Unfortunately, my experience with Dr. Yang was different. After Dr. Zambrano quit (she was too good to work at Kaiser), I got assigned to Yang.
Yang never once talked about PEM or pacing. He pushed the biopsychosocial "central sensitization model", and prescribed treatments for fibro pain and...
This is exactly the position that both UpToDate and Healthwise used to take. That GET is beneficial for a subset of ME/CFS patients, and despite the risks, they didn't want to take away the option for doctors to prescribe GET when deemed appropriate.
Perhaps they used this study.
"...a predicted prevalence of 857/100,000 (p > 0.01), or roughly 2.8 million in the U.S."
Estimating Prevalence, Demographics, and Costs of ME/CFS Using Large Scale Medical Claims Data and Machine Learning -- Valdez et. al. 2019...
Well done, MEACtion. Thank you!
When I looked at the Medical Board of California website a couple years ago, the most current “CFS” info was from the year 1999. Among the treatment recommendations were a graded exercise program, cognitive-behavioral therapy, and medications for depression. Much...
I didn't see it mentioned in the article, but the CDC move was also likely in part to stop the practice of "covid shuffles" in schools. This is where schools encourage students to move every 12-14 minutes, just before reaching 15 minutes of exposure.
The reasoning is, if a student has a...
I know a clinical psychologist who deals mostly with AIDS patients. He told me that when patients aren’t clinically depressed, yet need continued supportive therapy, he will sometimes use a diagnosis of conversion disorder to justify the extra sessions to insurance. The patients don’t actually...
In the US, much of this unreliable covid data nonsense is part of massive organized disinformation and astroturfing campaigns designed to divide, distract, obfuscate and cast doubt in an election year.
I'll leave it at that.
I found it interesting that the affected genes in the study (ALAD and p16) are involved in red blood cell development and some cancers.
Lead poisoning could reduce gene expression in humans
Scientists have unveiled a correlation between high blood lead levels in children and methylation of...
Florida is closing some outdoor coronavirus testing sites in preparation for Hurricane Isaias.
https://www.msn.com/en-us/news/us/florida-halts-covid-19-testing-as-it-prepares-for-hurricane/ar-BB17qil4
Edit:
Edit: Basically, don't trust covid numbers coming out of Florida until the testing...
Ran across this by chance.
Physical exercise as a tool to help the immune system against COVID-19: an integrative review of the current literature
https://pubmed.ncbi.nlm.nih.gov/32728975/
This Twitter link should work, just copy and paste it into a web browser:
https://twitter.com/RFH1955
Or for those who prefer the more private Nitter interface:
https://nitter.net/RFH1955
Probably bears repeating. On the UpToDate website, Gluckman (with Komaroff editor) states that "Soldier's Heart" is just another term used to describe ME/CFS.
Clinical features and diagnosis of myalgic encephalomyelitis/chronic fatigue syndrome
Author: Stephen J Gluckman, MD
Section Editor...
Ars Technica has covered the story.
Fired scientist back to peddling anti-vaxx COVID-19 conspiracy theories
YouTube, Facebook crack down on two viral videos for spreading medical misinformation...
Good to see Gluckman change his tune (mostly).
Gluckman is also author of the UpToDate articles "Clinical features and diagnosis of myalgic encephalomyelitis/chronic fatigue syndrome" and "Treatment of myalgic encephalomyelitis/chronic fatigue syndrome"...
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