Thank you but it seems only those in the UK can access this resource?

Terrific- thank you very much!

Leslie Rickey A. Lenore Ackerman, MD PhD Elizabeth R. Mueller Linda Brubaker This is a new low in the failure to LISTEN to patients. It’s not complicated. Negative cultures are meaningless. Wake up!

Leslie Rickey A. Lenore Ackerman, MD PhD Elizabeth R. Mueller Linda Brubaker What is this nonsense!? UTI-‘like’ symptoms? Because it IS a UTI. There is so much evidence of bacteria becoming embedded and intercellular WHY IS IT STILL BEING IGNORED

Leslie Rickey A. Lenore Ackerman, MD PhD Elizabeth R. Mueller Linda Brubaker What on earth is UTILS? Is this yet another categorisation to hide away that uncomfortable cohort of patients who demonstrate disease variation? Standard clinical cultures are fatally flawed. See Prof JML’s Cystitis Unmasked anyone thinking this is some new legit diagnosis.

The fallacy of ignoring the base rate applies before we consider the incompetence of the test itself. Even if the culture was 95% sensitive and 95% specific (it is much worse) the base rate would make the probability that a negative test was false overwhelming high.

‘Go tell those old men, safe in bed, We took their orders and are dead.’ Inscription For A War, AD Hope