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I have never seen anything out of biopsychosocial ideology that has anything to do with how a person "functions", and none of this is a spectrum of any kind. It's just generic propaganda gobbledygook. This is a completely imaginary version of what biopsychosocial means.

They really have no clue what they're doing and are just using those words however they want them to mean, uh? They're just throwing them around without a care for what any of this means. It's so hard to accept how so many otherwise serious people can't see how it's so obvious that none of this...

It's much worse than that. Not being universally seen as positive hides the fact that this ideology is literally at least a top 10 most harmful ideologies in history, and it's precisely because of its embrace by medicine as benevolent-and-universally-harmless that has allowed it to do more harm...

They only looked at videos for cancer and diabetes, where the clinical and scientific evidence are very solid, and still most were of low quality. This is the grading they used: Grade A (high certainty): Claims are explicitly supported by systematic reviews, meta-analyses, or established...

The Quality of Evidence of and Engagement With Video Medical Claims Journal of the American Medical Association https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2844038 Key Points Question Are medical claims in health care professional–created online videos supported by strong...

I'd say the problem is far bigger than this. It's not about what individual physicians can do, this is simply not how huge systems like health care are supposed to work. It's that nothing happens past that, and physicians know this. There is no plan B, no pathway to handle those cases, more...

Just a total illegitimate clusterfuck. And that anonymous clinician finds that acceptable? Despite how it's all so obviously bullshit? Because this is outrageous and it's not a serious professional should react. Is this how health care and medicine are supposed to function? Of course not. Also...

Also despite literally describing the main problem as essentially being ME/CFS ("Certain symptoms may be key prognostic markers, including severity of fatigue, dysautonomia, myalgia and brain fog"), they make zero mention of ME/CFS or PEM, have not even assessed it even though they very likely...

This was a Long Covid clinic. It did none of that. What is needed is competent services working in a coherent system that aims to do those things, ties with research and works on international collaboration with a strategic approach because doing the same thing over and over again will not...

Trajectory, healthcare utilisation and recovery in 3590 individuals with long covid: a 4-year prospective cohort analysis BMJ Open: https://bmjopen.bmj.com/content/16/1/e103884 Abstract Objective To characterise long-term trajectory of recovery in individuals with long covid. Design...

Delayed would be more accurate than averted. All of this adds up to a few extra months of health-related quality of life, and only in some cases. Medicine's inability to actually think holistically is a serious impediment on its effectiveness. The weird obsession with ineffective exercise...

This is fundamentally what dooms so-called evidence-based medicine as it currently is implemented and psychosomatic ideology: if you're not measuring something, you're not doing science, and science is the only thing that actually works. The paper even includes the quote, love it. The creep of...

Hard to confirm since it's paywalled, but from abstract it seems to follow the pattern we are used to, and is directly related to outcomes. Patients want good outcomes. Physicians want good outcomes. Both patients and physicians are satisfied with good outcomes, and dissatisfied with bad...

The Prevalence and Characteristics of Difficult Patient Encounters: A Systematic Review and Meta-analysis Annals of Internal Medicine: https://doi.org/10.7326/ANNALS-25-01882 Paywalled: https://www.acpjournals.org/doi/10.7326/ANNALS-25-01882 Abstract Background: Patients are sometimes...

That is such an odd thing to put in the conclusion. It certainly can be useful as a tracking tool but that's unrelated to "equipping and empowering them on their often windy road to recovery". The usefulness is mainly for professionals doing research, and even then that usefulness is mostly...

Bluesky posters complaining about it. Not much detail so I didn't include the posts, was hoping maybe someone has more details.

I saw grumblings on German bluesky this morning about the whole project being run in secret and the main pediatric team pushing hard for psychosomatic services, something about a particularly offensive screech from a psychotherapist on Instagram (which apparently was taken down). As efforts...

I have to be honest, I'm not seeing this, at all. It sounds nice, but it's not happening. Nothing has changed in the old attitudes as far I can see. The % of physicians who think it's something worth bothering with is probably about the same as it was 10, 20 or 50 years ago: close to 0. Even...

This issue is all hand-waved by the bullshit framing about this not being medical issues, not quite psychological either, where deceit is also not allowed, but some magical thing in-between all the other things. Of course, entirely for the express purpose of removing all those rules out of the...

Meh. Medical gaslighting is systemic and encouraged, it's literally an official thing made with intent and purpose. Nothing interpersonal about that, and completely different from intimate relationships, especially as in the case of medical gaslighting the physician is not acting in a personal...