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  1. Arnie Pye

    UK govt: Open consultation: Women's Health Strategy: Call for Evidence

    Just some general comments on online surveys generally and that apply to this survey in particular. As a general rule, surveys I have filled in online don't allow people to see the whole survey before they start. So, often, there is a question on each page, I fill in the answer to a question...
  2. Arnie Pye

    UK govt: Open consultation: Women's Health Strategy: Call for Evidence

    https://www.gov.uk/government/consultations/womens-health-strategy-call-for-evidence The consultation closure date has changed. It now closes at 11.45pm on 13 June 2021 There is an "easy read" version of the Government survey here ...
  3. Arnie Pye

    Iron deficiency and dysregulation

    I've never had much difficulty getting ferritin tested. What I have difficulty getting is an iron panel. Ferritin was tested annually by my GP between 2010 (the earliest year I have results for) and 2013 (when it was done twice in consecutive months) and it dropped every time it was measured...
  4. Arnie Pye

    Patient-Centered Medicine: A Necessary Condition for the Management of Functional Somatic Syndromes and Bodily Distress, 2021, Cathebras

    What I object to is the phrase "patient-centred medicine". Medicine is never, in my experience, determined by the patient or centred on the patient, it is determined by economics and the opinions of doctors who have seen the patient before. It just needs one doctor to make a mistake in a...
  5. Arnie Pye

    Patient-Centered Medicine: A Necessary Condition for the Management of Functional Somatic Syndromes and Bodily Distress, 2021, Cathebras

    Have doctors/reasearchers/psychologists/psychiatrists decided that psychosomatic and somatic now mean the same thing? Does "somatoform" mean the same thing as "somatic"?
  6. Arnie Pye

    UK Article : All GPs must go back to offering face-to-face appointments, health bosses say

    I think there must have been a lot of people who struggled with GPs during the time they stopped seeing patients. I had a (non-life-threatening) issue that I would have preferred to see a GP about in person. I put it off and put it off because I can't communicate very well by phone, I'm too...
  7. Arnie Pye

    UK Article : All GPs must go back to offering face-to-face appointments, health bosses say

    Just thought people in England might like to know this. Article is from the Evening Standard. Link : https://www.standard.co.uk/news/health/nhs-england-gps-appointments-face-to-face-return-b935059.html Subtitle : NHS England said all surgeries must offer in-person reception services and...
  8. Arnie Pye

    Canada - Unknown brain disease in New Brunswick

    I can read the article by deleting any cookies associated with the washington post, then it's readable when I refresh the page. I'm curious about the phrase "moral suffering". I've never heard of it before so I did a web search for it. I came across this ...
  9. Arnie Pye

    Iron deficiency and dysregulation

    The NICE Clinical Knowledge Summary on Iron Deficiency Anaemia suggests the following investigations when anaemia is suspected. I don't think this link is available to people outside the UK. https://cks.nice.org.uk/topics/anaemia-iron-deficiency/diagnosis/investigations/ It does say this : In...
  10. Arnie Pye

    Iron deficiency and dysregulation

    I would agree. Just because someone knows their ferritin level doesn't mean they know all there is to know about their iron status.
  11. Arnie Pye

    Iron deficiency and dysregulation

    I think that is quite unusual. Zinc and copper compete for absorption, so someone with low copper probably has high zinc, and someone with low zinc probably has high copper. I've never understood the relationship between copper and iron, although such a relationship does exist, apparently...
  12. Arnie Pye

    Iron deficiency and dysregulation

    Ferritin IS affected by infections. Ferritin will rise when someone has an infection because the body is removing free iron from the blood stream or any other tissues containing free iron and storing it away from any pathogens in ferritin. But serum iron will drop, often quite a bit below range.
  13. Arnie Pye

    Iron deficiency and dysregulation

    I have never understood why doctors would assume that giving someone iron to raise a low level will fix anything very much for very long. If someone has low iron/ferritin it must be for a reason. Just giving people iron supplements doesn't fix that reason it just raises the numbers temporarily...
  14. Arnie Pye

    Iron deficiency and dysregulation

    That doctor needs to do some revision on ferritin. Pathogens can access free iron in the blood stream, and this helps them to reproduce. But they can't access iron which is stored in ferritin. So the body stores as much iron as possible in ferritin (in cases of infection/inflammation) and leaves...
  15. Arnie Pye

    BPS attempts at psychologizing Long Covid

    I completely disagree with this. Deciding that a condition might be "functional" i.e. all in the head, can kill people who could have been treated. I think deciding something is functional takes a doctor's eye off the ball. Once they've even considered functional the tendency seems to be to...
  16. Arnie Pye

    Iron deficiency and dysregulation

    I wonder why iron deficiency and iron deficiency anaemia are separated as well. My iron and iron-related results tend to be inconsistent - in the past I've had, for example, one measure suggesting I have enough iron and another will suggest I have far too little. Since ferritin is an acute phase...
  17. Arnie Pye

    Guardian: Long Covid is very far from ‘all in the mind’ – but psychology can still help us treat it - by Carmine M Pariante, April 2021

    I agree that the word stress is overworked to an extreme degree, and I don't think I've ever seen it defined in a medical context. I'm very dubious about many physical stresses (and the reactions to them) being something that is the province of psychologists, psychiatrists etc. that requires...
  18. Arnie Pye

    Iron deficiency and dysregulation

    I'm curious what you think of this paper? Effect of iron supplementation on fatigue in nonanemic menstruating women with low ferritin: a randomized controlled trial
  19. Arnie Pye

    Repetitive strain injury (RSI)

    I developed the same problems as you back in the 1980s and 1990s. I started off using my first mouse in my left hand, then switched to my right. All I succeeded in doing was making both wrists hurt, although my left is by far the worst. I have never completely recovered from the problem but have...
  20. Arnie Pye

    How peptic ulcer disease could potentially lead to the lifelong, debilitating effects of chronic fatigue syndrome: an insight by Kuo et al. 2021

    Does having h pylori confer any benefits on humans? I've read that it is estimated that 50% of humans are infected with it, so wondered if it did some good to offset the bad.
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