From the tweet above
"Paul Garner: "Real illnesses that people can recover from". Top people in the field in chronic fatigue and post-covid conditions. Current dominant narrative of "incurable disease" itself harms people."
So many issues in that.
1. Is Paul Garner himself actually recovered? There are plenty of indications suggesting not e.g. his retirement.
2. 'Chronic fatigue' could be anything - many causes, many of which can be treated and many of which people recover from. Mentioning 'chronic fatigue' just muddies the waters.
3. 'Post-covid conditions' are also diverse - and similarly some can be treated and some people recover from
4. It is of course true that many people recover from post-Covid fatigue + other symptoms, even those who meet ME/CFS criteria. It's just the same with people recovering from post-EBV infection fatigue + other symptoms. I don't think many people dispute that. Prospective studies seem to suggest that recovery is more common than not in the first year. So, to imply that the dominant narrative is that a lot of people don't recover from Long covid is nonsense.
It's slightly different to talk about an "incurable disease" though. A cure is something that is applied to the person - a programme of activity, a drug, and that stops the disease. I think it is true that the dominant narrative is that there is no cure for ME/CFS - both NICE and the CDC say that, and I agree with them. There is no good evidence that there is any cure right now.
5. As to whether a dominant narrative of "incurable disease" harms people? Well, it probably does. But, if it is the truth, what should we do? Pretend that there is a cure so patients don't feel upset when they learn that they have a disease that doctors can't fix, and so doctors don't have to feel inadequate ? I imagine people with other currently incurable diseases also feel upset when they learn they have something that can't be fixed. But, facing up to that is the first step towards the research needed to find a cure.
I guess I'd say to Paul Garner 'Face our (and possibly your) reality. There is no cure for ME/CFS at present. What you are doing is making the experience of people with ME/CFS worse, and making it harder to find real answers.'