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The obituary of Jamieson B Hurry is interesting and reveals a man of diverse interests. However it has little to say about any medical research in support of his Danteesque circles. JAMIESON B. HURRY, M.D | The BMJ It does not look promising for useful medical opinion.

For the benefit of any, like me, who need a reminder about the MS winding up talk in Rotterdam, here is the video Prof Michael Sharpe Opening A Wrapping Up Discussion in #EAPM2019 - YouTube It does not instil great confidence in the profession.

Those maps are intriguing. They make you wonder what the rates are in Ireland, and Alaska, and Finland, and the Baltic states, and Russia.

Ah, but the study is in to the "perceived" working mechanisms. Perceptions may be misleading.

Perhaps, like any other, it is best viewed as a hybrid disease (EDIT I meant to say "diagnosis"). Other potential causes have to be first eliminated before a positive diagnosis can be made. It all comes down to words.

Are there not dangers in drawing distinctions between "feeling ill" and "being ill"? If you are not ill, but only feel ill, why not just ignore the feelings? Any worsening might merely be a worsening of feelings.

If you ask questions about "practicing" or "doing" exercises, you cannot draw any valid conclusions about whether people "exercise".

I find the early push to regard ME as neurasthenia by another name interesting in view of a find which I recently made. The diagnosis (neurasthenia) brings with it no appreciable insight into pathology, frequently it has the special defect of guarding the patient against further detailed...

Do you think they are capable of showing the same degree of self-awareness?

But that is what it is , isn't it? Mind you, it is perhaps not as serious as unfitness to practice medicine.

I have tended to presume that the people who are drawn, unquestioningly, to systematic reviews and their results are people who are good at dealing with numbers, rather than words or concepts, and who do not think it necessary to study too closely what the numbers might represent, or the...

Does anyone remember the old joke "I've never been so insulted in my life." "Well you should get out more."

Has anyone referred to that book, in any way but in jest, in the last forty years? It sounds to be the sort of thing that only a third rate student of a second rate US business school would be likely to do. I can't think of anyone.

That sounds like a good basis for a stand-up routine, but it still needs a bit of work doing on it.

They might have those symptoms after six weeks. They might not have them after six months. They would still have satisfied the criteria for being diagnosed as having had the illness. It is a common call on this forum to say that such people have only had post-viral fatigue. I am agnostic on...

That is fine if you are happy with a definition which is so undiscriminating.

An illness in which there have been persistent symptoms for six weeks.

Or it might be less. It could be all over by the time the six months are up.

Apparently Angie Belcher is an Associate Lecturer in Comedy at University of Worcester, as well as being the Comedian in Academic Residence at University of Bristol. I wonder whether "comedy" stopped being funny at the time as universities started to offer courses, or whether the fact that the...

You've got to be joking.