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I posted my piece. I wonder if it is visible. Edit: It looks not. I doubt it will but it might be worth her reading it.

I am tempted to write a comment but I am not sure I can summon the energy. If I did it would something like: Dear Selena, It is good to see public education about the potential harms of treatments but I think for Cochrane to put out such advice carries an irony. There is a standing Cochrane...

I think the odds must be 50:1 on imported goods. It occurred to me some time back that this would be the Achilles heel of the NZ success. Cold storage would be top the list for risk since for most other freight the virus would be too long at room temperature. A very small percentage of the...

I don't really follow the logic of that. Sure, person to person contact has occurred in Aukland, certainly outside the cool store and also within the cool store staff. But the virus has to come from somewhere and it seems pretty clear that it has not bee hanging around Aukland for three months...

My guess is that there is a high chance that this new cluster is due to imported goods, maybe stuff bought on the internet. New Zealand have been very lucky to keep free of community spread and I think it very likely that they will be able to restore the situation of no spread. However, there...

And what about the next bit? suggests that CBT could be an effective treatment in routine treatment settings. This is quite a climbdown from 1989 when it was assumed that CBT was an effective treatment in routine settings that just needed a couple more trials...

Patients fatigue, physical functioning and social adjustment all significantly improved following CBT for CFS in a naturalistic outpatient setting. These findings support the growing evidence from previous RCTs and suggests that CBT could be an effective treatment in routine treatment settings...

I am trying to catch up with threads for there days. Just to note that there are no NICE criteria for diagnosis of CfS. Just criteria for when to consider the diagnosis.

I think that is the flaw in the argument. I do not know precisely but any virus particles that survives long enough to replicate - which is the only event that matters here - t will generate thousands of daughter particles within 12-24hrs, maybe millions. A later batch of the same original...

Wasn't that. "We really need to do a whole lot more to make readily available behavioural treatments for #chronic pain more evidence based"

This seems a simple and sensible experiment. I would like to see more complex analysis of patterns during the day but this is a start.

Yes, one event. All you need is one virus particle.

The danger involved in this sort of idealogical approach is clear from the BBC News coverage. Apparently 'chronic pain' of the sort to which the guidelines apply affects 30% of the population. The reality is that chronic pain due to easily identifiable causes affects 30% of the population and...

It doesn't explain that. I think there are two explanations for the much higher ratio of deaths to cases. One is that the UK deliberately stopped testing so for much of the peak testing was restricted to people who were seriously enough ill to need hospital admission. The second is that at the...

I think you imagined that. People are only counted if tested positive. Some may have died of something else later but that probably accounts for very little of the total figure.

I suspect that Sweden has the advantage of people being very spread out. Together with people taking things into their own hands I think that explains the recent fall in numbers. The super spreader set super spread for a bit but the rest have managed to remain uninfected.

It seems to be. I think the main difference from the USA responsible for the higher death rate is population density. The UK has one of the highest population density sin the world. The USA is quite low. The countries that do as badly as us are by and large small and urban, or at least have...

It seems that Primary Pain arrives on the map with ICD-11. The blurb says. Chronic primary pain is a novel concept originating in the insight that diseases or long-term conditions associated with chronic pain should be acknowledged in their own right, even if a clear understanding of the...

Indeed. Pretending to be a doctor rather than pretending to be a patient. I have not actually heard of 'Primary Pain' before. The next in a long line of weaselisms?

The Guardian have lapped it up. https://www.theguardian.com/society/2020/aug/03/painkillers-such-as-aspirin-do-more-harm-than-good-for-chronic-pain