Discover and read the best of Twitter Threads about #2dayCPET
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@postersandme @keithgeraghty Energy management is Activity Management rebranded as Pacing #MEinterventions
Note analeptic anaerobic energy management by @4Workwell is not mentioned by name or pacing .
Nor is #2dayCPET mentioned in identifying PEM in making diagnosis and contraindicated aerobic exertion
Note analeptic anaerobic energy management by @4Workwell is not mentioned by name or pacing .
Nor is #2dayCPET mentioned in identifying PEM in making diagnosis and contraindicated aerobic exertion
@postersandme @keithgeraghty @4Workwell #MECFS NICE guide update rebranded Activity Management ( recommended in the previous guideline due to similarities with GET and includes all activity types & had no definition or evidence bace ) , as “Energy Management” .Claiming it achieves stabilisation & Activity tolerance ! 
@postersandme @keithgeraghty @4Workwell They been providing “activity management” already at specialist behavioural services
Maybe they created a stink pausing the publication so that patients demand it’s published,to show that patients support the guideline ?
There should be a round table as this is just rebranding
Maybe they created a stink pausing the publication so that patients demand it’s published,to show that patients support the guideline ?
There should be a round table as this is just rebranding
NICE MECFS replacement guideline doesn’t mention objective post exertional malaise . Uses setbacks & relapses again as in 2007 guide
It mentions post exertional symptom exasperation instead in severe section
& mentions fear of relapse or post exertional symptom exacerbation
It mentions post exertional symptom exasperation instead in severe section
& mentions fear of relapse or post exertional symptom exacerbation
NICE MECFS guide context section started MECFS is a multisystemic disease .
No mention aerobic activity rehabilitation is contraindicated
It says GET and it’s evidence bace is “controversial” and further research being done and another update
No mention aerobic activity rehabilitation is contraindicated
It says GET and it’s evidence bace is “controversial” and further research being done and another update
The context section says no Brain inflammation
Post exertional symptom exasperation (used for PEM) defined in terminology list as being days weeks long .Not months years
No mention objective not subjective symptom proven via two day cpet test & of impaired energy metabolism
Post exertional symptom exasperation (used for PEM) defined in terminology list as being days weeks long .Not months years
No mention objective not subjective symptom proven via two day cpet test & of impaired energy metabolism
