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I saw a patient and diagnosed them with a common condition. However, I was wrong. How did I know I was wrong? Because the treatment wasn’t helping and the patient was feeling worse. https://threadreaderapp.com/thread/1677834059542568969.html

What used to be considered fraud is now considered natural or holistic medicine.

Why do I smell bleach from reading these articles?

Over the years I've come across pts that explained how their PEM negatively affects their cognitive function and not so much their physical abilities. PEM affects both my physical and cognitive function. I can sleep 10 hrs and it won't make any difference. In fact I could lie down for 20...

You wrote several times that exercise doesn't affect your PEM either.

The only stressors that negatively affect my PEM are viral reactivations.

Agree. It was debunked by Mark VanNess at Workwell with a very a detailed explanation. Lactic acid is actully good for us.

For me, sleeping well or not doesn't make any difference, I will always experience the same level of PEM.

Abstract The coronavirus disease 2019 (COVID-19) pandemic has enabled the adoption of digital health platforms for self-monitoring and diagnosis. Notably, the pandemic has had profound effects on athletes and their ability to train and compete. Sporting organizations worldwide have reported a...

Abstract Patients with single ventricle heart disease following Fontan palliation are subject to progressive cardiovascular deterioration during adolescence. In this population, a peak oxygen consumption (VO2peak) less than 50% of predicted is an independent predictor of Fontan related morbidity...

When a patient has a damaged or broken aerobic energy system, they're unable to produce enough energy for that activity/task. Their body goes into the lactic acid system, and they start to have neurologic and other PEM/PESE related symptoms.

Thanks, Hutan. Interesting re vascular disease. The ridges started in my mid 30s, five years after M.E onset. At first I thought it was from malabsorption b/c my ferritin was always tanking and I had to take iron for years. But after meno my ferritin has always stayed in the...

Thanks. I just saved myself $90

Yeah, it reminds me of when whey protien was the big fad 20 years ago.

I found this study that showed positive results after 12 weeks from taking a particular supplement brand.

I'm considering trying this expensive collagen powder to help improve my nail strength. The ridges on my finger nails started 5 years into the onset of M.E. My nails and hair grow like weeds but the quality of my fingernails is poor. I've also read that taking a marine based collagen...

From the link Binkie4 posted: Differential diagnosis[edit] Because symptoms of ALS can be similar to those of a wide variety of other, more treatable diseases or disorders, appropriate tests must be conducted to exclude the possibility of other conditions.

Katarina Pavelek said her goodbyes on her Instagram. It's truly sad.

ABSTRACT Postural orthostatic tachycardia syndrome (POTS)—sustained tachycardia upon standing without orthostatic hypotension—can be diagnosed clinically without an extensive diagnostic evaluation unless certain atypical features suggest an alternative diagnosis. A unifying pathophysiologic...