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Cleveland Clinic CME promotes PACE style treatment in 2017

Discussion in 'General Discussion' started by ElisaB, Oct 13, 2017.

  1. ElisaB

    ElisaB Member

  2. IrisRV

    IrisRV Well-Known Member

    AmberHope, Lissa and ElisaB like this.
  3. AmberHope

    AmberHope Active Member

    OH my, this is terrible. :arghh:
    Thanks for sharing it though. We need to know this is still pervasive. :banghead:
    IrisRV likes this.
  4. Seven

    Seven Well-Known Member

    How can we fix it?
    IrisRV and Not dead yet! like this.
  5. Not dead yet!

    Not dead yet! Well-Known Member

    Anyone good with making online petitions? It can be very effective to say, "Look, here we all are, waiting for a serious answer to a disabling disease, and you're using bad science to teach new doctors. Here's the evidence found that it doesn't work. All of us have either tried that and it was ineffective, or would instantly shut down on advice if it was given in that way. You're teaching doctors to alienate us. Is that what you want?"

    This kind of tone can be very helpful. I mean, some of us dislike Dr. Lipkin, but he's helpful in some ways. For one thing, he's a distinguished researcher, and pointing to his research would show them they are way off. Or at least force them to say "we don't have any complete answers yet, do your best in this area."

    I wonder why its so hard to say that to doctors? It makes no sense o train them as if they are robots to take the same action for each person who has the same symptom. This is all part of the erosion of doctor's autonomy in choosing a therapy that works for a patient. It's telling them what to do to avoid being labeled "rogue" but is the opposite of helpful advice for patients.

    Their summary is easily debunked. If you progress to the "Key Points" section you find:

    • OK, so if it's not physical, (line item 6) then why does graded exercise therapy supposedly "work"? (line item 4)
    • Show me one person anywhere who is not depressed or anxious after they've been ill for 6 months, any disease, any continent....
    • Show me a specialist for CFS, the ones I know about are not using GET or CBT because they're ineffective.
    • If there are no abnormalities in lab work, then why order labs?
    • The CDC no longer recommends what you're recommending. You're out of date. ref: https://www.cdc.gov/me-cfs/treatment/index.html
    I could do this all day. The lack of logic should be screamingly obvious to any doctor in training.
    Last edited: Oct 20, 2017
    IrisRV likes this.