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  1. Trish

    Patient led measure of outcomes

    I think this illustrates the problem in ME/CFS of the cumulative effect of activities. Being able to shower or cook every day for someone who can currently only do them once a week or a month, if it implies all other daily activities are also able to be increased by that amount too, indicates a...
  2. Trish

    Patient led measure of outcomes

    I'm not sure about that. It makes a big difference to me whether I can shower daily or only once a week, for example. And whether I can prepare a meal from scratch with fresh ingredients every day, or about once a month.
  3. Trish

    #ThereForME campaign / Building an NHS that’s there for Long Covid and ME

    I think it's a lot more than lack of energy that prevents attending appointments. Symptoms can make it difficult or impossible, such as OI. And I'm not too bothered about getting empathy so long as the clinician is knowledgeable, listens and acts professionally.
  4. Trish

    Patient led measure of outcomes

    That's why I keep going on about wearables. If we have daily tracking of steps, resting heart rate and ideally time upright too with no effort apart from remembering to charge the device once a week, then the other tracking can be done less often.
  5. Trish

    Patient led measure of outcomes

    My version for me in my current state: On entry on a better day: Upright (sitting, standing, walking) time no more than 5 minutes at a time and total 30 minutes per day, steps measured by fitbit as non dominant forearm movement 400 to 1000 per day, no more than 20 steps at a time, mild nausea...
  6. Trish

    Patient led measure of outcomes

    A big difference between ME/CFS and the example given for SLE is we don't have any lab tests to include in the outcome criteria. So we're left with the fairly objective measuring via wearables of steps, time upright and heart rate, HRV etc, whether we are able to do specified activities, and...
  7. Trish

    United Kingdom: News from BACME - British Association of Clinicians in ME/CFS

    Maybe they have taken it down.
  8. Trish

    Patient led measure of outcomes

    I think the approach of each patient picking 3 activities they currently can't do and want to be able to do may be OK for a trial of a treatment, with the follow up running for, say, a year, might be OK to give a clear indication of whether the treatment has had a clinically significant effect...
  9. Trish

    United Kingdom: News from BACME - British Association of Clinicians in ME/CFS

    Can anyone find ths statement on the BACME website? I've searched and can't find it.
  10. Trish

    Thesis More than meets the eye: An exploration of secondary school experiences and support for children and young people with ME/CFS, Cookson, 2025

    I have no idea what this means. Resilience is commonly used in work settings where bullied workers are expected to be more resilient in coping with the bullies, rather than removing the bullies and providing better management. No mention of PEM. Surely that's key to understanding the young...
  11. Trish

    UK Government Delivery Plan for ME/CFS, published 22nd July 2025

    Thread here: https://www.s4me.info/threads/our-own-delivery-plan.45305/
  12. Trish

    United Kingdom: Sussex & Kent ME/CFS Society News

    None of them has a clue. Nobody does.
  13. Trish

    UK Government Delivery Plan for ME/CFS, published 22nd July 2025

    Someone said earlier on this thread that BACME were not involved in development of the plan. Their statement says they were, it is signed: I note in particular their statement makes it clear they think existing therapist provided services should continue. Yet the Development plan says mild and...
  14. Trish

    Awakening the sense of the possible: the Symptoms Clinic as liminal affective technology 2025 Greco et al

    I first came across the word liminal when doing a poetry writing course. I think it should have no place in medical articles, it's too vague and confusing, intended to sound like they have important understanding of the problem when they are talking bullshit. This is another output of social...
  15. Trish

    United Kingdom News (including UK wide, England, NI and Wales - see separate thread for news from Scotland)

    I got the impression they were trying to persuade that Long Covid is a disabling physical illness not psychosomatic, and needs to be taken seriously by doctors. For reasons only known to themself they decided that in order to get this straightforward message published and to persuade their...
  16. Trish

    UK Government Delivery Plan for ME/CFS, published 22nd July 2025

    Discussion of the Science for ME Fact Sheets has been moved to this thread.
  17. Trish

    Patients with severe ME/CFS need hope and expert multidisciplinary care, 2025, Miller et al

    Thank you @dave30th for this article and thank you Sarah Boothby for continuinig to fight for justice and decent care for pwME. I am appalled that BMJ failed to post Sarah's comment on the article.
  18. Trish

    The ELAROS NHS digital system for patient/clinician digital sharing questionnaire data, includes Yorkshire Rehab. Scale and Open-OH app

    Please can you ask ForwardME to make the talk by ELAROS and the ME organisations questions and responses public online. We should be allowed to see what spiel they are selling to ME organisations. And what the ME organisations are saying to them. And not just as sanitised minutes.
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