"Today’s Best Practice Will Be Rubbished Tomorrow" (CFS and CBT/GET mentioned briefly)

"Today’s Best Practice Will Be Rubbished Tomorrow"
https://bjgplife.com/2020/11/25/todays-best-practice-will-be-rubbished-tomorrow/

https://twitter.com/user/status/1335368056164544512

 

Wow. that might the first academic reference to the NICE draft in this context of moving beyond outdated practices. The BJGP has had some slip-ups in the area of "medically unexplained symptoms," courtesy of Carolyn Chew-Graham.

 

Wonderful to see it expressed in that way in an 'establishment' journal, instead of the usual framing of ME sufferers as anti-science militants! A voice of reason, for a change. I do hope that sentence stays as is, and is not modified or deleted by someone making a quiet phone call to the editor...

 

Fantastic to see. Thanks for sharing!

 

Yes, nice to see but the author then goes on to say

I'll always vote for any treatment I receive to have an actual effect, rather than being given something that is just meant to fool me into thinking that there has been an effect, whereas the author seems to be advocating for a different approach.

 

I think the author reveals his own muddled thinking pretty much throughout. Every medical student should be in a position to write this article - rather better. Fortunately the author is now retired!

I am afraid I think this is another example of how the people who like rabbiting on about quality and evidence are the very people who tend to cause the problems.

 

I would have liked something added to this, some reference that attempts to silence patients and gaslight them has served to hold back progress in this field.

With a conclusion that patients should be heard and not just seen in future.