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That it takes the single most disruptive event in human history for medicine to "discover" something that has been denied for years despite ample evidence.

Ridiculous. There is no way to measure focus in any meaningful way and obviously stronger symptoms are more noticeable. Good grief this is so juvenile in its incompetence how these people are even allowed to work on important matters is beyond reason. One of the most fundamental problems in...

Very insightful and necessary discussion. It only marginally concerns us but only because this is about the much broader issues in evidence-based medicine. That line about author bias, though, absolutely perfect. The underlying problems are as fundamental as it gets and are far from unique or...

There's a reason placebo is the control for nothing in formal trials: it is nothing. It's a measurement error that occurs only about things that can't be measured. Whenever anything is measured it disappears, because that's all it is, an imprecision from being unable to formally measure...

Uh. Good catch. Another lie exposed, again. Official lie, even.

With the Cochrane review and NICE guidelines coming up, I expect there will be more of this. It's always maximized for PR effect and there were pretty much promises of scorched earth attacks on Cochrane if they did the right thing, it's likely that this will be even worse given the high stakes...

Well this is interesting. Odd, but interesting.

Somehow that's never part of the discussion even though it has incredibly damaging impact, all the way to denial of medical care. These people are literally our bullies and like all bullies they always play the victim. It's disgusting, morally bankrupt.

A project from what seems to be the Stanford Division of Pain Medicine surveying the patient community over the notion of pain catastrophising and how to better define and label it. I did not manage to offer an alternative name. I am not fond of the proffered alternatives either. It's pretty...

Interesting: Technically this is not an ME study but it would likely qualify as the largest study on the disease to date. If the funding is truly adequate anyway. I would like to know more about that study, who is funding it and to what amount? Because the money can never be found when it comes...

Tabloids gonna tabloid. That no one else would run that ridiculous airing of grievances says a lot by itself. And the weird PACE post-hoc analysis that was basically self-published. They are a small fringe that managed to get attention but have run out of corners to paint themselves into. These...

Meh. That will age very poorly, it already smells pretty bad. These people frankly sound unhinged and detached from reality. Not exactly smart to make it loud and clear they are completely oblivious to what is happening to us and repeating the same old tired lies about this representing a small...

It's really puzzling how "it's better than nothing" is argued as significant. "Better than nothing" is literally what people say and mean when they receive something they don't want or intend to use, that it will be of no use but still something, even useless, is better than nothing, meaning if...

Literally a check on every single feature other than assertions of claims of a conspiracy in the scientific community, but only because the pseudoscience has effectively succeeded at regulatory capture. Which is massively worse and represents complete system failure. Meanwhile "professional...

Yiiish. This does not inspire confidence in the slightest. I would say my confidence in Cochrane's ability to do the right thing has dropped significantly and it was already close to zero. It shows significant organizational dysfunction for the editor-in-chief to be involved to such a degree...

Does this look to anyone else like they couldn't get a serious journal to publish this and basically self-published? Look at the the board of this backwater journal, basically a who's who of quackery.

I'm really not sure how people can seriously argue this is not a belief system given this is what makes it into published literature. What doesn't make it is even less credible and here we are literally discussing "I have witnessed". Arguing that personal anecdotes should be considered more...

Uh? It's basically the foundation of psychosomatics, or something like it. That's what pinning chronic illnesses on the mad speed of modern life means, or whatever many forms that argument takes. It's explicit in neurasthenia. I'm not sure I've ever seen a psychosomatic model that did not...

Especially given how trivial it is to run a queue system that alerts about wait times, say by SMS or email. It's a simple failure of will to remain stuck in technical limitations that don't exist anymore. Hell, most of medicine should be asynchronous by now, having to interact with people for...

Unfortunately that relationship change was a one-time deal and no lesson was learned from it. In fact the scientific/regulatory community, Fauci included, basically outdid themselves not learning those lessons and failed even worse after that not-learning-of-lessons. That would have been great...