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Had my second Shingrix two days ago. A lot less of a problem than the first one. Did feel moderately shitty the day after, and I still have a bit of a sore arm. But nothing like what happened with the first dose.

No 'if' in that statement. It is only a matter of when. Indeed, it already has.

The primary outcome measures will be based on self-reported physical health (SF-36 PPH) and treatment satisfaction (CGI-I). At this stage continuing to insist on using unblinded self-report outcomes on their own is straight scientific fraud, IMHO. Nah. They know exactly what they are doing...

The results provide strong evidence for factors from all dynamic biopsychosocial domains Hmm.

The term post-exertional fatigue really needs to be stamped out hard. Those trying to get it into circulation and substitute it for PEM know exactly what they are doing and how misleading it is. It is a part of their larger ongoing attempt to characterise it all as 'fatigue' (and its...

Which means that there is no causal relationship between fatigue and depression or anxiety.

You have to remember that in their world 'recovery' doesn't mean recovered, it means the 'process of recovery'.

:):hug:

"I can see qualms about treatments that are not scientifically documented..." :banghead:

The NHS is institutionally buying into the narrative that increased numbers of heart attacks are caused by lack of exercise during lockdown, long covid is caused by anxiety and lack of exercise. After the BPS club's behaviour over NICE, and now this, is there anybody still in any doubt about...

So both sets of data agree that a substantial fraction of patients have unexplained fatigue. Which, presumably, includes being unexplained by the psycho-behavioural fear and deconditioning model so long promoted by the authors? Suspiciously specific. Would seem to rule out a lot of...

Is this what they mean by 'secondary benefits of playing the sick role'? /s

the therapists began to recognize this Did they apologise for it?

Third donation done. :thumbup:

Yet another reason for late-50s me to avoid getting Covid. :bag:

Good question.

"The first principle is that you must not fool yourself – and you are the easiest person to fool." Richard Feynman

However, we are still lacking a mechanistic understanding of the underlying psychophysiology. Depends on who you ask. Some seem to think they have figured it all out, and it is now just a marketing problem.

Multidisciplinary, collaborative care is becoming more common, using evidence-based treatment. If only they would.