Paul Garner
paulgarnerwoof.bsky.social
Paul Garner
@paulgarnerwoof.bsky.social
100 followers 33 following 17 posts
Professor emeritus (public health, infectious diseases, evidence synthesis)
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The Oslo RCT in longcovid intervention of psychoeducation and increasing mental and physical activity led to large benefits. These were even BIGGER effects in those in the upper quartile of PEM. This is important. IE BIGGER BENEFITS IN PEOPLE WITH PEM
jamanetwork.com/journals/jam...
Outpatient Rehabilitation for Post–COVID-19 Condition
This randomized clinical trial examines the effectiveness of a 2- to 6-week outpatient cognitive and behavioral rehabilitation program for individuals with post–COVID-19 condition.
jamanetwork.com
#longcovid core to recovery is to understand that prediction effects are causing symptoms. Don't "ignore and push" but "understand, note and lean into.... activities you enjoy..." Rebecca Kennedy explains here www.youtube.com/watch?v=bCo8...
Reposted by Paul Garner
For @unherd.com, I plumb the depths of the tangled and tortured case of Gordon Guyatt, who threw his team’s research funder under the bus and contradicted his own research findings to appease an activist mob.

t.co/ftZh0p9s0x
Reposted by Paul Garner
This will be a great lecture from a brilliant and impactful epidemiologist
📢The 2025 Pumphandle Lecture will be given by:

Dr Cesar Victora, Emeritus Professor of Epidemiology at Federal University of Pelotas, Brazil!!

"From Local Insights to Global Impact: Four Decades of Child Health and Nutrition Epidemiology in Pelotas, Brazil."

More information to come.
"Chronicity rhetoric" underpins the UK NICE ME/CFS guidance. The word "recover" appears ONCE and then implies relapse. @NICEComms contributes to a discourse that creates barriers to recovery. Shame on you.
Recovered #LongCovid #MECFS patients state 11 June in BMJ that the message, "no hope without a biomedical cure", is HARMFUL. NICE-you need to wake up to the damage you have done www.bmj.com/content/389/...
NICE Guidance UK misleads. People with severe ME will not get better with this advice, and they are denied cognitive approaches that can help recovery
Reposted by Paul Garner
The BMJ @bmj.com · May 14
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) affects around 250 000 people in the UK.

Reframing beliefs about illness, along with specialist rehabilitation, can help recovery in people with severe ME/CFS, @paulgarnerwoof.bsky.social and colleagues
www.bmj.com/content/389/...
This is a terrific seminar, linking the science of the stress response to the post-COVID condition and ME/CFS. "We need to "We need to listen to communities of people who have recovered from illness"-and brain-body retraining programmes really help people recover.
so two independent, published critiques of Appelman point out this study is flawed and the patients were deconditioned. What is important is that Appelman inferences are also incorrect, as both these criticisms point out, from different disciplinary angles
No — you’re wrong. See the reply (to your reply) below:

‘We refute that our findings are due to deconditioning, as Long COVID-related skeletal muscle differ fundamentally from those caused by deconditioning.’
www.nature.com/articles/s41...
Reply: Muscle abnormalities in Long COVID - Nature Communications
Nature Communications - Reply: Muscle abnormalities in Long COVID
www.nature.com
A second group of commentators, who know muscle physiology well, point out these patients were deconditioned, myalgia after exercise is non-specific, and exercise will help recovery in these patients rdcu.be/eaOtl
Should we be careful with exercise in post-exertional malaise after long COVID?
Nature Communications - Should we be careful with exercise in post-exertional malaise after long COVID?
rdcu.be
study in Nature claimed exercise damaged people with post-exertional malaise from #LongCovid. A second critique, from specialists in muscle, say pain after exercise is not specific to covid-19, and exercise IS helpful in muscle recovery. rdcu.be/eaOtl
Should we be careful with exercise in post-exertional malaise after long COVID?
Nature Communications - Should we be careful with exercise in post-exertional malaise after long COVID?
rdcu.be
A study in Nature claimed exercise damaged people with post-exertional malaise from #LongCovid. We found their evidence does NOT support this: patients were deconditioned, the exercise was extreme, and there were no proper controls #MEcfs
www.nature.com/articles/s41...
Reply: Muscle abnormalities in Long COVID - Nature Communications
Nature Communications - Reply: Muscle abnormalities in Long COVID
www.nature.com
Pace trial is disbelieved by people that don't like the results. It is a well done study
Great piece in the "I" about #LongCovid treatment by @ClareWilsonMed : sensible, basic rehabilitation with cognitive approaches and incremental activity, and steer away from quack medicine that are "high on promise and low on evidence".
inews.co.uk/news/health/...
The long Covid ‘treatments’ to avoid
People with long Covid are resorting to a range of unproven remedies, from supplements to stem cells, but simple rehabilitation techniques are proving the best medicine
inews.co.uk
"insisting that symptoms in these [post-viral fatigue] conditions are wholly biomedical - unrelated to evolved biological stress responses...and the promotion of unfounded theories, such as “microclots” causing chronic fatigue conditions, in itself could be harmful".
tinyurl.com/yvyh9e24
Plasmapheresis to remove amyloid fibrin(ogen) particles for treating the post‐COVID‐19 condition - Fox, T - 2023 | Cochrane Library
Select your preferred language for Cochrane Reviews and other content. Sections without translation will be in English.
tinyurl.com