Miller, as I read him , considers long coviders in the absence of evident organic damage to have ME ( without, as far as I can discern, considering the possibility of damage not yet evidenced ). It's just a symptoms game and matters such as 2 day CPET worsening found in some with ME but not so far (I think) in LC are not addressed as possible differential factors. Just a list of symptoms, which would also allow post sarcoid fatigued to pile in too, despite reason to believe the aetiology may be (partially) different. Miller hob nobs with Garner who is famously an advocate of sth which sounds rather like LP. And what has happened traditionally to LP failures - they were either told they had the wrong attitude or they didn't have ME in the first place , despite the symptoms being ME consistent. So question to Miller/Garner if sb has failed LP, was it a misdiagnosis in which case symptoms are not all and the equation of LC with ME is not necessarily valid, or are symptoms adequate to diagnose in which case either LP does not work for all sufferers or it is indeed a question of bad attitude. Straight answers may not be available since "does this encourage recovery mindedness?" may be the primary consideration. They may be honest men with fair answers but their thought might be clarified by engaging properly with the matters raised above --"but would that encourage recovery mindedness???!!!???!!).
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