Trial By Error: Re-visiting My Questions for PACE Professors
By David Tuller, DrPH I thought it might be helpful to re-post a list of questions I wanted to ask Professor White and his PACE colleagues in September, 2015–more than a month before Virology Blog posted the first installment of “Trial By Error: The Troubling Case of the PACE Chronic Fatigue Syndrome Study.” I originally […] (Source: virology blog)
Source: virology blog - February 13, 2019 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
Trial By Error: The New Interferon “ CFS ” Study
By David Tuller, DrPH I haven’t had time to cover the new and wildly over-hyped study about prolonged fatigue–and purportedly about “chronic fatigue syndrome”–that was published this week in the journal Psychoneuroendocrinology. Thanks no doubt to the involvement of the Science Media Centre, this mildly interesting piece of research has received widespread media attention. Since […] (Source: virology blog)
Source: virology blog - December 20, 2018 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
Trial By Error: Some Good News on Cochrane
By David Tuller, DrPH In what can only be characterized as a welcome surprise, Cochrane has rejected the revision of a 2014 review of exercise treatments for chronic fatigue syndrome, stating that the work does not meet the organization’s “quality standards.” Cochrane revealed the decision late Friday in a statement appended to the review, which […] (Source: virology blog)
Source: virology blog - December 3, 2018 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
Trial By Error: Some Thoughts About NICE
By David Tuller, DrPH The UK’s National Institute for Health and Care Excellence (NICE), which develops clinical guidelines for a range of medical conditions, is currently selecting a committee to develop a new guidance for the illness it refers to as myalgic encephaloymyelitis/chronic fatigue syndrome (ME/CFS). The new guidance will replace one written in 2007, […] (Source: virology blog)
Source: virology blog - November 19, 2018 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
Trial By Error: How to Avoid Ethical Review
By David Tuller, DrPH I have written many posts about BMJ Open’s 2011 school absence study, which reported that school absence records could be useful in identifying children with chronic fatigue syndrome. However, for reasons not yet adequately explained, the investigators exempted the study from ethical review on the grounds that it qualified as […] (Source: virology blog)
Source: virology blog - November 12, 2018 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
Trial By Error: How Bristol Investigators Avoided Ethical Review
By David Tuller, DrPH I have written many posts about BMJ Open’s 2011 school absence study, which reported that school absence records could be useful in identifying children with chronic fatigue syndrome. However, for reasons not yet adequately explained, the investigators exempted the study from ethical review on the grounds that it qualified as “service […] (Source: virology blog)
Source: virology blog - November 12, 2018 Category: Virology Authors: David Tuller Tags: David Tuller ME/CFS Source Type: blogs
The Wheat Belly Timeline: The First Few Weeks
With all our talk of opiate withdrawal syndromes accompanied by nausea, headache, fatigue, and depression, it can be daunting, even terrifying, to people who face the prospect of tossing all wheat and grains into the trash bin, vowing to never let a Danish, donut, or dish of pasta cross your lips again. So it may help to lay out a timeline of what and when various changes can develop in the Wheat Belly wheat- and grain-free lifestyle.
You can expect different symptoms and health conditions to recede at different rates, since they are caused by a variety of different mechanisms. For instance, the direct gastrointestinal tox...
Source: Wheat Belly Blog - October 26, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle acid reflux detoxification grains IBS Inflammation joint pain opiates withdrawal Source Type: blogs
ME/CFS is not a psychosomatic illness
W. Ian Lipkin, Director of the Center for Infection and Immunity and the Center for Solutions for ME/CFS at Columbia University, has written the following letter several days before the Fourth Annual Conference on Psychosomatics at Columbia University this weekend. The original letter can be found at this link. 18 October 2018 Dear Colleagues and Friends, The […] (Source: virology blog)
Source: virology blog - October 18, 2018 Category: Virology Authors: Vincent Racaniello Tags: ME/CFS chronic fatigue syndrome columbia university conference psychosomatic w ian lipkin Source Type: blogs
TWiV Special: David Tuller is PACEman
David Tuller returns to provide an update of his investigative work to expose the methodological and ethical problems with the PACE trial for ME/CFS. <span data-mce-type=”bookmark” style=”display: inline-block; width: 0px; overflow: hidden; line-height: 0;” class=”mce_SELRES_start”></span><span data-mce-type=”bookmark” style=”display: inline-block; width: 0px; overflow: hidden; line-height: 0;” class=”mce_SELRES_start”></span>&lt;span data-mce-type=”bookmark” style=&#...
Source: virology blog - August 20, 2018 Category: Virology Authors: Vincent Racaniello Tags: This Week in Virology CBT/GET chronic fatigue syndrome clinical trial david tuller ME/CFS myalgic encephalomyelitis PACE trial viral virus viruses Source Type: blogs
Trial By Error: More Mayo, Please …
By David Tuller, DrPH Two years ago, the Mayo Clinic referred Lisa Alioto, a patient diagnosed with chronic fatigue syndrome, to a three-day rehabilitation program–a mini-version of a multi-week program designed for those with a grab-bag of chronic pain and related conditions. These conditions, as listed on the Mayo website, include fibromyalgia, chronic back pain, […] (Source: virology blog)
Source: virology blog - August 20, 2018 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
People with Bipolar Disorder Share How They Started Treatment —and Why They Stick with It
Bipolar disorder is highly treatable, and yet so many people don’t seek treatment. Or if they do seek help, they later stop taking their meds or stop attending their therapy sessions. Or both. And then their bipolar blows up. Their mania spikes. Their depression sinks even deeper.
Sticking to treatment is not easy. Medication has side effects. Therapy takes work. The illness itself can be stubborn, exhausting, confusing.
It can all feel so frustrating.
We wanted to know what led some individuals to stick to their initial treatment — and why they’ve stayed dedicated ever since. Of course, life is not linear, and t...
Source: World of Psychology - August 14, 2018 Category: Psychiatry & Psychology Authors: Margarita Tartakovsky, M.S. Tags: Bipolar Disorders General Inspiration & Hope Mental Health and Wellness Treatment Source Type: blogs
Trial By Error: Mayo Still Champions GET
By David Tuller, DrPH Last week I admonished the US Centers for Disease Control for including fuzzy language about exercise in its new package of “information for healthcare providers.” The way the Mayo Clinic deals with the illness it calls chronic fatigue syndrome is an excellent illustration of why it is so important for the […] (Source: virology blog)
Source: virology blog - August 6, 2018 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
Trial By Error: Australia ’ s Online GET/CBT Education Program
By David Tuller, DrPH Last year, BMJ Open published a paper called “Randomised controlled trial of online continuing education for health professionals to improve the management of chronic fatigue syndrome: a study protocol.” The seven authors, all affiliated with the University of New South Wales in Sydney, included Professor Andrew Lloyd, the infectious disease expert […] (Source: virology blog)
Source: virology blog - May 14, 2018 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs
A tired child? What you should know
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Children often complain of being tired. Usually it’s for simple reasons — because it’s the end of a busy day, or because they stayed up late the night before, or because they are trying to get out of doing something they don’t want to do. When kids are sick they are usually tired, and need more rest to get better. But when a child complains all the time, and fatigue starts to get in the way of things they usually enjoy, it could be a sign of a problem.
Here are some possible reasons for chronic fatigue in children:
Sleep problems. This makes sense, obviously, since if a child doesn...
Source: Harvard Health Blog - April 17, 2018 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Fatigue Parenting Source Type: blogs
Your Nursing Career's Differential Diagnosis
In medicine, nursing, and healthcare, a differential diagnosis refers to the process of differentiating between two or more conditions sharing similar signs and symptoms. In the context of your nursing career, this process can be equally elucidating. Is there a careful career examination in your future? If so, what would your differential diagnosis be?Photo by rawpixel.com on UnsplashIt All Begins With AssessmentWhether you ' re examining a patient or dissecting the state of your own nursing career, you always begin with an assessment. The gathering of data is the first step in the nursing process, of course...
Source: Digital Doorway - April 16, 2018 Category: Nursing Tags: career career development careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs
