My continued interest in UpToDate in part stems from my realization that
No, there is no appeal process as they decided not to pursue
I filed that UpToDate was in violation of ACCME's CME Content Policy. But there is nothing preventing others from filing complaints...
At least 1 person on the AfME board of directors believes they were cured of ME by the lightning process. Their overarching philosophy seems to be to try everything and see what works.
This is not an organization I personally trust. I will say no more.
One observational study suggests the optimal Vitamin D 25(OH) level for sleep for those with neurological symptoms is 60-80 ng/ml.
The world epidemic of sleep disorders is linked to vitamin D deficiency (2012) Gominak SC1, Stumpf WE.
https://www.ncbi.nlm.nih.gov/pubmed/22583560
The conversion...
I once worked with someone who faked being an enrolled actuary for several years. Finally someone noticed his enrollment number was missing a digit or two. For years people just assumed it was an older number.
Though this video/article is primarily about vitamin D and colorectal cancer risk, it delves into Vitamin D's role in the gut microbiome and inflammatory/infectious disease. It covers research that will be published in 2019.
It concludes that it's time for doctors right now to consider Vitamin...
Reprogrammed Stem Cells Implanted into Patient with Parkinson’s Disease
A man in his 50s is the first of seven patients to receive the experimental therapy
https://www.scientificamerican.com/article/reprogrammed-stem-cells-implanted-into-patient-with-parkinsons-disease/
Since UpToDate is accredited to provide continuing medical education (CME) with the Accreditation Council for Continuing Medical Education (ACCME), I've filed a complaint with ACCME. They haven't decided yet whether to pursue it or not.
My complaint is that UpToDate's ME/CFS treatment...
Kaiser Permanente hasn't posted the new Nov 2018 Healthwise ME/CFS changes, but when they appear, it should be at this link:
https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.myalgic-encephalomyelitis-chronic-fatigue-syndrome.hw32907
Should be soon.
Edit: The GET and...
Not sure if this is right place for this, but was just communicating with a doctor (in the US) who wants to make heart rate monitors available for thousands of ME/CFS patients. The issue is that, depending on what insurance plan the person has, heart rate monitors may or may not be covered.
So...
UpToDate has a formal peer review process (I actually have a copy of this). Repeated peer reviews have slowly moved UpToDate from strongly recommending GET/CBT for all ME/CFS patients to a weaker stance. But peer review still accepts PACE as evidence.
The UpToDate peer review process in early...
Researchers transplant stem cells into brain to treat Parkinson's
https://japantoday.com/category/national/japan-team-transplants-stem-cells-into-brain-to-treat-parkinson's
Artificial intelligence predicts Alzheimer's years before diagnosis in small UCSF study.
Study:
A Deep Learning Model to Predict a Diagnosis of Alzheimer Disease by Using 18F-FDG PET of the Brain
https://pubs.rsna.org/doi/10.1148/radiol.2018180958
Press Release:
AI Predicts Alzheimers Years...
I’ve had a glance at the latest (Nov 2) UpToDate changes on ME/CFS treatment.
Still, recommendations for GET/CBT for some patients. In a nutshell, their position is this:
Exercise is important for all CFS patients
GET/CBT may benefit some patients
GET/CBT may worsen PEM and other symptoms in...
Just noticed there is a Nov 2, 2018 revision to the "Treatment of myalgic encephalomyelitis/chronic fatigue syndrome" section. I'll renew my sub and have a look at it later and see what has changed. The "Clinical features and diagnosis" section remains unchanged. But it's the treatment section...
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