Firestormm
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Dr Enlander left a comment on the MEA Website beneath the 'immediate response' from Dr Shepherd viz:
http://www.meassociation.org.uk/?p=12350
http://www.meassociation.org.uk/?p=12350
As usual Charles has given a penetrating assessment of the flawed study. Even the criteria of the study cohort are unacceptable, the Oxford criteria formulated by a psychiatric group are not accepted by most researchers in the field.
The Fukuda criteria, of which Prof Wessely was co author, were not used nor were the later Canadian Consensus which included Post Exercise Malaise . This is extraordinary in a study which is relating to improvement of ME/CFS patients after graded exercise in two arms of the research.
The thrust of financial gain perhaps to the insurance companies and the Government were priorities rather than improvement of the patient condition.
Little was mentioned about the relapse that we frequently see in ME/CFS patients after exercise. This was also illustrated by Dr Shepherd’s figures.
Presently we are studying pre and post exercise immunology , pathophysiology and genetics in a study at Mount Sinai Medical School, New York in a privately funded million dollar grant.