Search results

  1. Peter T

    Who said: don't bother testing patients?

    Yes looks very interesting, so I have ordered it, though reading whole books is hard going. I am still working through Brian Hughes' excellent book "Psychology in Crisis".
  2. Peter T

    Who said: don't bother testing patients?

    The references relating to GP training and to service delivery, as well as encouraging GPs to think of psychiatric diagnoses as a first not a last resort, repeatedly stress approaches designed to keep the patient on board through feeling valued and understood, but are intended to placate and...
  3. Peter T

    Medscape: Ignoring Patient Input Tied to Diagnostic Error

    Presumably at present there is no record kept of diagnoses of MUS as a perceived coherent psychiatric syndrome that are subsequently demonstrated to be incorrect, so we have no idea how often such a diagnosis delays the accurate diagnosis of serious and potentially treatable medical conditions...
  4. Peter T

    Who said: don't bother testing patients?

    Here is another quote from 'Implementing a psychotherapy service': What a nightmare, no wonder the clinicians this group work with find themselves getting distressed and stressed.
  5. Peter T

    Who said: don't bother testing patients?

    Here is yet another one: "the more investigations and referrals they receive, the more difficult it becomes to help them" from Implementing a psychotherapy service for MUS in a primary care setting https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742798/ which cites Barsky A.J. Hypochondriasis...
  6. Peter T

    Who said: don't bother testing patients?

    This whole MUS edifice is so depressing, most of the GP training seems designed to encourage ignoring the patient's symptoms whilst appearing to be empathetic, and it is largely based on the very shaky foundations of CBT and GET research eg 'Addressing the needs of patients with Medically...
  7. Peter T

    Who said: don't bother testing patients?

    Several of the references suggest basic blood tests be used so that these can be used by the doctor in explaining that there are no underlying medical conditions (see Burton 'ABC of medically unexplained symptoms') but the implicit suggestion seems to be that further tests and referral to non...
  8. Peter T

    Who said: don't bother testing patients?

    Here is a clear statement in the 'Guidance for health professionals on medically unexplained symptoms (MUS)' Royal College of Psychiatrists, which states "Investigation causes significant iatrogenic harm" see https://www.rcpsych.ac.uk/pdf/CHECKED MUS Guidance_A4_4pp_6.pdf It has a reference...
  9. Peter T

    Who said: don't bother testing patients?

    I have read it in several places but my memory is so bad. I had thought it was in the Adults Improving Access to Psychological Therapies programme ( see https://www.england.nhs.uk/mental-health/adults/iapt/ ), but in a quick glance through the links I did not find it stated clearly. It is...
  10. Peter T

    NICE guideline review: A list of appointees to the ME/CFS Guideline Committee has now been published

    Here is the body of the MEAction suggested draft for people to adapt to send to NICE Although very relevant, the MEAction approach allows NICE to potentially mix the issues of bias and with conflicts of interest as defined by themselves. The feeling of those commenting here seems to lean...
  11. Peter T

    NICE guideline review: A list of appointees to the ME/CFS Guideline Committee has now been published

    I had a surprise birthday party yesterday, that was great, but ... ... So do not at present have the intellectual capacity, but if no one takes it on I will later (after some more sleep) go through this thread to pick out the relevant information.
  12. Peter T

    NICE guideline review: A list of appointees to the ME/CFS Guideline Committee has now been published

    Not with it enough to look back through this thread but someone earlier suggested that the issues arround the individuals with clear financial conflicts of interest (eg marketing training re MUS), etc need specifically addressing, as NICE policies should exclude them from sitting. This is a...
  13. Peter T

    NICE guideline review: A list of appointees to the ME/CFS Guideline Committee has now been published

    I agree, that we should be raising the conflicts of interest in specific individuals now, where there are also clear arguements showing NICE's own policies are being breached, and that we subsequently raise concerns about potential bias of the whole committee later when the whole committee is known.
  14. Peter T

    Remission when ill with other infections?

    Attempt at a questionnaire: 1. Do inoculations/vaccinations increase your ME symptoms? + 0 - 2. Has your ME increased your susceptibility to other infections? + 0 - 3. Do co-occurring infections increase your ME symptoms? + 0 - I would answer +++, and wonder if we divide neatly into groups...
  15. Peter T

    Remission when ill with other infections?

    Don't know if this is relevant to why I am one of those that don't get a counter intuitive dimunition in ME symptoms in the context of an additional infection, but unlike @Sean I do not know in advance when I am getting a cold of flue, as a common symptom of PEM for me is feeling like I am...
  16. Peter T

    Remission when ill with other infections?

    The King Lear effect "Where the greater malady is fixed, the less scarce is felt". (May not be an exact quote as my memory is not reliable.) I think when he said this King Lear was seeking physical discomfort to distract himself from mental anguish. I guess the BPSers would see this as...
  17. Peter T

    The Clinician’s Vaccine Safety Resource Guide 'Do Vaccines Cause Fibromyalgia or Chronic Fatigue Syndrome (CFS)?'

    Thank you for the link, it makes very interesting reading. It is a shame that the chapter that this thread is about is behind a paywall, as we can not see what evidence purportedly supports their claim that vaccines have not been shown to cause ME and Fibromilagia. Obviously the onset of a...
  18. Peter T

    The Clinician’s Vaccine Safety Resource Guide 'Do Vaccines Cause Fibromyalgia or Chronic Fatigue Syndrome (CFS)?'

    Are there any figures on the numbers or percentage of people with ME or with Fibromyalgia whose onset dates back to a vaccination? A correlation does not give clear evidence for causality, but it is very suggestive of issues that need further investigation.
  19. Peter T

    ME Association Quick Survey Nov 18: Do you have a healthcare plan that is consulted, adhered to and kept up to date...?

    I had come to the conclusion I needed to address this issue with my GP especially as my GP's practice does not seem well able to deal the situation adequately when I am not able to attend the surgery. Unfortunately as I was drafting suggestions for some form of care plan, I have found out my GP...
  20. Peter T

    NICE guideline review: A list of appointees to the ME/CFS Guideline Committee has now been published

    Thank you @Sly Saint, definitely need a memory transplant as I had read the earlier posts in this thread.
Back
Top Bottom