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We are whatever they need us to be for the purposes of the current study. Any and all results, or lack of them, confirm the psycho-behavioural model. I wish that was a joke.

salt intake to 10 g That is more than twice the generally recommended maximum level of daily sodium intake, and more like 5-10 times the optimal. So it delivers no meaningful benefit, and seriously increases your risk for stroke and kidney disease. Nah. I will pass on this one. :thumbsdown:

we can't rule out spontaneous recovery And you can't rule it in either. By its very definition you can't predict it, cause it, or rely on it. It has no role at all in future planning for an individual case. THAT IS WHAT SPONTANEOUS MEANS!

And which specifically encourages patients to view their symptoms in a different manner, and hence bias the reporting of outcomes. It is blatant systematic biasing of methodology from the start.

:muted:

And worse.

The tyranny of algorithms.

True, but it helps.

integrated, multidisciplinary care models multidisciplinary pathways patient-centred patient-practitioner collaborative model complex, multi-system conditions. Why am I not feeling confident about this?

“we are beginning to realize that there is this whole world out there that we had absolutely no insight into.” Not for the first time in the history of medicine, and undoubtedly not for the last. The problem is that the profession does not seem to learn the lesson from this clear history.

But won't be.

Relevant studies were identified through a non-systematic search of major electronic databases Not a useful contribution, then. multidisciplinary care :facepalm:

+1 The more of my life has been destroyed this disease, the more openly hostile I become to false hope. It is the worst possible response, and both the medical profession and patients need to stop indulging in it. If there is currently no realistic explanation and effective treatment – and...

That list is why I constantly bang on about the lack of adequate control in rehab/psychosomatic/BPS studies. They are simply not controlling for all this stuff, and the effect sizes alone that they are getting in the rehab treatment arms are not big enough to rule out those confounders. All...

:sneaky:

Good article. ME patients can sometimes short-term push outside our energy envelope, but as one physician said, if you do that it’s like borrowing money from the mob – you will pay and then some. There it is.

That is exactly what happens. Then clinicians pat themselves on the back for having 'successfully treated' the patient. By which they really mean they have successfully fobbed the patient off and don't have to worry about dealing with them and being confronted with the reality of having failed...

:grumpy:

Ugh, a giant block of text. :ill: I added paragraph breaks, though still a few formatting issues, possibly due to a machine translation. But much more readable now. Not a perfect article, still a bit of biobabble. But pretty good overall, and includes a lot of the criticisms about the whole...

Treatment-induced reporting bias That is a term we could use more.