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many thanks @Dx Revision Watch tagging @Emsho to enable this to be taken into account

@Emsho background to NHS comments on petition?

My thoughts exactly. At least 3 coffees required

Thank you @Simon M . A great explanation and hopefully a silver lining - a crap disease to get now, but hope that things can change soon.

I' ve only read the executive summary which seems to confirm lived experience throughout UK. Important for all our charities to be fully aware of the actuality of life, and the particular vulnerabilities of children and families. @Russell Fleming @Action for M.E.

Flow diagrams - pre ME and scientific paper referencing - screenshots as pdf too large I was trying to understand the symptoms as they manifest themselves. I know they are pretty basic - helped me at the time> I find graphics easier to get my head around

I think there are many roads into this illness, which is part of the reason it is so hard to crack. My daughter's base cortisol is low, so perhaps a subset.

Dr Bansal was researching glucocorticoid receptor resistance which suggested cortisol resistance. Research has not been published, so i don' t know if it is a null finding @alex3619 was interested in it. Dr Bansal retires from NHS this year. It was explained in the LIME conference in Sweden...

Is this parasite also indigenous to India. My aunt' s ME came on after a " holiday of a lifetime" ? Doctors never took suggestion of foreign parasitic infection seriously, and she is mow too ill to get out of bed for any specialist testing .

Tge premise is that having a long term chronic health condition induces depression and anxiety .....

Probably the type where either you don' t go back because it does nothing for you and the assumption is that you have "recovered". Your perception of symptoms has changed - particularly beloved of pain management- to enable you to fill out a questionnaire and magically be " recovered" ....

Dr Google has a lot to answer for. Our previous office secretary felt tired and had stomach issues : she went through a number of internet based self diagnoses, leading to doctor's visits for a variety of things ( hypothyroidism, CFS, coeliac ....) Her husband has cancer, her job was...

Welcome @mariovitali . I was interested in this on PR as it does seem to account for issues my daughter has. However getting anyone medical to take things seriously is another matter.

take a look at @mariovitali 's thread on liver. Reflux can be due to too little stomach acid rather than too much.

Given the problems children have, this is very ominous indeed

The question is, how will this prevarication look when litigation hits the courts. Following the parliamentary debate, it is clear that this is envisaged ( there may be some seriously considering, or actioning this) Myhill' s GMC complaints initiative may bring this to a very ugly head ( for...

Reading the article, i was reminded of Bob. :(

If this is indicative of the analytical thought process in psychiatry, god help us .

I suspect the comment is based on this, but, as always, there is no reference, just a generalisation.