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Or take the glory for it.

"Ascribing illness attributions to a psychological etiology and recommending a course of treatment based upon these assumptions could have negative effects upon the doctor-patient relationship." Not could have. Is guaranteed to have. On both the doctor-patient relationship, and more...

:emoji_clap::emoji_clap::emoji_clap: Totally deserved, Tom. Thank you for all you have done for patients. :hug:

Indeed. I do not know if the pain is from the bones, or soft tissues adjacent to them, or the interface between them, or some combination.

Interesting to see comments about the pain being prominent in the lower legs. I get that too. Phase changes in biological structures is a very interesting question. How it affects the dynamic management of mechanical forces within the body, and what happens if that finely balanced system goes...

Which is one of the more important reasons why I, being in my early 60s, do everything I reasonably can to avoid catching it. Successfully so far. Fingers crossed.

Dengue fever is also known as Break-bone fever, as it feels like all your bones are broken. Be interesting if it, or any other disease with a similar symptom, have any genetic commonalities with ME/CFS.

Interesting. General musculoskeletal pain, often very serious, has always been a major and almost constant feature for me. It has what feels like a very deep component, like it is underneath the muscle, and the bones themselves are hurting. Would bone marrow experiencing altered pressure...

It's bizarre accusation to make, isn't it. All professions & professionals are 'self-declared'. WTF are the various medical colleges if not self-declared (and self-regulating, very poorly at times)? ---------- This study could provide a template for assessing how other stigmatized conditions...

Hard to get somebody to understand something when their income, reputation, status, ego, etc, depend on them not understanding it. Yes, because the one thing it cannot possibly be is true. So let's make sure that very real possibility is never allowed on the table for serious discussion. And...

John Gerrard, for those unacquainted with his views. (1, 2, 3). :emoji_zipper_mouth:

He is good. :laugh: Check out his take on the word 'ass', and its complications.

Bashing your head against a wall here brings vegetable spring rolls and laksa curry. :ninja:

"thrilled", "excited", etc...

Exactly. plus ça change, plus c'est la même chose

Yep. That is exactly what has happened. Good catch. Any argument that characterises PEM as 'discomfort' is invalid from the start, and for somebody in a very senior position, like Walitt is, it cannot be excused as ignorance or inexperience. It is deliberate obfuscation and misdirection. Once...

If there is any idea whose validity history has completely shredded beyond all debate, it is the just world.

Two overarching findings observed in all FND subtypes include symptom variability and a grimacing expression while following the clinician’s instructions during the physical examination (2). WTF?!? Every time you think these idiots couldn't possible get any worse, there they go and prove you...

I think SequenceME is the one we should be pushing for now.

Burton writing about stigmatisation of these conditions is rich, given his track record of psycho-stigmatisation of these conditions.