Hey #spoonies I’ve got a diagnosis of #CFS aka #MyalgicEncephalomyelitis and was recently prescribed #naltrexone for off-label, micro-dose use in treating chronic pain. Working my way up to a dose of <10% of regular use, starting at 1 mL in solution. Just moved up to 1.5 after taking an extra week on the initial dose b/c of sleep disruption, and now I’ve got that plus all-over body aches, headache, and sore throat. Anyone else willing to share experiences?
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May is Myalgic Encephalomyelitis (ME) Awareness Month.
You can help by sharing and/or liking this video. It is 3 minutes 5 seconds long.
https://www.youtube.com/watch?v=TGIo1v7KVJQ
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This film will give you an introduction to PEM (Post Exertional Malaise).
Once you've understood what PEM is about, you'll know a lot more about the debilitating chronic disease ME (Myalgic Encephalomyelitis).
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Day #2
#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #MyalgicE #PwME #MEeps #CFSME @mecfs @cfs
Trial by Error by David Tuller: Why Are Exercise Studies for #LongCovid Still Failing to Address post-exertional malaise [PEM] Adequately?
Tuller writes about a confusion among some researchers concerning what PEM is. When it comes to exercise studies, he writes: No "exercise reporting template" for long Covid is acceptable if it fails to include a recommendation of rigorous pre-screening for PEM/PESE.
https://bit.ly/3m22EcE
@longcovid #mecfs #cfs #PostCovid #PostCovid19 #pwme #pwlc
If there is one thing I'd like doctors all over the world to learn about ME/CFS (and some percentage of Long Covid cases) it's that exercise can cause harm.
Quote from article:
"Although it seems counter-intuitive that exercise … can cause harm, researchers have confirmed some of the physical effects of PEM through controlled studies."
#LongCovid symptom management
"Advocates say a trial of exercise as a treatment for long COVID, proposed by the US National Institutes of Health (NIH), could harm participants. A large proportion of people with long COVID, which affects up to 23 million people in the United States, experience post-exertional malaise — a worsening of symptoms such as fatigue, difficulty regulating body temperature and cognitive dysfunction — after even light exercise."
Long COVID exercise trials proposed by NIH raise alarm. https://www.nature.com/articles/d41586-023-00900-w
I know the trials haven't opened and the protocols haven't had final sign off, but trialling exercise therapy for long-COVID sounds like a bad idea, not just for the patients involved, but also for the waste of funds and the impression it gives to the wider long-COVID and research communities.
#NewZealand (Aotearoa):
Post-Viral Research Aotearoa
Founded in 2022. Lead researcher immunologist @DrAnnaNZ
Crowd-Funded Research into #LongCovid, ME/#CFS & Other Post-Viral Illnesses
Hosted at Univ of Auckland
Best of luck 👍
@mecfs @cfs @longcovid
Happy St Patrick's Day! 💚 ☘️
The Emerald Isle as seen from the International Space Station:
photo courtesy NASA
“Trial By Error: GET/CBT Ideologues Revive 1991 Oxford Criteria as Core Definition for #LongCovid Research” (12 March 2023) by Dr David Tuller
https://www.virology.ws/2023/03/12/
“When it comes to “post-infective fatigue syndrome,” the GET/CBT ideologues already had their big chance to prove their case. It was called the PACE trial, and it bombed. Enough already.”
@longcovid @mecfs @cfs #myalgicencephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwLC #PwME #CFSME
Why returning to work (or any activity) post Long Covid needs to be slow and careful. https://www.ft.com/content/fb77b3ef-0ad6-4bc6-a44b-fd6e0bdfe846?shareType=nongift
New from Moreau team in Canada:
"Circulating microRNA expression signatures accurately discriminate #myalgicencephalomyelitis from #fibromyalgia and comorbid conditions"
Free:
https://www.nature.com/articles/s41598-023-28955-9
"The results of this study demonstrate that ME/#CFS & #FM are two distinct illnesses"
This suggests the DSQ questionnaire might be useful for long covid but I don't think it adds anything in terms of differences in recovery between long covid and CFS/ME:
"There was an expected difference for time since diagnosis, as the majority of PASC [long covid] patients had been diagnosed in the past year... 71 (51%) patients with ME/CFS had been sick for >4 years."
I imagine long-covid lasting a number of years would also be unlikely to improve significantly over a further 12 months.
#Gratitude Day 22
#Today I’m grateful for resilience.
Resilience isn’t sexy. There are no great outcomes, and no prizes for resilience. Resilience doesn’t mean being okay all the time. I love that one definition of resilience is the ability of a substance or object to spring back into shape. Allowing yourself to fall apart and not cope is part of resilience too. Giving yourself that space and trusting that you will come out the other side. #mecfs
What are you grateful for today?
This from @SivaAnandaciva@twitter.com is worth repeating from this piece by @Ben_Spencer@twitter.com which looked in-depth at charging in Ireland and why it isn't the best of ideas: https://www.thetimes.co.uk/article/nhs-charge-fee-reform-patients-pay-gp-health-service-uk-zknv7l0ff
It was an absolute pleasure speaking with Prof Chris Ponting & Andy Devereux-Cooke about @DecodeMEstudy@twitter.com
Full episode wherever you get your podcasts, at http://www.LongCovidPodcast.com
or direct link: https://www.buzzsprout.com/1835170/11825155
Emeritus Professor Warren Talks gives a talk at the ANZMES 42nd Annual General Meeting on Saturday 19th November 2022 about his latest research into ME/CFS and #LongCovid
https://www.youtube.com/watch?v=weQ0kK0Fgrs
@longcovid @mecfs #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #MyalgicE #PwME
The struggle to live a normal life with long Covid
https://www.theguardian.com/society/2023/jan/05/the-struggle-to-live-a-normal-life-with-long-covid?CMP=Share_AndroidApp_Other
ME/CFS x 10 yrs. Oncology doctor.
Battery half empty, glass half full