Sunday November 19th 2017

When patient opinion and clinical science are implacably opposed: the view from an MS specialist

Some years ago, just after starting as a consultant, a patient with an established diagnosis of multiple sclerosis (MS) asked me to prescribe Diet Coca-Cola for her. I was taken aback by the unusual nature of the request, and had to ask why. It turned out that she had watched a Channel 4 documentary programme on television the previous evening, in which a lady called Cari Loder had presented a proposal for a regime of treatment that appeared to benefit her MS. The combination was vitamin B12, a somewhat out-of-fashion antidepressant called Lofepramine, and L-phenylalanine in generous quantity. The latter, the TV commentary had advised, could readily be obtained by drinking a litre or two of Diet Coke every day. To a new consultant, attempting to fashion my clinical practice around a sound …

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Originally posted here – 

When patient opinion and clinical science are implacably opposed: the view from an MS specialist

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