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Dr Jonathan Kerr's approach to treatment

Discussion in 'ME/CFS Doctors' started by Perrier, Feb 2, 2019.

  1. JemPD

    JemPD Senior Member (Voting Rights)

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    I'd like to do that. Can you recommend one?

    One that's as basic as possible.

    It'll likely not manage it due to cognitive challenges, but i'd like to understand a bit more of this so i'd like to try.
     
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  2. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Sorry, I have not read one myself for a couple of decades.
     
  3. JemPD

    JemPD Senior Member (Voting Rights)

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    thanks, no problem perhaps you could tell me what criteria i might apply when choosing one - ie how does one tell if it's "decent" ?
     
  4. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    A tough question. I suspect the best guides would be that it was produced in the USA and that it was published sometime between 1980 and 2000. Medical literature has been dumbed down since then.

    I have to say that I fear that reading epidemiology textbooks may be one of the more boring activities in life. And it may be hard to find the basic principles amongst a lot of statistics and such stuff.
     
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  5. JemPD

    JemPD Senior Member (Voting Rights)

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  6. Rosie

    Rosie Senior Member (Voting Rights)

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    So interesting. I did a basic course for a few years on Human Anatomy and Physiology well over 20 years ago and have forgotten a lot of what I learned about all the systems in the body.

    I was just thinking about which system of the body you would put the microbiome in. I thought the integumentary system because it is a protective covering of the body but really it would be endocrine because of it's secretive properties.

    In the first 10 months of severe ME one of my 2 GPs that I saw alternatively was going to refer me to endocrinology. I should have pushed for this at time but I was so sick and could barely think. I wonder if anything could have shown up - missed opportunity.
     
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  7. Skycloud

    Skycloud Senior Member (Voting Rights)

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    Is the microbiome part of the body? I thought it was a range of symbiotic relationships.
     
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  8. Rosie

    Rosie Senior Member (Voting Rights)

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    I don't know @Skycloud I was just trying to think which specialty/system it would fit into.
     
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  9. Trish

    Trish Moderator Staff Member

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    I would say the microbiome is outside the body in the sense that it is the bugs (viruses, bacteria etc) that live alongside us but are not within the cells of any organ or the blood or fluid between the cells.

    It's mostly in the gut, but also on the skin and in every body cavity, eg mouth etc. Since the gut is open at both ends, the contents of it are effectively outside the body unless they penetrate into or between the cells of the gut wall.

    If the bugs get into any cell or organ they are no longer microbiome, but an infection that the immune system needs to deal with.

    Edit: which doesn't actually answer your question! I would say if it's a gut infection, then gastroenterology, if it's a knock on effect of something produced by the microbiome that gets into the bloodstream and causes problems with a particular system of the body, then it would have to be that specialism that deals with it.
     
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  10. Skycloud

    Skycloud Senior Member (Voting Rights)

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    @Trish I realise I made a poor post - I do know that the microbiota aren't 'in' the body, not being inside the cells but coating the surfaces of areas as you mention. I think perhaps I thought my question was rhetorical (?) but that's not clear even to me! I was posting whn my brain was overtired which it is too often. Probably a sign I need to take a forum break. Thanks anyway!
     
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  11. Trish

    Trish Moderator Staff Member

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    @Skycloud :hug::hug::hug:

    I guess I was too fogged to realise it was a rhetorical question.
     
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  12. Skycloud

    Skycloud Senior Member (Voting Rights)

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    Nah - just down to me :hug::hug:
     
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