Trial By Error: Another Letter About BMJ ’ s Music Therapy Study
By David Tuller, DrPH I am still waiting for answers from BMJ about the Norwegian study of cognitive behavior therapy plus music therapy for treatment of chronic fatigue in adolescents after mononucleosis. The study was published in BMJ Paediatrics Open. I have written about it here. This morning I sent the following letter to the […] (Source: virology blog)
Source: virology blog - July 21, 2020 Category: Virology Authors: David Tuller Tags: David Tuller ME/CFS BMJ CBT music therapy norway Source Type: blogs

I'll say it again: it isn't just about dying
So we ' re still hearing all this yadda yadda about how yeah, newly diagnosed cases of Covid-19 are soaring in many states but the death toll is not. First of all, that isn ' t actually true. In the states with the most dramatic increases in cases, the daily death toll is indeed now rising. Deaths are a lagging indicator. It is certainly possible that with more young people in the case mix and improved treatment the case fatality rate will be less than it was in New York, but that ' s still nothing to be sanguine about. (Actually there were almost 1,000 officially reported deaths yesterday nationwide, so that whole narrati...
Source: Stayin' Alive - July 8, 2020 Category: American Health Source Type: blogs

99% of cases are harmless
Yep, that ' s what the Resident said. Obviously we know that isn ' t so -- it isn ' t entirely clear what the percentages are because we ' ve never done enough testing but something like half of the people do get sick, maybe 20%  end up in the hospital, and 1-2% die. Something like that. (Deaths from Covid-19 are clearly underreported; many are attributed to other causes. But that ' s for another day.)But we pay far too much attention to the reported deaths. Hospitalization is very expensive, it crowds out health care resources and so harms people with other conditions, and it causes prolonged absence from work and ot...
Source: Stayin' Alive - July 6, 2020 Category: American Health Source Type: blogs

Trial By Error: Now There ’ s CBT for ‘ Health Anxiety ’ in CFS
By David Tuller, DrPH In late December, the International Journal of Clinical and Health Psychology published an article called “Prevalence and treatment of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis and co-morbid severe health anxiety.” This paper, from investigators at the University of Bath and Oxford University, actually included two separate studies documenting the purported relationship between a […] (Source: virology blog)
Source: virology blog - July 2, 2020 Category: Virology Authors: David Tuller Tags: David Tuller ME/CFS CBT health anxiety jo daniels Source Type: blogs

Trial By Error: My Letter to Senior Author of Norway ’ s CBT-Music Therapy Study
By David Tuller, DrPH In the past week, I have written three posts about a Norwegian study of cognitive behavior therapy plus music therapy for adolescents with chronic fatigue after acute Epstein-Barr virus infection–an illness known as mononucleosis in the US and glandular fever in the UK. The corresponding author of the study is Vegard […] (Source: virology blog)
Source: virology blog - May 22, 2020 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Trial By Error: Today is May 12th and Everyone ’ s Missing
By David Tuller, DrPH Today, May 12th, is International Awareness Day for Chronic Immunological and Neurological Diseases (CIND)—often shortened to International ME (or ME/CFS) and Fibromyalgia Awareness Day. Besides ME, other diseases included in the CIND group, per the May 12th International Awareness Day site, are chronic fatigue syndrome, Gulf War Syndrome and multiple chemical […] (Source: virology blog)
Source: virology blog - May 12, 2020 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Trial By Error: Merck Manual Still Disseminates GET/CBT Advice
By David Tuller, DrPH The graded exercise therapy/cognitive behavior therapy treatment paradigm for chronic fatigue syndrome—also imposed on those diagnosed with myalgic encephalomyelitis, CFS/ME, ME/CFS, and other variants–is like the undead. This concept keeps reemerging from the fetid intellectual swamplands that spawned it, no matter how many times it is revealed as nonsense. Although the […] (Source: virology blog)
Source: virology blog - May 6, 2020 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Podcast: Smoking Weed for Anxiety – Fact vs Fiction
  Cannabis, weed, marijuana, pot. It goes by several names, but we all know what it smells like. As weed becomes more mainstream, we on the Not Crazy podcast want to know: Is marijuana really an effective treatment for anxiety? Is it just a coping mechanism? Or a vice? In today’s podcast, Gabe and Jackie look at the research and weigh out the evidence. They also interview Eileen Davidson, a rheumatoid arthritis patient who regularly uses marijuana as a medicine to see what she has to say. What’s your take? Tune in for an open-minded discussion about weed. (Transcript Available Below) SUBSCRIBE & REVIEW ...
Source: World of Psychology - March 30, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Anxiety and Panic General Medications Not Crazy Podcast Source Type: blogs

Alcohol Damage to the Liver – What Happens?
Alcohol use disorder and heavy drinking present many harmful health risks. They can include everything from high blood pressure to fatal seizures. One of the most well-known health risks that come along with prolonged heavy drinking is liver damage. How does alcohol impact the liver, and what types of alcohol damage to the liver are there? In order to better understand alcohol damage to the liver, it is important to learn how the liver processes alcohol. According to MyDr, there are 2 ways that alcohol can be processed by your liver: Most alcohol is broken down, or metabolized, by an enzyme in your liver cells known as a...
Source: Cliffside Malibu - March 4, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Alcohol Alcohol Rehab Information Alcoholism Detox Resources for Alcohol and Drugs/Opiates alcohol abuse alcohol dependence alcohol detox alcohol treatment alcohol treatment center alcohol treatment facility Source Type: blogs

Trial By Error: Simon McGrath on Leonard Jason ’ s Study of US Pediatric Prevalence
By David Tuller, DrPH Leonard Jason, a professor of psychology at DePaul University in Chicago, is a recognized expert in research on the prevalence of and case definitions for the illness (or cluster of illnesses) variously referred to as myalgic encephalomyelitis, chronic fatigue syndrome, ME/CFS, CFS/ME and other names. I posted an interview with him […] (Source: virology blog)
Source: virology blog - February 25, 2020 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Trial By Error: An Australian Radio Interview with Melbourne ’ s Dr Mark Guthridge
By David Tuller, DrPH When I was in Australia two years ago–wow, can’t believe it’s been that long!–I spent some time with Dr Mark Guthridge, an associate professor of biomedical science at Deakin University in Melbourne. Several years ago, after a bout of mononucleosis/glandular fever, he developed myalgic encephalomyelitis, which in Australia even patients and […] (Source: virology blog)
Source: virology blog - February 19, 2020 Category: Virology Authors: David Tuller Tags: David Tuller ME/CFS Source Type: blogs

Trial By Error: Some Thoughts on IBS, CFS, MUS, PACE, ACTIB and IAPT (Whew!)
By David Tuller, DrPH It might not be clear to many readers just why I’m spending time writing about irritable bowel syndrome when this series is supposed to be about the illness called myalgic encephalomyelitis (also referred to as chronic fatigue syndrome, ME/CFS, CFS/ME and other terms). The reason is that the two conditions have […] (Source: virology blog)
Source: virology blog - February 13, 2020 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Trial By Error: CBT and Irritable Bowel Syndrome
By David Tuller, DrPH Had things gone as planned, the PACE trial should have been able to serve as proof that so-called medically unexplained symptoms (MUS)—in this case what the investigators referred to as chronic fatigue syndrome–could be successfully treated with psychological and behavioral therapies. The Lancet published the first PACE results, which reported benefits […] (Source: virology blog)
Source: virology blog - January 24, 2020 Category: Virology Authors: David Tuller Tags: David Tuller ME/CFS Source Type: blogs