Dr. Steven Novella

speaker
11,445 appearances 18 recordings 2 series first heard Mar 2026 last heard 2d ago

Dr. Steven Novella’s voice in public audio — every appearance, attributed to the second.

Trend

recordings per month · last 12 months
5 · Aug OctJan 26AprJulnow

Recordings per month over the last 12 months — 18 in all, peaking in Aug 2026 with 5.

Appearances

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as opposed to just all chronic illness, or maybe some of the symptoms of chronic fatigue, but not the cause of chronic fatigue. voice-verified
So many questions. voice-verified
But then at the end of the day, then at the end of the day, and this is something that I learned just over the course of my career, like one of the... voice-verified
pearls of wisdom that you get with experience that I teach to students and fellows is that when we first start to understand a disease, we're looking for ways to say, like, who has the diagnosis, right? voice-verified
Who qualifies for having the diagnosis of chronic fatigue syndrome? voice-verified
But then once our knowledge of that disease and especially how to treat it matures, then voice-verified
then the question shifts to who should get treated and with what. voice-verified
And that's the only thing that really matters. voice-verified
Or that's the thing that matters the most, not the only thing that matters. voice-verified
But that overshadows the question of who gets the label. voice-verified
Who gets the label is only a marker for these other questions. voice-verified
What's the prognosis? voice-verified
What's the treatment? voice-verified
What are any other comorbidities or other concerns that we have to worry about, etc., etc. voice-verified
? voice-verified
But the thing, of course, most people are interested in is who gets what treatment and does it work. voice-verified
So if this – and that will be the ultimate test if this is a marker of anything is does it predict anything useful clinically? voice-verified
If all it predicts is who we label as having chronic fatigue syndrome, who cares? voice-verified
That doesn't help us. voice-verified
Right, it's not getting us any closer. voice-verified
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