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  1. rvallee

    Persistent physical symptoms not explained by structural abnormalities or disease processes: a primary care approach [..] recovery, 2026, Abrahamsen+

    This is actually where it gets interesting about direct vs indirect conflicts of interest. They might have paid her, because they have a financial stake in the outcome and it would be worth it to them. But also she is clearly personally and ideologically invested in it to the point where she...
  2. rvallee

    Persistent physical symptoms not explained by structural abnormalities or disease processes: a primary care approach [..] recovery, 2026, Abrahamsen+

    Indeed. Definitely another case where the declaration of conflicts should be at least as long as the paper itself. In her case it's more direct because there is a clearly for-profit commercial venture involved, but almost everyone involved has some degree of conflict or a degree of bias so...
  3. rvallee

    Prevalence of Post-COVID Symptoms Across Variants of Concern and Follow-up Periods: A Systematic Review and Meta-Analysis, 2026, Lugtu et al.

    If they stick with groups for which their models make even the tiniest bit of sense, it would be so small as to be insignificant. They would never have resources for anything, because it would be so rare that a single clinic could serve a large nation's worth of cases, and even then it would...
  4. rvallee

    COFFI - The international collaborative on fatigue following infection

    There's no point commenting on the videos, obviously they will remove any negative comments. It's how they do everything.
  5. rvallee

    News from Germany

    Christian has severely deteriorated. https://www.abendblatt.de/hamburg/altona/article411428748/mecfs-in-hamburg-82-jaehrige-verzweifelt-an-pflege-ihres-sohnes-niemand-kann-ihn-aufnehmen.html https://archive.ph/5S6wz
  6. rvallee

    Thesis “It’s like a superpower of ‘look how amazing I can do this’, but then you are dead”: [...] exploring ME/CFS and ADHD multimorbidity, 2026, Snell

    I don't really see the point of even accepting the framing that this is about CBT. CBT is irrelevant here. It's the bottle. What's in the bottle is what matters. If the bottle can hold its total opposite, the bottle itself is entirely irrelevant. There's nothing special about CBT, it's just some...
  7. rvallee

    Persistent physical symptoms not explained by structural abnormalities or disease processes: a primary care approach [..] recovery, 2026, Abrahamsen+

    Russel's teapot is out there spinning in its orbital grave. This is medical fiction. It belongs next to books by Deepak Chopra, not an academic journal. It was a (comically) big deal when the Catholic pope admitted he was not infallible. This is an assertion of omniscience and omnipotence...
  8. rvallee

    News from Germany

    Already doing that. Chronically, even. :cautious:
  9. rvallee

    Prevalence of Post-COVID Symptoms Across Variants of Concern and Follow-up Periods: A Systematic Review and Meta-Analysis, 2026, Lugtu et al.

    That's definitely not a significant enough reduction in burden. It could have been somewhat significant if most cases stemmed from severe acute cases, but we've known that's not the case for at least 3 years now. Because of the nature of how this is done, this is likely a slightly higher...
  10. rvallee

    A Randomized Trial of Vitamin D Supplementation and COVID-19 Clinical Outcomes and Long COVID: The Vitamin D for COVID-19 Trial, 2026, Ganmaa et al.

    This pattern has become too obvious to ignore: whenever a trial is performed on something that is considered benign, it creates too much bias to accept that it doesn't work. It has to be proven to be useless, totally useless beyond any possible doubt, which can't happen, for those involve to not...
  11. rvallee

    A Randomized Trial of Vitamin D Supplementation and COVID-19 Clinical Outcomes and Long COVID: The Vitamin D for COVID-19 Trial, 2026, Ganmaa et al.

    I don't think I've seen a more bizarre way of assessing anything. Just as bizarre, plenty. More? Nope. Sure, it seems good that it's objective, but that's one way in which an objective endpoint isn't necessarily good. Oddity of "demonstrated a signal" aside, what do we call "borderline...
  12. rvallee

    Configuring symptoms: experiences from an internet-based self-help programme for persistent physical symptoms in general practice 2026 Frumer et al

    Holy crap this is cringe. Buzzwords-filled pseudoscience marketing. A world doesn't get any madder than this, it only ever finds more creative ways to be mad.
  13. rvallee

    USA: The RECOVER Initiative - Long Covid research

    Are they going to do that with medical professionals and their institutions? Because no one needs to hear and do more than them. The general public doesn't have to hear more about it, it won't ever change anything until health care systems actually do something about it.
  14. rvallee

    Norway: 2026 NAV court case over disability benefits

    If the judge accepts this absurd argument, what's to stop anyone from arguing that all disability can be overcome with faith and hope and that someone can't be determined to be disabled if they haven't tried literally all alternative medicine approaches, all faith-based healing approaches and...
  15. rvallee

    Norway: 2026 NAV court case over disability benefits

    Death of expertise. Ridiculous show trial from the prosecution. Modern day Scopes trial. This opens up any creative attorney to dismiss the validity of testimony by experts and government officials on the basis that they might be credible, but they also might be completely dishonest. Especially...
  16. rvallee

    COFFI - The international collaborative on fatigue following infection

    Oh for sure, but almost all of us only ever said it as an analogy, though sometimes people lack the words to make that clear. Same with feeling 'poisoned', which is inaccurate but is simply used to convey the sickly feeling we have. None of us think we have arsenic, or whatever, coursing through...
  17. rvallee

    COFFI - The international collaborative on fatigue following infection

    Everything I see here is baseless speculation about what we think and things we don't even do or say. Same as the old Wessely approach where they invent imaginary reasons and don't bother beyond that. The idea that we have expectations that doing things will kick our asses is completely detached...
  18. rvallee

    COFFI - The international collaborative on fatigue following infection

    It was always just an analogy, not a model.
  19. rvallee

    Artificial intelligence in medicine and science

    Oh that's coming. It will not be pretty.
  20. rvallee

    Long COVID Treatment Guide (Patient-Led Research Collaborative & RTHM)

    Doing things this way can only work out if there is a simple solution. As far as I know, this almost never happens in medicine. It should have been expected here, though, because others have already done it and found none. So it was entirely useless. It's just not any worse than most of what has...
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