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Do they ever ask why people with serious chronic health conditions might be anxious, especially in a clinical or medico-legal setting?

Back in my (brief) uni days I shared a house with an ex-psychologist. He was ex because he said after a few years of clinical practice he realised that all he was doing was superficially patching people up (and often not even that much) and just sending them straight back out into the world...

And morally.

After moderate exercise, CFS and CFS-FMS patients show enhanced gene expression for receptors detecting muscle metabolites Interesting.

And the assumption that they must be caused by psychogenic processes.

Great article, much thanks to the authors. :):hug: I agree, this is an important aspect to it. Overturning the old paradigm in this case was not driven by new evidence, but by a more honest look at the existing evidence, or lack of it.

"definable pathology has been identified" Not sure I would have said that. "The key diagnostic symptom of ME is PESE (Post Exertional Symptom Exacerbation)," Need to at least add (also known as PEM, Post Exertional Malaise). Lack of historical continuity is a problem. Anybody dealing with...

Thanks, I needed that laugh. :thumbsup:

On the other hand, motivation and a hope that the treatment will work is necessary for a psychoeducational method such as the one used in the study to be effective. The perfect excuse for failure: Blame the patient for not having the right attitude, before they even try the 'psychoeducation'...

5) Recognise that people with ME and their carers have experienced decades of marginalisation, discrimination, neglect, and often even a lack of compassion and understanding from some of the people they turn to for help. Including decades of vicious smear tactics and straight abuse. We are...

Completely agree. I have not lost basic strength. I can still pick up heavy objects without much trouble. Being a largish male I could probably pick up more weight than most my age. But I have no stamina, and I pay a highly disproportionate physical price for picking up that weight...

Not just the stats angle, but reanalysis in general.

:sick::sick::sick:

As many in this community long predicted would happen. Tip of the iceberg. No branch of medicine is going to be immune to this brazen power grab.

Nice to see negative outcomes being reported honestly.

the speed of adjustment of oxidative metabolism during transitions to moderate-intensity exercise (O2 kinetics) That is an interesting angle.

To test the efficacy of a novel and cutting-edge treatment known as the Gupta Program. The one you have been flogging for decades already? Therefore neither novel and cutting-edge, nor properly tested yet. Current literature points to a centrally sensitized state in CFS. No it doesn't.

3930 signatures :thumbup:

I have the opposite, consistently high ALP every time it has been measured since I got ME. The most consistent (abnormal) lab finding in my medical history.

@EndME Thanks. :thumbsup: Certainly not suggesting it is appropriate for regular clinical use. But a far earlier use of it for basic research could have saved us a lot of trouble, regardless of what it finds.