Biography & Education

Biography
To provide her patients guidance and support to effectively manage their conditions with better quality of life
Education Background
Medical School: Shanghai Second Medical University
Residency: Washington University School of Medicine, St. Louis, Mo.
Fellowship: Washington University School of Medicine, St. Louis, Mo.
Languages
  • Chinese
  • English

Care Locations

1600 East Jefferson
A Level
Seattle, WA 98122
Fax 206-320-2560
Accepting New Patients
Accepting Medicaid

Publications

Blog

Updated diagnostic criteria for neuromyelitis optica spectrum disorders (NMOSD)

August 27, 2015
Neuromyelitis optica (NMO) is a neuroinflammatory disorder characterized by optic neuritis and extensive myelitis. Like multiple sclerosis (MS), it can have a relapsing remitting disease course. Some of the NMO patients tend to run a more aggressive disease course. Most patients with NMO have Ig G antibodies to the aquaporin-4 water channel (AQP4).

In July 2015, experts from International Panel for NMO Diagnosis (Wingerchuk DM et al. Neurology 2015 Jul 14) provided updated consensus recommendations for NMO spectrum disorders (NMOSD). 

Can multiple sclerosis result in premature death?

August 11, 2015

While we often counsel patients that multiple sclerosis (MS) does not often result in death, we have noticed some MS patients with aggressive disease who clearly succumb prematurely. To understand survival in the MS population with a matched cohort from the general population, a population based study is needed to evaluate the association of comorbidity with survival in both populations. 

Research Update: Ganglion Cell Layer Thickness May Predict Clinical Recovery in Acute Optic Neuritis

April 17, 2015
Optic neuritis is a common presentation of MS.  Acute inflammation of the optic nerve can lead to transient swelling of the peripapillary retinal nerve fiber layer (pRNFL). Further injury of axons within the optic nerve may lead to degeneration of the retinal ganglion cell (RGC) layer within the macula. RGC layer thickness has been proposed as a measure of neurodegeneration because it is relatively resistant to confounding inflammation. A study was done to track the changes in the retinal layer during a 6-month period in 27 patients with acute optic neuritis to identify patterns of RGC layer changes.

Copaxone and the Interferon Betas Are Clinically Similar

February 10, 2015
Copaxone and the interferon betas (IFN-β) are both effective treatments for a relapsing form of multiple sclerosis (MS). A new study finds that MS patients followed over 10 years have similar annualized relapse rates (ARR) whether they take Copaxone or one of the interferon betas.

This recent study looked at 10 years of data on over 3,000 RRMS patients and found that Copaxone and IFN-β were similarly successful in reducing relapses. In the new study, researchers collected data on 3,326 RRMS patients who were using either IFN-β or Copaxone as their first-ever disease-modifying therapy (DMT) for at least 6 months, and had started treatment within 10 years of their first symptom. To be included in the study, patients also had to have had at least one relapse recorded during the two years leading up to the start of their initial DMT.

The researchers looked at ...

Breastfeeding, Disease Modifying Therapies (DMTs), and Postpartum Relapse in Multiple Sclerosis

October 27, 2014
Women with multiple sclerosis (MS) have higher risk of relapse during the postpartum period.  Can exclusive breastfeeding alone prevent relapses? How soon after delivery should disease modifying therapies (DMTs) be reintroduced? Are any DMTs safe to take while breastfeeding? 
 
While disease modifying therapies (DMTs) have been shown generally to reduce relapse rates, none of them are indicated for use during pregnancy and lactation. Therefore, the question of when to restart DMTs postpartum remains a difficult one for physicians counseling MS patients who wish to breastfeed their children.
 
Trying to predict the risk of relapse for any one individual is very difficult. The risk factors for postpartum attacks include ...

Statin Benefits Secondary Progressive MS

June 11, 2014

No treatments can currently abate the advanced stage of the disease, known as secondary progressive MS, which gradually causes patients to become more disabled. Statins are postulated to have immunomodulatory effects that appear to be independent of their effect on cholesterol. A benefit has been suggested in early multiple sclerosis (MS) based on reduction of magnetic resonance imaging brain lesions.  However, following trials have had inconsistent results.

In this multicenter, double-blind study, investigators randomized 140 participants with secondary progressive (SP) MS to 80 mg of simvastatin or placebo daily for 2 years. Participants were 18 to 65 years old, had active progression over the preceding 2 years, and had difficulties ambulating but were not wheelchair bound.  Whole brain atrophy was 43% slower annually in simvastati...

FDA approves 40 mg/mL Copaxone for�3 times a week

March 15, 2014
The U.S. Food and Drug Administration (FDA) has approved the three-times-a-week COPAXONE® 40mg/mL, a new dose of COPAXONE® on Jan 28, 2014.  This new formulation will allow for a less frequent dosing regimen administered by injection for patients with relapsing forms of multiple sclerosis (MS). In addition to the newly approved dose, daily COPAXONE® 20 mg/mL will continue to be available.

The FDA approval is based on data from ...

Testosterone is associated with worse disease severity in men with early relapsing onset multiple sclerosis

November 01, 2013

MS and many other autoimmune diseases are less common in men than in women. This is especially true during reproductive years. Sex hormones, including testosterone and estrogen, may be responsible for the difference. It is thought that men with multiple sclerosis may have lower testosterone levels than healthy controls.

Dr. Bove and his group assessed the prevalence and clinical associations of hypogonadism in men with recent onset relapsing multiple sclerosis.  Male subjects from the Comprehensive Longitudinal Investigations of MS at the Brigham and Women's Hospital (CLIMB) cohort were included. Hormonal measures included testosterone, the testosterone: estradiol ratio, leutinizing hormone (LH), and free testosterone. Clinical outcomes were collected every 6 months for Expanded Disease Severity Scale (EDSS), and annually for Symbol Digit Modalities test (SDMT).

The analysis included 96 men with a mean age of 40 years, disease duration of 4...

Specialties

Services Provided
Clinical Interests
  • Multiple Sclerosis
  • Multiple Sclerosis Rehabilitation
  • Neuroimmunology
  • Neuroradiology

Reviews

Patient Ratings and Comments
About Our Survey

The Patient Rating score is based on responses given during the CAHPS Patient Experience Survey. Responses are measured on a 10-point scale, with 10 being the best score. These scores are then translated to a 5-point scale in order to display results in a 5-star rating. Comments are also gathered from the same survey and displayed in their entirety with the exception of any language that may be considered slander, libel or contain private health information, which will be removed prior to publishing the comments.

4.5 out of 5 (64 Ratings, 13 Comments)

100

05/19/2015
Dr. Qian never seems rushed. I really like that.
Swedish Patient
100

05/07/2015
[...] Excellent.
Swedish Patient
100

04/22/2015
I have recommended others to the clinic for conditions other than mine.
Swedish Patient
100

04/21/2015
Dr Qian is compassionate and understanding.
Swedish Patient
80

04/16/2015
I love Dr. Qian.
Swedish Patient
100

04/05/2015
Very professional.
Swedish Patient
80

03/25/2015
I would have just liked more time during the initial intake appointment as I'm looking for a second opinion and to possibly move all of my treatment to Swedish. I'm also concerned with the MRI's I looked at simply because Dr. Qiang seemed to be very candid which I really appreciate - I haven't received as much detail from other providers which can be very frustrating. I think that this could very possibly be a good match as things progress.
Swedish Patient
90

11/11/2014
I never feel rushed with Dr. Qian. I like her very much.
Swedish Patient
70

09/28/2014
didn't read my medical record. didn't seem to acknowledge I've had care for this condition for a decade. had to spend an hour giving medical history that is in the chart with more details than I can remember. it was not until the end of the appointment and after minimizing my experience that the provider seemed to really understand my condition. it was what I had been concerned about in seeing a new provider.
Swedish Patient
100

09/09/2014
I appreciate Dr Qian's professional knowledge. I especially appreciate her respect for my decisions regarding my health care.
Swedish Patient
100

09/02/2014
I look forward to going to appts. because it IS such a REAL good feeling to be acknowledged, my people just tell me to stop complaining!
Swedish Patient
50

09/01/2014
Made me feel like I wasted my time. Asked me "so why did your doctor send you here?" I felt like she didn't care about my issues or concerns.
Swedish Patient
90

07/27/2014
Only dr I have seen who could answer ALL my MS questions!
Swedish Patient