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Oral lipoic acid, a powerful antioxidant, has been found to reduce the progress of brain atrophy in secondary progressive MS. Here is a link to this fascinating paper. http://nn.neurology.org/content/4/5/e374.full.pdf   The trial was a small one, but the authors hope to conduct larger multicentre trials in the future.

Here is a fascinating paper entitled “Neuroprotective mechanisms of astaxanthin: a potential therapeutic role in preserving cognitive function in age and neurodegeneration.” Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5352583/  The complete paper is available as a pdf. Astaxanthin supplementation sounds a good idea.

It is Sarah’s birthday.She was born in November darkness at five o’clock in the morning in the Bristol Maternity Hospital, at the top of Black Boy Hill, where, coincidentally, I learned midwifery some years later. Five o’clock. The most awkward time of night. She was awkward in her origins. She is awkward now. I think I love her because she’s not compliant.Anyway, for her birthday we ordered a CD of Conan the Barbarian. Though violent, it has a very fine music score, and the villain (Thulsa Doom) reminds both of us of her Neurologist.I cooked the birthday-girl lamb’s liver and onions and roast tomatoes. She enjoyed it. Now she sits back with a glass of dry white wine.David

                                                                                                                    4th November 2015Dr ---- -------Consultant NeurologistBedford Hospital

Some people think that C. pneumoniae is just an innocent bystander. I think it is more like this: https://www.youtube.com/watch?v=XcxKIJTb3Hg 

Doctor Manford Returned to his Chair. ‘I’m sorry: your wife is finished.’‘Oh. What do you mean?’ ‘She’s finished.’ He paused. ‘Get herTo a Nursing Home. I can recommend one.’ ‘Thank you. She’s an artist.’‘That’s all over,’ he said. ‘And now you have a fee to pay,’ he said.Sarah drew out her cheque-book. ‘How much?’ ‘Sixty Pounds.’Sarah wrote out the cheque Somewhat laboriously.‘You see,’ said the neurologist, In the past I’ve had to makeRecourse to a debt-collecting agency.  

We take our work habitus for granted and assume that others must understand it. I’ve come believe that this is not the case; in my own situation I find that people wonder whether I’m a real medical practitioner. Part of the problem is that the American MD degree is equivalent to a MB ChB in the UK. British MDs are rare. So I thought I would try to clarify matters on my web-page by adding a short resume of how I came to be a medical microbiologist and what the daily work of such a person entails. Please let me know if it can be improved. 

I've updated my page on personality changes in persons with MS. I have often wondered whether these stereotypical changes were due to intoxication with volatile bacterial products behind the blood-brain barrier.