Alberto J Espay
@AlbertoEspay
#Neurology professor @uofcincy. Advocate of precision medicine in #Parkinsons & #Alzheimers. Cofounder of Regain to correct proteinopenia. Author #BrainFables.
ID:1180872634449481728
http://CCBPStudy.com 06-10-2019 15:49:25
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Reduction of soluble Aβ42 or Aβ40 through solanezumab increased CSF NfL. 'Binding soluble amyloid-β was associated with increased measures of neurodegeneration.'
Biomarker analysis of the DIAN-TU-001 study of dominantly inherited #Alzheimers
JAMA Neurology jamanetwork.com/journals/jaman…
Corticospinal tract hyperintensity is not an infrequent finding in LGI1-Ab #encephalitis and other #autoimmune CNS disorders, and may appear in patients without clinical UMN involvement. Take a look to our study led by Lucia Campetella and French Reference Center for PNS and AE : authors.elsevier.com/a/1iyxz_3myAxv…
Prof Scott Ayton Simon Mead Timothy Daly, PhD Madhav Thambisetty Eric Widera, MD Andrew Lees Robert Howard Jason Cohen radical optimism Lon S. Schneider, MD Seb Walsh Michael Schöll Vincent Planche Stefano L. Sensi Alberto J Espay Nicolas Villain Kasper Planeta Kepp Gill Livingston Ryan Townley Jesse F Ballenger (mastodon.world/@jfballenger) Jason Karlawish James Rupert Fletcher Adam M. Brickman Dr. Jennifer Manly Sarah Ackley, PhD FORTUNE TIME Erin Prater TIME Financial Times Hannah Kuchler CTAD NIH Alzheimer's Association Howard Gleckman American Geriatrics Society Kathy Liu Richard Merrick Nancy Lundebjerg (she/her/hers) Nathaniel Chin U.S. FDA NICE Raymond Koopmans Maastricht University Kariem Ezzat Dr Ben Underwood NHS England The Observer Cost-Effectiveness of Lecanemab for Individuals With Early-Stage Alzheimer Disease neurology.org/doi/10.1212/WN… via Johns Hopkins Bloomberg School of Public Health 's #CalebAlexander et al Results don't look v appetising Feng Xie
Your white coat is a symbol of compassion, a beacon of hope, a shield against suffering.
It is a conduit through which empathy and understanding flow.
Your coat is the weight and privilege you carry as a physician and the weight of the lives of people you touch. Alberto J Espay
Best advice for to-be doctors: listen to your patients with intention and purpose. It is the basis for an accurate diagnosis and compassionate, healing care. UTHealth Houston Dr. Erin Furr Stimming's 7-minute White Coat Ceremony address starts at ~7:27: youtube.com/watch?v=nBo4ol…
Luke Child Dabin, PhD More details about the basis of this criticism can be found here if you're interested: mdpi.com/2079-7737/11/4…
Sjors Scheres The problematic word here is 'always'. It's mechanistically impossible for a process dominated by surface interactions (2ry nucleation & other) to sustain templating via elongation & to 'always' generate the same polymorph. That's why heterogeneity is the norm in plaques. (1/2)
Sjors Scheres Alberto J Espay Is there anything else you think is 'flawed' in the paper?
To be honest, I think the assertion that a specific protein fibril shape characterizes each of these complex diseases, when the fibrils don't even predict disease and lack causal mechanisms, seems a bit too reductionist.