News from Scandinavia

is this what “CFS” auto translated to?
No, exhaustion disorder ("utmattningssyndrom", used to be "utmattningsdepression", or colloquially "utbrändhet") is a specific diagnosis that only exists in Sweden. It's a psychiatric diagnosis, prolonged work-related stress that has led to exhaustion. It's probably called something like "burnout" in other countries.

I would assume that a patient in Sweden who gets an ED diagnosis would probably get a CFS diagnosis in other countries, or maybe depression or something like that.

CFS is "kroniskt trötthetssyndrom, KTS" in Swedish.
 
Paywalled article about Jessika, this time in a bigger newspaper:

Jessika har levt fem år i ett nedsläckt rum
https://www.gp.se/livsstil/jessika-...ackt-rum.54f0f553-f24c-4e7a-a5bc-e1193ff2b28c
Jessika has lived five years in a darkened room

Jessika Fernström loved her job, spending time with her children and riding her motorbike. Then the big tiredness struck. Now, at best, she only has enough energy to leave her bed for a few minutes. But who will help her to live a decent life?
 
This is about some of the complaints that were filed against Jonas Axelsson and the Amelie Clinic/Ameliekliniken. Written article + a video (3 minutes, in Swedish).

Hård Ivo-kritik mot läkaren som massmedicinerade ME-sjuka
https://www.svt.se/nyheter/inrikes/hard-ivo-kritik-mot-lakaren-som-massmedicinerade-me-sjuka
Auto-translate said:
Harsh Ivo criticism of the doctor who mass-medicated ME sufferers

The doctor who SVT investigated for the medication of patients with fatigue syndrome is now being severely criticised by the Inspectorate for Health and Social Care (Ivo). Ivo states that the care has not been conducted according to science and proven experience.

When SVT began to scrutinise the private Amelie Clinic, around 300 patients had turned there with post-viral fatigue syndromes such as ME and post-covid.

According to the National Board of Health and Welfare, there is no medicine that cures, and therefore patients should be treated through symptom relief. However, at the Amelie Clinic, patients were given a wide range of medications over a long period of time, including Valganciclovir, which is usually given to AIDS patients with eye infections.

Doctors warned

When SVT scrutinised the clinic and its doctor Jonas Axelsson, other doctors warned against the medication:

- ‘You use drugs that can be life-threatening,’ said Christer Lidman, consultant and specialist in infectious diseases at the post-covid clinic at Karolinska Huddinge.

However, the vast majority of patients were satisfied with the treatment they received, despite SVT's investigation showing that many described side effects in closed Facebook groups.

However, two patients reported the clinic to Ivo, which the newspaper ETC was the first to report. The patients who complained had been given a large number of medicines over a long period of time, felt unwell and then realised that they had been given the wrong diagnosis by their doctor.

The professor of infectious diseases who was consulted by Ivo prior to the decisions on the cases considers that the care and investigation ‘show particularly serious deficiencies’, and calls the handling of possible side effects ‘careless and deficient’.

In its decision, Ivo states that Jonas Axelsson made diagnoses without sufficient documentation, prescribed large quantities of drugs without taking into account possible side effects and without the drugs being authorised for the patients' diagnoses.

‘The criticism is wrong’

SVT has sought out Jonas Axelsson for an interview, but he will only provide a written comment. He writes that ‘the criticism is incorrect and a consequence of not taking all the material into account.’

Jonas Axelsson criticises the competence of the professor who was consulted and says that Ivo's criticism goes ‘directly against the recommendations in the National Board of Health and Welfare's guidelines for the care of the patient group’.

Ivo maintains its conclusions and writes that the comments received from Jonas Axelsson on the draft decision do not change Ivo's position.

Some time after SVT's review, the clinic closed, according to its own statement, because there were no longer any staff or funding.
 
Paywalled

Hård kritik mot granskade virusläkaren: ”Vårdslös och bristfällig”
https://www.etc.se/inrikes/haard-kritik-mot-viruslaekaren-vaardsloes-och-bristfaellig
Auto-translate said:
Harsh criticism of audited virus doctor: ‘Careless and deficient’

The virus doctor called himself ‘the best in Scandinavia’ and gave his patients a completely unique diagnosis and an unusual cocktail of medications. When Dagens ETC scrutinised his clinic, patients testified to permanent nerve damage, confusion, hair loss and tooth loss.

Now Ivo is sharply criticising the virus doctor's methods - which he himself stands by.

In the virus doctor's private clinic, people with chronic fatigue syndrome (ME/CFS) were treated with a cocktail of different drugs normally used to treat completely different diseases. He said he was treating ‘paraviral diseases’ - a generic term of his own invention.

Prescribing toxic medicine

‘Risky polypharmacy’

‘The criticism is wrong’
 
the care has not been conducted according to science and proven experience
Hmm.

5qtf71.png
 
I mean.. I does sound like he skipped a few steps here and there. I have no idea if the conclusions would have been different, but you have to follow the rules if you want to practice as a doctor.
 
Hård kritik mot granskade virusläkaren: ”Vårdslös och bristfällig”
https://www.etc.se/inrikes/haard-kritik-mot-viruslaekaren-vaardsloes-och-bristfaellig
Auto-translate said:
Ivo criticises the virus doctor for, among other things, prescribing large quantities of off-label drugs without either justification or consideration of side effects, and for making diagnoses without sufficient evidence. He also failed to keep adequate documentation.

Ivo has enlisted the help of a doctor and professor of infectious diseases who has examined individual patient cases. He condemns the viral doctor's lack of consideration for side effects as ‘careless and inadequate’ and calls the doctor's approach to prescribing medicines ‘risky polypharmacy’.

Ivo urges the virus doctor to take the criticism into account in his future work, and writes that they may follow up on his approach.

‘The criticism is wrong’

However, the virus doctor himself is critical of both Ivo and the expert, and replies to Dagens ETC by text message. He writes that ‘the criticism is wrong’ and that Ivo has not taken all the material into account. In addition, he believes that Ivo's expert ‘completely lacks relevant clinical experience’.
 
The Covid Association shares more details about their complaint to the Parliamentary Ombudsmen (JO). The complaint -- which is about the national clinical guidelines for long covid and other post infectious conditions, which includes ME -- is also available to download in full as a pdf, through the link below.

Covidföreningen JO-anmäler Socialstyrelsen
https://covidforeningen.se/covidforeningen-jo-anmaler-socialstyrelsen/
A wee bit of good news! The Swedish Covid Association announced today that the Parliamentary Ombudsmen (JO) has decided to investigate their complaint against the National Board of Health and Welfare! :thumbsup:

JO tar upp vår anmälan mot Socialstyrelsen
https://covidforeningen.se/jo-tar-upp-var-anmalan-mot-socialstyrelsen/
Auto-translate said:
JO is investigating our complaint against the National Board of Health and Welfare

The Parliamentary Ombudsmen (JO) has decided to investigate the Swedish Covid Association's complaint in more detail and has therefore sent a request for the National Board of Health and Welfare to comment on the authority's failure to register documents received in the case.

This means that the National Board of Health and Welfare must comment on the Swedish Covid Association's notification and provide an account of the authority's handling of the case.

Most commonly, JO decides not to investigate a complaint received, and of the cases that are actually investigated, many are closed even before the authority concerned has had to comment on the complaint. Only a small proportion of the complaints made to the Ombudsman go as far as a further investigation with a formal request for a statement. The fact that this has happened in this case shows that JO believes that our complaint has substance.

This is extremely important as failure to diarise received documents risks undermining the principle of public access to official records and reducing transparency for journalists and citizens.

What happens now?
The National Board of Health and Welfare must submit answers to the questions posed by the Ombudsman by 28 March at the latest, after which the Swedish Covid Association may comment on the National Board of Health and Welfare's answers. The Ombudsman will then make a decision in the case.

@MittEremltage comments on her blog today:

JO-går vidare med Svenska Covidföreningens anmälan av Socialstyrelsen
https://mitteremitage.wordpress.com...-covidforeningens-anmalan-av-socialstyrelsen/
Auto-translate said:
JO proceeds with the Swedish Covid Association's complaint against the National Board of Health and Welfare

[...] I contacted JO and requested a copy of their request to the National Board of Health and Welfare. It says, among other things:

‘The Swedish Covid Association has in a complaint brought forward complaints against the National Board of Health and Welfare. The complaint with attachments (JO's documents # 1 and 2) is attached. The Ombudsman requests that the National Board of Health and Welfare issue an opinion on what is stated in the complaint regarding failure to register documents received.

The opinion must contain an account of the authority's handling and relevant legislation. The official(s) concerned should be given the opportunity to comment. The response shall indicate whether this has been done. It should also state whether the official(s) concerned have been informed of the authority's response. The authority must also report its assessment of what has emerged.’ (From the referral from the Parliamentary Ombudsmen, ref. no. 361-2025)
 
The findings in this study on wage development/rehabilitation was presented in an opinion piece in Aftenposten not so long ago, basically stating that most ME patients do not recover (contrary to what is often said in the Norwegian news).

So of course our competence center had to write a reply to bring some "nuance", claiming among other things that many recover following CBT and GET but that it is difficult to receive treatment in the healthcare system, implying that patients have not recovered as they have not been able to be treated with CBT/GET... :banghead: Oh and it's no longer a "viscious cycle" of inactivity and fear avoidance, but a negative spiral. It's important with newspeak.

I'm copying the whole thing as it is very short. Google translated:
The competence center said:
CFS/ME is a condition characterized by functional impairment and complex symptoms. How we understand the disease affects prognosis and treatment options. A recent debate article in Aftenposten based on Sintef and Fafo findings sheds light on the situation in Norway, but several claims require nuance.

Research indicates that patients who receive a comprehensive understanding and treatment of CFS/ME often experience symptom reduction and functional improvement, even those most severely affected. Currently, there are no medications with documented efficacy in clinical trials. However, treatment studies have shown that cognitive behavioral therapy and graded exercise therapy can provide significant symptom reduction and in many cases full recovery. Unfortunately, access to research-based treatment in the health care system is very limited.

Research findings are often met with skepticism from those who do not see a clear mechanistic connection between treatment approaches and symptom reduction. However, recent neuroscience provides increased insight into the mechanisms behind symptom development and maintenance as well as the interaction between neurological processes and the stress and immune systems. The knowledge helps to clarify research findings from treatment studies and provides a more integrated perspective on CFS/ME.

PEM (activity-induced exacerbation) is a well-known but often misunderstood phenomenon in CFS/ME. Although it may intuitively seem as if symptom variation is directly linked to physical or mental activity, research shows that this is not necessarily the case. PEM is also not specific to CFS/ME and provides neither information about prognosis nor treatment effect. A false link between activity and symptoms can lead to avoidance behavior and a negative spiral.

CFS/ME patients often do not receive good enough treatment in the healthcare system today. Let us work to spread both understanding and treatment options that give this patient group the best prognosis possible.

Ingrid B. Helland, consultant dr. med, head of the National Competence Service for CFS/ME, OUS
Maria Pedersen, consultant phd, National Competence Service for CFS/ME, OUS

With friends like these..
 
It's despairing they are allowed to continue. Competence centers other people want to keep are closed down due to funding, but they somehow have managed to stay afloat despite massive criticism.
Do we know why they’ve lasted longer than the 10 years that are outlined by the Government?

https://www.regjeringen.no/no/tema/helse-og-omsorg/sykehus/nasjonale-tenester/id614574/

The service shall ensure the development of national expertise and competence within a specified discipline/disease/treatment, and are responsible for the dissemination of this knowledge to all health regions and entire health service, to patients and the population in general within a period of 5 or 10 years.
 
Paywalled article.

Är postcovid en kultursjukdom?
https://kvartal.se/artiklar/ar-postcovid-en-kultursjukdom/
Is post-covid a cultural disease?

Is postcovid a so-called cultural disease or not? What does the research say, and how should you deal with the symptoms? Doctor Erik W. Larsson talks to leading experts and tries to get to the bottom of the question.

According to the submission guidelines, for a text to be published in Kvartal it "should be both well written and deal with a new topic, or an old topic in a new way" and "claims, especially controversial ones, should be substantiated with sources and preferably with scientific ones". Would be interesting to read the article. Does anyone here have access?
 
Last edited:
This seems very much like the "seasonal COVID" nonsense. Happens every season, therefore it's seasonal. Which is the opposite of what seasonal means.

If it happens in every culture we know of, then I guess you could call that cultural, but it'd be pretty foolish. Unfortunately foolish is exactly what is sought here.
 
Postcovid: Marie jobbar heltid igen, men ”viruset lever rövare”
https://vision.se/tidningenvision/a...-jobbar-heltid-igen-men-viruset-lever-rovare/
Auto-translate said:
Postcovid: Marie is working full-time again, but ‘the virus is wreaking havoc’

She is no longer in a wheelchair. The brain fog has dissipated. Five years after covid struck, Marie Åsenius is working full-time again. But she's not her old self. [...]

List of 40 symptoms

It's been five years since Marie Åsenius suffered her first covid infection. It was in March 2020, right at the beginning of the pandemic.

- I had the ambulance at home three times. The first time I was hospitalised. It got worse and worse, after five weeks the breathing problems started.

When she went to the primary care clinic that summer, she had written a list of 40 symptoms.

- The strangest thing was the words. I thought I was saying something, but out came words that weren't there. I was really brain damaged.

She couldn't even walk to the letterbox and had to be in a wheelchair.

- There were times when I felt ‘I can't do this anymore - I don't want to live like this’.

Help from the health service

After a year and a half, things started to ease a little. This was when Marie Åsenius had received her second COVID shot. She had also received help from a physiotherapist working with brain-injured patients and an occupational therapist experienced with ME sufferers.

- ‘The occupational therapist instructed me to conserve energy. For example, I was not to work above my shoulders, so my husband washed my hair. I would also rest before activity.

Marie Åsenius, who had previously been very sporty, was advised to take very short walks. At first, they were only three minutes long. [...]

- If I pushed myself too hard, I was laid up for two weeks. I also had to do pulse-raising activity three times a day for thirty seconds to oxygenate the brain. It made the brain fog disappear,’ she says. [...]
(Vision is a trade union, with more than 200 000 members. Members' jobs involve management, developing and administrating welfare in private companies, municipalities, county councils and churches.)
 
I also had to do pulse-raising activity three times a day for thirty seconds to oxygenate the brain. It made the brain fog disappear,’ she says.​

I’m not sure I would endorse this if you’ve got PEM. If you want more oxygen to the brain, can’t you just lie at an incline with your head down?
 
If you want more oxygen to the brain, can’t you just lie at an incline with your head down?
Surely would only be a very temporary effect.
And breathe a bit faster/more deeply? I can make my finger pulse oximeter go from 96% to 98% with a few deep breaths, though don't overdo it, as hyperventilating can make you faint. Alse ensure you're not anaemic.
 
Back
Top Bottom