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As always, I not sure who's serious and who's having a laugh on this thread but the author has just misspelled the word nutraceutical. Or am I missing the point again? It's been around a long time even though the spellchecker here doesn't like it. The spellchecker likes it just fine. I just...

Indeed and that's the initial attraction of it. It's a lot more than can be said for just about any doctor who routinely prescribes pwME anything stronger than a pain killer or a sleeping tablet.

Hey, your p.s. came too late! I couldn't see while I was typing my reply. :bag:

A few sections from the paper that touches on some of the points raised above.

I can't disagree with any of that. It does look bad. I talked to my own Perrin practitioner about this. It was the same year of the first PACE paper. At that time, they weren't sure how you could design a trial when you cannot blind the treatment and you have to reply on subjective reports...

Sorry I missed that. I haven't read the coverage properly. I'm trying to make my way through the study paper. That's concerning. And it's also bit odd because the practitioners don't diagnose without a full history, which takes considerably longer than your average GP appointment.

It's such a shame that the Science Media Centre has lost all credibility. Now it's open season again. ;)

Yes it is a shame about the recruitment method. On the plus side, they recruited from two hospital clinics (good) as well as from the local support groups and by social media and posters. I don't agree with you about the patients being more likely to have sore lymph nodes (and, by the way...

Sorry so much has already happened on the thread that I forgot I wanted to reply to this by way of Trish: Also, in their normal practice the AHPs trained in the Perrin Technique would take an extensive verbal history in addition to the physical examination. So in this study, the AHPs and the...

I agree that they would be unlikely to be specialists in those areas but the rheumatology and neurology examinations that you listed above are pretty standard doctoring tests. I dare say that even most psychiatrists wouldn't have too much trouble.

Ouch! I hope what they did was exclude her as the criteria indicated they should.

As far as I can see, absolutely nothing but the paper is about diagnosis not treatment.

The Perrin practitioners made their examination separately. https://www.healthcareers.nhs.uk/explore-roles/allied-health-professionals/studying-be-allied-health-professional

Can you tell us how you heard about the study. Where you recruited by a Perrin practitioner? Is there any possibility that the practitioners in the study could identify you? Do you mean that the inexperienced AHP was an NHS physio who had been trained in the technique for this study? It's a bit...

I'm not arguing that there was no bias. I bet the NHS expected a null result for the Perrin Technique and that's why they agreed to be involved. Which sort of does bring us back to SMILE. Did Crawley ever imagine that there would be a 'positive' result for SMILE? Does she realise that it was...

No, but surely that isn't the point. It isn't the accuracy of NHS physical examinations that were being tested. Isn't that the point. The NHS were involved in it too and knew what was going on.

Targets for selling financial services in the UK were abandoned years ago. Sales staff are now assessed on quality. Unfortunately targets still exist in other areas of financial services and where they are unrealistic, they lead to poor practice. If financial regulators recognise that they...

It's at worse "the fatigue should reduce the amount of physical activity each person could do and the fatigue should feel worse after physical activity" or at best "symptoms getting worse after physical or mental exertion". NICE diagnostic criteria certainly aren't ideal but they could be lot...

You can argue that staff shouldn't bow to pressure but personally, I'd rather see higher level managers, including those responsible for setting targets, to pay. If staff weren't pressurised to perform to targets either through a system of rewards or of sanctions, then they'd be more like to...