Yes Ros does what she can with very little time. I think the whole nomenclature thing in terms of ME. ME/CFS or cfs/ME has to do with whatever country one is trying to make an impact in. There is an explanation of this in the 2017 Pediatric Primer, with contributions from several people, including Ros Vallings.There was a follow up segment on Radio New Zealand today because there was so much response to yesterday's discussion on ME. The host interviewed Ros Vallings. Ros is the only doctor specialising in ME in NZ. The item will be available from the same link as I gave above.
Ros did very well in the fairly short segment. The host said that someone had said that this is 'one of the least socially acceptable diseases' which he found sad. Ros felt that this was a little bit over the top. Generally, she was quite upbeat about things. She said that knowledge of the illness is improving due to research being done around the world including at a number of prestigious universities. She did acknowledge that a lot of GPs aren't conversant with the illness but that they can't know everything about every illness. She suggested that a lot of doctors around New Zealand do deal with it very well.
Ros prefers the term CFS/ME. She gave a good explanation of symptoms and talked briefly about real physical differences. She suggested that the immune stays in overdrive after, normally, a virus.
Regarding treatment she said that there is no quick fix cure and treatment is focused on providing the body with the best chance to recover. She did stress that exercise is a problem and has to be approached very carefully and gently. She said that 20 to 30% of people recover to the point where they can lead a normal life, although acknowledged the difficulty around making statements on recovery.
Asked about acupuncture, she said that some patients report that it helps while others say that it makes them worse. She felt that it was important to find an acupuncture practitioner who is well educated about the illness. Hmm.
Asked about the Lightning Process, Ros was more accepting of it than I would have liked. She said that it is a psychologically based treatment and can help some people if they have underlying psychological distress. However, no psychological therapy can actually cure this illness. There was absolutely no talk about GET or CBT; I think the approach here in NZ is much more of relatively benign neglect.
Ros has endorsed the 'Towards Wellness' course in Tauranga. She feels that it educates and validates people with the illness.
Asked about the greatest needs, Ros said research and funding for research. And education of people generally.
Again discussing the scepticism that doctors and family and friends can have, Ros noted that, if you go back a good few years MS was regarded as psychological until there was better understanding of the physiology. She said 'We are just lagging behind the times with this illness.
So, all in all, a pretty positive and useful interview on New Zealand's national radio.
https://www.frontiersin.org/articles/10.3389/fped.2017.00121/full