United Kingdom: ME Association news

I was just as ignorant this morning. I did not realise that the UK academic neurology centre was getting heavily into ME/CFS already.
I’m not sure if it would be fitting or ironic if a neurologist from Queen Square were to make a breakthrough [Perhaps both]. But this is very encouraging to hear. Thank you.

For anyone not aware, Queen Square is where SW became interested in and arguably hijacked what he called CFS research.

From his interview on BBC The Life Scientific:
SW: … And as I got a bit older I had a stroke of luck that I went to Queens Square, The National Hospital for Neurology and that was in this fantastic hospital, surrounded by neurologists, so there were only three psychiatrists, and that’s when I really started to get interested in research, and that’s where I got interested in “chronic fatigue syndrome”.

And because these patients were being seen there. I have to be honest, and say nobody really liked them.

Jim Al-Khalili: Tell me about some of these patients, that you saw at Queens Square.

SW: Well, there were people being referred (Queens Square is the home of neurology), and, at that time, it was felt that this might be a mysterious muscle disease, there was a headline in one newspaper and of course Queens Square is the best place on earth to deal with mysterious muscle diseases. They rapidly concluded it wasn’t a muscle disease and then didn’t really want to have anything to do with the patients to be honest with you. So they started – this happens a lot when people don’t know what to do – they do ask psychiatrists to get involved. So I started getting involved, and I was the only one, and I just got more and more fascinated.
Full transcript of the interview here: https://meassociation.org.uk/2017/0...life-scientific-bbc-radio-4-13-february-2017/
 
Long Covid. There seems no doubt that physicians have come to realise the reality of ME/CFS as a result of Long Covid, which, at least in shorter versions, has affected many colleagues and family members.
That's really interesting. We might have expected that but I think this is the first time I've heard it this being the spark to get researchers involved, especially in the face of the countervailing BPS narrative on Long Covid.
 
One of Michael Zandi's regular co-authors is the psychiatrist Anthony Stevens. Prof Stevens introduced (with Simon Wessely) the cognitive-behavioural model of CFS in the 1980s.

Of course, Dr Zandi may not be committed to any particular ME/CFS hypothesis.

EDIT: Very sorry, I meant to write Prof Anthony David. (Anthony Stevens was an evolutionary psychiatrist.) I can see 10 or 20 papers by Zandi, David et al on a varitety of topics on Google Scholar, unless my poor concentration is still getting the better of me. Thanks to JE for talking to Dr Zandi.
 
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One of Michael Zandi's regular co-authors is the psychiatrist Anthony Stevens.

I can only find one PubMed entry to Zandi-M and Stevens, about using monoclonal antibodies.
It would not be at all surprising if he co-authored with a psychiatrist since his main interest is autoimmune encephalitis presenting as psychosis.

He expressed his dismay yesterday that there were still some psychiatrists in London who thought ME/CFS was psychological.
 
Dr Zandi was an author on the encephalitis lethargica paper, that trawled through detailed notes, made a hundred years ago when doctors did not have enough tech to skip all that observatio,n and reporting- but were meticulous with what blood tests they had available.

Also they used less synthesised drugs and more botanical drugs (dosage standardised).

Dr Zandi took up his post at the Neurology Square in 2019, so he was not there in the bad old days where I heard some Professor gave some people a hard time, I think Prof Pinching

His Orcid Bio CV only gives his current job, no previous jobs listed (linked in a post above). His post began as a neurology consultant at the National Hospital for Neurology and Neurosurgery, Queen Square, where he:

- runs an auto-immune encephalitis and neuro-immunology clinic, and

- co-chairs the weekly UK National Queen Square encephalitis professionals meeting

Autoimmune encephalitis eg associated with NMDAR, or LGI1, or related auto-antibodies is a particular concern. I share it. I must read his solo paper on neuro-myotonia. It sounds like what I call overcontracted muscle. I've been wondering what acetylcholine has to do with it.

His broader research concerns are central and peripheral neuro-immunology; CNS vascultis, amyloid-related angiopathy-related inflammation; neuro-psychiatric involvement in systemic lupus erythematosus; neurological effect of systemic infection incl. Covid-19 and its related conditions; T-cell biology of auto-immune encepalitis; neuro-immunology of catatonia ...

... and neuro-immunology of CNS disorders as seen in the Neuro-immunology lab serving UCL & UCLH; also the the neurological and psychiatric complications of - and role of inflammation in - Covid-19 (with a Banerjee); and the role of inflammation in neuro-degenerative disease and !!!!! in psychiatric disease:

- supported by UCL UCLH NIHR BRC (Biomedical Research Centre).

He does sound distinctly bio-medical (if the neuro-psychiatry is legitimate). So far he is not saying maybe the mind manifests as physical symptoms. Rather vice versa.

His training was redoubtable, including a grounding in veterinary science which takes matters more seriously than human health service can. He did not pursue further the Prof Barry Everitt's initial module in experimental psychology.

He pursued clinical medicine; also neurology at Saltpetriere with Bernard Fontaine (Paris); then in a neuro-science Fellowship with a PhD looking at:

- biomarkers in neuro-psychiatric lupus and NMDAR encephalitis, also in the august laboratories of Professor Angela Vincent (Oxford) and Professor Alisdair Coles (Cambridge). He had various funding; and then ongoing funds from UCL's BioMedical Research Centre

His preliminary, seed funding was to allow a PhD Fellow time to develop work between both Haematology and Neuro-immunology labs, so for salary and consumables about £150,000. That was 2019-2021. Researcher in UCL Biomedical Research Centre when a pandemic struck

He had reached his clinical post there in 2019, just in time and in the right place. He was on twitter.com as /michael_zandi, ID created 2020 in the pandemic. His Author and Researcher IDs were created in 2016. Eventually he was invited to lecture all over the place.

In 2016 he was researching immuno-therapy for patients with psychosis associated with anti-neuronal membrane antibodies, SINAPPS 2.

I think his research post is or was Principal Investigator and Honorary Associate Professor, in the Department of Neuro-inflammation, at the Queens Square Institute of Neurology.

His 2020-2022 research had been funded through the Covid clinical neuroscience study, hosted at the Liverpool and the Kings College Universities, total grant £2,300,000, for neuroscience, not messing about with psychiatry. UCL was paid per patient.

So 2020-2022, as or under one of the co-applicants, he was urgently seeking to understand the biological !!!! causes of both covid complications impacting the brain in hospital - both the neurological and the neuro-psychiatric complications (I think published in Brain

Some Centre for Doctoral Training in Additive Manufacturing was also involved in funding it; sub-type Covid-CNS (central nervous system), people were very worried. Brains attacked. I doubt Simon Wessley's theory of mass hysteria got a look in, except in conspiracy videos

A scan of his other research indicates that he is well placed to make differential diagnosis of the psychiatric consequence of inflaming a brain eg in encephalitis and in psychosis, and as distinct from the neurological consequence - and neuro-psychiatric consequence whatever that is
 
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I can only find one PubMed entry to Zandi-M and Stevens, about using monoclonal antibodies.
It would not be at all surprising if he co-authored with a psychiatrist since his main interest is autoimmune encephalitis presenting as psychosis.

He expressed his dismay yesterday that there were still some psychiatrists in London who thought ME/CFS was psychological.
Was he aware that the idea that it's psychological is very widespread in the NHS generally?
 
I’m not sure if it would be fitting or ironic if a neurologist from Queen Square were to make a breakthrough [Perhaps both]. But this is very encouraging to hear. Thank you.

For anyone not aware, Queen Square is where SW became interested in and arguably hijacked what he called CFS research.

From his interview on BBC The Life Scientific:

Full transcript of the interview here: https://meassociation.org.uk/2017/0...life-scientific-bbc-radio-4-13-february-2017/
 
encephalitis lethargica
 
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