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  1. Sean

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

    Therefore psychogenic? No other plausible interpretation? Nothing problematic with the way you define anxiety, for example?
  2. Sean

    The Chronic Elephant blog by hellytheelephant

    Nice post, Helly. :) I recently discovered Bardcore. :emoji_violin:
  3. Sean

    Normal muscle strength and fatiguability in patients with effort syndromes, 1988, Stokes at al

    Don't you just love the certainty. Way back in 1988. :grumpy:
  4. Sean

    Blog: Frozen in Amber, "Energy systems and pacing in ME/CFS"

    Even the good guys in this field seem to be really struggling with the idea that the activity limit in ME is not negotiable. Doesn't mean it won't vary over time, or that by careful management and lots of practice patients cannot improve their situation over time and make the most of what they...
  5. Sean

    A general thread on the PACE trial!

    Strictly speaking, PACE showed that if deconditioning is part of the problem, then that version of CBT & GET don't fix it. Which doesn't exactly give support to the putative role of deconditioning in their model. A null result, I believe. Don't even have to show that. Just have to show that...
  6. Sean

    Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections, 2020, Rogers et al

    If they think this is bad, then they are just going to love the vastly greater human and economic carnage after a year of failing to eliminate the damn thing.
  7. Sean

    Lightning Process study in Norway - Given Ethics Approval February 2022

    History will show that patients have been remarkably restrained under decades of extraordinary provocation. We are not the ones who have anything to answer for. I think the most appropriate response to these claims is to demand an independent, high-level, and public formal inquiry into the...
  8. Sean

    Who is Simon Wessely?

    May I be the first to congratulate them on being a perfect match. :balloons:
  9. Sean

    Coronavirus - worldwide spread and control

    2020 is not shaping up as good year for the human race. Particularly as our troubles seem mostly self-inflicted.
  10. Sean

    Who is Simon Wessely?

    I don't have the reference to hand, but IIRC some years back he was the subject of one of those puff pieces in a medical journal about 'why I chose X' where he said he went into psychiatry because didn't like dealing with the body (or words to that effect). Which is interesting. Suggests he...
  11. Sean

    Richard Horton on Covid-19

    “If you have an author who deliberately tries to mislead, it’s surprisingly easy for them to do so,” he said. Especially if they are telling you what you already want to hear.
  12. Sean

    Medically Unexplained Symptoms and PEM (Paediatric Emergency Medicine) presentations - Dr Armstrong - 11 Jun 2020

    If they were honest compassionate professionals they would openly acknowledge and apologise for these kind of mistakes, and learn from them. Without being asked or forced to.
  13. Sean

    Graded exercise therapy doesn’t restore the ability to work in ME/CFS. Rethinking of a Cochrane review, 2020, Vink & Vink-Niese

    So, a wellness life coach? Kinda the opposite of specialising, isn't it? In fairness, the guy does say (in response to Michiel Tack) that: I think it’s a disease that I know little about. Admission of ignorance is a good place to start learning.
  14. Sean

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

    I used to work in the medical system, including in the wards and dealing with patients and medical staff every day, and socialising with the staff after hours, and I get why they need to do gallows humour. If they didn't they would go mad with shock and grief. None of them would last in the job...
  15. Sean

    The CFS deconditioning hypothesis

    The Goldilocks theory that patients just don't know how to balance their lives, and need an expert to help them re-learn how to do it all over again. It is patronising, infantilising, demeaning, insulting, and very dangerous subjective authoritarianism, entirely to justify these 'experts' lust...
  16. Sean

    EXPLORER study: Exploring treatments for younger children with CFS/ME - Amberly Brigden, Esther Crawley

    Refrigerator mothers all over again. :grumpy: https://en.wikipedia.org/wiki/Refrigerator_mother_theory
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