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Obscure late 70s' yacht rock band. Peaked at 172 on the Saskatchewan charts.

Go All Blacks!

And if the patient doesn't improve, or gets worse, then it must be the patient's fault for irrationally resisting 'treatment'. Under no circumstances can the therapist be to blame, apart from not 'explaining the treatment' properly.

Marketing. Yep. It really is not fundamentally different to the function of Soviet era psychiatry. It is still basically about providing a pseudo-scientific pseudo-medical pseudo-compassionate justification for social control, not for actually treating health problems.

Maybe it is because magicians are experts in how people fool themselves.

I don't think that word means what they think it means. Or what they want others to think it means.

At the absolute minimum those advocating exercise therapy need to have a robust means to predict who will safely benefit, and who won't.

In the Mental Health section, and citing NICE 2007, Cochrane on CBT 2008, and two cost effectiveness studies (one from PACE, without using the word PACE). In late 2023. Straight medical fraud and abuse.

PPS are viewed as awkward by educators and learners. Learners think that there is no science behind the symptoms. And the 'Learners' are correct. A case of the students being smarter and more honest than the teachers.

Research still has a vital role in the new ME/CFS/Long COVID paradigm. But it should be a different kind of research. The kind that no longer focuses on biomarkers and mechanisms. These are sure to provide “promising” but false leads and divert resources. The transparent lie of a premise here...

Psycho-tyranny. The worst psychopathology of them all.

Cochrane isn’t a government department or a public body, we are a relatively small charitable organisation. It is not possible for us to do what you are asking us to. They want the power to influence the world and our lives, in sometimes extraordinarily intrusive and potentially very...

:grumpy::grumpy::grumpy:

And trust is, by far, the single most important resource in clinical medicine. Medicine already has a big enough problem with unjustified lack of trust, and they seem hell bent on adding a mountain of justified lack of trust on top of it. That cannot end well.

When is somebody in parliament or the media going to ask the obvious question about what the hell have they been spending all that money on? Modest and not sustained 'improvement'.

I have had dry eyes and especially dry mouth since early on in my ME experience. The dry mouth is a particular issue when sleeping.

Post-Coronavirus Disease post-COVID syndrome Coz there just isn't enough acronyms. :rolleyes:

Very important thread. Thanks for starting it, @bobbler. :thumbup:

There was no clinically important difference for... ...exercise performance (6 minute walk...). There was only one result in PACE from all objective measures that was even statistically significant (6 minute walk for the GET arm), and that was also not clinically significant, and indeed still...

Is that to the pandemic itself, or to certain people's unhelpful reaction to it and attempts to manage it?