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It is so blatant, isn't it. We are way past the point where they can claim plausible deniability. They are just compounding the already serious damage to their own reputations.

They seem completely oblivious to the profound damage they are doing to their own reputations. As I have said before, trust is the single most important element of the clinical encounter and relationship. Lose that and it is all over.

Because nobody with authority over them is calling them out on it. This problem goes way deeper than a handful of rogue players in one small area of medicine.

I had one too. Was our Dave, far as I can tell. Used a berkeley.edu email address. But he can confirm that. @dave30th

They have gone rogue on methodology and ethics, and become a law unto themselves. And did it in full public view. There has to be an intervention from the rest of science. Medicine is clearly not going to stop them. Whether it chooses not to, or is incapable of it, doesn't matter any more. The...

Same as safety training. Awareness of the problem is not enough, the system, the structure, the culture, has to be biased heavily in favour of it.

It is not known whether this logical error, a form of circular reasoning, can sometimes be mistakenly reinforced by health authorities themselves. Leading professional medical and psychiatric organizations commonly confound depression, a descriptive diagnostic label, with a causal explanation...

But can be safely assumed to not be insignificant.

Excellent.

Thank you for doing this, @andrewkq, et al. This one is important to robustly critique. Yep.

Just ridiculous, isn't it.

Because all they have is framing, so they work that to the max.

Did they control for PEM?

Good piece. The fact that it is even being published in a major (in the Australian context) mainstream media outlet is a sign of progress. The fact that it can be regarded as a noteworthy and laudable sign of progress is itself a sign of how low the bar has been set in our media.

For me average peak PEM is probably around 24 hours, ± a few hours. But can certainly go longer if severe. How much of that is decades of learning to identify and manage it, and avoid the worst of it, is another question. I would expect it to be much more variable (and hence more difficult to...

What rehabilitation? Hence, how is education going to take place? They still think it is just a management problem, and they know how to teach us to manage it.

A little bit of humility and honesty would go a long way too.

Which is why we need an in vitro test for PEM, to eliminate the risk for patients. That would be a game changer for research.

Even if an infection is cleared quickly, the reduced muscle performance remains many days longer in our experiments. This seems potentially relevant and important.

I think psych is still at the level where their diagnoses and therapies tell us more about what goes on inside their heads than in their patients.