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    Limitation of Consent

    Agreed. Although of course the issue with local groups is the energy-limiting nature of the condition combined with lack of support meaning there are few with it, or who care for someone with it who have any spare bandwidth whatever the severity vs the significant demands of such a group. We...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    We have an issue where subject-areas need to be open-minded that just because their expertise is the key to unravelling the issue, it doesn't always mean the answer will be a treatment that is their usual 'wheelhouse'. e.g. the person who finds that exercise harms due to PEM needs to get their...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    This bunch is brilliant. I'd like to put on their agenda that I'd hope they might use their techniques and approach and curiosity to look into rest: ie the 'healing' part. I think insufficient rest for me is even more brutal in impact than the exertion in the first place. And the rest is...
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    Physical therapists have a lot to learn about post-viral fatigue in the wake of a “tsunami” of long COVID patients

    He is right. This is precisely what is needed - better measures meaning that research 'gets to the right point'. And for the condition to be explained in terms of 'baseline' - that is our 'disability' and the limitations we need to communicate and have understood by others around us. Most I...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    Indeed and agreed -an 'act normal' focus over its impact on actual health, short term pat on back for Crawley getting presenteeism as a sausage-machine approach vs looking at the child's short, medium and long term prospects on decision-making. Manage them as 'a problem' (recovery = them...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    Picking out this quote you mentioned from a specialist medical professional: "“It's often school that's the issue because I see so many [children] not recovering within a year, and as soon as they've done their GCSEs, there's a sudden, they start getting better.” (S2-MP14)" A big point to note...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    I can see ways in which it could be - imagine being off work with something you need to rest to recover from; that's hard to do and not stress unless said work can reassure you it will still be there or whatever. ME can come as a shock, and it can be insidious - taking the textbook off the...
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    The importance of school in the management of (ME/CFS): issues identified by adolescents and their families, 2022, Cleary, Crawley et al

    Was about to say the same: "Liaison between healthcare and schools is important for recovery from ME/CFS." is the big red flag. If they can't update their terms, and start using better and more appropriate definitions for this then it puts everything else into charade territory. As that is the...
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    Limitation of Consent

    Thank you. It makes sense as a back-up for when you've run out of cognitive ability and 'given it a go' in good faith in a non-emergency setting and does a better job of saying 'no thanks' effectively than you might if caught on the hop and out of energy. The last thing anyone would want is to...
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    Limitation of Consent

    The thing is that these are both correct. That is a scary and inappropriate situation to exist. Most healthy people could not accept a situation where emergency care came with such risks you might be better off not going. And this is people who are seriously ill - and potentially misdiagnosed...
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    Limitation of Consent

    Agreed - I'm not sure that is what was in place in Cornwall, or on what basis but my probable misreading of it inspired me a bit. And it is 'those hospitals' (ie all but some are particularly worrying) where I think putting responsibility for 'knowing' and 'logging that they know' if they have...
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    Limitation of Consent

    I remember reading a Job Description (might have been historical) for Cornwall (ironic given I'm not sure what that ME/CFS clinic is like currently). It had as part of the description of the clinic that one part of the role for those in the ME/CFS dept was 'outreach' within the hospital. I...
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    Whitney Dafoe Updates

    I think the splitting of the spectrum was the most important move BPS did. Mild they call invisible but really it’s ‘don’t acknowledge’ the symptoms from certain things as they ‘aren’t that bad to be obvious’ - people got away with that for years when I was moderate even tho I know that they...
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    Limitation of Consent

    Personally, I think we need to be lobbying for something that is 'in the system' - a safety officer (someone mentioned Ryan's law in Australia) who has different obligations and ergo isn't under the hierarchy pressure and has some weight, as the interim. I struggle to see how a vulnerable...
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    Functional B12 deficiency in Chronic Fatigue Syndrome, 2022, Russell-Jones

    I know little about this, but that still sounds low as a minimum to me. At least it is 12 higher than the women I guess. How does that reference range 'operate' in reality? Is it 'as long as person feels fine and it is within this, we are OK' or is it 'even if the person feels awful if it is...
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    Functional B12 deficiency in Chronic Fatigue Syndrome, 2022, Russell-Jones

    Indeed - I'm slightly aware there is some issue from experience, having had a ferritin result of less than 10 a number of years ago from a consultant who did a ferritin test. I'd spent the prior 2yrs going to GP with all sorts of symptoms, and maybe they did iron as part of FBC but I don't...
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    Higher Health Service Costs Associated With Delayed Diagnosis of Functional Neurological Disorder, 2022, Cuoco et al

    Can't access full article. From this unfortunate thoughts come to mind as this potentially being like the CFS 'put in the bucket' before investigations into other things, and then the guidelines saying don't investigate anything else. Given this could lead to missing something should such cost...
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    Functional B12 deficiency in Chronic Fatigue Syndrome, 2022, Russell-Jones

    That's a pretty big range though, and often the accepted minimum for men is thought to be not a bad gauge for women - there being a theory that low iron is just 'accepted' in women because it is more common thereby impacting the norms/averages?
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    Functional B12 deficiency in Chronic Fatigue Syndrome, 2022, Russell-Jones

    What levels do they suggest are needed for men?
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    Fear conditioning as a pathogenic mechanism in the postural tachycardia syndrome, Norcliffe-Kaufmann et al, 2022

    ha! thank you, I'll blame cognitive fatigue - I just couldn't put the bits together for some reason
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