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That will happen for all those who got two AZ. Either an mRNA or an updated AZ, or some other version that covers newer strains. We could be playing this annual booster shot merry-go-round for a few years.

My first was AZ, and that is supposed to be my second too, but I am quite keen to get a Pfizer/Moderna instead. I'll take the AZ if an mRNA isn't on offer, but will be getting in the mRNA queue if that becomes an option.

However, if these patients were retained in the intervention, their response to CBT for CFS was comparable with subjects who score high on the ASTM. Or, sicker people are less able to finish the pointless psycho-drama performance you demand of them. Not to mention being a lot less willing to...

Depends on how shared and collaborative and joint the decision making actually is. In particular if patients have the right of veto over 'treatment options'. But maybe this time. Maybe.

Or cowardice.

Yes. Let's be crystal clear about this: Not being believed by somebody in a critical position of such influence and authority is not just a bit of butt hurt, we are not talking slightly bruised egos here, a bad hair day. This kind of denial can and does have extraordinarily serious adverse...

How the eff is that even allowed? :mad:

I have some sympathy for GPs. They are caught in the crossfire between desperate patients they can do little for, and senior levels of the profession above them demanding they follow protocols that mistreat patients and make the situation worse. Which doesn't excuse GPs when they take it out on...

A nasty confluence of self-interests.

Yep. If this ends up being a political compromise just to keep the psychosocial school from throwing another tantrum and walking out, it will fail dismally, and it will be patients who pay the price. Again. How do you compromise with people who want to ditch control, falsification...

More to the point, how do they keep getting away with it?

So neither physical deconditioning nor pathological interoception have any explanatory power for GWI?

@Michiel Tack Excellent piece of work. Thank you. :thumbup: Are you planning on submitting it to a journal?

"In a series of definitive pieces that earned him the 2021 Pulitzer Prize for explanatory reporting, The Atlantic’s Ed Yong anticipated the course of the coronavirus pandemic, clarified its dangers, and illuminated the American government’s disastrous failure to curb it."...

The need for a standardized conceptual term to describe invalidation of patient symptoms abuse ?

:D

Agree that making one person the icon of a much more systemic failure is not the way to go. Which in no way reduces the culpability of any such person in creating that failure. I think 'psychosocial school' or similar is the best all round label. Accurate and neutral. The psychosocial school...

Probably the case that medicine has largely picked the low hanging fruit, and is now increasingly having to deal with much more complicated and multi-factorial stuff. ME may well require several factors to line up for it to become 'active', for want of a better word.

While the GET group did post a statistically significant improvement in one of the measures—the six-minute walking test—the marginal reported benefits were clinically insignificant. Not a stats guy, so could be talking complete shite, but... PACE used four objective outcome measures, for four...

It is interesting how they always talk about exercise, not activity.