Again @N.A.Wright you have ducked the issue. How it looks to Alex is how it looks to me here in the UK. Dr MyHill has not had a single complaint from a patient. The complaints all originated within the NHS and by Doctors whose primary training is those shoddy guidelines - the changes requested to her website were minimal and the judgements made by a panel of doctors with no expertise whatsoever in the field of ME - further that panel included a close associated of a complainant who should have recused himself.. The fact that you seem to agree with them does not change that fact. The type of article written by these two individuals even under the name 'rapid response' contributes to the ignorance and misinformation and their professional position added 'undue weight' to a personal opinion. While the BMJ/Lancet may be known to us as little better than the Sun, or daily Star newspapers (poor quality tabloids for those resident outside the UK), they remain a primary source of information for most GPs. This view regarding those publications is supported by a ruling against them from the press complaints commission vis-a-vis PACE. Anybody working in the field of ME has a special duty of care not to re-enforce negative stereotypes perpetrated against the people in their care. If a person treating black people described them as 'being ill due to laziness' we would call if 'discriminatory' and 'gross professional misconduct'. There is no reason why ME should be any different. In the case of ME forced activity, as usually praticed by the NHS is in fact negligent action. You may find it 'boring' to keep hearing the same justifiable anger, we find continuous neglect a great deal more 'boring'. I four example had three underlying medical conditions that collectively formed my 'ME' - it took me less than 2 weeks with severe mental dysfunction to work out what tests were needed, and less than two months to establish the follow up tests. All of this with no medical training. It took me more time to get a doctor to do the tests than it did to work out what was wrong - I was proven correct by those tests. The kind of nonsense we have been discussing here is why most GPs are so useless - it is they quality of information they are given. Equally I agree with @heaps that failure to consider the symptoms is why we don't move forwards, but I found that my GP glossed over my symptoms because of the very attitude that this kind of 'article' or 'rapid response' promotes. Our GPs are actively encouraged to ignore our symptoms: this is a failure of diagnosis 101 and highly unprofessional at best, negligent at worst.