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  1. Arnie Pye

    Functional tics: expanding the phenotypes of functional movement disorders? 2023 Cavanna et al

    This problem has cropped up in the media a lot. https://www.theguardian.com/media/2021/nov/16/the-unknown-is-scary-why-young-women-on-social-media-are-developing-tourettes-like-tics...
  2. Arnie Pye

    Fit For Work – Three Part Series on BBC Radio 4

    I was under the impression that a very large proportion of funds spent on "welfare" went on pensions which go to people irrespective of health conditions. I looked up the numbers... The ones I found on the ONS (Office for National Statistics) website were not very recent, but they do give an...
  3. Arnie Pye

    How does the NHS compare to the health care systems of other countries?, 2023, Anandaciva

    Bummer! I can't read Twitter without an account any more. :(:banghead:
  4. Arnie Pye

    Discordance between Adolescents and Parents in Functional Somatic Symptom Reports:... 2023 Hogendoorn, Rosmalen et al

    You've missed out torsion of either a) the ovary or b) twisting of a large ovarian cyst destroying the ovary in the process. Imagine this happening in the 1970s with the technology available at that time.
  5. Arnie Pye

    Protocol Development of a digital biomarker and intervention for subclinical depression: study protocol for a longitudinal waitlist control study, 2023, Teepe

    What on earth is subclinical depression? People are either depressed or they're not. If they are depressed then it can vary in severity. If symptoms of depression are declared to be "subclinical" it is just the same as saying the doctor/therapist is making stuff up about the patient.
  6. Arnie Pye

    Trial Report The Psychological Benefits of Forest Bathing in Individuals with Fibromyalgia and CFS/ME: A Pilot Study, 2023, Serrat et al

    I thought Forest Bathing was done naked, just like normal bathing in a bath. Perhaps I'm wrong. If it isn't done naked it is essentially just people going for a walk in a forest, and there has been oodles of research on the benefits of going for a walk under various circumstances.
  7. Arnie Pye

    Functional Neurological Disorder (FND) - articles, social media and discussion

    Just a question about "functional". I was reading the wiki entry on dysautonomia today, and the second paragraph starts : Which of the various meanings of "functional" applies in this context?
  8. Arnie Pye

    Discordance between Adolescents and Parents in Functional Somatic Symptom Reports:... 2023 Hogendoorn, Rosmalen et al

    I grew up with a father who despised sick people and just thought they were lazy attention seekers and hypochondriacs. He could just about bring himself to believe children with diseases that caused rashes or spots, swollen glands, fevers e.g. measles and mumps i.e. the visible childhood...
  9. Arnie Pye

    Economic Cost of Functional Neurologic Disorders: A Systematic Review, 2023, O'Mahony, Edwards et al

    This suggests to me that the authors want doctors to have the right not to investigate if the patient walking into the doctor's office is "clearly" [sarcasm] somatising because they are/have [fill in your own blank]. Suggested options for the blank : Too young Middle-aged Getting old Old...
  10. Arnie Pye

    Times: NHS plan to help millions stop using antidepressants and painkillers

    I always thought that particular phrase was such a glaring lie, I couldn't understand how it lasted as long as it did? Does anybody, doctor or patient, still believe it? If anyone was to use such a phrase with me now I would want to know which chemicals in my brain they actually measured, when...
  11. Arnie Pye

    "I thought I should always be positive with my patients – until I found out how damaging that can be", article by palliative care doctor

    Relentless positivity is as bad as relentless negativity, in any context. What I want from doctors is honesty, not something fake.
  12. Arnie Pye

    Fusobacterium infection facilitates the development of endometriosis through the phenotypic transition of endometrial fibroblasts 2023 Muraoka et al

    This sounds like a nasty thing to say, but I hope it turns out that fusobacterium is found to be a factor in the development of prostate cancer. If it is it will be taken much more seriously, and will be looked into far more quickly.
  13. Arnie Pye

    Fusobacterium infection facilitates the development of endometriosis through the phenotypic transition of endometrial fibroblasts 2023 Muraoka et al

    Very interesting. I wonder if they consider bacteria outside the uterus, anywhere in the pelvic cavity. If they don't I could imagine a scenario where a woman's uterus is free of the bacteria in question, but it exists elsewhere in the body. And where does the bacterium originate? Is it passed...
  14. Arnie Pye

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    How many sides of the "debate" does PG see? The general public (with or without ME) is not allowed to reply to his tweets, so he makes sure he only sees the people who agree with him. Ditto with some others on the BPS side e.g. TG.
  15. Arnie Pye

    The NHS productivity puzzle: Why has hospital activity not increased in line with funding and staffing?, 2023, Freedman & Wolf

    I would be interested in knowing what is covered by the funding numbers and the staffing numbers quoted. For example, if the funding spent on the NHS is also covering the cost of money spent on private companies apparently working on behalf of the NHS then I'd like to see graphs and numbers...
  16. Arnie Pye

    The association between parental chronic physical illness and adolescent functional somatic symptoms 2023 Koen et al

    If you do a web search for "teenager pain dismissed" the links that get returned are almost all relating to girls and young women.
  17. Arnie Pye

    Deadly ‘irreversible’ heart condition reversed for first time in major breakthrough

    Since transthyretin is a transport protein for thyroid hormone (thyroxine aka T4) and retinol (vitamin A) I wonder what effect, if any, being hypothyroid or hyperthyroid has, whether "subclinical" or overt. And whether low or high levels of vitamin A have any impact.
  18. Arnie Pye

    Functional Neurological Disorder (FND) - articles, social media and discussion

    I know of one way that FND might be falsified. I had a physical bowel problem which was diagnosed as IBS and also as being functional back in the 1990s and I therefore got no treatment. A few years later a doctor decided that I had a gynaecological problem and I got surgery where it was looked...
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