Ide Smets

@drruthdobson (UK) and @SmetsIde (The Netherlands) explore the practicalities of therapeutic sequencing options in MS. Watch now: ow.ly/FTEX50OMQV5 #MedTwitter #Neurology #NeuroImmunology #MS #MultipleSclerosis #MedEd

Controversy ⚖️ Pre-symptomatic #MultipleSclerosis or radiologically isolated syndrome #RIS should be actively monitored and treated. 🧵1/4 Link to commentary ▶️ journals.sagepub.com/doi/abs/10.117…

Not all MS drugs are created equal! In MS Center ErasMS gebruiken we daarom vanaf nu de Nederlandse versie van de #clinicspeak medicatie keuzetool. Vrij beschikbaar voor alle MS centra en pmMS. DM voor een visitekaartje! clinicspeak.com/dmt/nl

@PatriciaMunn604 @themsguide This is freely available on the clinicspeak.com website

This is a vastly improved tool to help make the best DMT choices. clinicspeak.com/dmt/ Question 2 is a real no-brainer! Kudos to @SmetsIde

Past & current #BartsMS @ectrims fellows @SmetsIde Drs Saul Reyes & Manuel Salavisa linking up with @preventiveneur1 senior lecturer @somehow_related at #ECTRIMS2022 @Iamsterdam

Very 🔥 debate with @XtineLebrunF and @drBWillekens on a late breaking topic: should we start treating radiologically isolated syndrome? A struggle between biology and disease, that needs to be addressed by new RIS criteria. @ECTRIMS

In simulated MS cohorts, lesion detection algorithms argue to be disease-modifying by detection more lesions, triggering early treatment switches and preventing disability. Nice feature or necessary add-on intervention? @the_MSBlog" target="_blank" rel="nofollow noopener">multiple-sclerosis-research.org/2022/10/pain-q…

Russians: Do you want to join Holland? (Namens Nederland, een referendum voor alle Russen: willen jullie bij Nederland horen?)

Rituximab (anti-CD20) is a more potent MS drug than dimethyl fumarate. The bigger question: is it better than the more costly ocrelizumab? Three possible answers: an official, a real and a right one. Which one do you prefer?@the_MSBlog multiple-sclerosis-research.org/2022/08/haute-…

@MichaelRobersMD @ErasMS_Rdam Agree, it probably won’t be different for B cell tx, but my hope is we could evolve towards ‘focused retreatment’ with anti-CD20 based on a biomarker such as NfL

There’s no exit strategy for pwMS on anti-CD20 atm. Some argue there’s no need to exit, some argue to extend intervals and we argue to stop anti-CD20 after 4 infusion cycli. Do you agree? journals.sagepub.com/doi/10.1177/13… @ErasMS_Rdam

The position of aHSCT in the MS treatment landscape is a source of debate, and for many pwMS it’s unclear who can benefit. In early aggressive MS it’s clear, but for progressive MS the risk/benefit profile of aHSCT shifts. @the_MSBlog multiple-sclerosis-research.org/2022/06/projec…

During clincics, we are often too much focused on drugs, and forget to mention the second most-effective MS treatment: exercise. To compensate, I discuss my insights together with @themsguide in this podcast. #brainhealth open.spotify.com/episode/0bK1Ar…

Many pwMS need to gain a new expertise: overcoming administrative hurdles to gain access to crucial healthcare services such as rehab. In the UK this is the red tape, in the Netherlands a purple crocodile. Do you have any in your pool? @the_MSBlog" target="_blank" rel="nofollow noopener">multiple-sclerosis-research.org/page/3/@the_MS… @ErasMS_Rdam

This is a superb post. I also struggle to understand why someone would fail to take the neurologist's advice. I guess @SmetsIde has put her finger on it when she suggests it may be a form of denial (my words). MS is constantly vandalising our brains. bit.ly/3vPXS4f

Many pwMS struggle with DMT decisions when they have new lesions on brain MRI without new symptoms. Two attempts to better explain this clinical-MRI paradox: the topographical model of MS and road traffic. Do you stop for groceries at night? @the_MSBlog multiple-sclerosis-research.org/2022/05/clinic…

@themsguide 💪🏻💪🏻

If the Bluebells are white does that make then Woobells? Didn’t feel the love but dragged myself around this morning. #exercise is another #DMT. #TreeClub #dorstokmilla @SmetsIde

Are the Dutch also ready to embrace HSCT as a first line treatment? @MSwebNL @msvereniging @MS_Research @NationalMSFonds @ErasMS_Rdam @Hersenbank @MScentrum020 @GTCumcg @nvneuropsy @SmetsIde @JeroenJGGeurts @HannekeHulst @Eef111 @NIN_knaw

A huge thanks to all the people with MS who helped us to design this leaflet for people with MS considering pregnancy buff.ly/3tB3xKb. You had told us you wanted a reliable leaflet to be able to look at outside of clinic appointments that you could read in your own time.