It's been a while since I blogged, so what shall I blog about today?
I know; how the SMC uncritically reinforces the orthodoxy (without much regard to the actual evidence) #BeyondTheHype lucibee.wordpress.com/2022/05/30/smc…
OK. That was the TL;DR version.
Do I blog the rest of my thoughts as a long rambling essay, or in short chunks?
Fox: “If a group of scientists … can be silenced or discredited in this way, what’s to stop other activists doing the same with other findings they don’t like?”
Far from being silenced, this particular group of scientists have been given a platform by the SMC to present their flawed treatment studies, and then to moan endlessly in the press when patients complain about being harmed. 🙄
One of the revelations was particularly surprising:
Apparently, one of the researchers was so scared, that he didn't want SMC to publicise the PACE 2-year follow-up study.
No mate. He didn't want it publicised because it was a null study. It showed no effect. 🙄
A few other corrections are needed:
NICE did not announce a guideline review as a result of “a sustained campaign by activists”. NICE had been promising a review for some time, as the 2007 guidance was very out of date.
Although the review panel did consist of more patient representation than previously, lay members were still in the minority (5 out of 21 members), so weren't able to outvote the clinical representation.
The 3 committee members who resigned did so at the 11th hour, yes, but only *after* the guidance had been signed off by the whole committee (including those 3 members).
It is simply untrue to say that NICE "bypassed its standard processes and buckled". They stayed strong and stuck to their guns for the sake of patients and for the sake of the actual evidence.
The RCs put them in an impossible situation.
Elsewhere...
Contrary to what Fox claims, the HRA did not "exonerate" the PACE trial; they merely said it was beyond their remit to do so. thesciencebit.net/2019/02/07/the…
There's a strong implication/assumption (whatevs) that FOIA requests made by "activists" are used as a form of harassment, to take researchers away from their jobs, to stall research, rather than the more mundane search for information.
Also, that those who make such requests are not representative of pwME - “they claim to represent all ME/CFS patients, but they do not.”
It's the "patients would surely be too ill to produce so many complaints and FoI requests" thing again.
What I found quite stunning, though, was that the SMC seemed to be behind most of the "we're being harassed and silenced" hit pieces over the past decade or so, including Hanlon's dreadful Sunday Times article in 2013...
... all the way up to Kate Kelland's Sharpe-goes-fishing-on-Twitter exercise in 2019 reuters.com/article/uk-sci…
Is that really a suitable thing for a science media organisation to be involved in?
Are they proud of how it makes patients feel to read stuff like that?
I can only presume that they really don't have a clue what it is they think they are doing! 🤦♀️
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This is a really important paper that goes a long way to explaining how diseases such as ME/CFS and #LongCovid might arise after viral infection.
I'll attempt a few lay explainers in this thread 🧵
In this article, Prusty explains how unstable and not-the-usual peptides generated from usually hidden locations on the cell or viral genome can be mistaken for foreign viral antigens and lead to immune attack, even though they look like part of the host.
In the rush to present foreign antigens to the immune system, unstable proteins produced by the cell that would normally degrade without causing issues, are presented on the cell surface and trigger an immune response from CD8 cells
#LongCovid featured on @ITVCymruWales Sharp End tonight. @Eluned_Morgan said she had met with pwLC last week, and they had all said that the service they receive from the LC service was excellent.
She doesn't believe any "anecdotal reports" that they are not. @LongCovidWales
Errr... how is NOT having multidisciplinary centres following NICE guidance?
Good article on #LongCovid on BBC Wales News and website, but shame about the title(s)
(article title: Long Covid: 'My shame over 18-month work absence'
embed title: Long Covid: Brain fog causes work absence but swimming helps) bbc.co.uk/news/uk-wales-…
I hope Prof Reicher won't mind if I try to explore this further, because this is one of the things that has been so problematic (and toxic) in discussions around ME/CFS.
The problem here is that this has been weaponised by certain people to imply that it is those with ME who are doing the demeaning, by complaining that they have been told that it is "only in their mind".
It is the implication that is incorrect. Because those making the complaint are not demeaning mental health conditions, but are complaining about a misdiagnosis that means they will not be treated appropriately.
"Reassuring news" from a study that seems to make the same errors that other "reassuring" studies have made.
Not reassuring to those #LongCovidKids who've had #LongCovid for getting on for 2 years now @LongCovidKids@jneill
Ooooo. This study is riddled with misclassification bias. It has serious problems. They have done very little to exclude contamination of the controls, other than ask a question about whether kids had tested positive for covid.
They seem to be trying to argue that because air filtration units don't reduce CO2, they are not as good as opening the windows.
But that's a misunderstand of the use of CO2 as a proxy measure. #CovidIsAirborne