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.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 18 in all, peaking in Aug 2026 with 5.
Appearances
as opposed to just all chronic illness, or maybe some of the symptoms of chronic fatigue, but not the cause of chronic fatigue.
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So many questions.
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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...
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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?
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Who qualifies for having the diagnosis of chronic fatigue syndrome?
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But then once our knowledge of that disease and especially how to treat it matures, then
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then the question shifts to who should get treated and with what.
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And that's the only thing that really matters.
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Or that's the thing that matters the most, not the only thing that matters.
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But that overshadows the question of who gets the label.
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Who gets the label is only a marker for these other questions.
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What's the prognosis?
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What's the treatment?
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What are any other comorbidities or other concerns that we have to worry about, etc., etc.
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But the thing, of course, most people are interested in is who gets what treatment and does it work.
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So if this – and that will be the ultimate test if this is a marker of anything is does it predict anything useful clinically?
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If all it predicts is who we label as having chronic fatigue syndrome, who cares?
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That doesn't help us.
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Right, it's not getting us any closer.
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Showing 521–540 of 11,445 · page 27 of 573
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