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This may or may not be a bad thing, depending on what the clinic was offering. Patients need to be careful about what they wish for. If we are going to demand dedicated clinics then we need to be clear about what they can and cannot offer us. At this stage I think they have little to offer us...

How did they measure adherence? Indeed. They have not collected any data that reveals causation, and especially direction of any causation. But the whole point of doing science is to determine causal relationships. If a study cannot contribute to that then it is not scientific in any...

Because that is how snake oil merchants operate. Seriously. It is far worse than that: They don't want to ask them, and are actively working to prevent them being asked and honestly answered.

Thank you, @Valerie Eliot Smith.

Thanks.

Is that available in downloadable PDF form?

Who said mixed metaphors don't work? :thumbup:

For which patients? No stratification. No mention of a control group. Retrospective. Impossible to determine causation. Patients who were going to improve/recover naturally probably did so anyway. If anything what they measured was the natural recovery rate, independent of exercise.

Acceptable interventions provide coherent explanations, What about accurate explanations? Does that have any relevance and importance? without imposing additional burden. Have you ever considered not burdening us with endless psycho-moral speculation, and just generally getting off our backs...

"We need less food. More exercise" Better quality food would help a lot too, (along with built environments that encourage more exercise, better bike paths, for example). Simply swapping high fructose corn sugar for conventional sucrose, which they have recently done, is not a significant...

can empower members through support and validation, What about through also offering a better understanding of the real state of research findings and clinical benefits (or lack of them)? However, they also risk amplifying unverified claims or deepening exclusion from mainstream care. What...

You can in psychosomatics, they do it all the time. Construct validity and relevance are not important. Just ask them.

And by implication those who tried to point out that psychologising it all and treating with CBT was highly inappropriate. Hard to find any kind words to describe the likes of Garner and Miller. I can't even grant them merely 'well-meaning' anymore. There are simply no excuses whatsoever for...

It is a mixed bag. But I wouldn't say it is worse, far as I can tell. Should say that I am now quite removed from the day-to-day coalface battles here, as 1) I am a very long term patient and disability pensioner, and 2) am also nearing the age where I qualify for the old age pension. In other...

Short version: Relying on superficial symptom count based diagnoses is not scientific nor helpful to patients. As some, including at the highest level of the profession, have been pointing out for a long time.

Instructions for folding shirts: 1. Don't fold shirt. 2. If t-shirt, then throw into drawer. 3. If collared, then throw over bedhead. End. ---------------------- There are some actions/tasks which require you to do (more-or-less) the whole thing in one go, especially if you want to...

In a 'graded' way.

What they said : Although causality between psychological factors and HrQoL cannot be ascertained, our findings underscore the importance of holistic DGBI-management that extends beyond symptom-control to encompass the full spectrum of patient-experience. What they should have said: As...

This is consistent with emerging international evidence, with a recent systematic review of 8 randomised controlled trials [15] finding that exercise therapy in Long COVID populations is safe and not associated with adverse events. Between the appalling dropout rate, and the failure rate to...

If I lie on my back with a pillow under my head, after maybe half an hour I get neuralgia (term? the arm equivalent of sciatica) in the left forearm and hand severe enough to prevent sleep, and quickly becoming intolerable if not relieved. Take away the pillow, or change to lying on my side...