Normal muscle strength and fatigability in patients with effort syndromes BMJ, 1988
Their definition of effort syndromes includes ME and Royal Free disease:
I actually completely agree with Vogt on this one. He's wrong about other things but he is right that the "measure everything" approach to medicine is a scam.
This dude clearly has a personal axe to grind. It would be interesting to hear the backstory. My money is on the mother. He is over invested in his hypothesis and way too emotional and rage-filled to be a disciplined thinker. He should not be involved in this field whatsoever.
NICE guidelines seem to be primarily about limiting access to specialist referrals and cost management for the NHS, patient care a mere afterthought.
I read in a journal article that up to 30% of initial referrals to UK neurology services are for "functional symptoms". This doesn't seem to give...
I don't think this should have been pitched to the media before independent replication. This has the potential to hurt us as badly as the XMRV fiasco.
There clearly is a push to eventually reclassify everything they can't understand as FND. The underlying belief being that there is only one functional disorder but with different manifestations which gives rise to myriad diagnoses.
Most psych studies are conducted on bourgeois college students in Western countries. The definition of trauma keeps expanding therefore to include woolly concepts like 'emotional abuse' and hurty words since most such people never experienced any real adversity in their lives.
Right, because regular people without non-epileptic attacks have no stress or previous experience of trauma, i.e. something outside their control which feels too hard to bear. :rolleyes:
That (entirely bogus in my view) claim comes from a crappy study by Newton which classified someone as misdiagnosed with ME/CFS if the person was found to have a sleep disorder, POTS, nutritional deficiency, depression/anxiety and such common ME/CFS comorbidities. None of those things explain...
The vitamin D / latitude idea has been around for a while. I am not aware of any evidence from controlled trials that vitamin D cures or halts any of the purported illnesses it's been trialled for.
CCSVI made waves years ago and turned out to be a dud when an actual RCT was done.
I didn't say those symptoms are part of ME. I was questioning the notion that someone couldn't have epilepsy AND ME. If someone has had ME for 30 years and they develop Parkinson's disease later on, I think we need to be careful not to attribute all their symptoms to this "real disease" that's...
I bet almost none of us have had such million dollar work-ups. Where would a regular doctor even know to begin to look? I suspect "rare diseases" are "rarely diagnosed" because there are so many diseases with so few cases or no cases that any individual MD has seen that they don't even appear on...
He mentions one patient having Parkinson's. Its symptoms and presentation are completely different. Don't see why that would preclude someone from having ME or how it could account for ME symptoms. He also mentions head injuries with LOC and strokes. Again, the head injury could just be the...
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