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UK - NHS England online tool and clinics for long Covid.

Discussion in 'Long Covid news' started by Kalliope, Jul 5, 2020.

  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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  2. It's M.E. Linda

    It's M.E. Linda Senior Member (Voting Rights)

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    MEMarge and NelliePledge like this.
  3. rvallee

    rvallee Senior Member (Voting Rights)

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    Last edited: Sep 12, 2020
  4. rvallee

    rvallee Senior Member (Voting Rights)

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    MEMarge, ladycatlover, chrisb and 5 others like this.
  5. Dx Revision Watch

    Dx Revision Watch Senior Member (Voting Rights)

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  6. Dx Revision Watch

    Dx Revision Watch Senior Member (Voting Rights)

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    Arnie Pye, MEMarge, Joh and 14 others like this.
  7. NelliePledge

    NelliePledge Moderator Staff Member

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    Liaison psychiatry teams all round the country no doubt offering their services....... i hope there’s going to be some some actual testing and medical treatment. Definitely will be interesting to see how this turns out in practice.
     
    Arnie Pye, MEMarge, MeSci and 7 others like this.
  8. chrisb

    chrisb Senior Member (Voting Rights)

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    "Better" than what?
     
    Arnie Pye, MEMarge, obeat and 5 others like this.
  9. Dx Revision Watch

    Dx Revision Watch Senior Member (Voting Rights)

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    Better than a poke in the eye with a sharp stick?

    Maybe not.

    As NelliePledge says - it's going to be very interesting to see (whether) and how these projected clinics pan out.
     
  10. Dx Revision Watch

    Dx Revision Watch Senior Member (Voting Rights)

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  11. Trish

    Trish Moderator Staff Member

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    https://www.bbc.co.uk/news/health-54449145

    BBC News

     
  12. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    It seems that Dr Greenhalgh is not aware that she will be cynically manipulated by government only too happy to have cheerleaders in nice short outfits to match their cutting funding equally short while making it look longer. What is the point in funding a service that has node what it is supposed to recommend?
     
  13. Shinygleamy

    Shinygleamy Senior Member (Voting Rights)

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    I suspect it's going to be really lackluster because they won't be investigating covid people medically/scientifically and trying out treatments as they should. It will all be self management, rest, feelings, etc but nothing solid, because how can it be in the current wafty NHS system?
     
    Arnie Pye, obeat, anniekim and 10 others like this.
  14. Esther12

    Esther12 Senior Member (Voting Rights)

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    I get the impression that she's someone who is politically astute. I don't always agree with what she's astutely trying to achieve though.
     
  15. ahimsa

    ahimsa Senior Member (Voting Rights)

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    I skimmed the NHS announcement and saw that they mention CPET.
    Is this an opportunity for someone to suggest doing 2-day CPET on COVID patients and then comparing those results to past studies with ME patients?

    Or is that a bad idea for some reason?
     
    Last edited: Oct 7, 2020
  16. Trish

    Trish Moderator Staff Member

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    I think they would have to restrict that to a properly registered and ethically approved study, because, if the long Covid patient has PEM, as some apparently do, they would need to be warned that CPET and especially 2 day CPET are likely to trigger PEM, and hold a risk of long term worsening, as does any instance of pushing beyond the energy envelope.

    It sounds like they are using the single CPET to assess lung and heart function, which would presumably be a valid thing to do in patients where there may be lung and/or heart damage. But I'm no expert.

    I agree it would be very interesting if they did a study of 2 day CPET in long Covid patients, with suitable warnings.
     
    MEMarge, MeSci, ahimsa and 6 others like this.
  17. Dx Revision Watch

    Dx Revision Watch Senior Member (Voting Rights)

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  18. MSEsperanza

    MSEsperanza Senior Member (Voting Rights)

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    "what evidence base will they be using?"

    TG's answer:

    "Ours I hope!"

    Does this hope imply TG thinks her team's research had gathered sufficient evidence that could form an adequate evidence base, so that no additional source of evidence nor research is needed for the guideline?

    (Genuine question from a non-native speaker.)

    Edited for clarity.
     
    Last edited: Oct 8, 2020
    Arnie Pye, MEMarge, Simbindi and 4 others like this.
  19. Kalliope

    Kalliope Senior Member (Voting Rights)

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  20. Dx Revision Watch

    Dx Revision Watch Senior Member (Voting Rights)

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