"Got ME? Just SMILE!" - Media coverage of the SMILE trial…..

Large Donner

Senior Member
Messages
866
That's incredibly easy to fix, I can stop GP's time being used in this manner in one simple step.

Remove the designation "functional syndromes", assume people actually aren't delusional, figure out what's wrong with them, and treat them accordingly.

Result, no (0%) GP time used dealing with functional syndromes.

Increasing the amount of things classified as functional syndromes can only ever increase the amount of time GPs spend treating functional syndromes, the obvious solution is , stop it, now, and reverse the hostile takeover of medicine being attempted by BPS

People wont go to the doctor if the BPS crowd get broad based common symptoms of numerous diseases classified as functional or Bodily Distress Disorder. Hence no time taken up in GPs surgeries. Anyone who continues to report with symptoms will be sent to the fascist re education units for NLP.

You may even end up with a label of Pervasive Refusal Syndrome. It would be a scary prospect if it wasn't already happening NOW.
 
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Barry53

Senior Member
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2,391
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UK
St Esther is taking more risks; she's become emboldened by getting away with smearing her critics behind closed doors.
In my experience, it's what abusive people feel compelled to do when their normal tactic of manipulating everything from the shadows starts falling apart. They end up having no choice but to expose themselves more and more for what they really are, to more and more people who never realised what sort of people they are. They hide in the shadows to avoid risk (and letting others take their risks for them), but increasingly having to take on their own risks, as fewer and fewer others are duped into doing it for them.

I don't think she is feeling emboldened; I think she feels increasingly desperate, rattled and on the back foot.
 
Messages
60
A point I might make is that I know Esther pretty well because she was our registrar. My guess is that if anyone comes up with some immunology for ME she will say goodbye to BPS overnight and start measuring cytokines - which she is good at. There is something we call a 'fast-follower' in biomedical science.

I would welcome her renouncement of the BPS cult. I might even be able to forgive her were she ever to apologise. But I sincerely hope she would not be given the opportunity to remain within the field of ME/CFS research in any capacity.
 

TiredSam

The wise nematode hibernates
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Germany
That's incredibly easy to fix, I can offer a solution, for free, which would stop GP's time being used in this manner in one simple step.

Remove the designation "functional syndromes", assume people actually aren't delusional, figure out what's wrong with them, and treat them accordingly.

Result, no (0%) GP time used dealing with functional syndromes.

Increasing the amount of things classified as functional syndromes can only ever increase the amount of time GPs spend treating functional syndromes, the obvious solution is , stop it, now, and reverse the hostile takeover of medicine being attempted by BPS
Yep. They could just call it "stuff we don't understand and can't help with" instead of giving it a fancy label and blaming the patient.
 

Countrygirl

Senior Member
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5,670
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UK
JC fires another rocket at Esther.


https://jcoynester.wordpress.com/20...been-conducted-with-chronically-ill-children/

Unethical: Why Bristol University SMILE trial should not have been conducted with chronically ill children
September 28, 2017James C Coyneactivism, chronic fatigue syndrome, citizen scientist, clinical trials, ethics, evidence-based practice, human subjects, Informed consent, Lightning Process, ME/CFS, Uncategorized Tags: SMILE trial, Esther Crawley, Phil Parker, Lightning Process, University of Bristol, MAGENTA trial
If it should have been conducted at all, the first clinical trial of Lightning Process should not have been conducted with chronically ill children. Safety and efficacy had neither been established with adults, nor healthy children.

Phil Parker, developer of the trademarked, commercial Lightning Process package claims that is not a psychological treatment, but a physical one. He further claims its scientific basis is an amalgamation of neurolinguistic programming, osteopathy, and life coaching.

not-psychological.jpg
There is no plausible scientific mechanism by which Lightning Process would work. A small minority of vulnerable adult and child patients with chronic fatigue syndrome are drawn to the false claims of the health benefits lightning process, which the UK Advertising Standards Authority now forbids posting on the web. This is a truth-in-advertising-problem, not justification for launching a clinical trial.


Researching the Lightning Process is no more ethically and scientifically justified than researching Prince Charles’s claims that (organic) coffee enemas can slow progression of cancer. Yet, the logic is the same that has been used to justify the SMILE trial.

protecting-children-520x350.jpg
Pediatrician Esther Crawley should undergo remedial ethics training and I recommend an excellent source below.

No parents should consent to their children participating in clinical trials of Bristol University, until a transparent independent inquiry reports how and why the SMILE trial was approved.

A belated praise to the parents who stood up against Professor Esther Crawley and all her nastiness. She should apologize to you.

Required reading for Professor Crawley and relevant administrative staff of Bristol University
Ethical Conduct of Clinical Research Involving Children. Edited by Marilyn J. Field and Richard E. Behrman. 448 pp., illustrated. Washington, D.C., National Academies Press, 2004. $57. ISBN 0-309-09207-8

Although the price is listed as US$57. A free downloadable PDF is available here

No excuse, Professor Crawley, overcoming your being ethically challenged can start with some free reading.
 

Jonathan Edwards

"Gibberish"
Messages
5,256
Surely James must be wrong. Its only two days ago that this research was getting an honourable mention on the BBC.
We know the care which they take to preserve their reputation for fairness and accuracy.


Was that

the care which they take to preserve their reputation for fairness and accuracy.

or

the care which they take to preserve fairness and accuracy.

Different techniques might be involved.
 

ladycatlover

Senior Member
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203
Location
Liverpool, UK
if anyone comes up with some immunology for ME she will say goodbye to BPS overnight and start measuring cytokines - which she is good at. There is something we call a 'fast-follower' in biomedical science.

Who cares if she's good at measuring cytokines. She is untrustworthy and slippery as an eel over her research. I'm sure there are plenty of other people good at measuring cytokines without her dodgy history in ME research. I would never support any charity who supported her. Currently my (small) monetary support goes to MEA and ME Research UK. Need to update my Will soon, so will be adding a couple of not huge donations to that. Just wish I was a multi-millionaire so could donate more NOW :whistle: as well as on my death. :rolleyes: :eek:
 

Jonathan Edwards

"Gibberish"
Messages
5,256
Who cares if she's good at measuring cytokines. She is untrustworthy and slippery as an eel over her research. I'm sure there are plenty of other people good at measuring cytokines without her dodgy history in ME research. I would never support any charity who supported her. Currently my (small) monetary support goes to MEA and ME Research UK. Need to update my Will soon, so will be adding a couple of not huge donations to that. Just wish I was a multi-millionaire so could donate more NOW :whistle: as well as on my death. :rolleyes: :eek:

I don't disagree.

How about a not huge donation for the Biobank? That is where I would put my money.
 

ladycatlover

Senior Member
Messages
203
Location
Liverpool, UK
How about a not huge donation for the Biobank? That is where I would put my money.

I'm happy to do that too, thanks for the reminder. Though it would be really nice if some sort of cure or at least ongoing remedy was found before I snuff it! ;) Regret to say I'm not holding my breath. :cry: At 69, with 25 years of having ME, I kinda despair of any decent treatment arriving in my lifetime. At least I'll be able to die happy knowing I've done a tiny bit to help future patients. :):balloons::)
 

Cheshire

Senior Member
Messages
1,129
The SMILE Trial Lightning Process for Children with CFS: Results too good to be true?

A guest post by Dr. Keith Geraghty

The first and most obvious question is why did the SMILE trial take place? Trial lead Professor Esther Crawley, who runs an NHS paediatric CFS/ME clinic, says she undertook the trial after many of her patients and their parents asked about LP. Patients with CFS/ME often report a lack of support from doctors and health care providers and some turn to the internet seeking help; some are drawn to try alternative approaches, such as LP. But is that justification enough for spending over £160,000 on testing LP on children? I think not. Should we test every quack approach peddled online: herbs, crystals, spiritual healing – particularly when funding in CFS/ME research is so limited currently? There must also be a compelling scientific plausibility to justify a trial. Simply wanting to see if something helps, does not merit adequate justification.

https://www.coyneoftherealm.com/blo...children-with-cfs-results-too-good-to-be-true
 

Cheshire

Senior Member
Messages
1,129
Thinking critically about ME research
Evan Odell

The laziest kind of statistical research is that which relies solely on presenting the results of statistical tests, without making any meaningfull effort to critically interpret the results. Prima facie acceptance, without critical inquiry, leads to noise being misidentified as meaningful, to bad science and bad policy.

With that in mind, it is worth taking a look at an article by Crawley et al (2017) published on 20 September 2017 in Archives of Disease in Childhood , investigating the effectiveness of the Lightning Process for children with myalgic encephalitis (ME, also known as Chronic Fatigue Syndrome or CFS). Esther Crawley is something of a bugbear for many patients with ME/CFS, being a staunch proponent of the controversial PACE trial and related research,1 but I am less interested in her reputation or that of any other authors; the content of the study itself is the most important thing.

https://evanodell.com/blog/2017/10/03/thinking-critically-about-me-research/
 

Cheshire

Senior Member
Messages
1,129
Some really interresting things, coming from an outsider:

Nowhere do Crawley et al meaningfully consider the possibility of the placebo effect, or the effect of self selection by study participants, a strange oversight given that only 100 of the 310 eligible agreed to participate in the study.

Furthermore, a proper declaration of intervention effectiveness requires a strong explanatory underpinning. While it is true that LP has not been subject to a randomised control trial prior to now, its various component elements are, to put it politely, bullshit. Multiple flavours of pseudo-scientific nonsense can’t be combined into an effective medical intervention.

If I was feeling conspiratorial I would say it was an attempt to maintain the appearance of scientific respectability in psychological approaches to ME, as the scientific community abandons the psychological approach in favour of biomarker research and drug trials.
 
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