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

Discussion in 'Long Covid news' started by lycaena, May 5, 2020.

  1. Amw66

    Amw66 Senior Member (Voting Rights)

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  2. Hoopoe

    Hoopoe Senior Member (Voting Rights)

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    I feel like people are being close-minded about the possibility that Garner really did have something that is very close to or the same thing ME/CFS is, if only for a several months. His bizarre interpretation of what led to his recovery is a distraction from the important observation that he clearly described PEM in his earlier posts.
     
    Last edited: Jan 31, 2021
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  3. Adrian

    Adrian Administrator Staff Member

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    I wasn't thinking that. It does seem that there are people with post viral chronic illness with ME type symptoms and a proportion get better (partiularly in the first year or two). They will often meet the diagnostic criteria (with the 6 months) etc so perhaps we should just say ME. But I wonder if we need some better terminollogy and study to back this up to see and talk about whether there is a real difference and to give the newly diagnosed a more accurate picture.

    It does seem to me that Long Covid does present an opportunity to study some of these issues and I think there are observation projects.

    Perhaps the question we need to ask ourselves is whether we see ME as a longer term chronic illness or an illness defined by the 6 month rule in things like the CCC.
     
  4. Trish

    Trish Moderator Staff Member

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    Really excellent blog by someone calling themself 'Nemesis' who identifies themself as a former clinician and scientist. It describes accurately the changes seen over the series of articles by Garner, and focuses particularly on the complete change of direction in the most recent one, discussing the wider repurcussions of the reinforcing of the BPS approach by such a prominent individual.
     
  5. Kalliope

    Kalliope Senior Member (Voting Rights)

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  6. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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  7. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    My centrally sensitised ear found it hard to miss.
    The hollow cowbell sound of hypocrisy.
     
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  8. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    I have posted about this several times eg
    https://www.s4me.info/threads/chron...n-lubet-july-21-2020.15999/page-3#post-275757

    Ironically in the Oxford criteria definition they introduced PIFS as a distinct diagnosis from CFS
    (post-infectious fatigue syndrome), https://www.s4me.info/threads/oxford-criteria-should-papers-using-it-be-excluded.2218/

    not sure why they created another name for PVFS unless it was to cover all infections not just viral, or because PVFS was considered synonymous with ME.
     
  9. Ebb Tide

    Ebb Tide Senior Member (Voting Rights)

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    The PIFS category required evidence of the initial infection (patient self-report not considered sufficiently reliable) with laboratory confirmation. Also had to meet Oxford CFS criteria and have syndrome present for 6 months post-infection onset.
     
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  10. John Mac

    John Mac Senior Member (Voting Rights)

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    Blog

    https://acomfortableplace.blogspot.com/2021/01/read-paul-garner.html
     
  11. Robert 1973

    Robert 1973 Senior Member (Voting Rights)

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  12. Robert 1973

    Robert 1973 Senior Member (Voting Rights)

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  13. Sean

    Sean Moderator Staff Member

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  14. Robert 1973

    Robert 1973 Senior Member (Voting Rights)

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    From: https://www.healthcarehubris.com/po...er-s-change-of-heart-on-long-covid-and-me-cfs:
    Reading the above made me realise the similarities between what PG wrote and what Fiona Fox wrote in that bizarre article when she was a leading member of the Revolutionary Communist Party (see https://www.s4me.info/threads/artic...he-revolutionary-communist-party-c-1996.3452/) eg Fox: “I do feel that being one of the few people in the world who can really understand imposes a certain burden and definite isolation ... quite frankly if it is a choice between carrying the burden of RCP politics and ending up like my old friend Carol [who has ME] there's no choice involved.”

    The same hubris, the same cultish language. And Fox is reported to have a sister with ME too. Almost makes me wonder if she helped him write it.

    Another thing that struck me was PG’s implied criticism of people with ME for sending him “unsolicited emails”. Not only are these the same people he was praising and thanking in previous blogs, but he then goes on to attribute his recovery to a student who sent him an unsolicited email promoting what appears to be a pseudoscientific cult.

    [Correction: PG was not sent an unsolicited email by the student – he says he was put in touch with the student having cast around his “international network of medical evidence specialists for help”.]
     
    Last edited: Feb 1, 2021
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  15. Trish

    Trish Moderator Staff Member

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    In case anyone is wondering why this thread has suddenly got longer, I have just moved, or in a few cases copied, 91 posts that now appear on the beginning of this thread that were posted before this thread was created on Possibility of ME or PVFS after COVID-19, Long Covid
     
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  16. Suffolkres

    Suffolkres Senior Member (Voting Rights)

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    My Tweet https://meassociation.org.uk/2013/0...are-gerada-to-attend-their-annual-conference/
    Good2talk! Remember2013? Chair Royal College of GP invited to CPD-Accredited event to explain the effects on GPs & their patients of NHS reforms into the way LT conditions, particularly ME, are managed -“Infection, Immunity and Myalgic Encephalomyelitis
     
    Last edited: Jan 31, 2021
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  17. Suffolkres

    Suffolkres Senior Member (Voting Rights)

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    Post Covid SMS?
    Short Memory Syndrome?
     
    Last edited: Jan 31, 2021
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  18. dave30th

    dave30th Senior Member (Voting Rights)

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    I am thinking he could, like many, be experiencing ongoing cognitive confusion. Or else he has zero comprehension of how his words might impact others. The above sentence bothered me personally. I reached out to him initially but was not insistent. He engaged with me and himself invited me to speak to his group about PACE. I never provided advice about how people with long-Covid should be treated except to suggest that applying PACE treatments willy-nilly to long-Covid did not seem justified. And yet I feel dissed and really pissed off by his suggestion that everything he heard was "unsolicited." It comes across as very ungrateful and very ungenerous to patients who reached out to help him when he was flailing.
     
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  19. Forbin

    Forbin Senior Member (Voting Rights)

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    It would be a pity if Paul Garner's physicians did not collect and store samples of his blood, spinal fluid, microbiome, etc. during the phase of his illness where he met the CCC (though there's little reason to think they would have).

    It might have been interesting to see how they compared to samples taken following his recovery.

    I've been hoping that some group would do this on a large scale as a longitudinal study. If data were collected on a large enough number of post-viral ME cases, some of those people might recover like Professor Garner (even without adjusting their mental attitude). Maybe the results would be interesting, or maybe not, but comparing self-to-self seems like the ultimate control.
     
  20. Adrian

    Adrian Administrator Staff Member

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    I think their is a group in the US doing something. Also the Kings group who do the symtom tracker may be doing something (and it comes from the twins project nothing to do with the psych groups at kings) so something interesting may come up here.
     

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