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Interesting. Maybe patients have adapted to exist in a high lactate state?

Maybe the BMJ has cold feet? There were a lot of complaints about this article.

Is it a good moment to raise funds for the Morten team? We want them to keep working on ME and with more funding they could collect more data that will help with a successful application.

He will probably do the nanoneedle test before and after the surgery. There is a lack of evidence that viruses and antibodies are the cause of continued ME so that is not a good argument.

I would like to find out whether there is a connection or not.

They've carved out their niche in society and it depends on them being experts in mental disorders. That role must be separate from that of a neurologist or neurologists would replace them. Not that this necessarily bad. They're just hypocrites.

I don't understand why everybody isn't focusing 100% on finding out what's in the blood that causes problems.

I have wondered whether epidemic ME is the same illness as today's ME that is mainly not epidemic.

33 comments now.

The article creates stigma by negatively stereotyping patients in various ways. I agree that patients are definitely not afraid of having a brain condition. I think we are afraid of being labelled as having a psychosomatic condition because then we would be shunted off to Alice in Wonderland...

I read some of the responses. They could be summarized with: they all agreed that activity was problematic, until they started thinking positively and stopped "doing ME" and then they were cured.

I'm getting the impression these cognitive tests are inadequate.

Vogt: your science is unreliable but we know LP works. How? Just look at this outcome switched uncontrolled study and these anecdotes.

I see Vogt and Gundersen are still arguing it's all deconditioning. 2 days ago I did a nice walk and felt ok. Yesterday it was a little shorter. Today I can barely manage 1/3 of the same distance, walk slowly, feel like crap. When standing up, I also had a moment of such low blood pressure that...

The endorphin release associated with placebos could be part of the body's behaviour control system. It could be seen as the reward for finding a solution a for health problem. It makes sense that it hurts until you find a solution to the pain. Then it no longer need to hurt as much and your...

I would like to know if it had anything to do with his views on ME/CFS. It could be a point of personal conflict.

Hard to believe. He always came across as warm and caring.

Some patients say they feel good after a fever.

There was a 4 cell RCT of immune therapy, CBT vs placebo respectively. No benefit was found. Read Wessely et al comments to this study here: https://sci-hub.se/https://www.ncbi.nlm.nih.gov/pubmed/7709961