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  1. Sean

    Making the biopsychosocial model more scientific—its general and specific models, Smith, 2021

    The blame for this situation increasingly lies with the rest of medicine for failing to pull their colleagues into line.
  2. Sean

    Making the biopsychosocial model more scientific—its general and specific models, Smith, 2021

    Because we just know for sure that they do have a defective personality type. Yes sirree, no question at all about that. The diagnostician's task is merely to figure out which type it is.
  3. Sean

    Functional neurological disorders presenting as emergencies to secondary care, Beharry et al, 2021

    I guess one in ten is an improvement from the 45-50% that is claimed by the NHS for medically unexplained symptoms. If they keep whittling that number down soon enough it will be effectively zero. "Medically unexplained symptoms are common, accounting for up to 45% of all GP appointments and...
  4. Sean

    Making the biopsychosocial model more scientific—its general and specific models, Smith, 2021

    If you are having to use such phrases in the sales pitch, chances are you don't have the evidence.
  5. Sean

    The difficulties of conducting intervention trials for the treatment of [ME/CFS]: Expert testimony to NICE guidelines committee by Jonathan Edwards

    Which is a particularly stark case that being very smart is not a vaccine against being very delusional.
  6. Sean

    Briquet syndrome revisited: implications for functional neurological disorder, Maggio et al, 2021

    The arrogance and callousness of these people is just as breathtaking as when I first encountered it a few decades back. They have learned nothing, and grow ever more resistant to doing so every day. Their act consists of ever finer hair splitting with definitions and statistical thresholds...
  7. Sean

    Functional neurological disorders presenting as emergencies to secondary care, Beharry et al, 2021

    No consideration of the possibility that these patients have currently unrecognised physical disorders? The single most predictable feature of FND et al papers is how they studiously avoid mentioning this fatal problem with their claim.
  8. Sean

    Making the biopsychosocial model more scientific—its general and specific models, Smith, 2021

    This means we now can, for the first time, identify a scientific BPS model for every individual patient. If it explains everything, it explains nothing. Infinite flexibility is not a desirable feature in a scientific model, BPS or otherwise. Without reading the main text, I make a testable...
  9. Sean

    Developing a clinical prediction rule for repeated consultations with functional somatic symptoms in primary care: a cohort study, 2021, Holtman et al

    Indeed. The core business of science is making predictions. If a hypothesis/model can't do so, it has failed.
  10. Sean

    George Monbiot on ME/CFS, PACE, BPS and Long Covid

    Not to mention that, despite its central role in the BPS model, deconditioning has never actually been assessed in CFS patients. It might seem common sense to assume it, but the road to scientific hell is paved with untested 'common sense' assumptions. Indeed, the first order of business in...
  11. Sean

    The Puzzle Solver by Tracie White

    A scientist proved chronic fatigue syndrome is real... *sigh*
  12. Sean

    The evidence base for physiotherapy in myalgic encephalomyelitis/chronic fatigue syndrome when considering PEM: a systematic review (2020) Wormgoor

    Intervention effects, if any, seemed to disappear with more narrow case definitions, increasing objectivity of the outcome measures and longer follow-up. symptom relief and increasing or maintaining health status and quality of life, by improving the ability to cope with ME, guiding...
  13. Sean

    News about Long Covid including its relationship to ME/CFS 2020 to 2021

    After nearly 4 decades of ME and all its delights, I am still surprised by how resistant to the obvious medicine can be.
  14. Sean

    The evidence base for physiotherapy in myalgic encephalomyelitis/chronic fatigue syndrome when considering PEM: a systematic review (2020) Wormgoor

    A systematic review of randomized controlled trials published over the last two decades was conducted. Shouldn't have taken long.
  15. Sean

    Question: Coronavirus & home sewn masks?

    Update for places to buy masks in Australia: https://www.theguardian.com/fashion/2021/jan/04/where-to-buy-reusable-face-masks-in-australia-and-how-to-make-your-own Also, Bunnings is selling packets of 10 standard surgical style masks.
  16. Sean

    The biology of coronavirus COVID-19 - including research and treatments

    Most of the hard work here is being done by the state/territory governments and general population, while the federal government is not adequately controlling the international borders and cases are leaking across, which have to then be dealt with by the state/territory governments and general...
  17. Sean

    News about Long Covid including its relationship to ME/CFS 2020 to 2021

    If this is a parody, it is in very poor taste.
  18. Sean

    Michael Sharpe: Mind, Medicine and Morals: A Tale of Two Illnesses (2019) BMJ blog - and published responses

    This minimal acknowledgement of risk among all providers would make it possible for patients and providers to peaceably collaborate in this challenging area of medicine. Proper accountability requires proportionate consequences. There are some providers (clinicians, researchers, policy...
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