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  1. rvallee

    Trajectories of persistent physical symptoms in primary care: A secondary analysis of the PsicAP randomized clinical trial... 2026 Prieto-Vila et al

    I fail to see how any of this is more useful than doing astrological phrenology instead, or whatever. It's so obviously arbitrary and pointless. It would not be hard to fish for similar 'associations' having to do with astrological, uh, things, and cranial morphology. Or hobbies. Perhaps skin...
  2. rvallee

    Is physiotherapy/physical therapy an evidence based field?

    There is clearly a weird sort of belief in it that persists even outside of the profession. I watched a TV series a few years ago, Away, where one character has a stroke and there's a whole storyline that is entirely about how rehab is the only way to improve, with another patient telling him...
  3. rvallee

    Crowdfunding for David Tuller during April 2026

    I think we're at a low point right now, too. The wave of hope from LC advocacy has collapsed and there doesn't seem to be anything good on the horizon. After years of being vindicated at every turn and seeing it make zero difference, there's a rational morale collapse happening. I don't see any...
  4. rvallee

    “Long COVID”: The First Illness in History Named by Patients, 2026, Shiozaki

    No, it doesn't. The institutions of medicine failed and they need to own this failure and reform, or rather they have to be made to do that, because they will never do it voluntarily. There was nothing stopping them from being a force for good here, and there still isn't, but instead they chose...
  5. rvallee

    British Medical Association: Long COVID: support for doctors

    I don't think this has been posted yet. It's been a while since something has made me so incandescent with rage, and I barely skimmed it. The hubris and hypocrisy of these people, the lies and the bullshit, holy hell. They got everything they wanted, which they forced on everyone even though it...
  6. rvallee

    British Medical Association: Long COVID: support for doctors

    Long COVID: support for doctors https://www.bma.org.uk/advice-and-support/covid-19/your-health/covid-19-long-covid-support-for-doctors We are hugely concerned about the welfare of doctors and healthcare workers with long COVID. Many doctors and other health care professionals have been impacted...
  7. rvallee

    Safety considerations and adverse events associated with exercise across medical disciplines, 2026, Soliman

    I skimmed through it and it's frankly very light on evidence. It's clear that exercise is assumed to be good for health, mainly based on how commonly it's recommended, but the actual evidence is pretty much non-existent outside of physiological measures of fitness, with most of the benefits...
  8. rvallee

    Trial Report Placebo mechanisms in aging: A randomized controlled trial comparing deceptive and open-label placebos on ... functioning, 2026, Barbiani et al

    Absolutely right @Utsikt, the 'honest' arm is actually far more deceitful than the 'dishonest'. It sure is to me: This is very deceitful, none of this is true. It is more 'open', but it's also even more deceitful than "those are multivitamins developed specifically to provide benefits in what...
  9. rvallee

    Trial Report Placebo mechanisms in aging: A randomized controlled trial comparing deceptive and open-label placebos on ... functioning, 2026, Barbiani et al

    Here we see the logical conclusion of psychobehavioral woo and the dysfunctional application of so-called evidence-based medicine, where 0=0 means that it works. 'Honest' placebo and 'deceitful' placebo 'perform' the same, therefore they are both not just effective, but almost miraculously so...
  10. rvallee

    Trial Report Placebo mechanisms in aging: A randomized controlled trial comparing deceptive and open-label placebos on ... functioning, 2026, Barbiani et al

    Placebo mechanisms in aging: A randomized controlled trial comparing deceptive and open-label placebos on psychological, cognitive, and physical functioning in older adults https://www.sciencedirect.com/science/article/pii/S1697260026000104 Abstract Objective No study has yet examined whether a...
  11. rvallee

    Review The efficacy of exercise in patients with myalgic encephalomyelitis/chronic fatigue syndrome: A systematic review and meta-analysis, 2026, Zhao et al

    And still this blatant cherry-picking, meaning this comes from the most selective set of positive trials they could find using combinations of keywords and criteria. That's about the number of trials published in a low-volume year. It would be so useful to have a real, validated number of those...
  12. rvallee

    ME/CFS classed as 'Acquired Neurodivergence' by some DWP Access To Work Coaching Companies

    That's been a major annoyance to me for years now. Abysmal performance in clinical settings is almost systematically excused on not having enough time, how there's so much pressure to process patients as quickly as possible. And yet the researchers, who sometimes spend way too much time on...
  13. rvallee

    Using AI tools for medical questions, as a patient - Discussion

    It's valid criticism, but all of this can be worked on and fixed in ways that are simply impossible when it comes to the kinds of problems humans fail at, most of which have to do with economics and access to professionals. Humans also fail a lot at this, just in different ways. Hell, it's...
  14. rvallee

    ME/CFS classed as 'Acquired Neurodivergence' by some DWP Access To Work Coaching Companies

    It's really awful, but in no way is this worse than the medical stuff put out through official channels and ends up in textbooks and guidelines. It's differently awful and wrong, but it isn't any more wrong than anything the likes of Chalder have been peddling for decades. I doubt they'd...
  15. rvallee

    Treating Multiple Chemical Sensitivity as a Specific Phobia using Cognitive Behavioural Therapy: A Case Study in an Older Adult, 2026, Wilcock

    Even mimic is really generous, this has nothing to do with MCS to the point where it's weird that it got published this way. Weird, but not surprising anymore.
  16. rvallee

    The Sick Times: A journalist-founded website chronicling the Long Covid crisis

    Lots of people have said what it means. It's all out there, including in medical literature, and the facts more than support it. And almost every time it's discussed among professionals it's a target of mockery and dismissal. Failure without consequence breeds failure, encourages it, nurtures...
  17. rvallee

    Exercise and Weekly Sirolimus (Rapamycin) in Older Adults: RAPA-EX-01 Randomised, Double-Blind, Placebo-Controlled Trial, 2026, Brad Stanfield et al

    So, just practice and repetition, using the therapeutic target as a therapeutic outcome. It just never ceases to amaze how much deserved flack pharmaceutical trials get, and yet they may as well be the LHC by comparison to the garbage that is pragmatic evidence-based medicine. At this point I...
  18. rvallee

    The ME Association Clinical Assessment Toolkit (ME-CAT) and app (autonom-e)

    Ironically, they just don't want to do the work to get there. It would very informative to see what discussions actually happen in secret behind closed doors. Publicly a lot of people are pushing the lie that they do have treatments, but we just 'resist' them, or whatever. This has been...
  19. rvallee

    Pain-related disability in functional neurological disorder (FND): the role of pain intensity and psychological factors 2026 Callanan et al

    Condition defined by symptoms including pain includes pain, is exactly the kind of satire "water is wet shows study" tries to mock but usually fails at, except here it's genuine, because it's how the thing is defined. So, pain. That's just pain described differently. How could we possibly ever...
  20. rvallee

    Ozempic, tirzepatide and other GLP-1RAs - impact on ME/CFS

    This is where decades of failed trials being used to recommend failed treatments because of 'secondary', usually post-hoc rationalization fishing, benefits become hugely problematic. There is a huge mass of such assertions, and a big difference in that unlike pretty much all non-pharmaceutical...
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