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  1. rvallee

    Communication interventions for medically unexplained symptom conditions in general practice: A systematic review 2022 Byrne et al

    None of this is a communication problem. Communication is not an intervention anyway , especially when you don't understand what's happening, obviously no one can communicate what they don't know. The level of nonsense here is absurd. I guess by communication they mean rhetoric, which is not...
  2. rvallee

    NHS Health Education England: elfh (E-learning for Healthcare)

    This stuff should be laughed out of every room it is said out loud. In literally every other profession on the planet, saying dumb stuff like this would get anyone branded as a fringe lunatic to be laughed out of the room. It's genuinely Flat Earth stuff or space lizards running the world, which...
  3. rvallee

    Office of National Statistics: Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK: Updates

    Countries with a functioning state know close to the exact amount of pigs, cows and land being used for crops. And a bunch of other things that most people don't really know why anyone tracks that data. Because knowing if people are going to run out of food is very important, anarchy is always...
  4. rvallee

    BBC Radio 4 -What does a mysterious school illness tell us about our anxieties?

    That's really the thing about this, it's fully cherry-picked, simply ignores the thousand-fold more examples where none of this happens. And never feels any shame or embarrassment at having been proven wrong more than probably any other theory used by professionals. Although let's be pedantic...
  5. rvallee

    Long Covid in the media and social media 2022

    If I had the energy, I would work on a campaign of ridicule against this pseudoscience, simply taking their arguments and changing one thing. Because you could swap in Garner's story any of the bizarre stuff he says with urine therapy and it makes zero difference, all the quackery and logical...
  6. rvallee

    Disrupted White Matter Microstructure in Patients With FM Owing Predominantly to Psychological Factors: A Diffusion Tensor Imaging Study 2022 Tu et al

    1) There are no anomalies therefore it's psychological 2) Those anomalies in areas relevant to those symptoms are obviously caused by psychological processes, or at least we think so because after decades of obsessing over 1) it's too embarrassing to admit we were wrong and caused massive...
  7. rvallee

    Lactate supply overtakes glucose when neural computational and cognitive loads scale up 2022 Dembitskaya et al

    And why cognitive exertion can cause PEM just the same as physical exertion. Which was always a case of duh, but when the premise of what's happening is not accepted, that the issue is fundamentally about exertion, of any kind, nothing good can flow from there. Because of this, cognitive...
  8. rvallee

    I emailed My Doctor 133 Times.. PhilosophyTube

    It feels important to point out that by now the technology to do something like this, to give patients-in-waiting a countdown queue telling them how close they are to being their turn is now trivial. It would never be accurate to the minute but this kind of logistics has been nailed down to a...
  9. rvallee

    The fragile process of Homecoming - Young women in recovery from severe ME/CFS, 2022, Krabbe et al

    Uh, wat now? No. I don't even know what that means. There are many ways to make sense of our experiences without storytelling and most storytelling is not about making sense of our experiences but to tell stories, usually as a job or simply to entertain. Frankly this reads like someone who...
  10. rvallee

    United Kingdom: National Health Service (NHS) news

    But he already made available a powerful piece of novel technology that meets the absolute highest levels of evidence in psychosocial evidence-based medicine: "it can be of benefit to some". This is basically the BPS equivalent of 17 sigma in physics. The problem is clearly solved. The...
  11. rvallee

    Can the bodily distress syndrome (BDS) concept be used to assess functional somatic symptoms in adolescence? 2022 Münker, Rosmalen et al

    Sure, you can use a water dowsing rod to find, I don't know, rivers of kool-aid. Works just the same because there's literally no difference. This is like asking is that spirit a ghost or a lich, as if it makes any difference. They're both made-up things anyway.
  12. rvallee

    BBC Radio 4 -What does a mysterious school illness tell us about our anxieties?

    Ventilation is very important. Anyone working around HVAC systems is aware of CO2 concentration and how many people can safely remain over a period of time. This likely explains many of those along with excessive heat, which people react differently to, especially as we know for people with...
  13. rvallee

    Transdiagnostic therapy for persistent physical symptoms: A mediation analysis of the PRINCE secondary trial 2022 Chalder et al

    This is a completely illegitimate way of doing things. Medicine has lots its damn mind, there is a growing disconnect between reality and whatever the hell this is all about. It's beyond clear that non-controlled randomized trials are nearly useless at giving useful answers without an actual...
  14. rvallee

    Therapists’ perceptions of barriers and facilitators to uptake and engagement with therapy in long‐term conditions - Oct 2020 Moss-Morris et al

    This is generic mumbojumbo. It's worth even less than a pet rock. This is an evaluation of IAPT, a giant multi-billion dollar boondoggle to the CBT-specific segment of the medical pseudoscience industry. This is how this giant muddle of wasted funding and diminishing ethics is being evaluated...
  15. rvallee

    P229 Cardiopulmonary exercise testing in patients with long covid 2022 Mistry et al

    That's a 38% loss of data. No one in their right mind would use anything where 38% of the data from an experiment is not accounted for. It would be different if there were some obligation to account for the missing data but nooooo, instead it's basically abused to eke out fake signal out of...
  16. rvallee

    Treatment of Cancer-related-Fatigue in Acute Hematological Malignancies: Results of a Feasibility Study of using Cognitive Behavioral Therapy 2022

    I am genuinely confused at the utility of those studies. Under what circumstances could this not be feasible? Most people are willing to do anything to recover their health, this is very close to putting people under duress and making them agree to things they should be scoffing at if it wasn't...
  17. rvallee

    The biology of coronavirus COVID-19 - including research and treatments

    Not just on social media. It's becoming official policy in some countries. Today I saw the French health minister blaming it for the current increase in respiratory illnesses. It's pretty much official in several other countries. Basically pretending that people were living aseptic isolated...
  18. rvallee

    Long Covid in the media and social media 2022

    This is false. Many of those clinics don't have physicians on staff and only do light testing at best. Some do this but they are very rare. All most do is BS rehabilitation that has no evidence and is harmful to many, which clearly shows that evidence is essentially irrelevant, it's all feels...
  19. rvallee

    News from Germany

    The Deutsches Ärzteblatt is the official publication of the German Medical Association and the National Association of Statutory Health Insurance Physicians:
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