M, as my late wife did, asked for clear medical care systems and safety nets to be put in place before they could consent to further medical treatment. Instead as per this quote:
A clear medical emergency was basically overruled by this obsession with "it could be fake and we're being taken for suckers" that seem to provide more motivation than any other factor.
I have noted the following particular details reported in the press and other sources from the written and other evidence provided to the Coroner.
‘The inquest at Devon coroner's court in Exeter heard that there are no treatments and no specialist units anywhere in the country to help anyone with severe ME.’
Dr Shenton was reported as having commented/written:
‘that several doctors did not accept that ME was a medical problem over the time she knew Maeve.’
'As a young woman in such a perilous condition she was potentially a candidate for every level of support, but I remained uncertain as to the medical plan.’
'I was trying to balance this with helping Maeve control her symptoms and provide the holistic care to ensure a good death if she were to die.’
‘Clear systems with appropriate safety nets ought to be in place for any patient who has a condition for which there is a lack of evidence and/or a lack of guidance about best practice.'
Dr Shenton reported that just days before Maeve died, she wrote in an e-mail about the nurses: 'This is so far out of their comfort zone...the first time people come across this case there is doubt and misunderstanding and it seems to take a variable amount of time for the penny to drop this is ME.
'It can take months/not at all.'
For M and my late wife, in the end those ‘months /not at all’ needed by many HCP’s to realise the seriousness of the situation were not a possibility they could survive or to which they could/ did ‘consent’ or were in many instances even given the opportunity to ‘consent’. They could only endure as best they managed. It clearly caused very avoidable additional trauma and distress to them, their families and to other HCP’s caring for them.
The DSS (now the DWP) Doctors when asked in the early 1990’s to explain their psychological view of ME/CFS at law to a Social Security Commissioner concerning the refusal of Sickness Benefits to a ME/CFS patient diagnosed as biological/physical by their own Doctors, could not do so and they still cannot do so today.
The denial of the physical medical reality of ME/CFS has been consistently found in these and other legal settings, since at least the early 1990’s, to be unsustainable and having no reliable evidence to support it in the first place. The continued Health Profession application/use of this (failed) psychological diagnosis of ME/CFS since then makes it all the more shocking and completely neglectful of the existing and growing evidence of resulting actual/potential trauma and harm experienced by ME/CFS patients and their families. I have experienced that resultant trauma and harm first hand from being the carer of a person with s,vs ME/CFS.
That this situation (especially in the UK where in very large numbers of cases the psychological diagnosis of ME/CFS has failed to explain itself at law), it has remained a prominent and continuing (failed) individual HCP response to ME/CFS, is completely incomprehensible to me as a person and UK citizen.
I await with hope but also trepidation the Coroners own finding of the facts in M’s case. I feel, from my own personal experience in similar circumstances it could and should have been managed medically so much better to avoid the additional trauma and distress to M and her family, so clearly described in their own and others evidence presented to the Inquest.
We all need to consign that ‘variable time/not at all’ in accepting the physical medical reality of ME/CFS by individual HCP’s to zero. Not doing so is preventing the finding of better answers and the provision of more compassionate, not to forget ‘more effective’ and possibly ‘life prolonging medical care’ for ME/CFS patients.
It is too late for all those we have already lost, but ME/CFS patients and their families do deserve so much better than the appalling standard of health care for ME/CFS in the UK as revealed at this Inquest.