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  1. Arnie Pye

    Cochrane Review: Psychological therapies for the management of chronic pain (excluding headache) in adults, 2020, C De C Williams et al

    As someone who suffered with untreated, dismissed and disbelieved pain for decades, as far as I'm concerned pain is THE most important problem for sufferers. If pain is treated adequately then it has impacts on every single facet of life. I can shop for food, I can walk further, I can stand (I...
  2. Arnie Pye

    Michael Sharpe: Mind, Medicine and Morals: A Tale of Two Illnesses (2019) BMJ blog - and published responses

    Try this one : https://sci-hub.ee/http://dx.doi.org/10.1136/medhum-2019-011807
  3. Arnie Pye

    Complementary, Alternative, or Integrative Health: What’s In a Name?

    The NHS in England (I'm not sure about other parts of the UK) is promoting counselling and cheap "therapy" in the form of CBT as a cure-all, is refusing to do lots of testing, is removing pain relief in many cases, is promoting acupuncture, and is removing lots of treatments from prescription...
  4. Arnie Pye

    A poll on fatigue and eating

    I frequently find eating very tiring. And my husband finds it annoying that I eat so slowly. I used to eat at a fairly normal pace a decade or two ago. I know the cause of my problem. I find it hard to chew because I produce very little saliva now. It takes ages to break down food into a...
  5. Arnie Pye

    The Role of Iron Metabolism in Fatigue, Depression, and Quality of Life in Multiple Sclerosis Patients, 2020, Knyszyńska et al

    I agree. Low iron and ferritin are so common, particularly amongst women, that they are often assumed to be small problems of no major importance.
  6. Arnie Pye

    The Role of Iron Metabolism in Fatigue, Depression, and Quality of Life in Multiple Sclerosis Patients, 2020, Knyszyńska et al

    I was referring to low ferritin diminishing quality of life. And if someone is depressed for any reason being ferritin deficient will make it worse.
  7. Arnie Pye

    The Role of Iron Metabolism in Fatigue, Depression, and Quality of Life in Multiple Sclerosis Patients, 2020, Knyszyńska et al

    Correction by me : Ferritin deficiency in ALL patients is associated with an exacerbation of depressive disorders and a decline in quality of life.
  8. Arnie Pye

    Chronic fatigue syndrome and fibromyalgia-like symptoms are an integral component of the phenome of schizophrenia, 2020, Maes et al

    Schizophrenia has been discovered to respond favourably to the same ketogenic diet that is used to minimise and control epilepsy. Perhaps the schizophrenic patients are poorly nourished [Edit : or more specifically - their brains might need fat and protein rather than carbs to work properly] -...
  9. Arnie Pye

    Mental Health and Chronic Fatigue Syndrome: Is Mental Health the Culprit Behind Your Fatigue?, 2020, Raza et al

    Is Mental Health the Culprit Behind Your Fatigue? No. Next question, please. - - - - - There are some very common reasons why people might be fatigued that would never come to the surface with just a questionnaire, or even two of them. Just a few that come to mind that might be very common in...
  10. Arnie Pye

    Psychosomatic medicine and the psychologising of physical diseases

    I have read on another forum about people with pet dogs or pet cats being told by vets that their pet's health problems were psychosomatic. I'm not sure if it was the owner or the pet being blamed for the health problem.
  11. Arnie Pye

    Cognitive Behavioural Therapy for chronic fatigue and CFS: outcomes from a specialist clinic in the UK (2020) Adamson, Wessely, Chalder

    @rvallee I have a problem with the tweet from Keith Geraghty. I can't see the image of all those journal front pages, I just keep on going to the paper he's mentioned. Am I doing something stupid?
  12. Arnie Pye

    Why do doctors use treatments that do not work? Doust & Del Mar, 2005

    I have many examples, but I'll stick to just one. Doctors use unjustified assumptions about the cause(s) of a problem, particularly if that problem is common, so of course any treatment they offer (if any) may turn out to be wrong. One example which affected me for nearly thirty years was a...
  13. Arnie Pye

    Psychosomatic medicine and the psychologising of physical diseases

    It could be that psychosomatic illness is in the head of the doctor who doesn't want to believe or treat the patient he's looking at.
  14. Arnie Pye

    News about Long Covid including its relationship to ME/CFS 2020 to 2021

    My emphasis. Some societies and cultures are now saying that certain things many people take for granted in Europe as rights are now being declared to be "privileges" instead. [I'm looking at you, USA.) I consider voting and healthcare to be rights not privileges, but many Americans seem to...
  15. Arnie Pye

    News about Long Covid including its relationship to ME/CFS 2020 to 2021

    That will be because fobbing the patients off, gaslighting them, and blaming them for their woes is not going to cut the mustard any more. But most doctors have no other tools to help them deal with the sufferers.
  16. Arnie Pye

    Blood pressure monitors and how to use them; taking a blood pressure measurement; continuous monitoring

    I don't know how up-to-date this site is, but this link (from the British and Irish Hypertension Society) may be helpful : https://bihsoc.org/bp-monitors/
  17. Arnie Pye

    [UK] Pain medication from GP

    I've been told by doctors that ibuprofen and paracetamol can be taken together - and yes, I do mean literally "together".
  18. Arnie Pye

    Reputable UK lab for blood tests via mail?

    I've never been in that situation myself. All the blood tests I've ever had done privately have been bog-standard things that a GP would do (and has done in the past) if they had the budget for it.
  19. Arnie Pye

    Reputable UK lab for blood tests via mail?

    @Jonathan Edwards I know that distrust of private laboratories is widespread in NHS doctors. But let's suppose I was going to see a gastroenterologist privately for some reason, and that private doctor also did NHS work. If the doctor, in his private capacity, wanted me to get some blood tests...
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