By David Tuller, DrPH What is going on at The BMJ? In May, the journal corrected an obvious error in a paper about a prominent Long Covid mental and physical rehabilitation trial called REGAIN. The trial was conducted among patients who had been hospitalized for Covid-19, but key sections of the paper generalized the findings … Trial By Error: Yet Again BMJ Recommends CBT and Exercise for Long Covid Read More ..read more

By David Tuller, DrPH Last month, I took a quick speaking tour around Ireland at the invitation of the Irish ME/CFS Association. I first became acquainted with Tom Kindlon, the association’s assistant chairperson, about ten years ago. I was beginning to look into the background of the PACE trial, which purported to have proven the … Trial By Error: My Tour of Ireland, Through Wind and Rain; Slides of My Talk Read More ..read more

By David Tuller, DrPH Tuesday, September 17th, was World Patient Safety Day. (I didn’t know that either.) In the UK, more than 200 physicians, nurses and other health care providers and professionals marked the occasion by issuing an appeal—in the form of a letter to Wes Streeting, Secretary of State for Health and Social Care … Trial By Error: UK Health Care Professionals Appeal to Health Secretary for Quick Action on Poor ME Care Read More ..read more

By David Tuller, DrPH On Friday, Deborah Archer, the coroner in the inquest into the death of Maeve Boothby O’Neill, issued her factual findings. The bottom line: Maeve died from “malnutrition caused by severe ME.” Archer found that the Royal Devon and Exeter hospital and others involved in her care acted properly. She rejected the … Trial By Error: Valerie Eliot Smith on the Inquest Findings Read More ..read more

By David Tuller, DrPH When I was a young gay man in the 1980s (I’m 67), a common term for sexual orientation was “sexual preference.” This phrase always struck me as weird. Preference? The urges I felt were not a “preference.” Preference clearly implies a choice—as in, I prefer to live in the city rather … Trial By Error: “Effort Preference”? WTF? Read More ..read more

By David Tuller, DrPH A group called Canadian Guidelines for Post COVID-19 Condition (CAN-PCC) has released a new set of draft recommendations related to preventing, diagnosing and treating what is commonly called Long Covid. The current list of nine draft recommendations includes exercise and cognitive behavior therapy, which has understandably raised concerns among advocates for … Trial By Error: Canadian Group Seeks Feedback on Recommendations for Exercise and CBT for Long Covid Read More ..read more

By David Tuller, DrPH Karen Hargrave is co-founder of an advocacy campaign called #ThereForME, which was launched this past summer to draw public awareness to the UK’s lack of care and treatment and to call “for an NHS [National Health Service] that’s there for people with ME and Long Covid.” The campaign has drawn significant … Trial By Error: Interview with Karen Hargrave, Co-Founder of #ThereForME Read More ..read more

by Gertrud U. Rey Recent news headlines have featured a mysterious and presumably new illness termed “sloth fever.” More aptly named Oropouche fever, the disease is caused by Oropouche virus (OROV), an arthropod-borne virus that is transmitted primarily through the biting midge Culicoides paraensis. OROV typically circulates in sloths, non-human primates, and birds, but it … Sloth Fever Read More ..read more

by Gertrud U. Rey It is well known that stress and exposure to UV radiation can reactivate replication of latent herpes simplex virus type 1 and/or type 2 (HSV-1 and/or HSV-2), and the painful lesions associated with these infections. But why is that? During a primary infection, HSV-1 and HSV-2 replicate within the epithelial cells … Why Does Stress Reactivate Herpes Simplex? Read More ..read more

By David Tuller, DrPH I have recovered sufficiently from my post-election coma to send off another of my irritating letters to journals–this one to The BMJ. As I mentioned in a post earlier this week, The BMJ has corrected a major paper: “Clinical effectiveness of an online supervised group physical and mental health rehabilitation programme … Trial By Error: My Letter to BMJ Seeking Correction to Editorial on REGAIN Trial of Mental-and-Physical-Health Rehab for Long Covid Read More ..read more