Petition: Opposing MEGA

charles shepherd

Senior Member
Messages
2,239
I did not realise that. Many thanks for your endeavours here.

I don't usually mention this but I developed ME (diagnosed by my late friend Dr Melvin Ramsay - and I do not meet Fukuda criteria for CFS) after an attack of chickenpox encephalitis

Caught chickenpox from one of my hospital patients

I have been severely ill (bed bound) in the very early stages, have personal experience of hostile doctors, dangerous management advice, benefits being withdrawn etc

So I do have personal experience of many of the horrible experiences that people refer to on a daily basis here on PR
 

charles shepherd

Senior Member
Messages
2,239
Like maybe .... a website.

I'm not an expert here but I suspect that setting this up using the tool that was used was a simple and quick way of enabling people to show their support and register an interest

Doesn't a website take rather more time (and some cost) to set up?

The MEGA study has not yet been funded and the CMRC does not fund research
 

snowathlete

Senior Member
Messages
5,374
Location
UK
Jo

On the one hand, people are complaining that researchers are not interacting with and explaining their research proposals to the ME/CFS patient community

On the other hand they are complaining when a group who planning a very complex and costly research proposal provide preliminary information on various aspects of the study at a research conference, invite the public to express support for what is being proposed, and agree to provide regular email information to anyone who says that they are supporting the aims of the research

You just can't win!

My bolding.

You've said it yourself @charles shepherd . The problem has been that when this started, the CMRC and MEGA didn't want feedback from patients if it was critical, you only wanted feedback so long as it expresses support for what those behind MEGA want to do.

What I find depressing is that you are repeatedly portraying patients negatively over MEGA. Which I think is especially ironic as you yourself have spoken out against people who dismiss patients concerns in this way. Here you are doing it yourself, seemingly because you're upset because patients disagree with you.

I find this whole narrative where patients are characterized as wanting to strangle MEGA at birth (which was a distasteful and inappropriate headline which the MEA ignored presumably because it only upset those who disagreed with you, I guess you felt that made it fair game!), kill it in its tracks, stop it at all costs etc. a rather extreme and misleading interpretation, as is the idea that we're against it because of psychiatry despite almost everyone I have seen over the last couple of weeks going to lengths to make it clear it is not about that. Also, labeling those in opposition as a vocal minority is just nonsense and it's also rather sad, especially given the history of that phrase.

Just to be clear - if White and Crawley were removed, I think I'd like MEGA to go ahead (although I'd still like more details before deciding).

I've said it before and i know many others share this view, i would like this study to proceed if the the appropriate changes are made. ( exclude White and Crawley, better patient selection )

I would like this study to proceed if the the appropriate changes are made. ( exclude White and Crawley, better patient selection, ie CCC )

I think these posts sums up how most people feel, but to say this is the first time you have seen people say this I think would be disingenuous. This viewpoint has been expressed over and over and over on PR and elsewhere in the last couple of weeks by so many people. It's impossible to miss. Patients do want an -omics study. We want to get behind the good researchers and offer support over the coming decade for them to do this work. I mean, come on, why the hell wouldn't patients want such research? Unless you have actually convinced yourself that patients are stupid? Patients are very good at supporting well-conceived studies and have been doing so enthusiastically forever where it has happened, including in the UK. I think most of the researchers outside the BPS crowd would confirm that.

I've noticed a pattern that those in support of MEGA are continually pointing out the good people involved, and I'm sure that's where you all feel most comfortable talking about MEGA, but this is missing the point entirely. No one has any problem with the good people involved, in fact they are the reason why there wasn't an immediate petition in opposition on day one, and why many people are waiting to see if changes are made before signing the petition in opposition because they want to support the good researchers involved if changes allow them to. But their involvement does not nullify the involvement of other people like White and Crawley, charities like AYME, nor the other problems, so I think listing the good people involved and expecting that to make the problems go away is just going to annoy people further. What patients want is for those in support of MEGA to engage on the actual issues and help resolve them, or at least discuss the difficulties in trying to achieve that (without blaming patients that it's all going to be their fault if they won't accept their involvement).

Wanting such a research study with good researchers involved does not mean anything goes and that patients should be seen (with their signatures) but not heard (no critics allowed, or rather, only criticism you feel able to resolve). We just don't want bad researchers involved who can't even carry out basic research without huge yet basic methodological flaws in their work, and have a track record of screwing patients over. We also want the study to be effective, meaning patient selection needs a rethink. I think this has been the majority view from day one and has been clearly expressed here on PR every single day, so I really cant fathom how you've reached your conclusions.

My hope is that those in support of MEGA, including yourself, would stop looking for negative ways to dismiss patients concerns and interpret them incorrectly because you don't like the viewpoint, and instead recognize that just because they disagree with your approach to push ahead with MEGA no matter the problems, does not mean they are your enemy (I know you haven't used that phrase, but the things you've been saying lately suggests this is how you are seeing it); they are not out to kill MEGA, the majority are waiting to get behind it, and wanting to, but for that to happen their concerns have to be taken seriously and addressed appropriately.
 

snowathlete

Senior Member
Messages
5,374
Location
UK
I'm going to go to bed and dream that when I wake up White and Crawley have resigned from the study, AYME follow their adviser's lead and withdraw, the diagnostic criteria are amended to make the study more likely to work out well and as a result all patients show their support for the study by signing the MEGA petition and within days we're up at 25,000+ signatures and patients continue to support it throughout the whole process turning it into a positive experience for all. The study gets funding, and we all live happily ever after.
 

trishrhymes

Senior Member
Messages
2,158
.....

Regarding the petition in support of the MEGA study:

Firstly, I don't think that petition is really a good word to be using here - as it is not being used in the normal sense of a petition. But it may be that there was no other internet tool that could be used instead.

It is simply a way of registering support for a major new piece of research that will involve a large number of people with ME/CFS

To co-incide with a number of presentations on the Big Data study at the CMRC conference in September the planning group decided to engage with the public by giving them an opportunity to say that they supported the study if they wished to do so

This would then be followed by regular email updates on the study, Question and Answer sessions, and blogs by different members of the research group (Chris Ponting has done the first one) to anyone who signed in support

I find this very puzzling. Are you saying that only people willing to sign a petition giving unconditional support to MEGA are eligible to get the updates on its progress. This seems a bizarre way for serious science to proceed. Why not simply invite people interested in being updated on the proposal to sign up to receive updates? Why tie it to a petition?

Maybe if I could get some sleep it might make sense....

:ill::bang-head::sluggish:

Edit:. I've just gone back to reread the petition. It states clearly that it's purpose is to show funders that the project has patient support. It makes this it absolutely clear. It is a petition. It is not just a way of developing a mailing list for updates etc.
 
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Aurator

Senior Member
Messages
625
What doesn't seem to have been discussed in any detail is how achievable a goal it is to prevail upon the controversial researcher/s to actually step down. It looks like this would resolve a major impasse at a stroke, and yet from the sound of things it seems like getting the researcher/s to actually step down is not even negotiable.

Why is this? Is there a fear in certain quarters that giving in to patient pressure on matters that are not normally the business of patients would set a dangerous precedent?

Just to be clear, the purpose of this post is not to say that the controversial researcher/s should go; that's axiomatic. Its purpose is to ask whether such a concession is something the study's organisers can be prevailed upon to grant, and if not why not? Even when looked at entirely objectively, it seems like the only sensible solution.
 

CFS_for_19_years

Hoarder of biscuits
Messages
2,396
Location
USA
I take your point

But out in the real world we have a situation where Professor Stephen Holgate (who is a really decent doc who genuinely wants to help people with ME/CFS) has undoubtedly spent a great deal of time and effort bringing together a group of top research scientists in various branches of -omics etc, organised meetings and a workshop etc,and formed a MEGA planning group - where they will discuss and develop a protocol, and will (in theory) then spend further time preparing a research grant application

If Stephen then goes back to these researchers and says -

Sorry, this has all been a complete waste of time over the past year

The ME patient community does not like the MEGA study because it involves Dr X, or the protocol you have developed is not going to work, then I think it's highly likely that they will quickly depart for other diseases and be very reluctant to take any further interest in getting involved with an ME/CFS research study
If Holgate really wants to help patients, lets see if he has the balls to do the following:

1. Ask Crawley for her letter of resignation from the project. Or failing that, he could dismiss her.
2. State that White will have no part in this study.
3. Redefine the patient cohort so that it does not depend on NHS clinic patient lists, and take whatever steps necessary to include severely affected housebound/bedbound patients.
 
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trishrhymes

Senior Member
Messages
2,158
If Holgate really wants to help patients, lets see if he has the balls to do the following:

1. Ask Crawley for her letter of resignation from the project. Or failing that, he could dismiss her.
2. State that White will have no part in this study.
3. Redefine the patient cohort so that it does not depend on NHS clinic patient lists, and take whatever steps necessary to include severely affected housebound/bedbound patients.

I have no way of knowing whether the fact that Prof Holgate asked Wessley for advice on who to include in the study as ME CFS experts was an error based on ignorance of the history of the BPS model of ME and the bad research practices of its proponents, or in full knowledge and support of their ideas.

It would be unfair to blame him if the only version of the story he knows is the one they have told him. He may think he is acting in our interests by involving these self styled experts and the patient groups they have in their pockets.

Does anyone know whether he's aware of the truth? And if he's not, how can we enlighten him? Only then will it be fair to talk of whether he has the 'balls' to act to cleanse MEGA of all BPS influence.

Which brings me back full circle to the question - what can we do to enlighten Holgate and the other scientists? I'm out of touch with the letter writing group having withdrawn from these discussions for a while. Any information? There are so many threads, I haven't the energy or concentration to read them all.
 

trishrhymes

Senior Member
Messages
2,158
What doesn't seem to have been discussed in any detail is how achievable a goal it is to prevail upon the controversial researcher/s to actually step down. It looks like this would resolve a major impasse at a stroke, and yet from the sound of things it seems like getting the researcher/s to actually step down is not even negotiable.

Why is this? Is there a fear in certain quarters that giving in to patient pressure on matters that are not normally the business of patients would set a dangerous precedent?

Just to be clear, the purpose of this post is not to say that the controversial researcher/s should go; that's axiomatic. Its purpose is to ask whether such a concession is something the study's organisers can be prevailed upon to grant, and if not why not? Even when looked at entirely objectively, it seems like the only sensible solution.

I can't see the BPS proponents voluntarily relinquishing their role in MEGA, and it would be extremely unpleasant for the scientists to try to oust them.

My fantasy solution is for MEGA to be closed down and all the real scientists to shift seamlessly across into a new group that includes genuine ME experts as its advisers, perhaps under the umbrella of Invest in ME in conjunction with the ME biobank and genuine patient representation through such groups as PR, MEA and Tymes, and with strong links to international researchers, perhaps even making it a joint project with research groups in Norway, USA, Australia etc who have proved themselves.

Don't wake me up yet, I've lost too much sleep over this already. Let me enjoy my dream....
 
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charles shepherd

Senior Member
Messages
2,239
I find this very puzzling. Are you saying that only people willing to sign a petition giving unconditional support to MEGA are eligible to get the updates on its progress. This seems a bizarre way for serious science to proceed. Why not simply invite people interested in being updated on the proposal to sign up to receive updates? Why tie it to a petition?

Maybe if I could get some sleep it might make sense....

:ill::bang-head::sluggish:

Edit:. I've just gone back to reread the petition. It states clearly that it's purpose is to show funders that the project has patient support. It makes this it absolutely clear. It is a petition. It is not just a way of developing a mailing list for updates etc.


The updates, Qs and As, blog posts etc are all there in the public domain for anyone to see and there is a facility to comment as well

The petition to indicate support for the study included an option to be notified by email when these updates, Qs and As, blogs on the study etc were being published
 

trishrhymes

Senior Member
Messages
2,158
The updates, Qs and As, blog posts etc are all there in the public domain for anyone to see and there is a facility to comment as well

The petition to indicate support for the study included an option to be notified by email when these updates, Qs and As, blogs on the study etc were being published

Thanks for replying so promptly @charles shepherd. I'm sorry to be thick, I'm half asleep having stayed awake half the night worrying about this whole mess. I've just looked again at the petition. It is headed 'Pledge your support' and there is only one place I can see to click to sign up, and that is to sign up to pledge unconditional support of the project. I can't see anywhere else to sign up for the e-mails.

I take your point that the discussion is open for anyone to see, but this requires actively remembering to look up the petition site to see if there's anything new if one isn't in the loop getting the e-mails. And I have no way of knowing whether the e-mails contain other information only available to supporters. Or am I getting paranoid???
 
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charles shepherd

Senior Member
Messages
2,239
The updates, Qs and As, blog posts etc are all there in the public domain for anyone to see and there is a facility to comment as well

The petition to indicate support for the study included an option to be notified by email when these updates, Qs and As, blogs on the study etc were being published

Reply from one of our members to the same question on the MEA Facebook page:

Thanks for this
There is a very useful discussion going on here with Chris Ponting so it seems possible to follow all the updates without actually signing the petition

I must now move on to other work but will have another look at this PR discussion later in the day
 

trishrhymes

Senior Member
Messages
2,158
I've just looked back and see I've made 3 comments in quick succession. I apologise @charles shepherd if you feel you are being put in the position of defending a project that I know you have some disquiet about too. I suspect you wish I'd go away and stop nitpicking and leave you to get on with your quiet diplomacy. For the sake of my health (and yours) I am going to step back from this discussion for now. I'm in danger of just repeating myself. I'm posting this here now to force myself to stand by that resolution!
 

eafw

Senior Member
Messages
936
Location
UK
I'm not an expert here but I suspect that setting this up using the tool that was used was a simple and quick way of enabling people to show their support and register an interest

Doesn't a website take rather more time (and some cost) to set up?

The MEGA study has not yet been funded and the CMRC does not fund research

The updates, Qs and As, blog posts etc are all there in the public domain for anyone to see and there is a facility to comment as well

The petition sites are quick and easy, but have problems. For instance on change.org it seems that you are tied to facebook if you want to comment. That is not good enough and excludes too many people (as well as being intrusive).

It does take more effort to set up a functional website, but surely this is the job of the CMRC or MEGA preliminarly group organisers ? Their communication and pr has been very poor.

I'm out of touch with the letter writing group having withdrawn from these discussions for a while. Any information?

It's almost written, we have a solid draft that hopefully reflects the main concerns. Should see light of day later this week.
 

Hutan

Senior Member
Messages
1,099
Location
New Zealand
It would be unfair to blame him if the only version of the story he knows is the one they have told him.

You are too kind.

Prof Holgate leads the CMRC and so he should have read the PACE papers at least and some of Crawley's research papers too. And any moderately intelligent person should be able to spot the multiple errors, let alone someone who works in academia and has attained the status of professor.

But, let's kindly assume that somehow he has been busy on other things and hadn't read all those papers. Given his role and the power he has over ME/CFS research, he must surely have had sufficient curiosity to read the Tuller blogs and find out what that vexatious vocal minority (oh, and those 42 esteemed academics etc) had been on about. And the blog with the reanalysis of the PACE data using the original protocol.

And so, even if all the problems with PACE and the fact that CBT and GET did not actually objectively help people with CFS had somehow slipped passed him until then, it has now all been carefully laid out for him. So then, there really is no excuse whatsoever for him to allow White to remain in the CMRC or to allow him to retain any sort of role in the MEGA project. Or to allow other researchers still committed to promoting CBT and GET as treatments and unable to spot glaring errors in research to be involved either.

Does anyone know whether he's aware of the truth? And if he's not, how can we enlighten him? Only then will it be fair to talk of whether he has the 'balls' to act to cleanse MEGA of all BPS influence.

Think of someone who is told by their parents that Santa Claus exists. It's ok for them to believe their parents at age 6. But when that person is 40 years old and all manner of people have explained to him that Santa Claus can't actually come down millions of chimneys and ride in a non-aerodynamic sleigh pulled by reindeer around the world in one night... and the physics that makes all that infeasible has been set out .... and the history of how the myth of Santa Claus came into being has been written... And when that person has spotted their parents at midnight eating the biscuits and drinking the port that was left out for Santa's snack on Christmas Eve... and yet they still say that Santa Claus exists, well, you have to draw some conclusions about that person that aren't flattering.

Professor Holgate has had plenty of opportunities to understand why people with ME are opposed to White and Crawley having any input into further research about ME/CFS. Perhaps he may yet see the light, but us people with ME reiterating all the reasons for our opposition isn't going to do it.

Ok, I'm no doubt veering into vexatious territory here. But I find this whole thing somewhat amazing. It's my bedtime here and tomorrow I'll try to follow @trishrhymes lead and get on with something else.

Fingers crossed for quiet diplomacy.
 

slysaint

Senior Member
Messages
2,125
This viewpoint has been expressed over and over and over on PR and elsewhere in the last couple of weeks by so many people. It's impossible to miss
.......and over and over and over; read the comments on the MEGA petition, the OMEGA petition, the stop-GET petition, not to mention the numerous threads on PR (ie not just this one), Facebook and Twitter postings, and if the CMRC had a website it would be all over the comments section there too.

I can't believe anyone could have not 'noticed' :bang-head::bang-head::bang-head:
 

Artstu

Senior Member
Messages
279
Location
UK
I can't believe anyone could have not 'noticed' :bang-head::bang-head::bang-head:

Did someone say something :whistle:

head-in-sand.png
 

Cinders66

Senior Member
Messages
494
For me yes I have issues with ECs involvement, especially as within the CMRC she seems to be quite a dominent figure, something always contentious with ME patients but we were told that was just how it had to be and we don't like how she does lumping fatigue research and misrepresents that as ME to the press and drs.

I also share concerns around patient criteria, - for which there mixed messages -, selection and fair representation

I do also have concernns as to what extent this is a biomarker searching study (welcome), a subgrouping research study (welcome but certainly not enough of a contribution from uk which I think MRC, Holgate think it is) and to what extent it's going to include lots of undiagnosed fatigue or people who'd only get a CFS diagnosis in the UK so the establishment can do ANOTHER fatigue study under the guise of CFS/ME and validate their long held assertion that CFS/ME simply can't be subgrouped or ME recognised until this research is done. If funds are finite, is it going to be a breadth or depth study? I don't see USA, Australia etc concerned about proving CCC ME isn't the same as undiagnosed fatigue or saying NICE type umbrellas must reign for years ahead until biomarkers PROVE PEM and symptom burden are legitimate distinguishing factors

I need a lot of information BEFORE I sign any petition or take any poll. There's not enough info yet. Hopefully the MEGA boards can take on board patient concerns and formulate a protocol quickly.
 
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