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  1. Sean

    USA - Mayo clinic

    Mayo really are all over the place, aren't they. :grumpy:
  2. Sean

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Problem being that (far as I know) all other criteria are more restrictive and less inclusive, so anybody diagnosed with those other criteria are going easily meet the 1994 CDC and especially the Oxford. In which case the disingenuous can argue GET can be safely used anyway on those patients.
  3. Sean

    (…) overestimation of effects in randomized trials that fail to optimize randomization and blind patients and outcome assessors, Wang, Guyatt+, 2023

    When outcomes are subjective, investigators should ensure wherever possible patients and outcome assessors are blinded,..." Or use objective outcome measures alongside the unblinded subjective measures. Either (or both) is fine. Neither is not.
  4. Sean

    Opinion Cognitive behavioural therapy for neurologists, 2023, Stanton, Chalder and Carvalho

    Pride cometh before the fall. Pity they are taking patients down with them. Besides, seems to me they are more concerned with being precise (consistent) than accurate (correct), though obviously in an ideal world they would be both.
  5. Sean

    Hypothesis Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (Me/Cfs): The Biology of a Neglected Disease, 2023/4, Pretorius et al

    The diverse symptom presentation indicates that ME/CFS is likely to have a multifactorial origin. I don't see how that conclusion is justified.
  6. Sean

    Body-oriented mentalization based therapy in severe somatic symptom disorder, 2023, Feldmann-Sinnige et al

    L-MBT focuses on increasing awareness of bodily sensations Oh FFS. I thought the problem was that we paid too much attention to our bodies? But now you are saying we don't pay enough? Make up your freaking minds. body awareness was assessed with the Multidimensional Assessment of...
  7. Sean

    Open DISTRESS Trial Functional Disorders - the DISTRESS Trial (DISTRESS), Regionshospitalet Silkeborg, Denmark

    Superficially this is a reasonable approach. But will happen is that the failure to find a known physical cause will give licence to the functional interpretation to run free. It is a very effective political tactic. How robust are the physical assessments going to be? Will it be a panel of...
  8. Sean

    Long Covid in the media and social media 2023

    As the BPS club know very well.
  9. Sean

    News from Australia

    From the Daily Mail article: Bald face liar. It is far more than a "group of people with chronic fatigue syndrome", as he damn well knows. Just another round of the shameless gutless misrepresentations of the facts. Coz the BPS cult got nothing else. In the bargaining phase, I see.
  10. Sean

    New developments in understanding chronic illness, Nov. 8-10 Washington DC Davis/Hanson

    I think it is pretty clear that just about every finding and symptom so far in The Great ME Saga are the downstream consequences of the primary pathology, often a long way downstream. Which is why there are still no consistent findings, it cannot be well defined, and there are no clear answers...
  11. Sean

    Still to open Discovering Trends in Chronic Fatigue Syndrome Patients' Clinical Study Experiences, Power Life Sciences Inc., California

    That consent form has to have been written by either an AI bot in training, or maybe a subversive performance artiste.
  12. Sean

    Still to open Exploring Worry in CFS/ME, King's College London

    Newsflash: People with life devastating untreatable stigmatised mistreated disease are unhappy and concerned about it and the serious effects on their lives. Read all about it! Tomorrow: Dog bites man, while bears shit in the woods. Next week: Humans Need Oxygen, Water, And Food! The...
  13. Sean

    The Chrysalis Effect

    Why is pacing difficult for us? - Bio-psycho-social reasons So close, and yet...
  14. Sean

    New developments in understanding chronic illness, Nov. 8-10 Washington DC Davis/Hanson

    I have no idea what is causing ME, and neither does anybody else, at this stage. But I would not be surprised if it was enteroviruses. That would tie a lot together in one bow.
  15. Sean

    Is NICE losing its standing as a trusted source of guidance? 2023, Jonathan A Michaels, honorary professor of clinical decision science

    NICE’s rejection of graded exercise therapy for myalgic encephalomyelitis/chronic fatigue syndrome has been challenged by many specialists. The vast majority of whom are either ignorant of the real story (possibly wilfully so), or have a serious conflict of interest in protesting the NICE...
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