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  1. Arnie Pye

    Fatigue is common among older people. Finding its cause is important. WAPO

    As people age they produce less and less stomach acid. This is the cause of indigestion and heartburn in many people, despite them usually being told they have "high levels" of stomach acid. And yet, the older people are the more likely they are to be prescribed drugs (PPIs and antacids) to...
  2. Arnie Pye

    Why are Americans dying so young? 2023 Burn-Murdoch

    Don't many Americans work incredibly long hours? I thought 50/60/70 hours per week was common. If they struggle to cook due to lack of time then they must be eating lots of processed food which probably isn't full of the healthiest ingredients. Another point... High infant mortality and...
  3. Arnie Pye

    Sex and gender differences in primary care help-seeking for common somatic symptoms: a longitudinal study 2023 Ballering, Rosmalen et al

    Wow, sounds like a recipe for an abusive relationship and a life of doing all the housework, all the cooking, all the child rearing, as well as having a full time job.
  4. Arnie Pye

    Sex and gender differences in primary care help-seeking for common somatic symptoms: a longitudinal study 2023 Ballering, Rosmalen et al

    I've never heard of that. I grew up being fed meat and potatoes quite often, although there was never enough meat and there was far too much potato for my liking.
  5. Arnie Pye

    Office of National Statistics: Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK: Updates

    I read a worrying article about that today : https://www.spectator.co.uk/article/ghost-children-the-pupils-who-never-came-back-after-lockdown/ When the lockdowns were happening I couldn't help but think at the time about how I would have coped as a child/teenager living with my family while...
  6. Arnie Pye

    Whole genome sequencing - how it works on the NHS

    Link : https://edition.cnn.com/2023/03/19/health/newborn-genomes-programme-uk-genomics-scn-spc-intl/index.html?utm_source=pocket-newtab-global-en-GB There is a very glaring error in the article. Someone with an absent or under-developed thyroid gland would have congenital hypothyroidism, not...
  7. Arnie Pye

    Is severe tiredness 'chronic fatigue' or something else? : Story by Dr Martin Scurr

    It's unfortunate that the daughter's traumatic birth isn't described. Did she have a prolonged birth which resulted in permanent damage to bladder/bowel? A stillbirth? Did she have a catastrophic bleed? Was she given a caesarean and have her bowel punctured and develop sepsis, and/or lose her...
  8. Arnie Pye

    High Perceived Stress and Low Self-Efficacy are Associated with Functional Somatic Disorders: The DanFunD Study, 2023, Fink et al

    I wonder what these authors think of patients who are stressed for some "acceptable" reason e.g. the death of a loved one, patient's house burns down and they lose everything, severe accident of some kind, loss of a job with the prospect of losing a home and/or hunger to come, being a soldier...
  9. Arnie Pye

    Endoscopy - sedation ?

    I was given an upper endoscopy with sedation. The sedative drug was one of the ones that causes amnesia. Under the circumstances it is not surprising I have no memory of the procedure itself nor how cooperative I was. It was one of the earliest date-rape drugs - Rohypnol. I was given a cup of...
  10. Arnie Pye

    Lost Time

    A really good description. Hopefully I'll remember "empty time" and "standby mode" as useful descriptions. One of the reasons that I gave up work was because there were parts of the year when I had to do a series of days where I worked all day (admittedly with a late start) and couldn't leave...
  11. Arnie Pye

    FNDs after COVID-19 and SARS-CoV-2 vaccines: a national multicentre observational study 2023 Alonso-Canovas et al

    Galen's idea that the body ran on "four humours" i.e. yellow bile, black bile, blood, and phlegm, lasted for around 1000 - 1500 years. How long is FND going to last?
  12. Arnie Pye

    Trisha Greenhalgh on ME/CFS and Long Covid

    That used to work for me, but for some unknown reason it doesn't any more.
  13. Arnie Pye

    Trisha Greenhalgh on ME/CFS and Long Covid

    Anyone who wants to read what TG says without being unblocked can just log out of Twitter and then read what she has to say. You will probably be prompted to make an account and log in, but if you close the prompt box you should be able to continue. Alternatively follow the prompts until you are...
  14. Arnie Pye

    SMART Pharmacists Serving the New Needs of the Post-COVID Patients, Leaving No-One Behind 2023 Šipetić et al

    In the last few years I have gone to my GP surgery and been treated by GPs, nurses, pharmacists, and paramedics. In each case they were prescribing things for me. How can I tell when the person prescribing for me is acting outside their competence level, if they aren't a GP? Edit : This is a...
  15. Arnie Pye

    US - The Sleepy Girl Guide to Social Security Disability

    Thanks for the info. I thought it might be something like that. I have to say, I hate the name, no matter how good the site is, but then my opinion is of zero relevance in this. :D
  16. Arnie Pye

    US - The Sleepy Girl Guide to Social Security Disability

    I haven't read the links, but that title referring to "The Sleepy Girl Guide" is incredibly condescending. Would anyone ever describe anything medical as "The Sleepy Boy ...". The medical profession routinely infantilises women, and this kind of sexist title needs to stop. I wouldn't have minded...
  17. Arnie Pye

    Trial Report Possible Markers For Myalgic Encephalomyelitis / CFS Developed In Long Covid: Utility Of Serum Ferritin And Insulin-like Growth Factor-I,2023,Yamamoto

    Although labs aren't moving quickly on this in the UK, NICE has brought out guidelines for iron deficiency anaemia (last revised Nov 2021) that mention ferritin and it raised the lowest part of the range from 13 to 30 mcg/L. The standard range for women for many years was 13 - 150 mcg/L, and in...
  18. Arnie Pye

    Traumatic brain injury - similarities with and differences to ME/CFS, including PEM

    Has anyone ever had all their pituitary and hypothalamus hormones tested (there are quite a lot of them) after severe illness or injury affecting the brain? According to this link : https://en.wikipedia.org/wiki/List_of_human_hormones (I'm dubious about the following numbers because I wasn't...
  19. Arnie Pye

    Cushing’s Disease Presenting with Functional Neurological (Conversion) Disorder 2023 Ashrafzadeh et al

    I hope the hospitals and doctors involved in this man's "care" and who ignored the serious symptoms and diagnoses he had are sued for a huge amount of money for malpractice and negligence
  20. Arnie Pye

    Cushing’s Disease Presenting with Functional Neurological (Conversion) Disorder 2023 Ashrafzadeh et al

    I get the impression that the authors looked up a list of symptoms for Cushing's on wikipedia then declared any other symptoms the patient suffered from as FND. What would be more useful and less sadistic is for the patient to be treated for CS, get their thyroid checked, and get any nutrient...
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