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I think the RC representatives may well have realised that they were going to achieve nothing at the roundtable so just made a few noises to fulfil their apparent role as objectors but were careful not to say anything too silly. The plan was probably already in place to say the silly things in...

Yes, it is salutary to re-read those character-assassinations of me. It makes it easier for me to gather the effort to write that book after all. It was going to be about PACE but it will cover rather more now. I spent this afternoon drafting a new chapter on NICE guidelines. If anyone needs...

Maybe all in one big tent p***ing out in different directions?

And this.

I think the difficult bit would be proving harm. But if harm was accepted then I think going outside NICE guidance would be considered irresponsible behaviour - in the context of the background on reports of harm from GET.

I guess this is from BACME: Members are concerned that evidence supporting existing and successful specialist practices that patients report have positively impacted their condition are universally omitted. In our combined extensive clinical experience patients seen in our service have done...

This area is very complicated but basically these are not 'false positive' results. A positive ANA is a real biological phenomenon, unless your lab is below standard. What is meant is that a positive ANA does not necessarily indicate lupus because a proportion of healthy people have positive...

This area is very complicated but basically these are not 'false positive' results. A positive ANA is a real biological phenomenon, unless your lab is below standard. What is meant is that a positive ANA does not necessarily indicate lupus because a proportion of healthy people have positive...

Yup, gizza job, forget all that training stuff.

No, indeed, so that leaves... hmm

and there is also evidence from case studies and one RCT that some patients report benefit from LP And Mrs Wentworth at the Tesco counter said so too. It must be true.

Ministerial minions what give them millions.

“They say that exercise [or] activity cannot be regarded as a ‘cure’ for CFS/ME, and yet they accept that it may relieve symptoms. There is no such thing as asymptomatic CFS/ME; therefore, if you have no symptoms you have no disease.” from Miller. Difficult to think of anything more incoherent...

It would be interesting to know how health care professionals in other countries respond to the situation. Do other countries just take note of NICE as a reputable source or do they take note of the toy throwing as well?

One begins to wonder, if the roundtable was designed to stop doctors throwing their toys out of the pram, whether after all it achieved its purpose. I think it was useful in other ways but the toy throwing seems as vigorous as it ever might have been.

I wonder why the Royal Colleges were too cowardly to make these claims at the roundtable? Presumably because they knew they didn't have a leg to stand on.

I doubt it. He has been aware of everything going on for 3 years. He isn't a medic. I just don't think he has the background knowledge to appreciate what the real issues are. Either that or he wants to keep everyone in authority happy.

I am afraid Paul Chrisp doesn't get what this is all about. He talks of exercise making people with ME tired and the harm of GET being that they are more tired. He also goes on about the personalised versus fixed increment business. If this is the top level take from NICE on its guideline it...

~I tend to agree with @CRG here. Yes, patients get additional diagnoses and shifts in diagnosis but in the general context of ME it would be hard to shift to FND and not that easy to shift to MUS as a primary diagnosis. It wouldn't be that easy to start afresh with them either. There may be...

Yes it uses a global question: "Ye awright luv?" Aye/Nay (delete as appropriate luv)