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  1. Sean

    Marcia Doherty - severe ME/CFS patient

    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.
  2. Sean

    Who benefits from multidisciplinary care in functional somatic disorders? Identifying cost-effective patient selection... 2026 Hammerman et al

    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...
  3. Sean

    Internal medicine at the crossroads of long COVID diagnosis and management, 2025, Ranque and Cogan

    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...
  4. Sean

    NHS England - E-learning Modules on ME/CFS

    And mainstream medicine's historical and ongoing contribution to that. Broadly speaking, yes. Certainly a damn sight more than is the current situation. But as we know from hard experience individual patients and patient advocacy groups are not always the best judge of that. It is ridiculous...
  5. Sean

    News from Australia

    Both Coles and Woolworths supermarkets have extended their quiet hour to every weekday, from 10:30-11:30am. (Happened early last year but I missed it.)
  6. Sean

    The Hidden Hierarchy of Illness, 2026, Gaber

    Rehabilitation professionals are trained to work productively in uncertainty, to intervene without full mechanistic explanation, and to build clinical legitimacy around trajectories of function rather than lesions. Utter drivel.
  7. Sean

    United Kingdom: Sussex & Kent ME/CFS Society News

    They clearly are utterly incapable of change.
  8. Sean

    Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): Post-Exertional Malaise and the Biology of Energy Failure, 2026, Szafraniec

    If so then that is a credit point for AI and/or the competence of the person writing the prompt for it. Either way it is a win, IMO.
  9. Sean

    Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): Post-Exertional Malaise and the Biology of Energy Failure, 2026, Szafraniec

    That abstract is actually a pretty good and concise summary, especially if it is a student paper. :thumbup: Apart from the heterogeneous multisystem, and multifactorial pathophysiology bits, which or may not be true, we just don't know enough yet to confidently make such statements. Take...
  10. Sean

    Placebo effect: a psychosomatic component, or only an aggregate of other biases?

    A subsequent article from the same author on placebo https://www.skeptic.org.uk/2025/09/if-we-take-away-the-statistical-quirks-and-biases-is-there-any-placebo-effect-left/ And something related by him on broader issue of entrenched false beliefs in the healthcare...
  11. Sean

    NHS England - E-learning Modules on ME/CFS

    Pleased to hear that.
  12. Sean

    Candidate treatments for long COVID: a narrative review of expert and patient-driven priorities, 2026, Baptista, Glasziou+

    Paul Glasziou Well that's a bust from the start. Across interventions, evidence certainty was mostly low to very low, and safety/feasibility varied. Yet that has never stopped him from recommending exercise before. Randomisation is sufficient control is the deceit upon which the entire...
  13. Sean

    Germany's "National Decade Against Post-Infectious Diseases"

    Give it to S4ME to decide how to spend it. We couldn't possibly do a worse job than is already being done, and we will do it for free.
  14. Sean

    Health News from Australia: Experience of young women with chronic pain, POTS, endometriosis, etc, in the health system.

    Nobody here will be surprised at this story, and certainly no female anywhere will. What is perhaps most disappointing is that it is continuing to happen in what is supposed to be one of the best health systems in the world. Sadly, Australia remains in the grip of the misogyny soaked...
  15. Sean

    Illness perceptions and behavioural responses as mechanisms of change in problem-solving treatment for Veterans with Gulf War Illness 2026 McAndrew+

    Anti-science, par excellence. Wessely's talent and skill are basically in politics and sophistry, not science or medicine. Unfortunately he possesses that talent and skill in lavish abundance and has no hesitation to deploy them to his advantage.
  16. Sean

    News from The Netherlands

    Be amazed if it hadn't. Exactly. Why are the vastly greater opportunity costs not being factored in, or even mentioned?
  17. Sean

    News from The Netherlands

    And a lot worse than that. And sometimes not even unsaid.
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