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  1. Jonathan Edwards

    BBC trust me I’m a doctor tests a placebo for back pain and sees significant results

    The ethics of these things very much involves what the purpose of the exercise is. If it was to make a TV programme showing that you can fool people that is unethical. I do not have the energy (even me) to look at this carefully but my impression increasingly is that it is now ethical open...
  2. Jonathan Edwards

    UK CMRC 2018 Conference - Prof Stephen Holgate

    I think that is a good question. Why has a representative from MRC been sitting on the CMRC committee all the years when the ME Biobank was not represented on that committee?
  3. Jonathan Edwards

    ME doctors in California for possible comorbidity with EDS

    Hi @youngscum, EDS 3 is a term now often used for people who are hypermobile. However, we do not have any genetic information on most people with hypermobility and I personally think it is unhelpful to call this EDS at all. EDS covers a group of rare diseases (maybe one person in a thousand or...
  4. Jonathan Edwards

    Livestream Tuller and Hughes 2 Oct 2018 Newry : The PACE Trial: 'One Of The Greatest Scandals

    Good point, but I suspect the connections were in place.
  5. Jonathan Edwards

    UK CMRC 2018 Conference - Prof Stephen Holgate

    This is where I remain puzzled as to exactly what role CMRC plays. Normally scientists apply directly to MRC. MRC can have all sorts of subcommittees focusing on priorities, but they are within MRC. I am unclear whether CMRC is an applicant for funds or a facilitator of funds (in which case why...
  6. Jonathan Edwards

    Livestream Tuller and Hughes 2 Oct 2018 Newry : The PACE Trial: 'One Of The Greatest Scandals

    I agree. In fact the moment is pretty weird because it is nonsense. How can a trial allow patients to: 'decide for themselves what treatment is likely to be best from (sic) them' ? The patients did not do any deciding what was best - the PACE authors kept that job to themselves. Patients...
  7. Jonathan Edwards

    UK CMRC 2018 Conference - Prof Alain Moreau

    This does not sound plausible to me and I worry if a scientists is talking about immune mechanisms and is this sloppy. We do not have any good reason to think rituximab works at all in ME now that we have the phase 3 data. Moreover, if resistance was something told with CD20 it would have been...
  8. Jonathan Edwards

    Weird allergic reaction to sawdust put on Prednisolone - any experience of side effects?

    Sounds reasonable. If the symptoms have not gone away the prednisolone dose is clearly not too high if it is relevant at all. I would want to make a decision like this on the basis of a chest x-ray and routine spirometry tests.
  9. Jonathan Edwards

    Weird allergic reaction to sawdust put on Prednisolone - any experience of side effects?

    This would make sense for pneumonitis but pneumonitis is more than just an asthmatic or bronchitis reaction. This sort of approach would apply if a chest x-ray showed pulmonary infiltrates ('shadowing'). The dose equates to about 30-80mg. The advice looks pretty shoddy in fact. I ma not sure...
  10. Jonathan Edwards

    Weird allergic reaction to sawdust put on Prednisolone - any experience of side effects?

    I appreciate your desire not to seek medical advice and I hesitate to respond but in this situation I think I should make some comments. The overriding risk with prednisolone at this dosage is gastrointestinal bleeding. Above about 20mg daily the risk is significant, although chiefly in older...
  11. Jonathan Edwards

    BBC trust me I’m a doctor tests a placebo for back pain and sees significant results

    Looking more closely it seems that people were told they might get a placebo but they were not told the objective of the study or that everyone was going to get a placebo. That sounds equally illegal.
  12. Jonathan Edwards

    BBC trust me I’m a doctor tests a placebo for back pain and sees significant results

    I haven't looked at this in detail but it sounds as if the study was illegal - giving people placebos without them knowing it. That is not full informed consent. You can probably be sent to prison for that! Or at least dismissed from your job for misconduct.
  13. Jonathan Edwards

    Chronic viral infections in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), 2018, Scheibenbogen et al (EUROMENE)

    This is a review written as part of the EU COST Action grant. It includes people from various European countries. This really has nothing to do with funding actual research projects. It is a networking and communications exercise. As to whether German grant giving bodies give enough attention...
  14. Jonathan Edwards

    (not a recommendation) What if exercise makes you worse?

    Does he disclose a conflict of interest? Like earning a living?
  15. Jonathan Edwards

    Scopeblog Stanford: Stanford immunologist pushes field to shift its research focus from mice to humans (about Mark Davis)

    Until death has been cured I am not sure that the term cure is ever more than an asymptote of hope. But is cure necessary? Lot of conditions are kept under complete control for years - and often until something else ends the story. We have to eat food to keep alive. We are not without...
  16. Jonathan Edwards

    Berkeley Wellness: When Medical Symptoms Are Dismissed as "All in Your Head" (David Tuller interviews Maya Dusenbery)

    I am sorry but this lady sees to be in cloud cuckoo land - and sexist. This stuff about trials only being on men is nonsense. Women are excluded if they cannot guarantee not to be pregnant and the treatment might be dangerous for a foetus. Otherwise there has never been any discrimination...
  17. Jonathan Edwards

    Henrik Vogt: IOM review panel biased by patient influence

    I think Dr Vogt may be worried that scientists can actually see inside his brain and see how hot it is. Moreover, they can do it through cookies on his cellphone without him even knowing. All the scientists in California are giggling over all the strange temperature spots in his brain. No wonder...
  18. Jonathan Edwards

    Berkeley Wellness: When Medical Symptoms Are Dismissed as "All in Your Head" (David Tuller interviews Maya Dusenbery)

    I said most districts because it does not always apply. However, if there were no health centres there could be twice as many hospitals. And for those outside town doctors based in hospitals (where they can keep up to date on knowing what they are doing) can do local clinics or old fashioned...
  19. Jonathan Edwards

    Berkeley Wellness: When Medical Symptoms Are Dismissed as "All in Your Head" (David Tuller interviews Maya Dusenbery)

    If we were not sure about the diagnosis we covered all the important and reasonably likely options - often by a period of observation and monitoring vital signs. Not getting the diagnosis straight away was common and provisional diagnoses were sometimes wrong. But I am not sure what any of that...
  20. Jonathan Edwards

    Open UK: Brighton and Sussex University Hospital and Medical School - Chronic Pain and Fatigue

    The blurb gives pretty little idea of what the science is about. In general I am pretty sceptical about the idea of recruiting patients through adverts. The people who respond may be unrepresentative for all sorts of reasons, especially if the research centre has a reputation for being...
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