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I found EzzieD's post on Encounters with Doctors:thumbsup:

I don't know how the rules work these days but I would certainly think the GMC should be concerned about doctors behaving like this. I gather Phil Parker had complaints previously - I don't know if anyone remembers the details?

It is interesting to look at the editor's blog on BJGP Life etc. He likes to make political points - although it was not clear to me exactly what they are. I see that one of the positive comments (the only one?) comes from a GP with an 'eco' tag. (Nothing wrong with being eco but I sense a sort...

No problem.

I wrote to the editor of BJGP: Dear Dr Lawson, The piece by Chellamuthu on NICE and ME is, as you should realise, unacceptable in a medical professional journal. Your comment below it does not excuse the publication. It looks naïve. This is straightforward advertising by misinformation...

This sounds like someone, maybe RD Laing, who long ago claimed that mad people thought correctly and that ordinary people were the irrational ones. It is an indication of just how divorced psychology can be from humanity. Patients are like peep-show exhibits to theorise over.

I was referring to the UCL body of work in general. I presume the negative result in this particular study adds one more useful piece of information. (It had been claimed that the cardinal feature of ME was fatiguability.)

I think that may be unfair. He had enough curiosity to test muscle function - which hardly anybody else did. I have looked at Behan's papers and to be honest there isn't much there one would make much of. Edwards's group would have been well aware of what Behan was proposing. Their analysis...

I think the dilatation is in the arterioles, allowing more blood through the capillaries. Again, I think that would be increasing capillary flow rate by opening up arterioles. Discussed maybe, but that looks pretty much a ragbag review mostly of other things. Nothing annoying about raising...

I doubt capillary diameter is affected by temperature. A capillary more or less by definition, has no muscular layer - it is just an endothelial tube with pericyte and basement membrane support. I don't think temperature is going to alter red cell deformability issues, which do not seem to have...

No they don't. The study shows nothing. Nobody involved in serious academic medicine or guideline production should regard this paper as anything other than meaningless. If it is really true that the majority of people who fit Fukuda do not have PEM then if this study had been done well and...

Reporting of harms is fairly easy - even just one case of deterioration should be reported because evidence of harm does not require statistical significance. It is too important to require such certainty. 'Correct reporting of harms' is tricky though because it can be very difficult to prove...

The wider criteria apply to those who fit the wider criteria. That's the whole point. If that means dilution with a significant number without PEM then illness without PEM is just as important as with. If it doesn't then there is nothing to argue about. All those criteria will identify...

I should add that, having read Part 1, I don't have any time for the viewpoint of the author either. Psychiatry can be life saving and some psychiatrists are impressively humble and well informed. Having read part 2 I think the author's view is far more pernicious even than BPS. For him/her I...

“There are also too many ‘unhappy customers’ when it comes to psychiatry, so to speak: recipients of psychiatric care who have been left traumatized, disenchanted, even devastated by their experiences. There has been [a] tendency within the profession to not take such individuals seriously, at...

That is a slightly different issue from the political one about doing studies on a disease that no longer appears in the clinical guidelines that control the service pursestrings. Nevertheless, I think it quite likely that GPs and multidisciplinary practitioners will switch to ME/CFS simply...

I think this argument should be abandoned. If we look at the studies carefully we see no meaningful effect even though the criteria are wide. The longer people cling to an idea that these trials actually showed something for a broad group the longer before things move on. We need regulatory...

And they are still lacking.

I actually think it is the other way around. The BPS programme was asked for by politicians. The BPS people were doing their bidding finding a cheap way to get people back to work. Now medicine has been taken over by the toadies of the politicians who are happy to sing the same tune. The NIHR...

Post copied, and subsequent posts moved, from New NICE guideline on chronic fatigue syndrome: more ideology than science? 2022, Flottorp et al I actually think it is the other way around. The BPS programme was asked for by politicians. The BPS people were doing their bidding finding a cheap...