No problem.
I wrote to the editor of BJGP: Dear Dr Lawson, The piece by Chellamuthu on NICE and ME is, as you should realise, unacceptable in a medical...
This sounds like someone, maybe RD Laing, who long ago claimed that mad people thought correctly and that ordinary people were the irrational...
I was referring to the UCL body of work in general. I presume the negative result in this particular study adds one more useful piece of...
I think that may be unfair. He had enough curiosity to test muscle function - which hardly anybody else did. I have looked at Behan's papers and...
I think the dilatation is in the arterioles, allowing more blood through the capillaries. Again, I think that would be increasing capillary flow...
I doubt capillary diameter is affected by temperature. A capillary more or less by definition, has no muscular layer - it is just an endothelial...
No they don't. The study shows nothing. Nobody involved in serious academic medicine or guideline production should regard this paper as anything...
Reporting of harms is fairly easy - even just one case of deterioration should be reported because evidence of harm does not require statistical...
The wider criteria apply to those who fit the wider criteria. That's the whole point. If that means dilution with a significant number without PEM...
I should add that, having read Part 1, I don't have any time for the viewpoint of the author either. Psychiatry can be life saving and some...
“There are also too many ‘unhappy customers’ when it comes to psychiatry, so to speak: recipients of psychiatric care who have been left...
That is a slightly different issue from the political one about doing studies on a disease that no longer appears in the clinical guidelines that...
I think this argument should be abandoned. If we look at the studies carefully we see no meaningful effect even though the criteria are wide. The...
And they are still lacking.
Post copied, and subsequent posts moved, from New NICE guideline on chronic fatigue syndrome: more ideology than science? 2022, Flottorp et al...
I actually think it is the other way around. The BPS programme was asked for by politicians. The BPS people were doing their bidding finding a...
Interesting letter in the Guardian today in response to Gerada's piece: I was intrigued by Dr Clare Gerada’s long read (‘In my 30 years as a GP,...
I don't think we have good reason to think these things are associated. It is just that some fringe doctors (like Knoop) have invented an...
Yes, all I can say is take note and think clearly in the future when you are able. It is a tragedy that things like GRADE are being taught as good...
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