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  1. Graham

    The Washington Post: My hope vs. myalgic encephalomyelitis, a chronic neuroimmuno illness

    This is such a difficult one. When I was running a local support group I struggled to find a good way to discuss this with newbies. I think the best way was to show them that those of us with ME were still able to have a laugh and do things and enjoy life, then to point out that people who had...
  2. Graham

    Long covid after breakthrough infection

    Interesting. My wife took 3 weeks to recover from her first AZ jab.
  3. Graham

    Efficacy of therapist-delivered transdiagnostic CBT for patients with persistent physical symptoms in secondary care: an RCT, 2021, Chalder et al

    Thanks @MEMarge ! It's getting hard to hit the right keys on my Amazon Fire, then autocorrect takes over!
  4. Graham

    Efficacy of therapist-delivered transdiagnostic CBT for patients with persistent physical symptoms in secondary care: an RCT, 2021, Chalder et al

    One of my pet projects was to get both the NEC and the NIHR to be more transparent etc, but I'll say more when I'm back home and my eyes have been done. Please remind me.
  5. Graham

    CDC Treatment Evidence Review - consultation period

    I have vented my spleen and knocked out a reply to CDC, purely from a personal point of view. I need to go through it properly and check that it makes sense, but I thought I would attach it here so that you could see what I am thinking. Be reassured though, it isn't as long as their review.
  6. Graham

    CDC Treatment Evidence Review - consultation period

    Thanks. I understand your comments, @Trish , but two things bother me. The first is that if I had come to this fresh, knowing nothing of the controversy of PACE etc., I'd have been pretty shocked by the shoddy work, appalled by the Oxford criteria, and dug much deeper. Why haven't they? You...
  7. Graham

    CDC Treatment Evidence Review - consultation period

    I'm late into this and would like some advice please. I haven't been able yet to read through previous comments, and the content of the report is very long. But it bases its conclusions on the studies considered, and all we have to go is the references. Those references look heavily distorted...
  8. Graham

    CDC Treatment Evidence Review - consultation period

    I have just started to read the document, and after a few pages had a look at the references. There are a worrying number of studies with names of the usual suspects, but I couldn't see the re-analysis of PACE, I thought they had decided that use of the Oxford criteria led to trials that were...
  9. Graham

    New Video: Long Covid, Post Viral Fatigue Syndrome and ME/CFS

    Clear, concise and can't think of a clever word beginning with "c" to say that it was- paced just about perfectly. I'd certainly put it on my Facebook page if I could. Remind me at the end of July!
  10. Graham

    Blog: "The patient voice: a biased or valuable source of information?"

    Just to pick up on the n=1 point – as a mathematician, finding a single counter-example destroys a hypothesis. Now of course that isn't appropriate in fuzzy real life, but n=1 accounts should at least challenge assumptions.
  11. Graham

    How to Spot Hype in the Field of Psychotherapy: A 19-Item Checklist, Meichenbaum & Lilienfeld, 2018

    I'm almost afraid to agree with any of you. I never really understood why so many teachers were unhappy when students disagreed with them: year after year of teaching similar things made me yearn for some argument, some controversy.
  12. Graham

    An interesting article about sleep

    I wonder whether, in focusing on the role of the brain in sleep, we have missed an important contribution that the muscles and other cells make to the need for sleep. If, as they speculate, that somehow part of the need for sleep is connected to energy supply and cell regeneration, could that be...
  13. Graham

    An interesting article about sleep

    This is far from an ME study, but it introduces some interesting thoughts about sleep and where the need for sleep originates. It suggests that our focus on the brain is wrong. What that may suggest for our sleep patterns – who knows...
  14. Graham

    For faster progress in ME/CFS research, funders and researchers need to treat patients as partners, not subjects (Simon M blog)

    Thanks Simon! One aspect that also needs to be addressed though is the lack of transparency of both the MRC and NIHR when it comes to "planning" spending, and afterwards giving sufficient information about how money was spent. It is, as you say, takpayers' money, yet it is virtually impossible...
  15. Graham

    "Exercise in a pill" - potential for ME/CFS?

    And I thought that running etc. was too high impact because we, who wear shoes, hit the ground with our heels, potentially causing a build-up of damage to the knee joint especially.
  16. Graham

    "Exercise in a pill" - potential for ME/CFS?

    I knew there was some reason why I was built like a stick insect. As far as bone density is concerned, I always understood it to be micro-impacts that promoted it rather than muscle usage. As someone whose hips have been deemed to be (consistently) in the osteopenia range (1.4 sd below mean)...
  17. Graham

    frontiers in Medicine - Theory: Treatments for Prolonged ICU Patients May Provide New Therapeutic Avenues for ME/CFS - Stanculescu, Bergquist et al

    Here's an n=1 comment though. As far as the HPA axis is concerned, while I was in hospital with various sepsis/liver abscess investigations going on, they decided to bump up my steroids from 10mg of prednisolone to 30mg. It was like coming out of a dark cellar into the warm summer sunshine...
  18. Graham

    New draft NICE guidelines for chronic pain emphasises exercise, CBT and acupuncture over medication

    I don't feel that NICE do have an agenda: it is more one of unscientific and illogical thinking. But to talk about 'weak evidence' after a certain, well-known celebrity hammered home the point in his expert testimony, does rather show a lack of joined-up thinking. What bothers me is that if...
  19. Graham

    New draft NICE guidelines for chronic pain emphasises exercise, CBT and acupuncture over medication

    When we talk of "the pain community", this will include us as far as much of the medical profession is concerned. I wonder whether "we" ought to take a look at the evidence base that NICE used (well, what pretends to be evidence) and see whether we can do something. Claire Swain, through...
  20. Graham

    Deconditioning does not explain orthostatic intolerance in ME/CFS, 2021, VanCampen, Rowe, Visser

    Sadly, at school we used to teach a lot of "practical" maths, including the tricky art of interpreting statistical results, but the very traditional return to a tightly prescribed national curriculum cut this right back. It's true that at the time individual schools had too much freedom, and...
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