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  1. Adrian

    Follow up of patients presenting with fatigue to an infectious diseases clinic, 1992, Sharpe et al.

    This looks like an interesting figure. Anyone know how it compares to the Dubbo study in terms of decrease in numbers ill?
  2. Adrian

    Follow up of patients presenting with fatigue to an infectious diseases clinic, 1992, Sharpe et al.

    There could be causation though people with ME can get alcohol intolerence so maybe the more severe do tend to avoid alcohol (and limit exercise and have difficulties with employers) those who have more difficulties are perhaps more likely to seek out self help organizations. Its can be the...
  3. Adrian

    George Monbiot on ME/CFS, PACE, BPS and Long Covid

    It is one of the reasons to stress the need for high quality science and proper evidence rather than individual anecdote. Although I tend to think that proper evidence is needed to demonstrate value and multiple anecdotes can demonstrate possibilities of harm (although not likelihoods). There...
  4. Adrian

    George Monbiot on ME/CFS, PACE, BPS and Long Covid

    It was a great find. I think that shows the power of the patient community here. Lots of people contribute hugely to finding information, analyzing and diseminating it.
  5. Adrian

    George Monbiot on ME/CFS, PACE, BPS and Long Covid

    Its interesting as they clearly now realize they were on the wrong side (although really there response was one of inaction, refusing to say that PACE should publish data - as well as rewarding the brave researchers who stood up to the nasty vicious patients). There we asked them is basically...
  6. Adrian

    George Monbiot on ME/CFS, PACE, BPS and Long Covid

    After the trial @JohnTheJack contacted them and blogged about their attitudes to PACE https://johnthejack.com/2016/10/17/sense-about-science-the-pace-trial-and-me/
  7. Adrian

    George Monbiot on ME/CFS, PACE, BPS and Long Covid

    I was amazed at this response from sense about science who I think Gave Wessely and award and were defenders of PACE and their attacks on patients
  8. Adrian

    Life-Threatening Malnutrition in Very Severe ME/CFS, 2021, Baxter, Speight, Weir

    I think even moderate cases can have issues due to nausia and lack of appetite. One thing I wonder is whether these symptoms increase/decrease along with severity (as with other symptoms).
  9. Adrian

    Independent advisory group for the full update of the Cochrane review on exercise therapy and ME/CFS (2020), led by Hilda Bastian

    I did wonder if there are some politics going on around who gets appointed since they say clinicians and researchers. I could imagine someone in Cochrane pushing for people with a particular view.
  10. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    Is it valid to say that benefits were sustained when the comparison group catches up. I would have thought a claim that they were sustained would mean that the difference was retained?
  11. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    There is a 2000 character limit.
  12. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    Reading between the lines what I guess he is saying is research into GET and LP shouldn't be shut down (hence the comment on recovery). But I would argue funding such research is a waste of money (and unethical) unless there is a good reason to believe it would work - which there is not (along...
  13. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    At one point surveying medical professionals would have lead to the conclusion bleeding using leaches was a good idea. It doesn't seem like a good way to draw a conclusion about the validity of a treatment especially as you point out when something is new and there is no experience.
  14. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    It wasn't it was refering to Garner's comment about "constructive dialogue" and how that isn't possible when people like Sharp are using their media contacts to attack patients. The part about patients calling for high quality research is an important part of the message as well (both damning to...
  15. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    It seems like a very poor piece and not in the normal newnight style of challenging those making claims. I notice the journalist who did the piece used to work at the BMJ so I suspect a large amout of bias there. They mentioned PACE but not by name and suggested the controversy was around...
  16. Adrian

    The Times: "The Sleeping Beauties by Suzanne O’Sullivan review — how the human mind can make us sick" by Tom Whipple, 2021

    I think that there is an additional problem its not just the presentation of symptoms to the medical practitioner it is how that practitioner interprets symptoms in terms of what they have seen before or heard about. So there are two layers here that allow for translation errors between the...
  17. Adrian

    Guided graded exercise self-help for chronic fatigue syndrome: Long term follow up & cost-effectiveness following the GETSET trial, 2021, Clark et al

    My guess (and I've only skimmed the abstract) is that they are claiming that the earlier reduction in fatigue creates a more quality of life per year and hence with a relatively small additional cost it their intervention becomes cost effective.
  18. Adrian

    Independent advisory group for the full update of the Cochrane review on exercise therapy and ME/CFS (2020), led by Hilda Bastian

    The lack of progress should really be worrying Cochrane. They say that this is a pilot to involve patients and then fail to do anything for more than a year. This only seems to say that they are not serious about patient engagement. If the person they chose to do the pilot can't find the time...
  19. Adrian

    News from Scandinavia

    It the ethics committee really know about ethics then I think the article would concern them in terms of a doctor using a position of power to dismiss a whole group of patients and they wouldn't be naive about the timing either. But that is probably hoping for too much from an ethics committee.
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