This Is MS Multiple Sclerosis Community: Knowledge & Support

This is good! This means that some of the findings that are positive for CCSVI and for the improvements seen after venoplasty are being reported in a neurology journal. We've seen such a divide between the two disciplines of neurology and interventional radiology, and what they are hearing and saying about CCSVI.

http://www.neurologyreviews.com/Article ... FullText=1

I like Dr Ferral's words:
“These important results revealed that for people with MS who experience debilitating symptoms, minimally invasive interventional radiology treatments can be an effective, palliative treatment that also may improve their quality of life,” said Dr. Ferral. “As interventional radiologists, our biggest challenge is to bring to the attention of other specialists, especially those physicians specialized in MS, the evidence that venous lesions, often classified CCSVI, may be a true entity that deserves further attention and serious research,” he explained.
This should not threaten Neuros too much, a sensible move.

Unfortunately, Neuros will expect double blind trials:
"As we are still early in fully understanding the condition and its relation to treatment of CCSVI, it is our hope that future double-blinded prospective studies will be performed to further assess the durability of these results,” Dr. Mandato concluded.
Anyone care to explain to Dr Mandata that blinding is impossible to an awake patient as inflating a balloon can can be felt??

MarkW

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Mark Walker - Oxfordshire, England. Registered Pharmacist (UK). 10 years of study around MS.
Mark's CCSVI Report 7-Mar-11:
http://www.telegraph.co.uk/health/8359854/MS-experts-in-Britain-have-to-open-their-minds.html

I didn't feel a thing. I was under sedation.

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"Try - Just A Little Bit Harder" - Janis Joplin
CCSVI procedure Albany Aug 2010
'_MS' is over - if you want it
Patients sans/without patience

I am thinking that even if the placebo test subjects are sedated, there are other things you can tell to make you know if you actually received the full treatment. My groin was quite bruised, which I attribute to the insertion and manipulation of the tubes and all. It was far worse than a simple cut alone would cause. And, I had neck discomfort from the actual ballooning.

I just don't think that if I had received a sham procedure that I would not know that.

Did people read the interferon blinded studies and see how many in the placebo group complained of flu-like symptoms? How many in chemo studies in the placebo group who lose their hair?

The power of suggestion and placebo cannot be underestimated. If people are anticipating a result or side effect, many will experience it, even in the placebo group.

Cochrane review of placebo interventions for all clincial conditions finds that placebo produces no major health benefits.

http://summaries.cochrane.org/CD003974/ ... conditions

Placebo effect in MS trials:

http://www.overcomingmultiplesclerosis. ... ed+trials/

As far as pain goes I felt, intense pain during ballooning in the area where the balloon was plus it felt like my head was exploding. So yes I think it would be hard to achieve a true placebo effect.

This is hooey. The one-year cohort would go through the same change as the ten-year, and only once; a change from nothing to treatment. The relapse rate decrease does not accelerate, unless you are actually curing the disease, say by killing germs. I don't think anybody is claiming placebo does that. It can not treat disease, otherwise it could cure cancer. Ask anybody dying of it if they believe that.

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"Try - Just A Little Bit Harder" - Janis Joplin
CCSVI procedure Albany Aug 2010
'_MS' is over - if you want it
Patients sans/without patience

I believe if you could see all my posts you would find at least one referencing Cochrane. They publish this result periodically, I believe. So my question is, if placebo can never actually treat anything, how can anyone justify giving it to people, and not even the treatment under question? I think people are routinely denied treatment so that they will accept being used in randomized placebo-controlled trials.

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"Try - Just A Little Bit Harder" - Janis Joplin
CCSVI procedure Albany Aug 2010
'_MS' is over - if you want it
Patients sans/without patience

It could be regression to the mean. If patient selection is of patients who have atypically active MS, those patients naturally 'regress' to a more average amount of MS activity as measured by lesions and relapses, with or without treatment.