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  1. Michelle

    Cardiovascular and haematological pathology in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): A role for viruses, 2023, Nunes, Pretorius

    As I mentioned in another thread on this topic, I had a massive bilateral unproved PE in 2006--four years after I was diagnosed with ME/CFS. But in the 17 years since, I've not heard of anybody else who has had even DVT despite being hyper attuned to this topic and spending 20 years on various...
  2. Michelle

    Preprint: Treatment of Long COVID symptoms with triple anticoagulant therapy 2023 Laubshder, Pretorius et al

    I had unprovoked multiple bilateral pulmonary emboli in 2006. The hematologist did a thorough work up but could not find a reason for why I had the clots. As it was my second episode of a pulmonary embolism (the first combined with DVT following knee & ankle surgery in 1998), he recommended...
  3. Michelle

    Diane Shipley: Knowledge of Missing Out

    Diane Shipley: Knowledge of Missing Out Absolutely LOVED this piece. She talks about having ME/CFS and what it was like watching able-bodied people whine about what they were missing during lockdown while she (and the rest of us sickies) have been missing out for years. It so captured my own...
  4. Michelle

    Severe difficulties with eating in ME/CFS

    Calling the eating/feeding issues in ME/CFS an "eating disorder" strikes me as about the same as calling ME/CFS an "activity disorder."
  5. Michelle

    Endothelial dysfunction in ME/CFS patients, 2023, Sandvik, Mella, Fluge et al

    Didn't they also do a patent app for Imdur? I remember we all talked about this back in 2018 or so. Some of us tried it to no avail. I know there have been a few studies of Sildenafil over the years, but I can't remember the findings (which means they probably weren't too promising). But I...
  6. Michelle

    SF-36 - a discussion

    It doesn't seem like anybody has mentioned the Karnofsky Performance Status questionnaire. Of all the questionnaires that the Solve ME/CFS patient registry uses, it's the only one that has felt at all relevant to my day to day functional capacity. It asks questions about function and how much of...
  7. Michelle

    Are objective outcomes of cognitive function possible?

    I've been meaning to add to the chorus of people saying that standard, more extensive neurophsychiatric/psychometric testing will often pick up the cognitive problems pwME/CFS experience. When I first applied for disability benefits through Social Security, I was immediately packed off for a...
  8. Michelle

    Placebo effect discussion thread

    From a memoir piece in Guernica written by a doctor who treats chronic pain. He uses the hardware/software analogy. Feels like what's missing here is a discussion about regression to the mean?
  9. Michelle

    Public "Being Sick Is a Full-Time Job": A Job Analysis of Managing a Chronic Illness

    Fair enough. Though I suppose an argument could be made that I am renumerated with disability benefits. Not that it would be a strong argument as disability benefits are premised on meeting my physical needs regardless of my "doing" anything (though without doing the considerable work associated...
  10. Michelle

    Public "Being Sick Is a Full-Time Job": A Job Analysis of Managing a Chronic Illness

    A decade ago or so when Facebook asked me about my work, I listed this: (That was back when I was still well enough to manage the odd yoga pose or PT exercise) Nice to see some academics acknowledge what most of us already know: being sick is a lot of work.
  11. Michelle

    Activity monitoring and patient-reported outcome measures in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome patients, 2022, Rekeland et al

    It would be interesting to see how step counts correlate with, say, the Karnofsky scale (the only questionnaire Solve ME/CFS Initiative is using that seems at all relevant to my daily life) as that asks questions related to other types of activity (how long can you be out of bed, etc.). At the...
  12. Michelle

    Acute Corticotropin-Releasing Factor Receptor Type 2 Agonism Result in Sustained Improvement in ME/CFS - Pereira, Bateman et al, 2021

    Or they could just use old-fashioned pedometers. Are blinded actigraphs a thing?
  13. Michelle

    Actigraphic Physical Activity, Pain Intensity, and Polysomnographic Sleep in Fibromyalgia, 2022, McGovney et al

    I think this might be the first time I've ever seen actigraphy used in a chronic pain study. Finally. Now to work on the whole "correlation isn't causation" thing... In this case, is the increased activity causing the better sleep or is something else causing better sleep that is then...
  14. Michelle

    Sleep problems in ME/CFS - discussion thread

    I have been having this exact thing! The last three Octobers I've crashed--the crash in October 2020 was the worst crash I've ever had and was otherwise completely unprovoked. During that crash, among other things, I had a few times where it was as if the biology of sleep just stopped. Twice I...
  15. Michelle

    In which way could Psychiatry and Psychology help investigate ME/CFS (and what exactly is Neuropsychiatry?)–Discussion Thread

    Just wanted to note, as I did in this thread, that standard psychometric testing can demonstrate cognitive impairment in PWME (or, at least it did in me--and I was still well enough to drive back then). Though having simple measurements for cognitive dysfunction akin to an old fashioned...
  16. Michelle

    Plasma metabolomics reveals disrupted response and recovery following maximal exercise in ME/CFS, Arnaud Germain, Maureen R. Hanson et al, 2022

    It's still a very blunt tool but I have been using an old-school pedometer clipped to my underwear for about 8 years now and it seems to be a measure of not only how *many* steps I'm taking, but *how* I'm taking them. When I first started using the pedometer, I noticed that on days when I felt...
  17. Michelle

    Positional vertigo/spinning nausea

    The exercise in question is called the Brandt-Daroff exercise. I have had annual bouts of BPV since July of 2000 and do a modified version of the BD exercises whenever it starts acting up. I sit on the edge of my bed with pillows on either side, turn my head 45 degrees in one direction (say to...
  18. Michelle

    ME in US medical school curricula

    And maybe Dr Selinger can explain that this is not a disease of feeling tired? :oops:
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