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I hate that even though thousands of people saw this coming, the worst-case scenario still happened because no one who can do something about it listened, an ongoing problem caused by the initial failure to listen, it's too embarrassing to admit having missed the obviously predictable. Literally...

"Central sensitization" will always be my favorite little thing in this ideology, it's literally "two turtles down" and not even subtle about it. Why are some people experiencing more pain? Obviously because they're more sensitive to it. And that World Turtle is obviously standing on top of that...

One of the first studies on the impact of vaccination on Long Covid. Significantly reduces risk, but doesn't appear (at first glance) to make much of cases who got worse, which is especially problematic given that medicine is largely unable to do anything for those, and often hostile to the...

Long haulers unite! One thing the delays to the NICE guidelines process have done is that there are far more long haulers who understand we're all in this together. Of all the things the BPS ideologues and the colleges have factored in, this is not one and it may surprise them a bit, or a lot...

The Ed Yong video above is amazing. Worth watching and sharing. Also missed this from 2 days ago, on CNN. Article and video. CNN has a bad habit of having mindlessly inept commentators for the infotainment value but Gupta as a medical reporter is genuinely solid, seems like a good physician...

Honestly this is basically phrenology except somehow far dumber. This is beyond bizarre considering it's meant to be used in clinical practice, usually with people who don't have a choice. Even for a cult this would be bizarre stuff, or, you know, typical of a cult. So yeah basically a cult.

Rubberstamps are always looking for papers to stamp on. This is the stuff that makes this field a joke.

Well, you can't do any cheaper than free labor, that's for sure. They will sure meet that target of not spending money. And not meaningfully helping anyone, that is clearly an operating process in this system. Although the idea of people who clearly would benefit from several 101 courses on the...

In embracing the belief that it's all just a messaging problem, that the evidence is infallible and it's just a matter of getting the message out, it seems perfectly natural, especially for Cochrane, who seem to have adopted this approach, along with the whole of the EBM effort. What do you do...

Same old. Just the same old. Go back 2 decades and it's the same. Go back 4 decades and it's the same, only the medium changes. Also sometimes it's presidents of medical associations saying the same, or whatever. Or professors of economics. Anyone remember that Blanchflower dude from a few years...

Vision issues are often discussed but there's barely any research even acknowledging them. They seem to be as present in LC as other ME populations, roughly speaking. Usually little discussed since it's not especially disabling compared to other symptoms. This is the first I've seen of a good...

Another poor and biased questionnaire that adds nothing to what was there before. The questions all have the usual slant to frame anything happening as mental illness. About to run out of money because you can't work as a result of illness? That's anxiety! Ostracized by your friends and family...

Telling that they don't seem to consider "treatments" whose sole aim is to influence people's responses on the very questionnaire they then use to evaluate this perception, one of the most blatant forms of bias in all the expert professions. Probably because this method is exempt from standard...

Somehow I don't think they have their eye on the ball. See, they do not fear a rehabilitation supply deficit, which is not even something relevant here. It's amazing how it's completely optional to pay attention to reality in health care, like looking at life through a straw.

If this is retrospective from health records it's guaranteed to be an undercount, those are very unreliable for this kind of issue. Although it's clear that one strategy moving forward will be to pretend that medicine has always known about "post-viral fatigue", it's common, and knows how to...

At this point I'd say sunk cost and avoiding embarrassment are the main reasons to keep this charade, probably accounts for 90% of it. The magical powers of the mind have been a truism in medicine for well over a century, it's too much to accept that it's been nothing but a bunch of nonsense for...

My preference would be: none. It's clearly a legacy field for the most part, a mish-mash of bad ideas that should mostly be deprecated along with demons and fairies. Mostly, there's probably a 10% or so that could be useful, if it could stand up to rigorous scrutiny. That would be ideal for...

Schrodinger's medicine: it's both complete and effective, but also everything is still to be done and nothing's actually effective, because "developing" treatments is both the end and the mean, basically like Dungeons & Dragons players who find the game boring and just want to roll dices to...