Trisha Greenhalgh on ME/CFS and Long Covid

Why early? It's still happening. So why only early on? Odd.

There was also that early paper that featured a whopper such as (paraphrasing) long haulers "felt" like their fatigue was different from CFS and thus viewed it as different. Without explanation. And in fact in contradiction with what was known, and since then very much debunked.

The author was one TG, or something like that. Should look into that, it's not good to misinform people in scientific literature, especially as a mere expression of opinion, exactly like what Carson and his buddies do.
 
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TG on Twitter.

"Writing a paper. Can anyone point me to studies published early in the pandemic which dismissed long covid as "functional" or "all in the mind"? (Just to be clear: this isn't a view I share but I want to analyse the reasoning of those who said it). THANKS all. Will post summary."
This is not the conventional way you do a literature review, just saying.
 

Maybe the problem is your use of dismissed which implies one form of aetiology as more worthy than another- as far as neurological symptoms go there is mounting clinical and scientific evidence of a functional cause but this doesn’t mean the patient is any less sick or deserving

jnnp.bmj.com/content/jnnp/early/2022/08/25/jnnp-2021-327899.full.pdf…. I think the contents of this are contestable but the group have done some of best early descriptive work if long covid

Would describe fnd as per dsm 5. Autoimmunity is a mechanism not a disorder and depends on how you define- eg could argue depression as an autoimmune condition - as to MS etc no of course not but can have MS and FND comorbidly ( prob in around 10% of MS cases)


In the scenario you describe i would consider removing AEDs as negligent. That said i ve never encountered any serious epileptologist or FND specialist suggesting what you outline


Think one needs to be careful to separate out recognised clinical syndromes from putative mechanism from incidentals. Ie finding say primary MS different from a modestly raised inflammatory marker from say a pineal cyst

Its a 2 way street- whilst there can be a bewildering array of novel mechanisms the clinical expression of neuropathological dysfunctikn remains a constant and careful description of this informs how we might consider such mechanisms ie tremor with entrainment tells us something
 
More Carson

Well since there are no validated treatments and i ve been explaining i dont think LC is one thing….

Its a 2 way street- whilst there can be a bewildering array of novel mechanisms the clinical expression of neuropathological dysfunctikn remains a constant and careful description of this informs how we might consider such mechanisms ie tremor with entrainment tells us something

No functional disorders must have a biology and that is becoming increasingly understood and inclydes structural and functional brain changes, inflammatory cascades and genetics

I’ll look in more detail but encapsulates my view that not helpful to think of ling covid as an entity but a heterogeneous group of conditions that are not necessarily closely related and extrapolation from one group to another not necessarily helpful

However part of the problem is fundamental misunderstanding of how brain works and the meaningless separation of brain and mind as demonstrated elegantly in this study



academic.oup.com
Fear conditioning as a pathogenic mechanism in the postural tachycardia syndrome
Norcliffe et al. demonstrate that in patients with postural tachycardia syndrome, the increase in heart rate that o
 
I don't have a Twitter account, so I can't be blocked, and I can see everything that those with accounts have posted publicly.

These are the first four responses to the original tweet on this subject, as I see them.

upload_2023-1-2_21-56-43.png

I am shocked by the blasé tone of "Psychology is key to any recovery of course, but I'm sure you know that"
 
I am shocked by the blasé tone of "Psychology is key to any recovery of course, but I'm sure you know that"

Round, like a circle in a spiral
Like a wheel within a wheel
Never ending or beginning
On an ever-spinning reel
Like a snowball down a mountain
Or a carnival balloon
Like a carousel that's burning
Running rings around the moon
Like a clock whose hands are sweeping
Past the minutes of its face
And the world is like an apple
Whirling silently in space

Like the circles that you find

In the windmills of your mind.

...
Half-remembered names and faces
But to whom do they belong
When you knew that it was over
Were you suddenly aware
That the autumn leaves were turning
To the color of her hair
Like a circle in a spiral
Like a wheel within a wheel
Never ending or beginning
On an ever-spinning reel
As the images unwind

Like the circles that you find

In the windmills of your mind.
 
I don't have a Twitter account, so I can't be blocked, and I can see everything that those with accounts have posted publicly.

These are the first four responses to the original tweet on this subject, as I see them.

View attachment 18818

I am shocked by the blasé tone of "Psychology is key to any recovery of course, but I'm sure you know that"
No, it's really not. It's actually as superfluous as what people think of the color red. What a bunch of BS that says everything about the intent. I'm not sure she should be encouraged to write anything, in fact it would be far better if she'd stay out of a topic she clearly can't be bothered to actually learn anything about.

If anything she should be strongly encouraged to stay out of this on account that any contribution she makes would be bad for patients, but as a result of mass-banning the people most involved on this issue, she wouldn't even hear that.

Ugh. What is it with people who think their contributions are a gift to the world, even when they don't bother putting any effort into it?
 
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