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  1. rvallee

    Hypothesis Long COVID as a functional somatic symptom disorder caused by abnormally precise prior expectations during Bayesian perceptual processing, 2023, Joffe

    Not really surprised, but one of the authors is a pandemic minimizer who seems to think that public health shouldn't control infections and promoted their belief that they are good for our health. Or maybe some infections. Hard to tell anymore. The premier of Alberta is strongly opposed to any...
  2. rvallee

    CASE STUDY: Out of the ordinary

    Oh, so it's fiction? Ah well.
  3. rvallee

    Cochrane review: Interventions for fatigue in people with kidney failure requiring dialysis

    They removed the "may"?! This is completely misleading, and comes from the lowest possible quality of evidence with the highest possible level of bias. If that doesn't tell you clearly and loudly that your methodology is completely invalid, I really don't know what to tell you. It's like...
  4. rvallee

    Hypothesis The viral origin of myalgic encephalomyelitis/chronic fatigue syndrome, 2023, Maureen R. Hanson

    Not just measles. It wouldn't make much sense if that ability were truly unique to a tiny number of viruses either. It basically upends the traditional dogma, so that's very hard to work with. That dogma has been repeated like a mantra throughout the pandemic, so much that it feels more like a...
  5. rvallee

    Trial Report Cardiovascular deconditioning produced by 20 hours of bedrest with head-down tilt −5° in middle-aged healthy men, 1985, Gaffney et al.

    In response to the crap paper about 20h of inactivity being their preferred cause of Long Covid, plenty of long haulers have shared their past experiences of having been bedbound for other reasons, like ICU stay or recovering from surgery, and how easy and quick it was to get back to normal...
  6. rvallee

    Review Psychological therapies delivered remotely for the management of chronic pain (excluding headache) in adults, 2023, Rosser et al

    Marketers are sometimes called spin doctors. But clearly, doctors deserve that title far better. Except marketing today is better regulated than medicine, since it would not allow to make such marketing claims. It could hint to the idea that you could have some benefits, but it wouldn't allow to...
  7. rvallee

    Long Covid in the media and social media 2023

    Op-ed by US senators Tim Kaine, who has mild Long Covid and Todd Young, as well as former senator Jim Inhofe, who retired because of Long Covid. For those not familiar with US politics, the US senate is unique in being the far stronger chamber of the legislature, whereas typically senates/upper...
  8. rvallee

    Functional Neurological Disorder Overlapping Paroxysmal Kinesigenic Dyskinesia Confirmed by Genetic Diagnosis 2023 Ohira et al

    They ask about symptoms. Of course if you ask overlapping questions there will seem to be overlaps. A child can understand this. They cannot possibly not understand that this is why they "find" such overlaps. They literally ask some of the same questions. The very descriptions of FND states...
  9. rvallee

    All-or-Nothing Behavior and Catastrophic Thinking Predict Fatigue in Inflammatory Bowel Disease: A Prospective Cohort Study 2023 Moulton Chalder et al

    Except I guess this doesn't matter anymore, since IBD is definitely perceived as a serious disease. But it looks like this is where the separation between disease and illness is going, the junk Sharpe was bleating about in his op-ed: disease is real, it can be seen and understood by doctors and...
  10. rvallee

    Hypothesis Long COVID as a functional somatic symptom disorder caused by abnormally precise prior expectations during Bayesian perceptual processing, 2023, Joffe

    What a "novel" idea. The same old idea from the 19th century, one that is always presented as some new hypothesis. And "constant messaging about Long Covid"? Good grief why are MDs allowed to just make stuff up like this? You can't do that in most disciplines, it will get you mocked as a clown.
  11. rvallee

    Artificial intelligence in medicine and science

    A new medical large language model (LLM) was published today in open source. It claims to beat some non-specialist models like GPT 3.5, which still performs quite well. The open source model makes it far easier for researchers to use it and improve on it. Clinical Camel: An Open Expert-Level...
  12. rvallee

    Investigating the factors associated with meaningful improvement on the SF-36-PFS ... young people, 2023, Crawley et al

    Ah, I knew I remembered they did that in one trial. I thought it was PACE, but it's just another Crawley trial. Then again, the lowering threshold in PACE is just as egregious, and it wasn't just allowed, it's defended as a good thing by many. The institutions promoting these quacks deserve...
  13. rvallee

    Characteristics and Treatment of Exercise Intolerance in Patients With Long COVID, 2023, Edward et al

    Why do they just make stuff up like this? It obviously isn't true, and slight deconditioning obviously doesn't cause this type of illness with such severe symptoms, let alone just a bit of inactivity. And from as little as 20h? 20h?! Most people meet this criterion, and the vast majority do at...
  14. rvallee

    Long Covid in the media and social media 2023

    Psychiatric times: Dismantling Health Care Discrimination Toward Long COVID https://www.psychiatrictimes.com/view/dismantling-health-care-discrimination-toward-long-covid Examination of the negative interactions long-haulers experience with their medical providers reveals 2 significant trends...
  15. rvallee

    Long Covid in the media and social media 2023

    Article in a German medical magazine (self-described as "the largest community for medical professionals in Europe"), written by a psychologist annoyed at having patients with Long Covid referred to him by GPs. DocCheck: Long Covid is not depression...
  16. rvallee

    Review Psychological therapies delivered remotely for the management of chronic pain (excluding headache) in adults, 2023, Rosser et al

    Exactly as expected from ineffective treatments where there is a strong therapist bias who are coaxing patients into reporting themselves better in order to feel better. It's as if they can't believe that it can't work, that it should, it must. They just have to find the right words for it...
  17. rvallee

    Dysregulation of extracellular vesicle protein cargo in female ME/CFS cases & sedentary controls in response to maximal exercise, 2023 Giloteaux et al

    This is far above my meager understanding of biology. Which I like. It's so unimpressive looking at BPS "research" and it's basically high school level, both the study and the paper. Took a few screenshots of some key results:
  18. rvallee

    Long Covid in the media and social media 2023

    Was about to post this. The article is overall pretty good, and although it starts well by properly labeling the protest photo as a ME/CFS and LC protest, it makes zero mention of ME/CFS. Testimonies of long haulers who thought they recovered, then relapsed are becoming the majority of posts on...
  19. rvallee

    Pediatric and Adult Patients with ME/CFS following COVID-19: A Structured Approach to Diagnosis Using the MBSQ, 2023, Peo et al.

    Looks pretty good to me. Certainly more comprehensive than, well, pretty much all the usual alternatives.
  20. rvallee

    The importance of screening for functional neurological disorders in patients with persistent post-concussion symptoms 2023 Debert, Silverberg et al

    But... they literally can't tell the difference. How do they even think they're differentiating from the symptoms of the concussion here? They simply ask about symptoms. And it's pretty obvious and common sense that people who had concussions will score some points on questionnaires of...
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