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science of predictive processing News to me. If you are living with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) or long COVID, you’ve likely learned to be very careful about not overdoing it. After meticulous efforts not to exceed your "energy envelope", you may have achieved...

Psychosomatics is by far the greatest failure and disaster of modern medicine. How it has become so dominant and immune to legit criticism is a damning indictment of the profession's technical and ethical standards, and the rest of the governance system for allowing to get so far and become such...

emphasizing the need for tailored support and ongoing resources to facilitate sustained recovery. Or for admitting that you are barking up the wrong tree.

Functional neurological disorders (FNDs) are neurological conditions resulting from altered brain network activity... FND results from abnormal connectivity in the limbic system and overlapping circuitry dysfunction in salience networks. Is there actually any hard evidence for this 'explanation'?

Nuts are great foods, one of the healthiest and tastiest and most convenient there is. I could eat them all day. But they are also a trap for the unwary because they are calorie dense due to the high oil content and so easy to consume. If you want to put on weight, start eating nuts. I limit...

I agree with using and promoting ME/CFS. It is not great, but is the most workable compromise we have for now, all things considered.

Patients never have. But the initials have been mocked in the distant past by a few as just having a 'look at me disease' kind of thing.

And even less effective for the other conditions in the study. -------- There was an average gain on the 6WMT of 50.5m (30-60m) for all conditions, giving absolute outcomes of 531-599m (except for COPD at 455m), and "baseline adjusted" scores for the 6WMT of PC=632.4 m vs ALL=603.4m. But...

A lot of the psych based 'treatment' is just a combination of that, plus encouraging the patient to simply deny the reality of their situation, a form of self-gaslighting. Distract and deny therapy.

Funding these clinics not only wastes money, but causes considerable harm by maintaining the fiction that there are effective treatments available to those patients who really want to be well. And strongly implies, their claims to the contrary notwithstanding, their preferred psycho-behavioural...

Our finding that a lower MVPA [moderate-vigorous physical activity] level was associated with more improvements in outcomes in the long-term seems to suggest some benefit from reduced activity. As we have been saying for [checks notes] effing decades. And the earlier patients can implement...

We are in the era of just making shit up, where methodological standards are whatever you want them to be.

Design Observational, self-report, single time-point online assessment. Stopped there. Saved time.

Repeating a previous statement or claim, just with different wording, is something that AI generated text frequently does. -------- Participants engaged in a therapeutic exercise program designed to promote correct body alignment and optimal biomechanics And the evidence for patients having...

Negative (null) results are just as important as positive results. The only important questions about a study are 1) is it relevant, and 2) is it well conducted. I would write 250.000 as 250 000. Positive results have a comparable problem if they are false, which they sometimes are. The story...

And, of course, requires the instruction and oversight by a 'professional expert' to achieve. It just continues the long discredited and very destructive assumption that patients don't know their own body and its limitations, but by some miracle, against all evidence and logic, the experts do...

Interesting. I tend to move about a bit in the shower, changing from one foot to the other, turning around frequently, etc. Maybe that is an unconscious learned thing to dynamically maintain balance and blood flow.

Symptom perception is highly subjective and shaped by complex biopsychosocial factors. Always good to start with your conclusion. :rolleyes:

Showers have a price. I often lie down for a bit after one, depending on various factors. OTOH, a hot shower is very good for soothing sore muscles and stimulating blood flow.

You'd think getting that data was a no brainer.