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  1. Peter T

    Is ME/CFS a form of Host versus Host disease?

    Might this explain the appearant higher incidence of food intolerances developing with ME/CFS.
  2. Peter T

    UK: What you need to know about the [mobile phone] Emergency Alerts test on 3pm, 7 September [2025]

    I have switched of the emergency warning facility on my iPhone (I hope), with the intention of switching it back on next week, if I can find the relevant settings again.
  3. Peter T

    Very mild or prodromal ME/CFS

    Posts moved from 'Investigation of Remissions' thread. ----------------- This is something we have discussed in other contexts, such as people with gradual onset. The pedantic answer is that generally an ME/CFS [diagnosis] requires a 50% loss of function, so such pre or post states are not...
  4. Peter T

    Investigation of remissions

    Given the high rates of misdiagnosis (potentially as high as 40% both false positives and false negatives) we need a way to confirm the original ME/CFS diagnosis and a clear description of pre remission symptoms to know which of the various diagnostic criteria the person originally met. Of...
  5. Peter T

    Exploring the experiences of undergraduate students with disability who withdraw from university studies, 2025, Duncan (one has CFS)

    I was impressed by my sister in law, who, having witnessed my ME and ME in the children of several friends, descended on her daughter’s university when she developed glandular fever (mono) and gave the university no choice but to give her a year out. My niece went home for some months and then...
  6. Peter T

    What to you think caused your ME/CFS, and what do you think has helped?

    Just to add to what was said by others about the BPS approach to ME/CFS. The bio psychosocial model in theory states the truism that every condition has potentially biological psychological and social components that need to be considered for fully effective treatment/management. However its...
  7. Peter T

    What to you think caused your ME/CFS, and what do you think has helped?

    What I was hinting at above is the possibility that, though we have no treatments, we can create the best opportunity for spontaneous recovery, though there is no guarantee that any such recovery will occur, nor that if does occur it will be any where near full recovery, nor that instead we see...
  8. Peter T

    What to you think caused your ME/CFS, and what do you think has helped?

    I believe, without any objective evidence, that, if I can sufficiently reduce my activity, avoid PEM that triggers long term worsening, and avoid anything else that will worsen my health, such as infections, my ME tends to spontaneously improve, but that over the last thirty years any such...
  9. Peter T

    What to you think caused your ME/CFS, and what do you think has helped?

    [Cross posted with @Kitty ] Sorry I worded it badly. I meant there are assumptions in saying it was ‘triggered by’ though for me given there was no clear distinction between the end of my glandular fever (mono) and the start of my ME/CFS (though obviously not diagnosed until later) means I...
  10. Peter T

    What to you think caused your ME/CFS, and what do you think has helped?

    My initial onset was concurrent with glandular fever (an acute Epstein Barr infection with the virus confirmed). I believed I had recovered after some four years, but then my first significant relapse was concurrent with an acute seasonal flue infection (virus not confirmed). In my mind I see...
  11. Peter T

    Open What questions should a PwME ask if they're considering entering a treatment trial? (specifically Lindus Health ReMEdi trial)

    Given people with ME/CFS often respond badly to medication, anyone taking a new drug should be able to investigate what they might be taking if allocated to the treatment arm. Obviously this pre knowledge shouldn't be a problem for those already enrolled in the trial as long as it is...
  12. Peter T

    Covid-19 vaccines and vaccinations

    Pemgarda seems to have been developed initially for use with the immunocompromised where the ordinary Covid vaccine is not appropriate, hence the phrase ‘clinically vulnerable, though I am not sure what is intended by ‘emergency situations’. Could it it just relate to the pandemic situation, or...
  13. Peter T

    Covid-19 vaccines and vaccinations

    Pemgarda is not currently available outside the USA (for the UK see this March 2025 Parliamentary question and answer )
  14. Peter T

    Covid-19 vaccines and vaccinations

    re Pemgarda Wikipedia says Added - struggled getting rid of the original formatting which did not copy well, hopefully this is now readable.
  15. Peter T

    "Too tired to teen" in The Art of Paediatric Medicine Beyond the Evidence Base: Clinical Pearls from Experienced Clinicians, 2025, Lubitz

    My heart sank at the first line: ‘This book assembles the acquired wisdom of experienced paediatricians and other clinicians’ ie the prejudices and preconceptions of the great and the good.
  16. Peter T

    Construction and curation of a data set of historical mental health incidence in Norway, 2025, Mamelund et al

    Possibly this interpretation/ideology is so prevalent in some circles that many are not even aware it is not a simple descriptive fact.
  17. Peter T

    Long COVID-19: A Four-Year prospective cohort study of risk factors, recovery and quality of life, Kamal et al, 2025

    Sorry not read the article, but presumably this includes those with identifiable physiological damage, such as lung damage, who would be more frequent in the patients hospitalised in the acute phase, who will not resolve so easily, as well as those with post viral fatigue that might be expected...
  18. Peter T

    Question re PIP and UC

    I also found the Citizen’s Advice Bureau very helpful. They also came to my house and filled in the PIP form for me. Mind I have heard other people say they did not help as much in other areas. It may be if you are in a rural area they are more flexible. Although very stressful there is...
  19. Peter T

    The effects of a structured communication tool in patients with medically unexplained physical symptoms: a cluster randomized trial 2023 Abrahamsen

    In one sense, prior to diagnosis, all medical consultations are for symptoms not yet explained. However, ‘MUPS’ is a specific diagnosis the validity of which quite rightly requires serious examination, not least to establish whether or not it has an objective reality beyond the minds of some...
  20. Peter T

    “Overdiagnosis is a danger to our patients and the health system” (article in Irish Examiner newspaper by a GP)

    The article throws out lots of ideas around over diagnosis without fully distinguishing between them: Misdiagnosis, where false positives are a form of over diagnosis Over testing, where testing provides no additional guide to further useful action Over testing because of a doctors fear of...
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