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  1. rvallee

    The Neurological Alliance: Patient experience survey

    Sounds like something to bring to the NICE committee. This is a huge embarrassment to an institution that elected to continue as-is two years ago. NICE has enabled this disaster while the NHS gave it a boost in exactly the wrong direction. With an obvious, explicit, statement that FND is nothing...
  2. rvallee

    Trial By Error: Some Thoughts on MUS and Bermingham; My Letter to Professor Payne

    There really is no other way to put it but the "sub-threshold" hand-waving is completely idiotic and morally bankrupt. Any health care system that promotes this kind of nonsense needs to be imploded and rebuilt entirely. "It is thought that" is step 1 in a 10-step process, it cannot ever be...
  3. rvallee

    MicroRNAs as biomarkers of pain intensity in patients with chronic fatigue syndrome. Al-Rawaf (2019)

    Also: ugghhhhnnnnn but research from Saudi Arabia comparing pain between males and females is conflicted at best.
  4. rvallee

    MicroRNAs as biomarkers of pain intensity in patients with chronic fatigue syndrome. Al-Rawaf (2019)

    Nevermind the "non-fatigued" part that makes the whole thing dubious, is this phrased correctly, meaning CFS patients have more pain tolerance? It's a bit ambiguous as it could apply both ways. I'm not really sure how this could be interpreted in an objective way, though. Being in pain all the...
  5. rvallee

    The EU wants to know what research objectives are important

    There may be value in arguing for medical needs that have high demand and near zero supply, without specifically making it about us. It's weird but medical priorities are clearly built on what researchers find interesting and pay little to no attention to need. There is a lot of unmet demand...
  6. rvallee

    Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Induced by Repeated Forced Swimming in Mice, 2019, Hara et al

    It's probably more accurate to say they provoked acute fatigue. Which is a perfect example of how confused medicine tends to be about this critical difference. 3 inches of rain in 24 is a problem. 1/2 inch of daily rain is one hell of a more serious problem, even if in absolute numbers it may...
  7. rvallee

    Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Induced by Repeated Forced Swimming in Mice, 2019, Hara et al

    Chances are better on the first items in the list, unfortunately.
  8. rvallee

    Havana Syndrome: U.S. and Canadian diplomats targeted with possible weapon causing brain injury and neurological symptoms

    Wow. I genuinely feel stupider for reading this. The lengths some people will go to justify their beliefs is really impressive. Assumptions built on assumptions and cemented by speculation and conjecture. What a word salad.
  9. rvallee

    Havana Syndrome: U.S. and Canadian diplomats targeted with possible weapon causing brain injury and neurological symptoms

    The earlier outbreaks mostly impacted medical professionals so that's puzzling. I think that once someone is lumped into the "patients" camp they lose all credibility no matter who they were before and status has no impact.
  10. rvallee

    Havana Syndrome: U.S. and Canadian diplomats targeted with possible weapon causing brain injury and neurological symptoms

    I'd estimate that 99% of alleged cases of psychosomatic illness are misdiagnosed. It possibly exists but it's extremely rare. Unfortunately there is zero accountability or oversight and most psychosomatic diagnoses are merely implied, lazily labeled without any effort or due diligence. But...
  11. rvallee

    JAMA -"Advances in understanding the Pathophysiology of Chronic Fatigue Syndrome" by Anthony Komaroff

    Everything comes down to funding. It's the only important factor here. If the money had been there, we would already have significant results, centers of expertise, a professional certifying board, experts with decades of meaningful experience. That and partnership with the patient community to...
  12. rvallee

    JAMA -"Advances in understanding the Pathophysiology of Chronic Fatigue Syndrome" by Anthony Komaroff

    It's what they believe, therefore it must be right. It's no more complicated than that, an article of faith. This is a group that will deny and reject everything, including a cure, for the rest of their lives. They will simply move the goalposts to saying they were focused on a subset and that...
  13. rvallee

    The Norwegian ME Association's report on severe ME

    This is getting to me. Why people with no stake or interest in the matter are even getting involved at all. What are they getting out of it? They're failing massively, are hated by the patient community for it and have actually managed something incredible: to regress an entire field of medical...
  14. rvallee

    The Norwegian ME Association's report on severe ME

    Seeing as they ignore 90% of the disease presentation and completely shut out the patient community, treat us with contempt and mock us openly, that's either a completely delusional claim or a massive dishonest one, most likely a combination of both. The psychosocial perspective could not be...
  15. rvallee

    JAMA -"Advances in understanding the Pathophysiology of Chronic Fatigue Syndrome" by Anthony Komaroff

    You get what you pay for. Chronic underfunding and absence of leadership guarantee this slow crawl. It's simply advancing at a pace comparable to what current funding allows. Current funding is on the order of 1-2% of what it should be so to make one year's worth of fully-funded research...
  16. rvallee

    Havana Syndrome: U.S. and Canadian diplomats targeted with possible weapon causing brain injury and neurological symptoms

    Merged thread ‘Havana syndrome’ symptoms of diplomats in Cuba are not mass hysteria Since no one is posting this yet I'm going to right ahead. Replace a few words and this argument could be applied to ME. The main arguments are the same, although the body of evidence is comparably small for...
  17. rvallee

    The Norwegian ME Association's report on severe ME

    I hate lies like this, such egregious dishonesty in an official capacity. The distance between the 2 "camps" could not be wider and the main obstacle is precisely that one camp advocates for patients while the other specifically and explicitly sabotages all efforts towards a solution. That...
  18. rvallee

    Michael Sharpe: Mind, Medicine and Morals: A Tale of Two Illnesses (2019) BMJ blog - and published responses

    And Michael Sharpe tweeted it twice. Live look at Sharpe being sad that people don't pay attention to his pathetic attempt at philosophy-without-thought about his medicine-without-morality:
  19. rvallee

    JAMA -"Advances in understanding the Pathophysiology of Chronic Fatigue Syndrome" by Anthony Komaroff

    Bit disappointing. I guess he means the current paradigm wrongly focused on fatigue, which is technically correct but needs clarification that it was an invalid reinterpretation from non-experts that only added confusion from the earlier research and was specifically bullied through against...
  20. rvallee

    Chronic Fatigue Syndrome and chronic pain conditions – vitally protective systems gone wrong, 2019, Pederson

    Experiencing both, I find that absurd. I know what they mean by that and even taking that framing into account doesn't make it any more meaningful. This is a classic case of wanting something to be true and being validated by nothing more than an absence of genuine understanding, the only thing...
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