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- The Aristocrats! - Evidence-based medicine!

Those expenses are trivial compared to the loss of income and other expenses. Medicine's hubristic habit of only ever looking at things happening within their facilities while claiming to be holistic is so damn weird. There is a complete misunderstanding of the cumulative, and sometimes...

The combination of the title and the content is really incredible. Pure arrogance. It's directed at them, and they're completely oblivious to it. They could put it on a t-shirt they'd wear while gaslighting their patients and think they're doing great. They can pretend to run discussion groups...

They all seem happy to believe that it works and the failure is strictly down to lack of motivation, which only them can bring. Or whatever. Cult. This is a medical cult, where they are both the golden calf and the worshippers and the priests and the whole audience. We are basically NPCs...

It's actually funny that what the patients mean by support and resources is "things that work, unlike this", but they don't get that, they're happy believing that it means "this, but, I don't know, more tailored, or whatever" except it literally means "this is nice and everything, good...

A little of this, a little of that, but there will never be any way to assess the consequences of encouraging infections as being good for health as long as they are "mild", when mild is explicitly defined as "no need to go to the hospital" (with emphasis on need, as in a physician will...

Oh that makes sense. I registered the "due to a recent infection" but thought it only applied to isolation. Twice in one day that my cynicism was set too high. First and second time it happened. Let's keep this trend going.

LMAO. I completely missed that it's FND Nope, and not FND Hope, and was wondering when the thing would turn into BS. I guess this is in response to the actual FND Hope. The one time my cynicism radar was tuned too high. It actually happened, folks! Once! I really love this line:

No it doesn't. Good grief this is a cult. Hell, most cults are more rational than this otherwise they just crumble. Cult. This is a cult. Absolute cult. There is no such thing. Absolutely delusional nonsense.

I can't really see the usefulness of this study because the way they assess loneliness is too superficial and generic, it does not ask why. The proliferation of bad questionnaires is seriously hindering the progress of medical research. Even the good ones have significant limitations and most of...

As always, it might be expensive to research and treat diseases, but it's far more expensive to not bother. The only thing more expensive is to do useless things that have no impact in outcomes, or even worse if they worsen outcomes, which is definitely the case with the psychosomatic...

It shows that some patients can, because LC is wildly heterogeneous, which has been known for years. It also debunks the deconditioning speculation, which has also been known for years. So, unfortunately this study adds nothing we didn't know by the time 2021 rang. Again this simply restates...

Goldilocks medicine. Did too much? Do less. Did not do enough? Do more. It's so simple! And wrong. Mostly wrong.

It's not terribly wrong and can have its uses in some cases but this is not a theory, it's just a model. There is no theoretical framework here, nothing to back this up, it's a rule-of-thumb thing but about a way of doing things that usually doesn't work. In people with a fixed energy level it...

Which would mean that ADHD has nothing to do with attention? Arousal is basically wakefulness, which seems to me like it's a part of attention, that both are needed for focus, all of which add up to what we can generally call performance: All of which makes the behavioral focus of mental health...

Nothing in this model is realistic, though, so it's closer to nihilism than realism. Or if there is any sort of connection to be made to realism, it's closer to realpolitik, which is the kind of 'realism' applied to geopolitics that mostly consists of "my army is much stronger than yours so what...

This is a hilarious-and-terrifying incompetent way of doing something that is fundamentally incompetent (CBT for everything). By all evidence this program, hell the entire model, is a giant failure, and they want to teach LLMs to do the same thing. It's very important for LLMs to be trained on...

Plus there is the fact that there is not a single actual measurement in the list, which is the exact language used. Neither anxiety, depression, fatigue or sleep can be measured, only subjectively rated, and physical function is almost never actually measured, preferring questionnaires reporting...

There have been hundreds of such trials. Yet most systematic reviews end up including at most a couple of dozens. NICE evaluated hundreds. The German equivalent also found hundreds, but excluded something like 97% of them. And yet they pretend like this is a serious argument, while arguing that...

OK I knew I must have made a mistake. Thanks.