rvallee
Senior Member (Voting Rights)
I'll copy a few, but one thing you can do is take one of the tweets in the thread, right click on either the date (or xh ago) and open in incognito/private mode. That's how I work around it.Wessely blocked me years ago. Can someone post the full thread here, or at least Wessely's? I can see all the responses and comments--just not what he's tweeted. Anyone reading the descriptions of CBT and GET in PACE, or took a look at the manuals, would know Wessely is lying his ass off, or is delusional.
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Good letter in @bmj_latest from doctors with #longcovid citing #RSMLive “Before we get people exercising" need "to be sure it’s going to be safe. We need proper evaluation of cardiac and respiratory function" &. "take things slowly and in a paced measure.”
No volte face. Just agreeing that exercise and GET are not the same. Taking things gradually is part of GET - that’s why it’s called graded and not ET. It’s sensible to advise people not to try and “run off” or jog through #longcovid & we need urgent research on heart and lungs
Thank you. I thought the 2007 NICE guidelines were OK. Am afraid I don’t have a clue about the next set of guidelines due out next year I believe.
The difference with pacing is that the goal is not living within limits but sooner or later to extend them. But gradual and if possible are key words. And it doesn’t have to be exercise at all. It’s activity.
The essence is to find a level of activity that is comfortable which initially may mean reducing. But then it is indeed important to try and maintain that - if possible as it says - only increasing when it is clear you have habituated to that level.
https://twitter.com/WesselyS/status/1306525021460979713I would hardly have had 30 years of successful clinical practice in an NHS CFS service seeing >1000 patients if that wasn’t the case.
https://twitter.com/WesselyS/status/1306523508382601216Yes. “Pushing through” is not part of GET. It is about establishing a regular baseline and then gradually increasing without incurring severe PEM and thus going back to square one. CBT is about activity not exercise per se. Neither are about getting fit.
https://twitter.com/WesselyS/status/1306281962735308803Dear Dr Marsh. We wrote that 32 years ago and no, we wouldn’t say that now. I think doctors who are sufferers have a lot to contribute whatever illness they have-a unique perspective but not the only one. I wouldn’t have tweeted BMJ piece if I didn’t think that @ProfTonyDavid
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