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  1. Sean

    Co-occurrence of severe fatigue and insomnia: implications for the outcome of cognitive behavioural therapies 2025 Rauwerda, Knoop et al

    They are conducting a brutal war of attrition against us by ruthlessly exploiting one resource in particular that they have in lavish abundance and we have very little of – sheer stamina. An endless flooding of the zone with shit, knowing full well it takes an order of magnitude more effort and...
  2. Sean

    Co-occurrence of severe fatigue and insomnia: implications for the outcome of cognitive behavioural therapies 2025 Rauwerda, Knoop et al

    It is certainly effective at building their careers and empires. And of course they use problematic and outdated criteria. (Fukuda, & Reeves)
  3. Sean

    Review BMJ - Cognitive and mental health outcomes in long covid, 2025, Aretouli et al

    Indeed. The one thing they could do to help us is the one thing they are completely incapable of even considering, let alone doing, which is to get off our backs.
  4. Sean

    Review BMJ - Cognitive and mental health outcomes in long covid, 2025, Aretouli et al

    and the broader economy. Guess who the target audience is for this paper. Emerging research points to the early recovery period as a potential window of opportunity for intervention to alter patient trajectories, though evidence based treatment remains lacking. As we have been suggesting for...
  5. Sean

    List of causation hypothesis for follow up after DecodeME

    With the extra possible/likely complication that a pair of neurons interacting may be a different phenomena to a few million interacting. Scaling up may introduce additional factors, that might also feedback into how single pairs interact.
  6. Sean

    Shingles vaccines, chickenpox, Shingrix

    In clinical trials, [the Shingrix vaccination] was shown to be 97% effective in preventing shingles in adults aged 50-69... Glad I got mine in my late 50s. Though did have to pay for it privately (thanks, Dad :hug:).
  7. Sean

    Opinion The Importance of ‘In the Now’ Prospective Symptom Tracking in Chronic and Post-Viral Conditions: A Commentary 2025 Hayes et al

    This whole approach looks more and more like just using technology for its own sake, to give the appearance of understanding and doing something. What the hell happened to people just learning to live with limitations at their own pace, without a whole lot of pointless performative...
  8. Sean

    The symptom signaling theory of ME/CFS involving neurons and their synapses

    Nice work. :thumbup: I can't see any problems with the basic hypothesis. It has the strengths of explanatory power, and parsimony, which I regard as critical in any good theory. Can you clarify what you mean by retardation in this context?
  9. Sean

    Virtues that Mitigate the Deprivations of Chronic Fatigue Syndrome, 2025, Hartman

    The virtues of humility, patience, prudence, courage, and hope mitigate the deprivations of CFS and promote well-being. Do they promote effective science?
  10. Sean

    Multimodal neuroimaging of fatigability development, 2025, Bedard/Nath/Walitt et al

    Thus, as fatigability developed, the neuromuscular system experienced changes earlier than the actual behavior. While we found evidence for fatigability of central and peripheral origins, peripheral fatigue seems to occur first. If I am reading that correctly, it means that physiological...
  11. Sean

    The Epistemic Grounds for Lay Interference in the Conduct of Science, 2025, de Canson

    And a lot more than money. Just as important, and sometimes more so, are power, status, reputation, face-saving, etc. Though a well above average income is always a powerful motivator too.
  12. Sean

    DecodeME in the media

    And the robust evidence for that (particularly for ME/CFS v. PTSD), including effect sizes and genetic commonalities, is...? Also, if it is "often" not always, then that alleged feature is not cardinal, and could just as easily be a misinterpretation, based on superficial similarities arising...
  13. Sean

    Effects of therapeutic interventions on long COVID: a meta-analysis of randomized controlled trials, 2025, Chang Tan et al

    Pretty sure Glasziou was also heavily involved in the RACGP* guidelines on "incremental exercise' (aka GET) for ME/CFS, updated only last year. https://www.racgp.org.au/clinical-resources/clinical-guidelines/handi/handi-interventions/exercise/incremental-physical-activity-for-cfs-me...
  14. Sean

    [Book] ME/CFS and Long Covid: Diagnosis and management of chronic fatigue syndromes, 2025, Spickett

    Graded exercise is no longer routinely recommended. NICE explicitly recommended against it.
  15. Sean

    Effects of therapeutic interventions on long COVID: a meta-analysis of randomized controlled trials, 2025, Chang Tan et al

    Seems like shameless lying and self-promotion is the main requirement for prominence in medicine these days.
  16. Sean

    Effects of therapeutic interventions on long COVID: a meta-analysis of randomized controlled trials, 2025, Chang Tan et al

    Which is very close to the figure NICE reported. Hence any therapy recommended by the review has a high risk of harm.
  17. Sean

    Review Migraine and functional neurological disorder (FND)—a review of comorbidity and potential overlap 2025 Stone et al

    highlights converging frameworks of dysregulated allostatic/stress responses in the context of predictive processing models of the brain. :rolleyes:
  18. Sean

    Medical narcissism

    Psych diagnoses/attributions by clinicians usually tell us more about what is going on inside their heads then in their patients heads.
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