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agreed

No there isn't. In even situation you want to know something different. Content validation is meaningless.

And we know that is true of any population!! It would be weird if they hadn't found that.

I always blame the spellchecker.

I think that could be feasible. But then of course it would be a matter of comparison - whether centre X patients proved to have got a clearer message than centre Y patients. That has nothing much to do with developing service except in the sense that it could drive quality control. The...

Measures of this sort can be used to assess whether a treatment known to be beneficial is being delivered reasonably well. That is all. For a hip replacement there may be controlled trials showing that 80% more of a group of people treated can walk without pain than an appropriate control...

The paper seems well written. They note problems with artefacts with prior methodology and cleaned that up. They also not problems with leaving samples on the bench. The structures they show are extremely sparse and don't look a lot like some previous reports. The data on numbers of the...

Psychosomatic thinking is causing huge problems and large numbers of unnecessary deaths. The whole concept of general practice needs changing. Someone with limb weakness or new paraesthesiae needs to go straight to a neurology clinic within days. Forget going to a GP who will 'watch and wait'...

The Clinical Post Covid Society https://www.s4me.info/threads/uk-the-clinical-post-covid-society.37234/page-2#post-520144 Googling Long Covid and rehabilitation is a bit like opening chairman Mao's Little Red Book. Apparently exercises are essential.

There is always unfound pathology. It is just a question of not being able to find anything that fits with our understanding - unless you concoct self-contradictory speculations like Mark Edwards and co.

Except that that really only applies to Mark Edwards and co-authors on a handful of speculative papers. For other experts it is bad thoughts from childhood and for the great majority of doctors it is something they do not attempt to resolve. They become familiar with a group of patients with...

Ah, OK I misread that. So these people probably had more typical FND movement disorders.

But that's a bit like saying that a famous misogynist thinks all women are stupid so we can accept a paper with his name on as describing uniformly stupid women! Although clearly you are right that one person outside the Czech Republic thinks they have 'FMD'. But that might only be for the...

I think the mistake is to assume that we have to have one rigid method of classification. If the seizures are non-epileptic, which in some cases at least that can be identified by ways in which the attacks differ from epileptic attacks, then they can be called non-epileptic. Idiopathic is no...

This is the crux of it. You can't. The point is that FND is NOT a disease category. It is a category that someone can fall under at one time and not at another. This particular example is unconvincing but in the case of our study of 'Benign Hypermobility Syndrome defined as having no internal...

It may be relevant that the MEA has signed up to the new organisation for Long Covid care providers under physical medicine and rehabilitation.

But it is more subtle. 'Conditions' brings in the conflation again. ME/CFS is a clinical picture not explained by processes known to cause other identifiable clinical syndromes. It cannot be due to focal demyelination or depletion of dopaminergic neurons of the sort responsible for MS or...

Correct. And that underlines the conflation we constantly make between mechanistic disease concepts, syndromal disease concepts and 'disease' disease concepts - the latter being some sort of intuition that there is some mysterious identity that is 'a disease'. When it comes to picking apart how...

No, you can't get away with that. They said that these people were known to have FND. It had been proved that they had an illness with abnormalities. Or at least they were recruited on the basis that this was certain. They should have recruited people on the basis of some other definition -...

Well, for seizures, most standard grand mal epileptic seizures are idiopathic. So the FND ones couldn't be called idiopathic seizures.