I have read the report from the MEAction representative on the BACME conference. I think it's very worrying that BACME is so wedded to its dysregulation model and the consequent advice about gradual exposure to sensory and physical stimuli. It's clear the ME Action UK group are also very worried...
My PEM was much more clearly defined as crashes necessitating 1 to 2 weeks off work when my ME was relatively mild and I was still working. I could usually look back at the day(s) preceding them and see I had pushed myself to more activity taking me over my limit. The trigger- delay - PEM...
When my daughter and I both had flu vaccination a a few years ago (before Covid), the GP told us we had different vaccines because of our age on the grounds that younger people would not have been exposed to one of the variants included in their vaccine, and it wasn't included for older people...
So throw a heap of statistical analyses at 'data' collected from large sets of often vague and uninterpretable questions and hey presto you get validated questionnaires. :(
There's something very wrong with this approach, as we've seen only too well with questionnaires such as the Chalder...
This is the aspect I want Hilda and the Cochrane editors to take notice of. They are, as far as we know, refusing to reopen their earlier decision not to withdraw the Cochrane exercise review, and Hilda has said campaigning won't shift them. I think this public rebuke against ignoring legitimate...
Also, as usual, Tyson claims that this is measuring something. No idea what.
If you want to identify issues that are important to the patient, ask them, or give them open ended questions, don't steer their answers with long lists of vaguely worded tick box sentences.
A few comments on this explanation on the first page; my bolding:
This seems to be based on the premise that clinical needs are primarily served by a series of visits to a rehab clinic, production of a care plan, then discharge back to the GP. Hence it lists 'clinical needs' as being things...
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