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  1. rvallee

    Review Physiotherapy management of long COVID in adults 2026 Nygren-Bonnier and Holland

    Human slop. What do they even mean by this about researching being limited? How much is enough research? It's been decades since there has been nothing left to try, because all of this is simple, it just doesn't work. What is the stop function here, when people decide "OK, we tried everything...
  2. rvallee

    News from France

    And there's really not a lot of that. We don't have much to work with in Québec because of that, a small French population in a large anglo continent.
  3. rvallee

    POTS - definition, diagnosis and symptoms

    It definitely depends how high it gets. At my worst I used to hit 160 sleeping, I would get alerts from my fitness tracker, eventually had to turn them off. I would easily hit 150 from brushing my teeth or just sitting eating. This lasted months, and Ivabradine definitely made it easier for me...
  4. rvallee

    Associations of physical fitness and choice reaction time with chronic fatigue in working-age adults: a population-based study, 2026, Ma et al

    Yes, being wealthy is usually associated with not falling behind on paying bills or having to borrow money from loan sharks, though it offers no clear guarantee of it.
  5. rvallee

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

    This is hilarious, and oh so problematic. Because it's true, she's right, this advice is false pseudoscience. And something like this is not supposed to happen. And yet. The self-correcting process of science is not self-enforcing. Just like laws. People make decisions, and they're not always...
  6. rvallee

    Transcutaneous Auricular Vagal Nerve Stimulation Against Fatigue Syndrome in Patients with Long COVID…, 2026, Gierthmuehlen+

    This industry is a sham. What the hell are they even doing? How is no one involved able to see how this is completely broken? Who is this even for??! And as usual for something that isn't even plausible, that did not even warrant a pilot trial.
  7. rvallee

    Miscellaneous Research Thread

    Even far more disturbing is the huge number of studies and trials that duplicate the same mistakes. No one seems to think of that. I wrote the beginning of an article on that yesterday but I'm all out of juice dealing with some family health issues. CBT has been 'promising' for decades, for...
  8. rvallee

    Feasibility and preliminary effects of a yoga program developed for adults with [LC]: pilot randomized controlled trial, 2026, Welfordsson+

    As Michael Sharpe put in a recent presentation about his life's work: "pilot everything". It actually became "do every trial as a pilot, this way you can always fall back on that". It doesn't even matter, even if they can't manage to do a full trial, they'll still conclude that they should do a...
  9. rvallee

    A Description of Healthcare Utilization in Young Adults with Chronic Overlapping Pain 2026 Babiloni et al

    To paraphrase Gandhi, I think it would be a good idea. Yeah, not credible. Either the question was wrong or the sample is unrepresentative. A consult is not medical treatment. There are no medical treatments for this, entirely a choice.
  10. rvallee

    Feasibility and preliminary effects of a yoga program developed for adults with [LC]: pilot randomized controlled trial, 2026, Welfordsson+

    Oh that opens up the possibility of endless combinations and permutations of cooking, ripeness, flavors and so on. Easily hundreds of citations to pad the academic stonks. Now that's EBM brain!
  11. rvallee

    Feasibility and preliminary effects of a yoga program developed for adults with [LC]: pilot randomized controlled trial, 2026, Welfordsson+

    It's impossible to avoid the conclusion that in its current form, the evidence-based medicine framework is such a giant failure that it would be preferable to shut it down entirely without a replacement if meaningful reforms cannot be put forward. It can be reformed, but barring this, it clearly...
  12. rvallee

    Trial Report The Effect of Fluvoxamine and Metformin for Fatigue in Patients With Long COVID, 2026, Reis et al

    Stopping the trial for superiority with these numbers is truly bizarre. And given the people involved, cynicism is more than justified. There are people who deserve the benefit of the doubt. These people deserve the opposite, and overhyping this is just one example of many. The standards for...
  13. rvallee

    The Role of ME/CFS Phenotype in Outpatient Post-COVID Rehabilitation 2026 Kaiserseder et al

    Ah well here's your problem: you're supposed to do that before you claim the patients. The reverse question is far more meaningful: what is the role of rehabilitation in ME/CFS? None. What is this nonsense? And what they do even mean by "validate these findings"? What findings? This:? Or that...
  14. rvallee

    Fibromyalgia Reframed and Linked to Altered Pain Processing

    What year is this? ctrl-c ctrl-vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv. Words rarely come this empty of meaning. We landed on the Moon??! No, way!
  15. rvallee

    Opinion Exploring duplication in reviews of Long COVID: 2020-2023, 2026, Raine et al

    Yeah, it's a big problem. I am very certain that there aren't 100 papers worth a damn on LC, so that would be more reviews than useful papers. But what is going to stop it? This is mainly a problem with illnesses that are believed to be psychological, so this is just the tip of a very large...
  16. rvallee

    Phenotypic overlap of mental health impairment in post-COVID condition and depressive disorders: Insights from the DigiHero cohort, 2026, Fasshauer+

    It doesn't make sense to speak of mental health symptoms when people are dealing with chronic illness that makes them unable to function. The whole concept falls apart because it only makes sense when the symptoms are considered aberrant if the life they experience is normal, but it's anything...
  17. rvallee

    [UK] Guardian: 'A cruel penalty’: disabled people face lower benefit payments if conditions not deemed lifelong - mentions ME

    In a sane world, this would always work. In a sane world, those results would have ended this farce. The fact that it did strongly suggests our world isn't just not sane, but positively insane.
  18. rvallee

    The effectiveness of specialist cognitive behavioural therapy for functional neurological disorder: a service evaluation 2026 White, Pick and Chalder

    They actually cite CODES as evidence of success: But all it gets you is people slightly reporting things a bit differently. This is as biased as an aggressive sales pitch where they don't let you leave until you sign something but it's not binding so most people just sign to get out and never...
  19. rvallee

    Personalized Exercise Training Modulates Red Blood Cell Rheology and Morphology in Long COVID, 2026, Krüger et al.

    It started with 170 participants. How many do they want to qualify as larger? And how many would that require when they have a checks notes 9% completion rate? There is zero reason to attribute those changes as being the result of the exercise program. In fact the relationship is more likely to...
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