin Giovannoni

The cards look great, very easy on the eye. I’m thinking that people will put a lot of store on the scoring levels of relapses and disability progression so the stats need to be totally accurate and explained fully to patients.

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Mar 13, 2023Liked by Gavin Giovannoni

Excellent. Best thing I’ve seen so far and much needed.

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Mar 13, 2023Liked by Gavin Giovannoni

I've just read through the cards and I think they are brilliant. If these were available many years ago when I was diagnosed this would have been very helpful. Ability to digest information slowly at your own pace is perfect. When large amounts of information can be hugely overwhelming, these cards provide concise scored information in manageable bite-size chunks. Well done!!

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Mar 13, 2023Liked by Gavin Giovannoni

Great idea for DMT comparison. Well done Safiya! A few comments:

1. Alemtuzumab card “pregnant people” should be “pregnant women”. Men don’t get pregnant. 2. Natalizumab card line 9 “People taking dimethyl fumarate” should be “People taking natalizumab”. 3. Cost per year information blank. 4. In general it would help clarity if you cite comparison to placebo, rather than comparison to other DMT. 5. Personally as both a person with MS and a retired healthcare professional, I would find an electronic version of this information on my phone most user friendly. Also think cards will just get lost in clinic.

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Mar 13, 2023Liked by Gavin Giovannoni

I love the phone idea :)

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Mar 13, 2023Liked by Gavin Giovannoni

I would like a category Cancer ( as in can you use if you have cancer) just like pregnancy ( can you take if planning to or are pregnant) . Overall a great idea, these then allow people to ask questions. It is women and not people that get pregnant though. Please don't wipe out or devalue my gender by not using the term women, I am not going to get political but you need to check protected characteristics in law

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Mar 14, 2023Liked by Gavin Giovannoni

Please don't devalue my gender by saying I'm not a person...

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Sorry I'm confused, everyone is a person, everyone an individual. Tiny, I have no idea of your gender, and you are a person.....I never said anything to the contrary. Personally I feel that women are being devalued and wiped off the map by not using the term woman, I am both a person and a woman. Woman is not a derogatory term as it is being treated currently. Please don't wipe me off the map I have spent all my life being treated as a lesser member of society because I am a woman.

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Mar 13, 2023Liked by Gavin Giovannoni

These are brilliant!

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Mar 13, 2023Liked by Gavin Giovannoni

Those cards are a great idea. Newly dx people often feel totally at sea, and being asked which DMD they want is a meaningless question without a clear framework within which to consider the question or at least clarify for clinician and patient what the patient’s priorities are. Helps everyone - great stuff!

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Mar 13, 2023Liked by Gavin Giovannoni

I think this is a great idea. Thank you for addressing the info overload issue, which is huge!

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Mar 13, 2023Liked by Gavin Giovannoni

Thank you, I’m in the process of being offered DMT, should find out what I am being offered in the next week.

I will use these cards along side other information to make my decision.

I will then give feedback.

Thank you again for this info

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Used them and filled it in. Definitely helpful even though I was only offered one drug Natalizumab but still allowed quick view of what the drug does.

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Mar 13, 2023Liked by Gavin Giovannoni

Good idea but I don't understand the score. Vaccination 10??? What does it mean?

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Mar 19, 2023Liked by Gavin Giovannoni

When comparing the ocrevus and kesimpta cards head to head, one may assume that kesimpta is the superior choice. Is that the intention?

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author

No but the scoring depends in certain features for example the burden of treatment etc.

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Mar 15, 2023Liked by Gavin Giovannoni

I would 100% rather look at these vs the glossy pharma info I was sent home with, where every DMT is "perfect". Re: women/people - "Copaxone is safe for those pregnant or breastfeeding" or "Copaxone is safe while pregnant or breastfeeding" would save characters and confusion.

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Mar 15, 2023Liked by Gavin Giovannoni

Yesyesyesyes!!!

Maybe i could have the file so i can translate it into my native language for people that don5 sp3ak English?

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author

Yes, we are redesigning and updating the cards in a format that can be disseminated to everyone and you can then translate them.

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Mar 14, 2023Liked by Gavin Giovannoni

The idea of an information card is excellent.

I also think every NHS appointment should end with the clinician giving the patient a summary on a postcard. This to include main points covered in appointment, including results of tests, which tests results not yet in, findings and next steps.

I work in NHS and am shocked by how many patients don't understand what's happened in their appointment or have forgotten the crucial details by the time they get home.

I work in NHS

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This is BRILLIANT! I suffer from Brain Fog, so I think these cards will be very useful. I think these cards will reduce anxiety and overwhelm, which can worsen symptoms. This is the best idea I've heard in a long time. I will take some time to read and review the cards and complete the survey. Thank you, Safiya!

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