Looking at those gastro articles I am not sure about that. It looks as if we now have three categories clearly laid out: 1. structural/physical...
Tachycardia is not a diagnostic requirement for ME as far as I am aware and in fact I thought there was evidence that OI in ME is most often not...
Call me old fashioned but I would like to see just one protein consistently (80%) well outside normal range. This sort of study might lead to...
The BSG guideline on functional dyspepsia is a hoot - hard to believe really. All the recommendations are strong or very strong and all the...
Thanks @cassava7. That seems to identify what we are up against! From the quotes it looks like the usual unsubstantiated psychologisation with...
It would certainly be useful if physicians managed to gather some reliable information on it. Considering Greenhalgh's history of critical...
No, ligaments do not vary in function over days, weeks or months. They can become lax over years in the context of severe muscle weakness but...
Do we have good documentation that gastroparesis is a problem in PWME that causes symptoms? This is where I think we lack essential data. To my...
Yes, I raised light sensitivity because it might seem central but it is still not central in the central sensitisation sense. So case unproven....
You may be right but I am not convinced that there are any 'associated comorbid conditions' of relevance. The idea that there is some link between...
I don't think anyone knows. I think discussion in terms of 'faulty interpretation of normal signals' ends up meaning whatever you like unless one...
That may well be the case. The question is how to provide care guidelines that prevent mismanagement locally. This is where I see the NICE...
Video-fluoroscopy has fallen out of failure because of radiation dosage. I don't think any test can guarantee that there isn't a risk. With a...
Trouble is, most of it looks like hearsay. I worry that this sort of poorly validated information may actually aggravate the problem.
I guess it is to avoid aspiration of gastric contents. The presence of a tube is likely to make the oesophageal sphincter inefficient. If acid...
I strongly suspect that those two papers are not actually studying people with EDS but the ill-defined group of people who get labelled as...
If the signalling is neural, no. If it is cytokine or hormonal maybe but maybe not. We have learnt that a lot of chemical signals act quite...
But to me faulty signalling makes much more sense than lack of ATP. Lack of ATP should last for a minute or two, maybe twenty minutes after a...
Seems to be a different person.
The puzzle is that nowhere is there a policy that people should be denied nutritional support because of a lack of belief in a physical inability...
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