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  1. rvallee

    Thesis To Label or Not to Label, That Is the Question Investigating diagnostic labelling in functional somatic disorders, 2026, Tattan

    This is an extreme level of cherry-picking. Most people see through the BS and reject it. Anger is a more common reaction. Everyone in the discipline knows it and complains about it all the time. This is just laughable. It's pure imaginary internal scenarios like Wessely did early in his...
  2. rvallee

    Why does FND mainly affect women? A consideration of gender imbalance in neuropsychiatric disease, 2026, Bradlow et al

    It really does appear to be the 'correct' answer, isn't it? As in arguing against this point is a bad career move, even worse for a student. Pretty embarrassing stuff, frankly. It sure is, and creates a huge imbalance in the stakes involved. For the patients, everything is on the line, their...
  3. rvallee

    Making Invisible Illnesses Visible: Recognizing and Responding to Infection Associated Chronic Conditions 2026 Iskander and Haridopolos

    Is any of this language found in illnesses that aren't disbelieved? Because I don't need someone to validate my experience, I need someone to understand it and do something smart and useful about it. I could not care less about validation, whatever it means to different people. It just needs to...
  4. rvallee

    Preprint Central overload: disrupted interoceptive multi-timescale inference in post-infectious ME/CFS, 2026, Strube

    Not a problem when everyone does it /s Or, well, it's perception if that's convenient, and it's just reporting when it isn't. Funny how the bias always aligns in the same direction.
  5. rvallee

    Why does FND mainly affect women? A consideration of gender imbalance in neuropsychiatric disease, 2026, Bradlow et al

    They really never got over Freud at all, uh? Not even a little bit. He could read this right now and not even need to have anything explained to him, other maybe than database, there is nothing new here, this is pure "women be hysterical, amirite?" All completely circular, too. In what universe...
  6. rvallee

    Review Systematic review of movement disorders mislabeled as functional: when incongruence misleads 2026 Marín-Medina et al

    Even though, of course, most people are not. In fact most reject it outright, often directly to their own faces. Which is known, and acknowledged in the literature, so it's just a lie. But they get around that by framing it like you did, how it "may" provide such an explanation, how a fraction...
  7. rvallee

    Postural orthostatic tachycardia syndrome: when dysautonomia misleads: a mechanistic argument for compensatory orthostatic tachycardia, 2026, Chopra

    Isn't that redundant? The compensatory active is not itself part of the autonomic response? Or I guess it's the difference between autonomic failure and dysfunction. It still seems like failure to me, so this is more about there being a similar term in the way, and no better term coming out of a...
  8. rvallee

    Gastrointestinal Symptoms and Systemic Comorbidities in Patients With POTS: A Systematic Review and Meta-Analysis, 2026, Dmitrii Kulin et al

    Studies like this are entirely worthless. Health records on issues like this only capture subsets of clinical practices, with errors in several directions. It's a textbook version of the platonic cave, where the shadows on the wall are made by the actions of people in the same group as those...
  9. rvallee

    Effects of Dendrobium officinale on chronic fatigue in rats: Modulation of tryptophan metabolism 2026 Yan et al

    I'm not really thinking about differentiating from ME/CFS. Even as a model of generic chronic fatigue this is wrong, because it would be alleviated with rest, with reducing the problem, which is stress. This is more like someone who is very tired after a long day of physical labor, except...
  10. rvallee

    Jake Hollis - "The Fatigue Psychologist"

    I have no idea what or who this is for, other maybe than as marketing for his business. It pretty much says nothing of value and somehow argues that this is not said enough and that physicians don't know this. Copy-paste advertorial based on copy-paste pseudoscience. I'll take the current crop...
  11. rvallee

    Effects of Dendrobium officinale on chronic fatigue in rats: Modulation of tryptophan metabolism 2026 Yan et al

    But that's a model of stress, not fatigue. Chronic fatigue is not the result of lifestyle behavior, otherwise it wouldn't be chronic.
  12. rvallee

    The Long Tail of Long COVID-19: Broad and Extensive Increase in Utilization Within an Integrated Healthcare System, 2026, Ballard et al

    The Long Tail of Long COVID-19: Broad and Extensive Increase in Utilization Within an Integrated Healthcare System https://www.cureus.com/articles/462075-the-long-tail-of-long-covid-19-broad-and-extensive-increase-in-utilization-within-an-integrated-healthcare-system Abstract Background The...
  13. rvallee

    Review Systematic review of movement disorders mislabeled as functional: when incongruence misleads 2026 Marín-Medina et al

    Oddly enough, I think I've mostly seen the opposite, because it "better" matches their model where there might be a precipitating event, but the functional part is psychobehavioral. In fact, it might be the next frontier, it would be easy to waste decades on this, as with it comes the...
  14. rvallee

    The disappearance of ME/CFS

    Orwell would be impressed. And probably disgusted. But impressed.
  15. rvallee

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

    A 2026 update on that would be pretty short and easy to put together. It has, in fact, gotten significantly worse, it's the only way to keep the gravy trolley looping around the track. Which is, clearly, the only goal. The ideology must perpetuate itself, or else the giant sunk cost of tens of...
  16. rvallee

    Between Doubt and Diagnosis: Patient Experiences of Emotional Harm from Diagnostic Delays, 2026, McCleskey

    Indeed. I do see a lot of people saying that, actually, how the emotional toll is the worst part, and it really is awful, but it's completely secondary to the real problem, and what putting the emotional burden forward does is making it acceptable to just focus on the emotional toll and ignore...
  17. rvallee

    Validation of the Wood Mental Fatigue Inventory in adolescents with [ME/CFS] 2026 Welch et al

    Kingdom A, which measures distances in feet, using their king's foot as a base unit, has compared its scale of measurement with the engineers of kingdom B, which also measures distances in feet, using their king's foot as a scale, and they're really close, therefore king feet are a valid unit of...
  18. rvallee

    Organisation for Economic Cooperation and Development (OECD) report: Addressing the Costs and Care for Long COVID: The Long Shadow of the Pandemic

    Uh, it is? Must have missed it. Continued? Must have missed that, too. This will definitely come as a surprise to people living in those countries. I don't think "not interested, here's some biopsychosocial crap" is a defined care pathway. Yes, please, that would be nice. It would have been...
  19. rvallee

    Between Doubt and Diagnosis: Patient Experiences of Emotional Harm from Diagnostic Delays, 2026, McCleskey

    Wow, someone did not listen to a damn thing they heard and just put down what they wanted in the first place, uh? That's ridiculous. Justice delayed is justice denied. Delayed diagnosis is the same as denying justice, except with zero mechanism for correction, or even acknowledgement, certainly...
  20. rvallee

    A phenomenological study of fatigue experience in community-dwelling older adults, 2026, Wei

    Sure it can. It is, in everyone! No one has any idea what to do with the top two most common symptoms, the other being pain. It should not, but that's a wholly different concept, one that compels action, while the idea of cannot has the implication that it wouldn't be, and yet it is, because...
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