HappyPoet wrote:Hi NHE,
Out of curiosity, I'd like to know if the owner of TiMS could get a court order to find out the real identity of Centenarian100 and for what company he/she works? Could an order of protection be given to stop more of their employees from fraudulently registering at TiMS? There seem to be many legal, ethical, and moral issues involved with this person's behavior:
* This person intentionally violated TiMS' terms of service, terms that are meant to protect TiMS and its users.
* This person often used bully tactics, including intimidating and making ad hominem attacks on members.
* This person caused stressful situations for patients, and stress has been shown to cause new demyelinating brain lesions.
Perhaps against better judgement, I will respond to your posts...
1) I don't have any affiliation with any pharmaceutical company. If you read the content of my posts, it's obvious that I don't particularly support the pharmaceutical industry. I generally have a skeptical and scientific approach to MS. I am not impressed by anecdotal evidence for any treatment whatsoever. I have been following MS research for over a decade, and I have seen many things rise and fall in popularity and hype. I think that various platform agents in MS (avonex/betaseron/extavia/rebif/copaxone) have proven but modest benefits in relapsing MS (MRI outcomes, relapses) but no clear long term effect on disability. Potential long term benefits of more potent agents (natalizumab/alemtuzumab/rituximab/HCST) remains to be seen.
No pharmaceutical has demonstrated any clear benefit in progressive non-relapsing MS. I am not convinced by the male subgroup in the copaxone trial for progressive MS or the age < 50/gadolinium + lesion subgroup of the rituximab trial.
This position is essentially advocated by the American academy of neurology (#4):
http://www.choosingwisely.org/doctor-pa ... neurology/
Despite this, I find it frustrating when people on this forum criticize pharmaceutical treatments and endorse treatments with lesser evidence. If you are going to be skeptical of pharmaceuticals, you should be skeptical of all treatments of MS.
I am generally interested in nutrition and diet in multiple sclerosis, and it is somewhat disappointing that high quality trials on this subject are lacking.
In general, I am optimistic that greater scientific knowledge will lead to more targeted therapies leading to safer and more effective pharmaceuticals. In the short run, most of the improvements will probably be in relapsing MS, but eventually, I believe we will be able to stop and reverse progressive MS.
I think that financial incentives drive the pharmaceutical industry towards developing certain types of treatments and using certain types of unscrupulous marketing tactics. However, I am skeptical of the idea that any large scale conspiracy exists to suppress known effective treatments. I assure you that the family members of neurologists and the MS division of pharmaceutical companies are being treated with mostly FDA approved treatments for MS. I have met many of these people at national MS Society meetings.
2) You cannot get a court order to find out who I am. Posting opinions on an online forum is completely legal here in the United States. If an admin genuinely thinks that I am a drug rep here to market pharmaceuticals, they should ban my username.
3) It is true that I earlier used ad hominem attacks against cheer and wanttobike. I admit that this was not the most tactful or effective way to make my point. In my defense, cheer blatantly posting false information and trashing the FDA infuriated me, and wanttobike's sophism and blanket statements frustrated me. I still feel that cheer should retract her earlier blatantly false statement about novartis. I'm a brash American, so that is the best apology you're ever going to get. It is somewhat ironic to accuse me of ad hominem attacks when you are accusing me of being a pharm rep and threatening to track me down in real life.
4) If you feel that reading about the opinions of others is too stressful, I recommend not reading internet forums. I personally find open and free discussing to be incredibly valuable, and I have learned a lot from reading posts on this forum.