• Welcome to Phoenix Rising!

    Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of, and finding treatments for, complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia, long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.

    To become a member, simply click the Register button at the top right.

Petition: Opposing MEGA

Jan

Senior Member
Messages
458
Location
Devon UK
Was Crawley involved with setting up PACE? I'm sure I read somewhere on here that she was. Charles Shepherd is saying she had nothing to do with PACE.

Charles Shepherd Dr Simin - I acknowledge your concerns but please get your facts right. Professor Peter White was obviously a major player in the PACE trial. He has now resigned from the MEGA planning group and having done so I don't think he should be involved in the MEGA study. Although Dr Crawley obviously supports the PACE trial, she was not an 'architect' of the PACE trial and was not involved in the clinical side of the trial.
 
Last edited:

JoanDublin

Senior Member
Messages
369
Location
Dublin, Ireland
May I just share here an example pointed out to me today of the BPS model fitting the 'bio' into the 'psycho-social'. This study doesn't include anyone involved with MEGA but with PACE (Trudie Chalder), it's just an example.

A classic example of how incidious these people are. You can't win with them. They have built their careers on a particular BPS model and have proven themselves to be untrustworthy and duplicitous at every turn. Have we forgotten how these same people fought Alem Matthees tooth and nail against releasing their data? Have we forgotten the harm they caused with their media lies and spin? Have we forgotten those people who took their own lives because they couldn't take the neglect and abuse any longer?

They will never go quietly into the sunset with an apology for the harm they have caused. Well they won't do this in my name. Please support the OMEGA petition
 

char47

Senior Member
Messages
151
Was Crawley involved with setting up PACE? I'm sure I read somewhere on here that she was. Charles Shepherd is saying she had nothing to do with PACE.

Charles Shepherd Dr Simin - I acknowledge your concerns but please get your facts right. Professor Peter White was obviously a major player in the PACE trial. He has now resigned from the MEGA planning group and having done so I don't think he should be involved in the MEGA study. Although Dr Crawley obviously supports the PACE trial, she was not an 'architect' of the PACE trial and was not involved in the clinical side of the trial.

She had notihng to do with PACe - other than thinking it's wonderful. So wonderful in fact that shes set up a new trial - MAGENTA - which is essentially PACE for children.
 

Barry53

Senior Member
Messages
2,391
Location
UK
CONCLUSIONS:
The results may suggest that, in CFS patients, the provocation of fatigue is associated with exaggerated emotional responses that patients may have difficulty suppressing.

I cannot access the full article, so I cannot be sure if I am taking this out of context or not.

Suppose somebody has some ailment, whereby they often experience bouts of total blindness, and that it is always preceded by their left eyelid twitching for a while first. Then some researcher decides to test a group of these people, alongside a control group. They have devised a way of artificially provoking people's left eyelids to twitch. Amazing then, that the group with the ailment experience distress when their left eyelids start to twitch.

I heard a joke a long time back, about a researcher investigating the behaviour of flies. He gets a fly, and pulls off a leg, then lets go of it, shouting "FLY AWAY FLY!", and obligingly it does. He recaptures it and pulls off another leg, and repeats his experiment, with the same result. Eventually the poor fly has lost all its legs, and so the next time he pulls off a wing, and when he lets go it flies drunkenly off the table. One final time he pulls off the fly's other wing, shouting again "FLY AWAY FLY!" ... and it just stays where it is. The researcher jumps up and down in excitement, overjoyed with his result: "I've got it at last! When you pull off both a fly's wings it goes deaf."
 

slysaint

Senior Member
Messages
2,125
@Countrygirl posted this on another thread; think it also needs to be here. Very disturbing stuff but what some people had always suspected.
Just found this posted by Jane Colby of Tymes Trust.

A chain of emails between those involved with setting up the CMRC. (Scrub the letter idea then...........pointless? Back to the petition..........................



BEHIND THE SCENES: SETTING UP THE UK CFS/ME RESEARCH COLLABORATIVE (UK CMRC)
A Report from Tymes Trust: the inside story on the Collaborative. Our Report is based, not on speculation or conjecture, but on direct evidence from emails exchanged by the participants. We think this is key reading for the ME community. We are publishing the text here in case you have not seen it yet.

NB In the records of the meeting where 'harassment' of researchers was discussed, no mention was made of personal threats such as have been reported in the media. Freedom of Information (FOI) requests were listed as the most damaging type of 'harassment'.

Full Report follows: originally released August 2014

INTRODUCTION

When the UK CFS/ME Research Collaborative (UK CMRC) was set up in 2013, the Young ME Sufferers Trust declined to attend the launch, due to concerns we expressed in a Statement, the text of which is here:
http://www.tymestrust.org/txt/alert201305meawarenessday.txt

Our concerns continue. The following information is from 212 email chains and associated attachments received from an FOI request to the Medical Research Council (MRC).

We note:

In the run-up to the full formation and launch of the Collaborative, a
meeting was recorded by the Science Media Centre (SMC)'s outgoing head of Mental Health (details below). In attendance were key persons now involved with the Collaborative. Under their heading 'Harassment' (of researchers) they list:

* Freedom of Information Requests
* Complaints to the GMC and various institutions
* Parliamentary Questions

A series of Action Points include:

* 'Support4rs - Work with Peter White and Simon Wessely to develop
resources for dealing with harassment'
* 'SMC – Run a press briefing on biosocial illness to improve public
understanding.'

NB Two sets of written records are kept of Collaborative meetings; one for the Board, another for the public. This should be borne in mind when reading records that are placed online.
[We understand that this may have changed after our report was published.]

Timeline with numbered quotes for ease of use

The first section of emails below shows how Professor Stephen Holgate, Chair of what was initially called the UK ME/CFS Research Collaborative, initiated and facilitated discussions resulting in a
change of terminology, with 'CFS' now predominating.
The charities' views were overridden; however, they accepted the situation and still took part.

* On 12th January 2013, Professor Stephen Holgate, Chair of what was at that point called the UK ME/CFS Research Collaborative (UK MCRC) sent an email to Collaborative group members stating: “As you will know, we have firmed up the date and place for the Inaugural
Launch of the UK ME/CFS Research Collaborative (UK MCRC). I attach a list of people that I intend to approach as researchers or those interested in supporting research in the field …”
(quote 1)
* Professor Holgate then emailed Professor Simon Wessely with importance marked as ‘High’ and copied only to Dr Esther Crawley of Bristol University and Joe McNamara of the MRC. It read “Dear Simon, If you feel there is anything you can do to help in identifying
researchers or in other ways, I would be very grateful. Thank you so much. Kind regards, Stephen.” (quote 2)
* Simon Wessely replied “First of all, it looks very good…… can’t see many ommissions (sic). I would probably sprinkle one or two scientists/researchers not particularly connected with CFS into the mix myself. Experimental psychologist perhaps, joe, do you know one?....” Simon Wessely’s suggested researchers were redacted. (quote 3)
* Stephen Holgate replied “Wow! This is terrific, Simon – thanks so much. I will add your suggested names. Kindest regards, Stephen” (quote 4)
(NB At the end of January, Stephen Holgate sent an update on the issue of researchers to Collaborative group members (31st January 2013): “Please see attached list of research-interested people so far attending the launch… Could you see if there is anyone else we should include...?” (quote 5) The list of recipients
included Simon Wessely.)
* Again on Saturday 12th January, Stephen Holgate sent another email: ”To all: One point that I would like a view on is the terminology: CFS/ME or ME/CFS, NHS, NICE and MRC use
CFS/ME. I wish to be consistent so can I have a view from all please. I will then make any changes (including the name of the collaborative!)” (quote 6)
* Simon Wessely was on the list of recipients. He replied: “Thanks for asking. I think we should stick with CFS/ME frankly. Keeps it in line with MRC and NICE. Journals certainly only use CFS. USA doesn’t use ME at all. CFS/ME seems to be the best compromise.
Nervous that ME/CFS would alienate one or two researchers not actively involved in area but who you would like to see involved.” (quote 7)
* This view was endorsed by Peter White “…… I agree with Simon that CFS has to lead. The hybrid CFS/ME allows the broad church that encourages generalizable research, while allowing stratification where necessary.” (quote 8)
* Sonya Chowdhury, CEO of Action for ME (AfME) replied “ … my preference is that we use ME/CFS and I suspect if we were to ask members, there would be a preference for this form from them too. However, I am prepared to work with either as the importance here is
consistency and collaboration and if the general view differs, I will go with the majority.” (quote 9)
* The MEA stated a preference for ME/CFS but that they also were “happy to accept the majority view on this”. (quote 10)
* MERUK’s preference was also for ME/CFS, they added “we use ME/CFS as do the patient-based campaigning charities.” (quote 11)
* On 21st January Stephen Holgate emailed the group, “After undertaking a poll for preferences of a title, the CFS/ME terminology seems to be the option most wish to go for. It seems that the NHS, Research Councils and NICE use this terminology as do the majority
on Pubmed. I hope we can now accept this.” (quote 12)
· The Collaborative thus became the UK CFS/ME Research Collaborative (UK CMRC).

At the end of January a meeting was held at which 'harassment' of researchers was discussed:

The Medical Research Council (MRC) and the Science Media Centre (SMC) are two of the UK CMRC Observers. Ed Sykes, SMC Head of Mental Health, attends the meetings of the Executive
Board on behalf of the SMC, while Joe McNamara & Neha Issar-Brown attend on behalf of the MRC. The MRC contributed nearly £5000 to the launch of the Collaborative and have stated their
willingness to be involved in and contribute further both directly and in kind.
* On the 1st February 2013, an email was sent from the out-going Head of Mental Health at the SMC. It was a “write up of the main points to come out of” the ‘CFS’ meeting held at the Wellcome Trust the day before. (quote 13)
* “All the best with this for the future, I hope the launch of the research collaboration goes well and that it gets easier to do research in this field.” (quote 14)
* Those in attendance at this meeting had included UK CMRC members Peter White of QMUL, Joe McNamara and Carmel Turner of the MRC and Esther Crawley of Bristol University. Simon Wessely & Trudie Chalder of IOP, King’s College London were also in
attendance.

* Quotes 15-18 are taken directly from this meeting's records in the email of 1st February.
* (quote 15) Current situation:
- ‘Coming out’ about the harassment has led to increased support for CFS/ME researchers, for example, from colleagues who were not aware of the situation.
* (quote 16) Harassment
- Harassment is most damaging in the form of vexatious FOIs.
- Complaints are also causing problems. Researchers are still dealing with complaints about them to the GMC.
- House of Lords Debates on CFS/ME can result in Parliamentary Questions which often
require detailed responses
* (quote 17) ….. researchers are using strategies to reduce the impact of harassment and put the case for research into CFS/ME including:
- Learning about the FOI Act and using strategies to reduce time spent responding, eg putting minutes of meetings online
- Coming together as a research community to respond to criticisms eg the joint letter in response to criticisms of Simon Wessely receiving the John Maddox prize.
- Working with trusted journalists to cover the problems associated with CFS/ME research
- Esther Crawley and Stephen Holgate are establishing a research collaborative including researchers, charities and other interested parties. There will be a launch event on 22nd April.
* (quote 18) from Action Points
- SMC – run FOI Act brainstorm
- ALL – look for opportunities to publicise CFS/ME research and give background information about the condition
- Support4rs – work with Peter White and Simon Wessely to develop resources for dealing with harassment
- SMC – run a press briefing on biosocial illness to improve public understanding. Fiona Fox to get information from Trudie Chalder and Rona Ross-Morris.

Subsequent action by the UK CMRC can be seen in the context of these Action Points (above).

* One SMC ‘strategy’ to reduce ‘harassment' was to “put minutes of meetings online.”
Following the 22nd May 2013 meeting of the Executive Board of the UK CMRC Sonya Chowdhury emailed “Hi all – please find attached the minutes of our meeting and a summary for public consumption. I have deliberately made the summary detailed so that people don’t feel we’re only providing limited information…In the future, I would suggest that the summary is approved by the Chair and Vice Chair so that they can go up immediately after the meeting.” (quote 19)
- 3rd June, Sonya Chowdhury to group “As agreed we can now share the above summary [“CFSMERC minutes 23.5.13”] on websites etc. and the minutes are for the Board only. (quote 20)
- 11th October, Sonya Chowdhury to group “Hi All – please find attached: Chair-approved minutes of our meeting on Monday; Chair-approved summary notes of the meeting which will go on our website, as previously agreed.” (quote 21)
- 14th January 2014, Sonya Chowdhury to group “Attached are the chair-approved minutes (for the Board only) and the summary notes (for public consumption).” (quote 22)

* Re the SMC Action Point regarding “opportunities to publicise CFS/ME research and give background information about the condition” (reference quote 18); on 17th April Esther Crawley informed the Collaborative that the press release regarding the launch had been rewritten and “hopefully incorporates most of your comments. I hope this is now the final version.” (quote 23)
* She clarified that this press release concerned the launch of the Collaborative, and not the press conference, which was to take place separately. Journalists were sent a separate invitation to the press conference. She explained: “journalists will already have received this invitation from the SMC about the press conference (pasted below).” (quote 24)
* The press conference invitation ‘pasted below’ began – “Science Media Centre News Briefing – What? Chronic Fatigue Syndrome – unravelling the controversy” (quote 25)
- It stated “Chronic Fatigue Syndrome (CFS; also known as ME) is an incredibly controversial field, not just in terms of public perception, diagnosis and treatment but even for the very researchers trying to help who have experienced campaigns of
harassment from some patients.” (quote 26)
- It went on to state that “The disease affects over 600,000 people in the UK” inviting journalists to come along to find out amongst other thing “What imaging studies are showing us about overactive brains”. (quote 27)
- For further information journalists were asked to contact Dr Edward Sykes, Head of Mental Health at the Science Media Centre. (quote 28)
* Dr Charles Shepherd of the MEA objected in an email of the 17th April:
- 1. I still don’t believe it is sensible to drag the harassment campaign into the press reporting of the launch of the collaborative …I just don’t see what is going to be achieved by encouraging journalists to include this aspect in their reporting of the event. (quote 29)
- 2. Could we also include myalgic encephalomyelitis (or encephalopathy) in the title and CFS/ME elsewhere. (quote 30)
- 3. I don’t know what ‘overactive brains’ are in relation to ME/CFS. Sounds a bit like anxiety …. I don’t think this is a good term to be feeding to the press. (quote 31)
* The response from Esther Crawley was “Just to clarify – the SMC invitation was included [in her previous email] just to explain why we have done the press release as we have. It is not for public consumption. It has already gone out.” (quote 32)
* Further to the SMC Action Point regarding “opportunities to publicise CFS/ME research and give background information about the condition” (reference quote 18): on 12th March
2014, Esther Crawley emailed to the group: “There is a competition to present research to Parliament. The aim is to provide information about research to try and ensure funding is secure for next year. If successful the winners will have posters about projects with
demonstrable benefits in parliament at a reception on June 3rd this year.” (quote 33)
- “I have prepared an application (attached) with help from both Stephen and Peter for the CMRC. We have only 300 words to describe a “project” which has already had health benefits. Looking at previous successful applications, they expect very lay friendly descriptions of projects that tell a story. As it is only 300 words, I have included snippets about research that I am familiar with that has already had health benefits (the category I think we should submit under).” (quote 34)
- “Stephen has obviously helped me a lot with this. Although we have mentioned the harassment, this is part of the previous story and is to help identify what is new and different at the moment…..” (quote 35)
- “The deadline is Friday but I will need to submit it tonight …. So if you have any comments, can you let me know as soon as possible? Can you please copy Stephen in please?” (quote 36)
- The original draft of the 300 word description by Esther Crawley, Stephen Holgate & Peter White included “In the past, the CFS/ME researchers and charities have been divided, with researchers leaving the field because of personal attacks and funding
difficulties.” (quote 37)
- The final submission included: “…Research has been a powerful tool for change in the UK with a small amount of funding producing significant health benefits. For example, n children and teenagers, we have shown that it is common, occurs in primary school
children; is more common in those from socially disadvantaged families and is very treatable with excellent outcomes. In adults we have shown it is more common in UK ethnic minorities, described inequalities to accessing health care and shown which treatments are safe and effective. This research evidence-based approach has
encouraged more commissioners to provide services and helped clinicians to improve services, increasing the numbers of children and adults offered treatment.” (quote 38)

- After Esther Crawley sent the draft version out to the Collaborative for comment she sent another email to Stephen Holgate and Peter White: “As you can see – I have sent the form to the executive. I mentioned the harassment bit in the email because early feedback suggested this might be a problem with the charities (sigh).” (quote 39)

The launch of the UK CFS/ME Research Collaborative (UK CMRC) took place on April 22nd 2013.

The Young ME Sufferers Trust (Tymes Trust)
August 2014
Formatted Report for ease of use: http://bit.ly/1vSRhOI
 

trishrhymes

Senior Member
Messages
2,158
Thank you @slysaint and @Countrygirl for posting this detailed background information.

I am now completely convinced that MEGA is totally toxic and we should have nothing to do with it.

Yes, I know it's a biomedical study, but with these dangerous people (Crawley, Wessley et al) in at the start and behind the scenes, it's doomed to be a massive fatigue study that will somehow be manipulated to support their failed theories and therapies. That is clearly their intention.

Sorry, supporters of MEGA, I can see your point of view too, I would love a truly independent large scale biomedical study done in co-operation with international researchers that takes seriously the need to include a large proportion of serious and long term sufferers, and uses an internationally recognised definition of ME. I can't see how MEGA as presently run can be such a study.

I have been heartened a little by the fact that the one scientist (Chris Ponting) who has started interacting on the petition site has shifted from not seeing the problem with only including mild to moderate sufferers, to saying PEM is clearly an important criterion. He seems to be open minded, and has fantastic scientific credentials. I wonder how aware he is of all this, and if he were, would he be so keen to work within this context?

Is it time to contact all the scientists on the list and explain what they have been drawn into, the background, the politics, the fact that 'harassment' is a fiction made up by bad 'scientists' defending the indefensible, the question of whether their good names are being used to give cover to failed therapies, and giving the contact details of any good international researchers we can find willing put the true picture to them, so they can make an informed decision about whether MEGA is an organisation they want to work with?
 
Last edited:

A.B.

Senior Member
Messages
3,780
Is it time to contact all the scientists on the list and explain what they have been drawn into, the background, the politics, the fact that 'harassment' is a fiction made up by bad 'scientists' defending the indefensible, the question of whether their good names are being used to give cover to failed therapies, and giving the contact details of any good international researchers we can find willing put the true picture to them, so they can make an informed decision about whether MEGA is an organisation they want to work with?

Great post. I think you mean the CMRC though.
 

lilpink

Senior Member
Messages
988
Location
UK
Was Crawley involved with setting up PACE? I'm sure I read somewhere on here that she was. Charles Shepherd is saying she had nothing to do with PACE.

It's an interesting one isn't it? It looks like she might have had some links with PACE. I refer to an earlier (anecdotal) observation at this Forum :

"He started by saying 'Bristol saved the PACE Trial' so as a Bristolian perhaps I should do a NIck Clegg and say 'sorry'. He was looking at Dr Esther Crawley, who chaired the talk, at the time and I think he was referring to 60 patients that Bristol (presumably from the Frenchay CFS/ME clinic) provided that took the total over the required number."

So who knows?

http://forums.phoenixrising.me/inde...hite-lessons-from-the-pace-trial.29345/page-3
 

slysaint

Senior Member
Messages
2,125
Could someone who has access to the OMEGA petition comments post this:
"
Jane Colby of Tymes Trust
BEHIND THE SCENES: SETTING UP THE UK CFS/ME RESEARCH COLLABORATIVE (UK CMRC)
A Report from Tymes Trust: the inside story on the Collaborative. Our Report is based, not on speculation or conjecture, but on direct evidence from emails exchanged by the participants. We think this is key reading for the ME community. We are publishing the text here in case you have not seen it yet.
Formatted Report for ease of use: http://bit.ly/1vSRhOI
"
ditto if you have access to the MEGA petition comments.

thanks
 

Sasha

Fine, thank you
Messages
17,863
Location
UK
Is it time to contact all the scientists on the list and explain what they have been drawn into, the background, the politics, the fact that 'harassment' is a fiction made up by bad 'scientists' defending the indefensible, the question of whether their good names are being used to give cover to failed therapies, and giving the contact details of any good international researchers we can find willing put the true picture to them, so they can make an informed decision about whether MEGA is an organisation they want to work with?

I think you'd just drive them away. Why should they stay in such an ugly and contested area where there are plenty of other ways they can help sick people? There are plenty of other diseases that need their time. Dragging them into this mess will only hurt us, IMO.

It's clear that things are happening behind the scenes, as @charles shepherd has said. IMO it would be best to give those activities a chance to pay off.
 

eafw

Senior Member
Messages
936
Location
UK
This is their website:
https://opposingmega.wordpress.com/about/
Who are they?

I'm wondering that. Who are these people - from the UK or not, known within the community, not asking for irl names, but activist/twitter/message board history would be nice ?

It's probably irredeemable as long as the rest of the team falsely believes that the BPS lobby are experts that have produced useful work.

I think this is the fundamental problem, a group of fairly decent scientists have been rounded up by the BPS crew, and are now being led up the garden path on false pretences by Holgate, Crawley and friends. I'd like to know how the scientists involved were briefed on the condition, especially as we have George Davey-Smith, as an example, still standing up at conferences and saying he knows nothing about the illness.

while i agree with everything OMEGA says, there is a real danger if it being 'spun' to give more ammunition to the CBT fan club

I think anything we say or do will be spun by the BPS lot, but OMEGA do want to stop this MEGA research project completely - no spin needed there.

I can't see how MEGA as presently run can be such a study.
organisation is the CMRC, the proposed study is MEGA

MEGA is an alliance and has also become shorthand for the study itself.

This is the report from the April meeting where the group was set up, scientists + "CFS researchers". I don't support OMEGA for a number of reasons, one being that it is failing to properly draw a distinction between the science and the "CFS" specialists listed here, and that OMEGA are happy to sabotage the lot rather than making any attempt to educate the scientists or reform the approach so that Crawley's influence is minimised (*)

https://www.actionforme.org.uk/uploads/MEGA - Progress update circulated 16.5.16.pdf

(*) regarding Crawley, I'd rather see the OMEGA lot go directly after MAGENTA etc, this would help the case for pushing BPS adherents out of the way while the real science gets done.
 

Jo Best

Senior Member
Messages
1,032
@Sasha I may be confused but aren't the scientists part of MEGA? If so, then it is they who've dragged us into a mess by the way they are going about this. I lead a sheltered life but I've never seen a group of scientists post a petition on a public petition site asking for support for to obtain millions of pounds from 'Mainstream research funders' for what sounds like music to the ears of a patient/carer community that isn't finished reeling from a saga of deception and what may surely reasonably be described as research misconduct and possibly research fraud by CMRC/MEGA colleagues.

There would be no OMEGA petition without -
a) the MEGA petition
b) updates by MEGA failing to reassure
c) unsatisfactory responses to measured and well expressed letters as suggested to CMRC

It is doing the biomedical scientists a favour to let them know the facts and reasons for concerns about the alliance and the proposal before they embark on a path of no return in collaboration with colleagues they would understandably assume to be experts in the disease they propose to study and researchers of integrity.

If they want to get involved in this exciting field, and work cooperatively with researchers of high calibre in UK, Europe, USA, Australia, then they could do no better than to contact Invest in ME Research - http://investinme.eu/index.shtml

We are past being told we risk frightening off researchers. The proof of the pudding is that we are not. On the contrary, we are enabling, encouraging, facilitating, and funding their research.
 

trishrhymes

Senior Member
Messages
2,158
I think you'd just drive them away. Why should they stay in such an ugly and contested area where there are plenty of other ways they can help sick people? There are plenty of other diseases that need their time. Dragging them into this mess will only hurt us, IMO.

It's clear that things are happening behind the scenes, as @charles shepherd has said. IMO it would be best to give those activities a chance to pay off.

As someone who trained in science many years ago and nearly went into research (that's another story), I think if I had been asked to work on ME and had then been told the whole sorry saga of the way the psychs and their acolytes have behaved, I'd be even more determined to help to prove them wrong by doing good science.

It would make me want to work in the field, not put me off. But it would also make me think twice about participating in a project that has such a heavy involvement of the very people who have done so much damage and have been discredited.

If it does put the good guys off working on MEGA as at present constituted, with Crawley et al being treated as 'experts' who will guide them on such things as definition of CFS and who to include in the sample, so much the better as far as I am concerned.

If they talk to any ME biomedical researcher, attend conferences like Invest in ME, read up on current research etc, which they will need to do if they want to get involved in ME research, they will soon discover that patients are delighted with the little biomedical research going on and longing for more and that they will have our undying gratitude if they do good research. I am sure they will not find any good biomedical scientist complaining of harassment.

I would be delighted to find that the behind the scenes activity you mention is able to force change so that Crawley et al have no place in the study design, and a proper internationally agree research definition of ME is used including PEM and an appropriate proportion of severe and long term sufferers are included. When/if that happens I will gladly unsign OMEGA.

I do respect your opinion, @Sasha, and am grateful that @charles shepherd is trying to work behind the scenes to influence things for the better. I just think the power is all on the other side. I would love to be proved wrong.