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- Title
Teleconsultation will replace most face-to-face interactions in the multiple sclerosis clinic – No.
- Authors
Moccia, Marcello
- Abstract
Teleconsultation will replace most face-to-face interactions in the multiple sclerosis clinic - No Back in the days of the Tuesday lectures at Salpêtrière Hospital, Jean-Martin Charcot first identified multiple sclerosis (MS) based on the phenomenology of tremor, and, then, confirmed his clinical guess on post-mortem pathology exam.[1] Over 150 years later, few has changed in the neurological approach to people with MS (PwMS), with clinical relapses and disability progression being used for diagnosis, follow-up and assessment of treatment efficacy (or failure), and brain and spinal cord MRI to complement clinical evidence.[2],[3] In this relatively unchanged scenario, in March 2020, coronavirus disease 2019 (COVID-19) pandemic has emerged as a game changer, with many face-to-face consultations being cancelled and delivered online.[4] Though this initially seemed a good idea (or, at least, the most reasonable idea), over the following months, we have experienced firsthand the reasons why teleconsultations cannot replace most face-to-face interactions in the MS clinic. Thus far, we have faced three main limitations to teleconsultations in the MS clinic: (1) difficulties doctors have in assessing the heterogeneous clinical features of MS; (2) difficulties PwMS have in using devices suitable for high-quality teleconsultations; and (3) general limitations of teleconsultations.
- Subjects
MULTIPLE sclerosis; COVID-19; MEDICAL societies; DIAGNOSIS; COVID-19 pandemic
- Publication
Multiple Sclerosis Journal, 2021, Vol 27, Issue 2, p176
- ISSN
1352-4585
- Publication type
Article
- DOI
10.1177/1352458520968815