Healthwise to "retire the GET/CBT topics" from medical content

Well done indeed.

Could you point me to the information Healthwise provide on ME/CFS and CBT/GET please? I found their website rather confusing and couldn't see a search facility. Many thanks!
Here are the current GET/CBT Healthwise modules on the Kaiser Permanente website:

GET - https://healthy.kaiserpermanente.or...ncyclopedia&ctype=kb&locale=en-us&hwid=zx1021
CBT - https://healthy.kaiserpermanente.or...ncyclopedia&ctype=kb&locale=en-us&hwid=zx1040

Also, I will attach as PDFs the previous iteration of the GET/CBT modules. They were much worse (lots of old CDC toolkit bullshit + PACE) before the update last year.

Edit: There was an intermediate update in March of 2017 between the current Nov 2017 content and the 2016 attached PDFs. I don't have copies of that, I'm afraid. The main March 2017 change was deemphasizing GET/CBT.
 

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Hi @Webdog this is brilliant can I just ask whether I’ve understood correctly that this healthwise
Content is syndicated to other websites so them removing it will have a knock on effect. If so does this mean you will have achieved your aim to get Kaiser Permanente to remove their recommendation or am I jumping the gun with that?

This change will add weight to pressure on NICE to act before 2020 so thank you you from the U.K. for that
 
Hi @Webdog this is brilliant can I just ask whether I’ve understood correctly that this healthwise
Content is syndicated to other websites so them removing it will have a knock on effect. If so does this mean you will have achieved your aim to get Kaiser Permanente to remove their recommendation or am I jumping the gun with that?

This change will add weight to pressure on NICE to act before 2020 so thank you you from the U.K. for that
Yes and no.

Yes, the Healthwise update should trickle down and update the content for every healthcare organization that subscribes to Healthwise.

No in that doctors are not obligated to follow Healthwise recommendations. So, in theory, Kaiser Permanente could have the updated Healthwise content on their website while at the same time their doctors still recommend GET+CBT for ME/CFS.
Healthwise said:
"This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information."

Patients, more than doctors, read Healthwise content.

Still, it could be awkward for a healthcare organization to prescribe treatments at odds with the recommendations on their own website.

I'm not entirely sure how this will play out. Perhaps those healthcare industry experience have a better idea on this.
 
Well done @Webdog it just goes to show if you don’t ask you don’t get and the power of persistence. I wonder how many more we can influence.

I’m thinking if nice won’t budge yet we could maybe work on the following in the UK:

https://www.webmd.boots.com/a-to-z-guides/ss/slideshow-cfs-me-overview

Really though it’s this one that we should tackle although the chance of this is slim

https://www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/treatment/

Has anybody tried?
One of the nice things is that so many places subscribe to Healthwise. Including WebMD.

So when Healthwise content updates, so should WebMD (eventually). And perhaps this will then propagate WebMD content in the UK? (speculating here).

WebMD.png

Edit: It does appear WebMD is still using an old version of Healthwise content (copyright says 2015). So I have no idea when WebMD will update their severely outdated Healthwise content.
 
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Thanks for the heads up @arewenearlythereyet

I just sent a message to WebMD asking them to please immediately update their Healthwise content for "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome" and "Chronic Fatigue Syndrome".

These Healthwise sections were last updated in 2011 and 2015 respectively. :confused:

Negligence or intentionally holding onto PACE? I have no idea.

Edit: I send out ME/CFS email comments to websites all the time, using temporary email addresses that I retire periodically. It must be my ME/CFS perfectionistic obsessive compulsive vexatious personality. ;)
 
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Thanks for the heads up @arewenearlythereyet

I just sent a message to WebMD asking them to please immediately update their Healthwise content for "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome" and "Chronic Fatigue Syndrome".

These Healthwise sections were last updated in 2011 and 2015 respectively. :confused:

Negligence or intentionally holding onto PACE? I have no idea.

Edit: I send out ME/CFS email comments to websites all the time, using temporary email addresses that I retire periodically. It must be my ME/CFS perfectionistic obsessive compulsive vexatious personality. ;)
Great. This is quite exciting ...if webmd change in the US and not in the UK I’m sure we could start a campaign and approach boots to update their company information too (which may not be visible to the public). Boots is the biggest high street pharmacy chain here. They do have stores under a different brand name in the US too I believe but I’ll need to check that. And if they change then maybe the rest will follow...we can then approach the supermarkets that host the pharmacies on their estate and really get the ball rolling?
 
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