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https://highline.huffingtonpost.com/articles/en/everything-you-know-about-obesity-is-wrong/ A long read, but worth it.

I think it could be worth the effort. That said, I would not be concerned with the size of your audience. Much more important is who they are. Doesn't matter if the audience is small, as long as it is the right people, the ones who can make a difference. I like to think more in terms of a node...

No control for non-psychosocial stressors? Or direction of causation? If patients are already stressed due to persistent fatigue and/or the underlying causes of it (especially undiagnosed and untreated medical problems, and associated misattribution by clinicians), then adding any sort of...

Not any more than pre-ME/CFS. Only happened twice in recent years. Once with a nasty flu, and once from the first of two Shingrix vaccinations for shingle, and they were both relatively mild fevers (ETA: and may have been nothing more than an exaggerated form of the hot-cold flushes or...

And that is the nicest possible interpretation.

Unfortunately, empathy seems to be one of those things you cannot teach. It might be something people can learn from direct experience over their life (indeed, that might be the main way people develop it). But I don't think it can be taught in the same way as arithmetic, for example.

False hope is the worst possible response. Tell patients the truth. Don't sugar coat it or lie about it, because the consequences for everybody, not just patients, when they find out the reality are far worse. If you want patients to lose trust and faith in doctors then giving them false hope...

Not sure there is much to be gained from a round of Suffering Olympics over gender on this issue. Both men and women get hurt badly by the current state of health systems. Perhaps in different ways, but it happens to all of us.

Is the minister going to also address the flood of crap drowning our food supply system, including the marketing disinformation that encourages the populace to consume it? Is he also going to favour the development of more exercise friendly suburban environments that encourage walking and...

+1

Nice summary. :thumbsup: Aetiological speculation should stay in the research setting for now, and be kept out of clinical management.

The lost opportunity costs from this reckless indulgent decades-long frolic into psychosomatics are just stunning, and compounding rapidly. What I don't get is what the hell does the medical profession think the outcome for them of all this is going to be? There is no way this can end well for...

Declining overall in health status. Problem is trying to tease out other (non-ME) medical issues I am dealing with, and what is causing what. That said, I will discuss with my GP stopping the statins for a bit to see if that helps. They are a long-term treatment and are not critical short-term...

Got any more info on this? Asking as somebody put onto statins a year back.

The mental health movement has gone too far, and too often in the wrong direction.

That is when they mount their old faithful steed, clinical experience, to justify it.

I'd go further than that. Of all the non-genetic influences on health, poverty is the most destructive and insidious of all. If the psych professions really do want to maximise the impact of their own research on psycho-social factors, and deliver the most benefit to the most people, then they...

This. The opportunity to do that whenever needed is arguably the core management tool for ME/CFS.

6. Make completely unjustified assumptions and assertions about causal relationships. 7. Profit!

The term 'wellness' is one the biggest red flags of all about a clinic or claim.