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  1. rvallee

    Abnormal brain diffusivity in participants with persistent neuropsychiatric symptoms after COVID-19, 2023, Liang et al.

    Then you tested it wrong. Cognitive impairment is one of the most reported issues, and one of the most disabling. This is not credible. And clearly, badly want to attribute this to "stress", which is always poorly assessed and without any depth. I don't even understand what chronic stress as a...
  2. rvallee

    Preprint medRxiv: Risk of new-onset Long Covid following reinfection with SARS-CoV-2: community-based cohort study, 2023 - Bosworth et al

    Infections don't stop at 2, though. It's really odd that after plenty of people have been infected more than twice, that they just stop there. And not all infections are equal.
  3. rvallee

    Brain Images Just Got 64 Million Times Sharper

    This is early technology that will be limited to research for years. Fortunately, this is where we need this technology. In the end, IMO, all progress is ultimately technological, and this is just as true in medicine. Individual abilities, models, guidelines, paradigm, they matter very little...
  4. rvallee

    Brain Images Just Got 64 Million Times Sharper

    Brain Images Just Got 64 Million Times Sharper https://today.duke.edu/2023/04/brain-images-just-got-64-million-times-sharper A single voxel of the new images – think of it as a cubic pixel – measures just 5 microns. That’s 64 million times smaller than a clinical MRI voxel. ... Some of the key...
  5. rvallee

    The Netherlands - €28.5 million ME/CFS research program - ZonMW funding awards announced April 2023

    Politics. As long as the issue is politicized and our needs conflict with their intent, we will be crushed. Until we aren't. If it can happen for peptic ulcers, it can happen to any disease. But until the breakthrough, it's all politics all the time. We need something. They want the opposite...
  6. rvallee

    The biopsychosocial model: Its use and abuse 2023 Roberts

    Generally, I see the BPS model as the simple application of "because I say so". It does not bother with validity, it doesn't need to, because in the end it always follows the same formula: "you feel X, but actually it's YZ, because I say so". It's actually a regressive model in that it's...
  7. rvallee

    What do medical students think about functional neurological disorders? 2023 Escribano-Paredes et al

    This is really playing out exactly the same way as the "chemical imbalance", that somehow many MDs pretend was never asserted, even though it's aggressively defended and is ready to spring back at the slightest hint of a possible maybe. Chemical imbalance is dead, long live network imbalance...
  8. rvallee

    STAT News: In counties with more Black doctors, Black people live longer, ‘astonishing’ study finds

    It's not nearly said often enough that health is political, healthcare is political, and medicine is political. Almost everything important is political, but healthcare especially so. Particularly in our case, where what we need is in direct conflict with what healthcare systems want to do.
  9. rvallee

    Exercise as a Moderator of Persistent Neuroendocrine Symptoms of COVID-19, 2023, Rebello, Candida et al

    Something about some PACE-like trial buried in there: Program ACTIVE (Adults Coming Together to Increase Vital Exercise) was a pilot and feasibility study to assess the effect of an intervention that combined community-based aerobic exercise and CBT in patients with type 2 diabetes and...
  10. rvallee

    Exercise as a Moderator of Persistent Neuroendocrine Symptoms of COVID-19, 2023, Rebello, Candida et al

    Uh huh. Sure. Psychogenic hyperglycemia. Why not? Let's just make stuff up, who cares?! Zero attempt at making sense. Psychogenic hyperglycemia, treated by exercise? Come on. At this point, it's not really possible in EBM to do the thing with submitting joke papers to test if they get accepted...
  11. rvallee

    Long Covid in the media and social media 2023

    And who is that "we" mentioned here? Because very few medical organizations, if any at all, recognize this, let alone know it (sometimes they put it there even though they dispute it). CFS was literally invented for the purpose of removing any connection to infections, and making it a fully...
  12. rvallee

    News from Canada

    I pretty much assume the same thing happened in every country, playing out mostly the same way. There were discussions of Long Covid between the federal public health officer and provincial officers (in Canada, health is a provincial authority, with the federal government setting the overarching...
  13. rvallee

    Effects of sleep disturbance on dyspnoea and impaired lung function following hospital admission due to COVID-19 in the UK: 2023 authors incl. Chalder

    Well, if it's caused by SOB, then it's the SOB that should be targeted, not its consequence. You find an object obstructing a stream, and the only thing you can think is to address the consequences of the blockage? Not the blockage? That's just a weird conclusion. As if thinking in root causes...
  14. rvallee

    What do medical students think about functional neurological disorders? 2023 Escribano-Paredes et al

    I don't think that fooling MDs was ever a goal. They always knew what was in the bottle and among themselves they have no shame admitting those stories are just that: stories invented precisely to sound pseudoscientific, so that the patients won't know what they're consenting to. Frankly, this...
  15. rvallee

    Efficacy and tolerability of an endogenous metabolic modulator (AXA1125) in fatigue-predominant long COVID: a single-centre, double-blind, randomised

    That's a pretty bad answer. There are other scales with published research. Choosing the worst one is a deliberate choice. Maybe not the choice of the worst one, so much as the choice of one that is basically 3 biases in a suit and has the magical ability of giving expected results every time...
  16. rvallee

    Long COVID and rehabilitation, 2023, Chuang et al

    Marketing claim. There is no evidence that it makes any difference, and a shockingly high number of serious deterioration that are completely unrecorded and unacknowledged by clinicians, which makes the entire paradigm unsafe, in addition to being useless. It's shocking to see the widespread...
  17. rvallee

    Long Covid Advocacy: Is the “greatest medical scandal of the last century" being repeated for a generation of children? (about the CLoCK study)

    I hope so, although it's really hard to accept that it could ever get this bad, let alone that it has been this bad as a choice. But after years, you get the message. And with time people see more context, and the more context you add, the worse it is:
  18. rvallee

    Long Covid in the media and social media 2023

    For a while, it seemed liked concerns over cognitive impairment were being taken seriously. It seemed as if dots were being connected. It doesn't look like medicine can keep up the motivation and is already set up to give up. The RECOVER experiment with cognitive training is a good example, but...
  19. rvallee

    Functional Neurological Disorders - A Common but Often Unrecognized Diagnosis 2023 Barth and Gegusch

    Just as same and distinct as the relationship between the mind and the body. Not dualist. You're the dualist. Words mean nothing in this ideology. They are weapons used to manipulate and coerce, to manufacture the illusion of consent. Even though consent on false pretenses is explicitly...
  20. rvallee

    Systematic review with meta-analysis of active herpesvirus infections in patients with COVID-19: Old players on the new field, 2023, Ana Banko et al

    It's so disappointing that medicine hasn't progressed beyond the simple thinking of one pathogen = one outcome and always the same for everyone. Peptic ulcers have a similar context, nearly everyone carries H. Pylori, but not everyone develops ulcers. There are other factors at play, and they...
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