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I thought that until recently. But not so sure now. It's early days but ME does seem to be making a comeback, starting before COVID-19 hit, and accelerating after it. ME is being used ahead of CFS (i.e. ME/CFS), and even instead of it, more than I can ever remember it being. Problem with wins...

From Wikipedia: So, a single outdated outcome measure, of (as far as I can tell) the clinician's subjective assessment of the patient's status (not self-report by the patient), and – in this study – uncontrolled. Yep, the usual crap. :grumpy:

Not to mention projection all over the place.

Yeah, I don't think we are at the point where reliable distinctions can be drawn between ME, PVFS, CFS, Post-COVID, etc. Or even know if there are any. We just don't know.

Retrospective. :yawn::yawn::yawn:

Jeebus, do these clowns ever look in a mirror? All of the above could be fully explained by incompetence, dishonesty, and cowardice from the medical profession, and patients struggling to survive it all. Don't you just love how the crowd that go on and on and on about the importance of social...

Of course, there is no possibility that the endless stream of new names and concepts is just a rhetorical smokescreen to avoid having to admit they don't know what they are doing, and the serious harm this inflicts on patients. No sirree, couldn't possibly be that. :grumpy:

Outstanding content and clarity, @Michiel Tack. Thank you. :hug:

The conceptualization of fatigue from an understanding of sustained arousal has provided the framework applied in the overall CEBA project. Now there's a name I wish to never hear again. They have done terrible harm. :grumpy:

Had the same experience with playing snooker, which has added bending over at the table.

Do others think has there been shift in favour of ME being used more than CFS in the post-COVID coverage?

SNAP!

A more successful approach is to identify a level of exercise that the patient can tolerate, without causing prolonged pain or exhaustion, and use this as a baseline from which to progress.... A baseline level of aerobic activity can then be prescribed which will depend on the baseline...

No idea about the above rumour. But given Boris' age and weight I wouldn't be surprised if he isn't completely symptom-free yet.

Exactly. Where is the hard evidence that the surgery works? Or that the diagnosis is even correct? Excessive secrecy and intolerance of (fair) criticism is one of the major warning signs about any individual or group.

One of Wessely's early papers didn't find any evidence for a primary role for hyperventilation. https://pubmed.ncbi.nlm.nih.gov/8140219/ "There was no association between level of functional impairment and degree of hyperventilation. There is only a weak association between hyperventilation...

Glad I don't have to make the call on that timing. :nailbiting:

Some just get a kick out of lording it over others. Makes them feel special and important and superior, that they are leaders, and their lives are more meaningful. It is a very powerful motivator.

It is beneficial to maximize the placebo effect when treating patients, Why? It is not. Far as I am concerned there is no robust evidence that the placebo/nocebo effect has any significant sustained effect, let alone a therapeutic one (in the case of placebo). The onus is very firmly on the...

The madness is endless.