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Notes by Tom Kindlon | export

 I've just set up an account on #Bluesky tomkindlon.bluesky.social https://bsky.app/profile/tomkindlon.bsky.social

I intend to post similar posts there to those I post here

My other social media channels can be found here: 
https://me-pedia.org/wiki/Tom_Kindlon#Online_presence

@4183a04c
#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME
@3a447f2a
#LongCovid #PwLC #postcovid  #postcovid19 #LC  
@3567457b
@04c95879

https://assets.disabled.social/media_attachments/files/111/149/213/253/558/660/original/acf14628b631b1e0.png 
 Given my earlier work on the reporting of harms https://www.researchgate.net/profile/Tom-Kindlon/research I was informed of an upcoming special issue of Trials on assessing #harms in clinical trials, "The collection, analysis and reporting of adverse events in randomised controlled trials"

https://www.biomedcentral.com/collections/CART

These days I focus on @b2811c76 but perhaps of interest to somebody. With all the exercise and all #LongCovid trials, it remains important

#MECFS #adverseevents

https://assets.disabled.social/media_attachments/files/111/148/575/605/739/657/original/4efd5c67c5225c96.png 
 Anyone know of any stories of people with #LongCovid who were made worse by the Lightning Process? A journalist is looking at this issue. I shared with them some stories of people with ME/CFS in this scenario

@3a447f2a
#LongCovid #PwLC #postcovid  #postcovid19 #LC 
 2/

This journalist has also now told me they would be interested in hearing of people with #LongCovid made worse by other programs that are somewhat similar e.g. Gupta. I talked to them for 20 minutes yesterday. An interesting & important project

@3a447f2a @4183a04c #PwLC #postcovid  #postcovid19 #LC  #Covidlonghaulers #PostCovidSyndrome #longhaulers #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE 
 New from Germany:
Atopy & Elevation of IgE, IgG3, & IgG4 May Be Risk Factors for #PostCOVID19 Condition in Children & Adolescents

https://www.mdpi.com/2227-9067/10/10/1598

"We observed elevated IgE levels regardless of disease severity. Concurrent #MECFS was found in 29% of patients that also faced challenges in school attendance. ME/ #CFS manifestation was significantly associated with elevated immunoglobulin G subclasses IgG3 & IgG4"

#LongCovidKids @84216450 @4183a04c @3a447f2a
#LongCovid #PwLC #postcovid  #LC

https://assets.disabled.social/media_attachments/files/111/143/510/877/710/013/original/78ae438bcd37897d.png 
 Solve M.E. Patient and Caregiver Resource Guide: Post Exertional Malaise (PEM) and Rest

https://solvecfs.org/wp-content/uploads/2021/09/PEM-REST-Combined.pdf

A shorter version of this was in their latest e-newsletter
https://solvecfs.org/wp-content/uploads/2023/09/Solve-Summer-2023-Digital-Resources-Chronicle.pdf

@4183a04c
#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE @3a447f2a
#LongCovid #PwLC

https://assets.disabled.social/media_attachments/files/111/142/436/299/808/338/original/c293e2b1b692f14c.png 
 NIH summary of recent paper:

“Prior infection with a common cold virus may predispose some people to develop Long #COVID after exposure to the #SARSCoV2 virus. The findings point to a potential marker that could help identify people at high risk of developing #LongCOVID”
(…) This “recall” response to OC43 leads to an inefficient overall response to SARS-CoV-2”

https://tinyurl.com/3v2fth4x

@3a447f2a #PwLC #PASC #LC #postcovid  
#COVIDー19 #COVID19 #COVID_19 #novid #CovidIsNotOver 
 StudyME (Please!) The Open Medicine Foundation’s Project to Accelerate ME/ #CFS, #FM & #LongCOVID Research

https://www.healthrising.org/blog/2023/09/23/study-me-open-medicine-foundation/

"I know of at least two #MECFS studies that failed to get completed because they failed to find enough participants. That’s a horrible thing to have happen in a field that needs every research dollar it can get its hands on."

@4183a04c #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #PwME @3a447f2a
#PwLC #postcovid @0ad4723d
#Fibromyalgia #Fibro #FMS

https://assets.disabled.social/media_attachments/files/111/137/297/370/492/106/original/89f9c94e8baf3acd.png 
 Sharing with permission, a message by Dr. Hwang (via @745a3e1d )

Dr Hwang was lead author of WASF3 disrupts mitochondrial respiration and may mediate exercise intolerance in myalgic encephalomyelitis/chronic fatigue syndrome

https://www.s4me.info/threads/wasf3-disrupts-mitochondrial-respiration-and-may-mediate-exercise-intolerance-in-myalgic-encephalomyelitis-chronic-fatigue-syndrome-2023-hwang-et-al.34776/page-11#post-495760

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #CFSME @4183a04c

https://assets.disabled.social/media_attachments/files/111/133/071/457/356/104/original/1266a59cd8ba324d.png 
 Long-term health outcomes of Q-fever fatigue syndrome patients

Free fulltext:
https://www.cambridge.org/core/journals/epidemiology-and-infection/article/longterm-health-outcomes-of-qfever-fatigue-syndrome-patients/99B3D80E172A66619C216506E020BB02

"many experienced post-exertional malaise complaints (98.9%)...This is line with...other patient populations that experience long-term sequelae of infectious diseases"

@4183a04c

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE

https://assets.disabled.social/media_attachments/files/111/131/245/431/668/749/original/fd29fbc70fabe931.png 
 Recovery Position Statement 

This 2-page document seems to me to be a fair overview of the topic, though will likely be disappointing for people unaware of some of the research.

https://www.emerge.org.au/recovery-position-statement/

@4183a04c

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #CFSME #MEeps

https://assets.disabled.social/media_attachments/files/111/086/866/051/193/540/original/13c2d1b098d5c7d6.png 
 From: DecodeME the ME/CFS Study @DecodeMEstudy

DecodeME Recruitment is closing on November 15 at 5pm. Sign up and complete the questionnaire by this date to be a participant. 

There will be time after this to provide your saliva sample

Sign up: https://shorturl.at/dklxS

@4183a04c

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #CFSME #MEeps #CFIDS #SEID #NeuroME #ME #MyE #millionsmissing

https://assets.disabled.social/media_attachments/files/111/086/059/372/931/234/original/30cd5a34d0ce0b5e.webp 
 🧵
“Post-Acute Sequelae of #SARSCoV2: More Than Deconditioning” Commentary.

Free
https://journal.chestnet.org/article/S0012-3692%2823%2900357-4/fulltext

“While deconditioning is commonly suggested to cause impaired systemic [oxygen extraction], this does not cause the degree of impairment observed in the aforementioned invasive CPET study. (contd)”

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 

1/ 
 2/

“Bedrest studies demonstrate only a mild impairment of systemic EO2 with deconditioning. Potential causes of impaired systemic EO2 include mitochondrial dysfunction and peripheral macroscopic or microscopic left-to-right shunts.”

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid 
 Digital holo-tomographic 3D maps of #COVID19 #microclots in blood to assess disease severity

Free:
https://tinyurl.com/4kkrs76s

“fewer microclots and platelet aggregates were detected in the plasma of healthy controls when compared to #COVID-19 donors”

#teamclots @3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 

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 2/

“Our findings highlight that label-free high-throughput microscopy can be used as a point-of-care technique to visualize and quantify the presence of microclots directly in plasma without the need for complicated sample preparation techniques.”

#microclots #TeamClots 
 Proximal immune-epithelial progenitor interactions drive chronic tissue sequelae post #COVID19

Free:
https://www.biorxiv.org/content/10.1101/2023.09.13.557622v1

“we utilized a cohort of respiratory PASC patients with viral infection-mediated pulmonary fibrosis & a clinically relevant mouse model of post-viral lung sequelae to investigate the pathophysiology of respiratory #PASC”

@3a447f2a
#LongCovid #PwLC #LC  #postcovid  @166d98f6 #COVIDー19 #COVID #COVID_19 #SARSCoV2

1/ 
 2/

“Together, our findings implicate a dysregulated immune-epithelial progenitor niche in driving respiratory PASC and identify potential therapeutic targets to dampen chronic pulmonary sequelae post respiratory viral infections including SARS-CoV-2.”

@longcovid
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @covid @covid19 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 
 #SARSCoV2 infection induces a long-lived pro-inflammatory transcriptional profile

Free:
https://tinyurl.com/269v3b43

“We discovered that SARS-CoV-2 infection leads to a prolonged alteration of the gene expression profile of circulating T, B and NK cells and monocytes”

@3a447f2a #LongCovid #PwLC #PostCovidSyndrome #LC #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 @e3942352 #novid #CovidIsNotOver 
 Plasma proteomics show altered inflammatory and mitochondrial proteins in patients with neurologic symptoms of post-acute sequelae of #SARSCoV2 infection

https://tinyurl.com/4nxyye9y

One of the authors Dr Klausner on the 🐦 site:
“Our collaborative work on what causes #LongCovid suggests damage to the mitochondria & immune system underly persistent #brainfog”

@3a447f2a
#PwLC #PostCovidSyndrome #LC  #postcovid  @e774e44d #COVIDー19 #COVID19 #COVID #COVID_19 #novid 

1/ 
 2/

“… we discovered a correlation between [neuro-#PASC] patient’s lower subjective impression of recovery to pre-#COVID19 baseline with an increase in the concentration of the oxidative phosphorylation protein COX7A1, which was also associated with neurologic symptoms & fatigue, as well as impairment in QoL & cognitive dysfunction”

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID #COVID_19 #SARSCoV2 #novid 
 2/

“Together, our findings implicate a dysregulated immune-epithelial progenitor niche in driving respiratory PASC and identify potential therapeutic targets to dampen chronic pulmonary sequelae post respiratory viral infections including SARS-CoV-2.”

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 
 NPR: Unraveling #LongCovid — Here's what scientists who study the illness want to find out

https://tinyurl.com/a8ravk5j

Researchers & patient advocates who participated at a long #COVID19 conference in USA last month share some findings & current hypotheses from the field. 

"All of those involved in research stress they don't expect just one answer to long #COVID. It's likely many of these theories about its underlying cause are interrelated”

@3a447f2a #PwLC #LC  #postcovid 
 Yale School of Medicine Post-Acute Infection Syndromes Will Be the Focus of New YSM Center

https://tinyurl.com/5d38ua2r

On the newly launched Center for Infection & Immunity (CII) at Yale created by Akiko Iwasaki, PhD, which will investigate ME together with #LongCOVID and #posttreatmentLymedisease

@4183a04c #MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome @3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid #longlyme #lyme 

1/ 
 2/

Dr. Iwasaki says: "Post-acute infection syndromes have historically been ignored. They've been going on for decades - or maybe hundreds of years - but we haven't been paying attention. Our center is uniquely positioned to tackle these diseases because of our building expertise from #LongCOVID and our many collaborations across different disciplines".

@4183a04c @3a447f2a #MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome 
 New Blood Test For #ChronicFatigueSyndrome Has 91% Accuracy

On the preliminary results from a study by Jiabao Xu et al on a blood cell-based test for ME/CFS. "The blood test differentiates between the properties of a type of blood cell called peripheral blood mononuclear cells (PBMCs) in people with an without ME/CFS, using a technique called Raman spectroscopy and an artificial intelligence (AI) tool"

https://tinyurl.com/59fwuvha

@4183a04c
#MEcfs #CFS #PwME #MyalgicEncephalomyelitis 
 L”Association Française du Syndrome de Fatigue Chronique (ASFC) a édité un petit guide du pacing, conçu pour les malades

https://www.asso-sfc.org/asfc-actualites-details-478.php?zan_id=478

#SFC @4183a04c
#MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome @3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid 
 Long #COVID: The hunt for causes and cures

A thorough article by Shi En Kim covering current hypotheses from the #LongCovid field

https://cen.acs.org/biological-chemistry/infectious-disease/Long-COVID-hunt-causes-cures/101/i30

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @e3942352 #novid #CovidIsNotOver 
 Belle and Sebastian's Stuart Murdoch to Publish Debut Novel

Musician and ME-sufferer Stuart Murdoch will publish a novel titled "Nobody's Empire" next year. "Part memoir and part fiction, the novel is set in Glasgow and California in the early 1990s and followed a character searching for "a new-world reinvention" after his hospitalisation with chronic fatigue syndrome".

https://tinyurl.com/7jpncr73

@4183a04c
#MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome 
 Trude Schei from the Norwegian ME Association has written an opinion piece urging better care for severe ME patients. Patients need to pay out of their own pocket or raise money in order to access care at Røysumtunet, the only institution with an offer for #severeME, instead of receiving support for a stay from their municipalities

English translation:
https://shorturl.at/boqEG

@4183a04c

#MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome 
 Interesting 20-minute David Tuller DrPH interview with health, science & data journalist Betsy Ladyzhets about NIH's Flawed $1.2 Billion RECOVER Program for Long #Covid

She has written a critical, investigative report for STAT on the RECOVER program

https://shorturl.at/pqBJR

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @e3942352 #novid #CovidIsNotOver 
 2/

“Stories like Zimmernan’s—illness, improvement, exercise, crash—are common in the Long COVID world. And they highlight what many researchers, patients, and advocates say is one of the most powerful tools for managing, and potentially even preventing, Long COVID: rest.”

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @e3942352 #novid #CovidIsNotOver 
 3/

“For years, clinicians tried to treat ME/CFS patients by gradually increasing their physical activity levels - since been shown to be ineffective, often harmful”

@3a447f2a @166d98f6 @e774e44d @e3942352 @4183a04c
#MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MyE #ME #millionsmissing #CFSME #CFIDS
#SEID #NeuroME 
 Time: Why You Should Rest - a Lot - If You Have #COVID19 (September 2022)

Informative article on PEM and pacing with among others Jamie Seltzer from #MEAction.

https://time.com/6215346/covid-19-rest-helps/

“I had no idea that I should try to rest as hard as I needed to rest,” she says.

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @e3942352 #novid #CovidIsNotOver 

1/ 
 2/

“Stories like Zimmernan’s—illness, improvement, exercise, crash—are common in the Long COVID world. And they highlight what many researchers, patients, and advocates say is one of the most powerful tools for managing, and potentially even preventing, Long COVID: rest.”

@3a447f2a
#LongCovid #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @e3942352 #novid #CovidIsNotOver 
 nostr:npub1pmxc6x4m8cf2gemjktdhu7vmf87kaprlq8t88fm2n25pzyp5sf9qdzexkq link is broken 
 @68bad414 Thanks. Have fixed it now. 
 Washington Post article on in-house NIH research: “She wrote to a scientist about her fatigue. It inspired a breakthrough” by
@17f259dc

https://wapo.st/3Pem0G4

“Nine out of 14 had similar overabundance of WASF3 as Twinam, and, on average, the [#MEcfs] group’s levels of this protein were higher than that of healthy volunteers”

Mentions a drug trial is planned 

@4183a04c
#CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome 
 ME Association (UK):

Count ME In Campaign

Initial survey results from over 6000 people with ME/CFS showed mostly poor experience of the NHS, with no change since the 2021 NICE guidelines. 

https://meassociation.org.uk/2023/09/the-me-association-a-very-successful-count-me-in-campaign/

@4183a04c

#MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome 
 Solve ME/CFS Initiative:

"Our flagship research and advocacy journal, The Chronicle, has arrived! This special edition features key resources from our website that community members can utilize as they navigate their journeys with #MECFS or #LongCovid."

https://solvecfs.org/wp-content/uploads/2023/09/Solve-Summer-2023-Digital-Resources-Chronicle.pdf

@4183a04c #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome @3a447f2a
#PwLC #LC  #postcovid 
 CDC Update: Epidemiologic Characteristics of #LongCOVID

Includes symptom groups (incl. ME/CFS-like & #dysautonomia) & prevalence data. "Post #COVID conditions are associated with increased health care utilization & significant activity limitations. Accumulating evidence #COVID19 vaccination reduces #PostCOVID Conditions among both children & adults”

https://tinyurl.com/y9hcymab
@3a447f2a #PwLC #LC  @166d98f6 @e774e44d #COVIDー19 #COVID_19 #SARSCoV2 #novid #CovidIsNotOver 
 7/

“(Contd) Ongoing resistance to the paradigm shift only ensures that patients will continue to be offered inadequate & possibly dangerous therapies. Recent reports from patient support groups suggest that many health care services across England are not yet aligned with the new ME/CFS guideline, still offering treatments that are now disfavored”

@4183a04c @3a447f2a #MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #ME #CFSME #CFIDS
#SEID #NeuroME 
 8/

“A new NIH institute or center for post-infectious illness is a promising prospect. However, any such initiative is unlikely to happen quickly, & obtaining actionable results would take even longer. In the interim, we believe medical & public health authorities should not wait for the paradigm to shift by itself. Instead, they must push the paradigm & help ensure its onward passage against the forces of resistance & revanchism”

@4183a04c @3a447f2a #MEcfs #CFS #MyalgicE #PwME 
 The Science Times

Leading UK Doctors and Charities “Livid” as Covid 19 Inquiry Excludes #LongCovid Representation in Latest Module

"Module 4 of the Covid-19 Inquiry opens this week & will examine the roll out of vaccines, therapeutics & anti-viral treatment across the UK”

https://tinyurl.com/28h2dvek

@3a447f2a #PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @e3942352 #novid #CovidIsNotOver

1/ 
 2/

“By not investigating #LongCovid in Module 4, the Inquiry is in effect saying there is no need to investigate pharmaceutical interventions which could prevent & treat Long #Covid. The exclusion of the Long Covid Groups dismisses the profound impact that Long Covid has had, & continues to have, on many people in the UK."

@3a447f2a
#PwLC #PostCovidSyndrome #LC  #postcovid  @166d98f6 @e774e44d 
#COVID19 #COVID_19 #SARSCoV2 @e3942352 #novid #CovidIsNotOver 
 6/
“Although paradigms are bound to shift when new knowledge contradicts prior beliefs, the resistance phase can be highly troublesome. This is especially the case when purportedly effective treatments arising out of poor-quality science carry a risk to human welfare. In the current context, psycho-behavioral approaches to treatment have been shown to be not only flawed but likely harmful by triggering the serious relapses that characterize PEM (contd)” @4183a04c @3a447f2a #mecfs 
 7/

“(Contd) Ongoing resistance to the paradigm shift only ensures that patients will continue to be offered inadequate & possibly dangerous therapies. Recent reports from patient support groups suggest that many health care services across England are not yet aligned with the new ME/CFS guideline, still offering treatments that are now disfavored”

@4183a04c @3a447f2a #MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #ME #CFSME #CFIDS
#SEID #NeuroME 
 5/

"(Contd.) The converse is clear as well when critics frame research into the biology and pathophysiology of ME/CFS or #longCOVID as unnecessarily expensive. If you’re reluctant to spend significant resources addressing a new problem, ignoring its potential significance is an understandable strategy."

@4183a04c @3a447f2a #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE 
 6/
“Although paradigms are bound to shift when new knowledge contradicts prior beliefs, the resistance phase can be highly troublesome. This is especially the case when purportedly effective treatments arising out of poor-quality science carry a risk to human welfare. In the current context, psycho-behavioral approaches to treatment have been shown to be not only flawed but likely harmful by triggering the serious relapses that characterize PEM (contd)” @4183a04c @3a447f2a #mecfs 
 4/

"This reality also helps explain, once again, the staying power of old ideas. Short-term and low-cost interventions such as GET and CBT are attractive not because of their evidence base, which has been exposed as flimsy and unconvincing, but rather because of their seemingly plausible and easily replicated approach to a very complex scientific and public health issue. (contd)”

@4183a04c @3a447f2a #MEcfs #CFS #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome 
 5/

"(Contd.) The converse is clear as well when critics frame research into the biology and pathophysiology of ME/CFS or #longCOVID as unnecessarily expensive. If you’re reluctant to spend significant resources addressing a new problem, ignoring its potential significance is an understandable strategy."

@4183a04c @3a447f2a #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE 
 6/

"7. “I’m in more pain than someone could even imagine. I wouldn’t wish this pain on my worst enemies. I don’t like to complain to those around me because if I did, I’d be complaining 24/7 and I don’t want to be ‘annoying’ or ‘a burden’ to anyone.”

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll #ChronicPain #ChronicPainWarrior #ChronicPainAwareness 
 7/

8. “I’m on the verge of losing it at everyone because everything seems so loud, like it’s way louder than normal. And it’s so annoying it makes me angry. Like even someone drinking a drink seems like they have megaphone at their throat.”

@3567457b @04c95879  #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll 
 3/

"(Contd.) Moreover, when tracking treatment outcomes with objective measures—such as physical endurance tests, actometer data, records of workplace participation, or analyses of dependence on social benefits—the research generally showed minimal or null effects for both GET and CBT.”

@4183a04c @3a447f2a #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #CFSME #MEeps #CFIDS #SEID #NeuroME 
 4/

"This reality also helps explain, once again, the staying power of old ideas. Short-term and low-cost interventions such as GET and CBT are attractive not because of their evidence base, which has been exposed as flimsy and unconvincing, but rather because of their seemingly plausible and easily replicated approach to a very complex scientific and public health issue. (contd)”

@4183a04c @3a447f2a #MEcfs #CFS #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome 
 2/
“These assessments highlighted the many key flaws that were endemic in the [GET/CBT/rehab] research, including the confounding of unblinded trials by reliance on solely subjective outcome measures, such as patients’ self-ratings about their health status on questionnaires. This combination of study design features meant that findings were impacted by an unknowable level of bias. (Contd)”

#MEcfs #CFS #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome
@4183a04c @3a447f2a 
 3/

"(Contd.) Moreover, when tracking treatment outcomes with objective measures—such as physical endurance tests, actometer data, records of workplace participation, or analyses of dependence on social benefits—the research generally showed minimal or null effects for both GET and CBT.”

@4183a04c @3a447f2a #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #CFSME #MEeps #CFIDS #SEID #NeuroME 
 🧵 
"Despite Resistance, Policy Makers Push The Paradigm On ME/CFS And Long COVID"
by Prof Brian Hughes ( @ee866b0b ), Prof Steven Lubet & David Tuller DrPH

https://www.healthaffairs.org/content/forefront/despite-resistance-policy-makers-push-paradigm-me-cfs-and-long-covid

@4183a04c
#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME @3a447f2a
#LongCovid #PwLC #postcovid  #postcovid19 #LC  #Covidlonghaulers #PostCovidSyndrome #longhaulers 
#GradedExerciseTherapy #GET #cognitivebehaviouraltherapy #CBT

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“These assessments highlighted the many key flaws that were endemic in the [GET/CBT/rehab] research, including the confounding of unblinded trials by reliance on solely subjective outcome measures, such as patients’ self-ratings about their health status on questionnaires. This combination of study design features meant that findings were impacted by an unknowable level of bias. (Contd)”

#MEcfs #CFS #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome
@4183a04c @3a447f2a 
 5/

6. “Some days it takes all day to get enough energy to shower, so around 3 p.m. I start to get terrible anxiety thinking someone will come to my door and think I’m lazy or dirty because the laundry is on the sofa, dishes in the sink and I’m unshowered and in bed in the middle of the day!”

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll 
 6/

"7. “I’m in more pain than someone could even imagine. I wouldn’t wish this pain on my worst enemies. I don’t like to complain to those around me because if I did, I’d be complaining 24/7 and I don’t want to be ‘annoying’ or ‘a burden’ to anyone.”

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll #ChronicPain #ChronicPainWarrior #ChronicPainAwareness 
 4/

"4. 'Brain fog makes me feel so out of it some days; even the simplest thing is so hard to hang onto and comprehend.'"

#BrainFog #FoggyBrain

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll 
 5/

6. “Some days it takes all day to get enough energy to shower, so around 3 p.m. I start to get terrible anxiety thinking someone will come to my door and think I’m lazy or dirty because the laundry is on the sofa, dishes in the sink and I’m unshowered and in bed in the middle of the day!”

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll 
 PhD thesis (sociology)

Exploring the contested diagnosis of #ChronicFatigueSyndrome / #MyalgicEncephalomyelitis 

Free fulltext:
https://etheses.whiterose.ac.uk/30227/

#MEcfs #CFS #PwME @4183a04c

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"2. “My housework falls behind, my washing falls behind, my sorting of things and objects falls behind. I want to have a clean and tidy house but find that dumping things in piles has been the only thing I can do now. I’m constantly tired of battling a fight I don’t think I’m ever going to win.”

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll 
 4/

"4. 'Brain fog makes me feel so out of it some days; even the simplest thing is so hard to hang onto and comprehend.'"

#BrainFog #FoggyBrain

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll 
 Petition: Save Karen Gordon from Dying of Malnutrition and Dehydration due to NHS Failings

https://www.change.org/p/save-karen-gordon-from-dying-of-malnutrition-and-dehydration-due-to-nhs-failings

Karen has #verysevereme 

@4183a04c
#MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MyE #ME #SevereME 
 British Medical Journal: How can I support my colleague returning to work with #LongCovid 

“Remember that no two people with Long Covid will be the same in terms of their challenges, so the approach to returning to work needs to be bespoke and may look different to others.”
BMJ Careers by Abi Rimmer

MEA summary:
https://meassociation.org.uk/2023/09/bmj-how-can-i-support-my-colleague-returning-to-work-with-long-covid/

Free fulltext:
https://www.bmj.com/content/382/bmj.p1997

@3a447f2a
#PwLC #postcovid  #postcovid19 #LC  #Covidlonghaulers 
@166d98f6 @e774e44d
#COVID19 #COVID #COVID_19 
 ME Association

ME/ #CFS Research Published 5 – 11 September 2023

There have been 9 new ME/CFS studies & 26 new #LongCovid
studies this week.
We have also included the references which were missed in the previous
week

We have highlighted one of the #MECFS studies in more detail below:
Paper 4 this week looks at the effect of end-tidal CO2 on
cerebral blood flow during orthostatic stress

https://meassociation.org.uk/z3cz

#pwME #MyalgicE #MyalgicEncephalomyelitis #PostCovid #research 
 2/

"1. 'I procrastinate showers because they’re just too much work, especially now with a central line. I don’t brush my hair between showers because it kills my arms, and my muscles get extremely fatigued and hurt. I really need help but hate asking for help and feeling like a burden.”

@3567457b @04c95879  #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses 
#Spoonies
#Spoonie
#ChronicallyIll 
 3/

"2. “My housework falls behind, my washing falls behind, my sorting of things and objects falls behind. I want to have a clean and tidy house but find that dumping things in piles has been the only thing I can do now. I’m constantly tired of battling a fight I don’t think I’m ever going to win.”

@3567457b @04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses #Spoonies
#Spoonie #ChronicallyIll 
 🧵
"17 Things I Don’t Admit on Bad Days With Chronic Fatigue*"

https://themighty.com/topic/chronic-illness/hidden-truths-of-what-chronic-fatigue-feels-like/

*Note that she clarifies "people with many illnesses experience chronic fatigue, but it should not be confused with #chronicfatiguesyndrome / #myalgicencephalomyelitis, a distinct diagnosis that also includes #chronicfatigue as a symptom."

@3567457b
@04c95879 #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses 
#Spoonies
#Spoonie
#ChronicallyIll

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"1. 'I procrastinate showers because they’re just too much work, especially now with a central line. I don’t brush my hair between showers because it kills my arms, and my muscles get extremely fatigued and hurt. I really need help but hate asking for help and feeling like a burden.”

@3567457b @04c95879  #fatigue #chronicillness #chroniclife 
#Spoonielife #hiddenillness 
#invisibleillness #ChronicIllnesses 
#Spoonies
#Spoonie
#ChronicallyIll 
 nostr:npub1pmxc6x4m8cf2gemjktdhu7vmf87kaprlq8t88fm2n25pzyp5sf9qdzexkq nostr:npub1x4n527e2rutv77w7... 
 @2dbd93a4 @3567457b @04c95879 @4183a04c @3a447f2a No. Never looked for it as would likely be almost impossible to get in Ireland I would imagine. 
 5/

"Spoon delegation isn’t always about the things you have to get done on your task list. Sometimes it’s about making the decision to put those spoons toward an activity you enjoy for your mental health — even if it means you’re going to be a little smelly — that’s what deodorant and body sprays are for!"

@3567457b @04c95879 @4183a04c @3a447f2a #Spoonielife 
#hiddenillness 
#invisibleillness 
#ChronicIllnesses
#Spoonies 
#Spoonie 
 6/

"But when those plans involve other people, the stress and guilt felt by having to tell them you don’t feel well enough to participate can be overwhelming."

@3567457b @04c95879 @4183a04c @3a447f2a #ChronicIllnesses
#Spoonies 
#Spoonie 
 4/

"On the days that I decide I don’t have the recovery time or overall energy to take a shower, I give myself a baby wipe bath (which is just wiping myself down with a bunch of baby wipes), apply dry shampoo to my hair, and throw a little cold water on my face."

@3567457b @04c95879 @4183a04c @3a447f2a #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #CFSME 
 5/

"Spoon delegation isn’t always about the things you have to get done on your task list. Sometimes it’s about making the decision to put those spoons toward an activity you enjoy for your mental health — even if it means you’re going to be a little smelly — that’s what deodorant and body sprays are for!"

@3567457b @04c95879 @4183a04c @3a447f2a #Spoonielife 
#hiddenillness 
#invisibleillness 
#ChronicIllnesses
#Spoonies 
#Spoonie 
 3/

"Now that I’m living with #chronicillness, I have to put serious consideration into much of what I choose to do throughout the day because it will have an immediate effect on Current Leslie, as well as risk having an impact on Future Leslie."

#chroniclife #Spoonielife #Spoonie @3567457b @04c95879 @4183a04c @3a447f2a 
 4/

"On the days that I decide I don’t have the recovery time or overall energy to take a shower, I give myself a baby wipe bath (which is just wiping myself down with a bunch of baby wipes), apply dry shampoo to my hair, and throw a little cold water on my face."

@3567457b @04c95879 @4183a04c @3a447f2a #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #CFSME 
 2/

4. Deciding how to respond to “I hope you feel better soon!”

5. Deciding if you’re actually able to do ‘The Thing.’

6. Deciding how much social interaction you can handle.

7. Deciding when to ask for help.

#chronicillness #chroniclife #Spoonielife #Spoonies #Spoonie @3567457b @04c95879 @4183a04c #MyalgicEncephalomyelitis #MEcfs #CFS #PwME @3a447f2a #LongCovid #PwLC #postcovid  #postcovid19 #LC 
 3/

"Now that I’m living with #chronicillness, I have to put serious consideration into much of what I choose to do throughout the day because it will have an immediate effect on Current Leslie, as well as risk having an impact on Future Leslie."

#chroniclife #Spoonielife #Spoonie @3567457b @04c95879 @4183a04c @3a447f2a 
 🧵 

"7 Challenging Daily Decisions When You
Live With Chronic Illness
https://themighty.com/topic/chronic-illness/challenging-daily-decisions-with-chronic-illness/

Here are the 7 headings. The article itself expands on these 

1. Deciding if you’re going to take a shower.
2. Deciding where to spend and save your spoons.
3. Deciding how to answer “How are you?”

#chronicillness #chroniclife #Spoonielife #Spoonies #Spoonie @3567457b @04c95879 @4183a04c
#MyalgicEncephalomyelitis #MEcfs #CFS #PwME @3a447f2a
#LongCovid #PwLC #postcovid  #postcovid19 #LC

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 2/

4. Deciding how to respond to “I hope you feel better soon!”

5. Deciding if you’re actually able to do ‘The Thing.’

6. Deciding how much social interaction you can handle.

7. Deciding when to ask for help.

#chronicillness #chroniclife #Spoonielife #Spoonies #Spoonie @3567457b @04c95879 @4183a04c #MyalgicEncephalomyelitis #MEcfs #CFS #PwME @3a447f2a #LongCovid #PwLC #postcovid  #postcovid19 #LC 
 Info in English on new research funding initiative in Germany announced by the Federal Ministry of Education & Research (BMBF)
“‘Guideline for the promotion of interdisciplinary collaborations to research the pathomechanisms of ME/CFS’”

https://www.meresearch.org.uk/german-guideline-promotes-interdisciplinary-me-cfs-research/

@4183a04c
#MEcfs #CFS #MyalgicE #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MyE @mecfs_de@.gup.pe 
 During an illness crash, a well-meaning loved one can either unknowingly make things worse or assist with the recovery back to baseline. Appendix 2 of ME/CFS Crash Survival Guide teaches family/friends about meeting the essential needs of the individual in a crash while taking care not to exacerbate their suffering. Share this with your loved ones & include a printed copy in your Crash Care Kit

https://batemanhornecenter.org/caregiver-guidance/

@4183a04c

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME

https://assets.disabled.social/media_attachments/files/111/064/023/827/311/128/original/cc2be07b7f6c9577.png 
 (US) "Discrimination on the Basis of Disability in Health and Human Programs or Activities"

https://www.federalregister.gov/documents/2023/09/14/2023-19149/discrimination-on-the-basis-of-disability-in-health-and-human-service-programs-or-activities

https://www.govinfo.gov/content/pkg/FR-2023-09-14/pdf/2023-19149.pdf

"an OCR investigation revealed a State denied a
prospective parent with #ChronicFatigueSyndrome & other disabilities the opportunity to become a foster parent"

@4183a04c
#MyalgicEncephalomyelitis #MEcfs #CFS #PwME @3567457b
@04c95879
@0c35b0ca
#chronicillness 
#chroniclife  
#Spoonielife 
#ChronicIllnesses 
#Spoonies
#Spoonie

https://assets.disabled.social/media_attachments/files/111/063/496/437/306/778/original/024cbda9ea9f7c8e.png 
 "Just as every well-stocked home has a first-aid kit, we encourage every home with a person with ME/CFS or Long COVID to have a Crash Care Kit. Place these items in a box or bag and keep it handy. Check for expirations and replenish items every six months or as needed. Get our recommended list of items at"
https://batemanhornecenter.org/crash-care-kit-essentials/

@4183a04c
#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE @3a447f2a
#LongCovid #PwLC #postcovid  #postcovid19 #LC  #Covidlonghaulers

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 New from Norway:
The social robot? Analyzing whether and how the telepresence robot AV1 affords socialization

Free fulltext:
https://journals.sagepub.com/doi/10.1177/13548565231201774

One of the cases discussed in detail has #CFS 

@96494273 @4183a04c
#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #MyalgicE #SpecialEd #education

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 New from Italy:
Social Stigma in Children with #LongCOVID

Free fulltext:
https://www.mdpi.com/2227-9067/10/9/1518

Sad to see such results especially in children ☹️

"Children with Long COVID, similar to adults, are suffering from stigmata due to their condition"

#LongCovidKids @3a447f2a
#LongCovid #PwLC #postcovid  #postcovid19 #LC  #Covidlonghaulers #PostCovidSyndrome #longhaulers @166d98f6 @e774e44d
#COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2

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