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  1. Peter T

    The micro-clot finding in Long Covid — implications for the possible aetiology of ME/CFS

    I did experience a handful of episodes that subjectively felt like my ME switching on or off in the first five plus years, mainly when I was oscillating between mild and moderate, but have not experienced them since in the last twenty years plus when on average my ME has moved between moderate...
  2. Peter T

    NICE ME/CFS guideline - Stakeholder submissions to the draft and NICE responses - published 29th October 2021 - discussion thread

    Generally there are very strict rules about NHS employees accepting financial inducements, and presumably most Universities would have similar guidelines. When I was still working we would even inform our line managers about a box of chocolates and then share them amongst the whole work place or...
  3. Peter T

    NICE ME/CFS guideline - Stakeholder submissions to the draft and NICE responses - published 29th October 2021 - discussion thread

    Also why has Prof Crawley developed a number of studies looking at alternatives to current intervention using as subjects children still unwell following treatment by the Bath specialist service. Didn’t Crawley previously report a 95% success rate for the Bath clinic? How does she plan to...
  4. Peter T

    Mechanisms of exercise intolerance after COVID-19 new perspectives beyond physical deconditioning, 2021, Machado Ferreira & Oliveira

    The final paragraph: Much better than most though no mention of PEM as found in ME/CFS (though ME/CFS is alluded to), of orthostatic intolerance, of use of two day CPET testing or of relevant research in other areas. [edited to clarify and correct typos]
  5. Peter T

    Supporting patients with long COVID return to work, 2021, Madan, Briggs and Chew-Graham

    Thinking back to being a manager of a staff team, though I was perhaps lucky to manage people following a vocation, I saw my role as supporting people to do their job efficiently, but also to ensure they did not try to do too much. In general I would say most people want to do work and often...
  6. Peter T

    Supporting patients with long COVID return to work, 2021, Madan, Briggs and Chew-Graham

    My ill health retirement was some six years after diagnosis, and a number of years working part time, but also I was at the point where it was a choice between dismissal due to poor attendance or ill health retirement. I still wonder though if from the start it was explained that I would likely...
  7. Peter T

    Limbic Perfusion Is Reduced in Patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), 2021, Xia Li et al

    Forgive me if this is a stupid question, but is this suggesting it is not possible with this study to distinguish between reduced blood supply to an area and reduced oxygen uptake for other reasons in that area?
  8. Peter T

    NICE ME/CFS guideline - Stakeholder submissions to the draft and NICE responses - published 29th October 2021 - discussion thread

    And ignores the research showing people attending the UK specialist services are likely to be working fewer hours and claiming more benefits following this intervention.
  9. Peter T

    Supporting patients with long COVID return to work, 2021, Madan, Briggs and Chew-Graham

    An aside, this just reminded me of that nightmare period leading up to finishing work, it was a period of not knowing whether I would get any pension, whether I would be able to afford continuing living my own home or if I would end up having to move in with family at the other end of the...
  10. Peter T

    NICE ME/CFS guideline - Stakeholder submissions to the draft and NICE responses - published 29th October 2021 - discussion thread

    Surely, cognitive dissonance. Crawley’s study of LP uses exactly the same experimental design as the PACE study and as hundreds of other studies coming up with results they really like. So if you accept this design produces nonsense results supporting a ‘woo woo’ alternative pseudo therapy, you...
  11. Peter T

    UK NICE 2021 ME/CFS Guideline, published 29th October - post-publication discussion

    Building on a couple of Facebook posts I made, and drawing on various comments here, I started to draft a response to the Royal Colleges’ joint statement. Now deciding I will not achieve the eloquence of either a Brian Hughes, a David Tuller or our own ME Skeptic duo, and that it may be weeks...
  12. Peter T

    UK NICE 2021 ME/CFS Guideline, published 29th October - post-publication discussion

    Following on from Brian Hughes incisive piece on the role of the medical Royal College, @dave30th has publish tonight a further Trial By Error blog pulling apart the defences mounted by two PACE authors and the contents of the joint Royal Colleges statement: see...
  13. Peter T

    UK NICE 2021 ME/CFS Guideline, published 29th October - post-publication discussion

    I assumed this was a largely financial issue, as he complained about all the paperwork involved in retiring then start again to work for the NHS the next day on a new contract. So an administrative retirement rather than a real retirement.
  14. Peter T

    Voices of Recovery website (Lightning Process promotion)

    Presumably ‘all of our members’ refers not to everyone who did an LP course, rather those that wanted to be actively involved with the group behind the Voices of Recovery website. So a significant amount of preselection behind this statement.
  15. Peter T

    NICE ME/CFS guideline - Stakeholder submissions to the draft and NICE responses - published 29th October 2021 - discussion thread

    When Prof Crawley published her Lightening Process study, I genuinely believed that this would be a major step forward in getting people to recognise the failings of the widespread use of subjective outcomes in unblinded trials, that such an obviously flawed study would be the reductio ad...
  16. Peter T

    UK NICE 2021 ME/CFS Guideline, published 29th October - post-publication discussion

    Unfortunately different people have different needs at different times and unpredictable co morbidities.
  17. Peter T

    UK NICE 2021 ME/CFS Guideline, published 29th October - post-publication discussion

    A very big thank you to all who are getting their heads around the current press of information. I must admit it is taking me time to assimilate what is been published from various sources and I apologise if my contributions are non sequiturs or irrelevances. Hopefully I will catch up in time.
  18. Peter T

    NICE ME/CFS guideline - Stakeholder submissions to the draft and NICE responses - published 29th October 2021 - discussion thread

    It is even sillier than you suggest @Jonathan Edwards, it implies no recovery is ever possible without conscious participation in the process, so presumably it is impossible to ever treat a neonate or someone in a coma and all of veterinary medicine must be throw out of the window.
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