Evidence is more valuable than logic


Nigel Dawes Mark, an unassuming and gentle man-mountain with a teddy-bear soul and a single-figure golfing handicap, came to my clinic in 1994, diagnosed several months prior with amyotrophic lateral sclerosis (ALS)2, commonly known as “Lou Gehrig’s disease”. He had been offered no treatment by his neurologist and little comfort or hope. Today, almost 18 years later, Mark continues to live an active and meaningful life with minimal progression of the illness and an occasional muted complaint that his handicap has recently fallen to double figures (10 that is!). His neurologist has resorted to questioning his own initial diagnosis, and though supportive of Mark’s treatment choices is unable either to explain or contribute to his progress.

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