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    Immunotherapy with subcutaneous immunoglobulin or plasmapheresis in patients with [POTS], Blitshteyn et al, 2022

    The author's access states that 'unfortunately due to financial reasons' on these not happenning to provide objective data. I wonder whether they maybe hoped that providing the case studies could in itself be a bid to fund 7 tests along these lines. I don't know whether the NASA Lean test even...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    In fact the whole online checkout algorithm could be a good starting point for all of this. I'm thinking they've have the 'you usually buy', 'incomplete offers' (where these symptoms tend to come together), 'have you thought about' (which could be 'popular items' at that time e.g. heat-related...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    To be fair there are probably some examples from e.g. research in business about using such scales vs 'global estimates' and accuracy. There is a lot to be said for (and confirmed in past literature) people's ability to get a concept and be able to assess that instinctively more directly than...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    I suspect that phone-data level is the only effective way (goodness knows how you encapsulate all the elements as cogntive/looking at things etc) because I know from having to spend so many years working whilst really ill that it 'collects' e.g. the classic weekend in bed radically resting (I...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    Like vertigo? By which I can't tell whether it is balance-related or stimulation-related (ie like watching a fly whizz round the room is like a normal person being at a strobe-light disco) but it obviously has nothing to do with heights
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    Indeed, and if you are working by things like Heart rate and input into phone apps which is then aggregated across large numbers then the privacy and intrusiveness is more tackle-able (you need to know less about the individual intricacies on an outlier as it skews data less etc) and you don't...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    Agreed I think we have to get our head around the fact that if someone using good methodology (Workwell, physiosforME have shown much better indicators of this) isn't setting standards of how these things should be measured, and how such results should be interpreted (ie not lumping and dumping...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    Well said, they need to sort out a good vocab desperately. Baseline even in the context it is used 'right' for ME is actually the complete opposite of its usual meaning in every other walk of life. You are supposed to go nowhere near it, rather than progress from.. I'm one of the worst for...
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    United Kingdom 2022: Action for ME (AfME) Consultation on media guidelines

    As a side question to all that your point about "be careful about referring to mild": I've seen it written here that the mild, moderate etc might be better described in 'stages'. I can see the benefit of this for these types of comms, I can also see the important of it in lobbying for/changing...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    Good point - I read it differently. One thing would be that it would give 'official back-up' to some pretty outrageous to others claims of how long we need to rest completely in order to recover from a short chat or an argument or a small activity. Or bigger ones, and make it easier to say 'no'...
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    Limitation of Consent

    Agreed. Although of course the issue with local groups is the energy-limiting nature of the condition combined with lack of support meaning there are few with it, or who care for someone with it who have any spare bandwidth whatever the severity vs the significant demands of such a group. We...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    We have an issue where subject-areas need to be open-minded that just because their expertise is the key to unravelling the issue, it doesn't always mean the answer will be a treatment that is their usual 'wheelhouse'. e.g. the person who finds that exercise harms due to PEM needs to get their...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    This bunch is brilliant. I'd like to put on their agenda that I'd hope they might use their techniques and approach and curiosity to look into rest: ie the 'healing' part. I think insufficient rest for me is even more brutal in impact than the exertion in the first place. And the rest is...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    He is right. This is precisely what is needed - better measures meaning that research 'gets to the right point'. And for the condition to be explained in terms of 'baseline' - that is our 'disability' and the limitations we need to communicate and have understood by others around us. Most I...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    Indeed and agreed -an 'act normal' focus over its impact on actual health, short term pat on back for Crawley getting presenteeism as a sausage-machine approach vs looking at the child's short, medium and long term prospects on decision-making. Manage them as 'a problem' (recovery = them...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    Picking out this quote you mentioned from a specialist medical professional: "“It's often school that's the issue because I see so many [children] not recovering within a year, and as soon as they've done their GCSEs, there's a sudden, they start getting better.” (S2-MP14)" A big point to note...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    I can see ways in which it could be - imagine being off work with something you need to rest to recover from; that's hard to do and not stress unless said work can reassure you it will still be there or whatever. ME can come as a shock, and it can be insidious - taking the textbook off the...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    Was about to say the same: "Liaison between healthcare and schools is important for recovery from ME/CFS." is the big red flag. If they can't update their terms, and start using better and more appropriate definitions for this then it puts everything else into charade territory. As that is the...
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    Limitation of Consent

    Thank you. It makes sense as a back-up for when you've run out of cognitive ability and 'given it a go' in good faith in a non-emergency setting and does a better job of saying 'no thanks' effectively than you might if caught on the hop and out of energy. The last thing anyone would want is to...
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    Limitation of Consent

    The thing is that these are both correct. That is a scary and inappropriate situation to exist. Most healthy people could not accept a situation where emergency care came with such risks you might be better off not going. And this is people who are seriously ill - and potentially misdiagnosed...
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