Portrait no.11

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11 of 26. Karen Morrison, professor of neurology at University Hospital Southampton. When interviewed in 2016, Professor Karen Morrison was Bloomer Professor of Neurology, University of Birmingham and Honorary Consultant Neurologist at the Queen Elizabeth Hospital in Birmingham. She’s now Associate Dean, Education and Student Experience, Professor of Neurology and Director of Education, Honorary Consultant Neurologist at University Hospital Southampton. She was the specialist who confirmed Miles’s diagnosis of primary lateral sclerosis variant MND in 2013. “I have seen hundreds if not thousands of people with MND and every one of them is an individual. As I’ve got older and wiser I realise that just the interaction with the individual patients is what counts as being a good doctor for them. Yes, we have been working towards finding effective treatments but actually at the end of the day patients want you to be a good doctor above all, and certainly that’s what I feel I have in my control at the moment. We don’t have a treatment that stops the neurodegeneration. If only we had a treatment that slowed it down so that even if it progressed, if it progressed over thirty or forty years on average, that would be a real step forwards. So we don’t have that, but our knowledge about what causes the disease has increased so much over the last twenty years. I do think that treatments that really will make a difference will be here within the next ten years. From my experience, people with MND can live with such spirit. I’m a big advocate of never giving up hope and actually there’s much more to a fulfilled life than being able to wiggle your big toe! I am constantly amazed by the resilience of the human spirit in the face of this disease. I think it's really important that everyone, doctors included, travels with hope because I think travelling hopefully is a so much better way to travel than to travel with none.” ___________________________________________ Help find an effective treatment for MND by donating here: https://www.justgiving.com/fundraising/26miles4mnd #MND #ALS #running #marathon #Tallinn #motorneuronedisease

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Portrait no.10

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10 of 26 portraits for @26miles4mnd Sally Light, CEO of the motor neurone disease association. We photographed Sally Light in October 2016. She is the Chief Executive of the Motor Neurone Disease Association – the only national charity in England, Wales and Northern Ireland helping people affected by MND and the charity your donations to 26miles4mnd are supporting. “I didn’t have a connection to motor neurone disease when I started here but now I strongly feel I do have a personal connection because I’ve lost so many people that I’d come to care for. Most recently in the last twelve months we lost two trustees from the board which was very, very hard. But I’m optimistic. Last Thursday for instance, I went up to Nottingham and I presented a long service award to a volunteer who’d been with us for thirty years. So those things give you such a feeling of optimism about the ability that the community has to all get behind the cause and really make a difference. I think one of the really important parts of the Association is the massive contribution that’s made by volunteers. We have these eighty-eight branches and groups right across England, Wales and Northern Ireland and they provide fantastic local support to people. They really are the heart of the Association and we couldn’t do a proportion of what we do without them.” ___________________________________________ To help support the work of the motor neurone disease, you can donate here: https://www.justgiving.com/fundraising/26miles4mnd #MND #ALS #running #marathon #Tallinn #motorneuronedisease

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Portrait no.9

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9 of 26 Hilary Rowberry Hilary Rowberry was living with a slowly developing ALS variant of MND and working as a branch MND Association volunteer when we interviewed her in October 2015. She sadly died after a stroke on June 9th 2017. She told us she had not heard of motor neurone disease before she was diagnosed and felt that she should have done because she worked as a nurse for forty years. She was amazed at how varied the symptoms of MND can be. “I just say that the brains not connected with the muscles and the muscles have become weak in my legs – in my case in my legs – but that’s me. There was another lady near here who’s one arm went completely and there are people who look perfectly well up and about but they have no voice. I find this quite staggering – the different ways it affects people. I’ve been to a couple of the big MND Association meetings and you meet all sorts of different people with MND. Some are quite obvious as they’re in neurological wheelchairs and others are walking around looking like normal and then you notice they have a device that helps them communicate with you because MND has taken away their voice.” https://www.justgiving.com/fundraising/26miles4mnd #MND #ALS #running #marathon #Tallinn #motorneuronedisease

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Portrait no.8

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8 of 26. Michael Wenham. Michael Wenham worked as an English teacher before training as a vicar. For many years he was the vicar of three village churches in Oxfordshire before MND caused him to retire. He’s been living with the primary lateral sclerosis form of motor neurone disease for more than eighteen years. A journal written throughout his illness has been turned into a book called “My Donkey Body”. It tracks the despair he’s felt at times as his body gives up, and the darkness that descends as his mind feels trapped. “I didn’t want to preach, nor give false comfort. I just wanted to say this is a bit what it’s like. It’s pretty awful. But it’s not all darkness. I feel grateful, apprehensive and occasionally very tired! The worst thing about living with PLS is the frustration and its prolonged nature. The good thing is being forced off the treadmill of activity. My consultant is right – There are pluses and minuses about living with PLS as opposed to ALS – It's a long haul living with PLS.” www.justgiving.com/fundraising/26miles4mnd #mnd #pls #als #PrimaryLateralSclerosis #running #TallinnMarathon

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Portrait no.5

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5 of 26. Professor Martin Turner. Professor Martin Turner is a consultant neurologist based at Oxford University and is researching MND Biomarkers for use in drug trials. We interviewed him in September 2015. "The closest thing is Sherlock Holmes – when all the letters are dropping down in front of his vision and he’s assimilating masses of information just by looking at someone – that’s exactly what most neurologists do. We can assimilate huge amounts of information just watching someone get up from a chair, come into the room, how they introduce themselves. And that’s one of the massive draws of neurology because then you listen to the story. As a consultant 95% of the time, by the time you’ve heard the story you know the diagnosis. Then you examine the patient to confirm your thoughts and that examination in many ways certainly in MND is far more important than any test. In my research the buzz word is BIOMARKER – a biological marker of the disease activity. I’m looking for markers at the system level and that’s using very, very high resolution scans of the brain which both look at the structure of the brain and the individual nerve tracts and how they function – the individual nerve impulses that are being fired between these tracts – and looking at how that changes over time. If I can measure damage to tracts and show that they’re not getting worse or perhaps something that the nerve cells are releasing into the spinal fluid or the blood and we have some of these markers to measure and we can show that these levels have changed, we know that that drug (or we think) it might be working. I’ve never been more optimistic about better treatments for MND ever in my career. There’s more going on now than there ever has been. When I first started fifteen years ago it seemed intractable and now it seems absolutely practical, it’s just a question of when and not if." #mnd #ALS #running #tallinnmarathon www.justgiving.com/fundraising/26miles4mnd

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