At random, my thoughts on this question.
33. If you go beyond your energy limits by engaging in pre-illness tolerated exercise or activities of daily living, do you experience any of the following (check box if yes):
An abnormal response to minimal amounts of physical and/or cognitive exertion
An onset that is immediate or delayed by hours or days
A severity and duration of symptoms that are out of proportion to the initial trigger
A loss of functional capacity and/or stamina
Post-exertional exhaustion
Symptom exacerbation
"An abnormal response to minimal amounts of physical and/or cognitive exertion"
Given that the question asks about "pre-illness tolerated exercise or activities", I find the use of "minimal" here is confusing. Minimal compared to what? Pre-illness levels or post-illness levels.
"An onset that is immediate or delayed by hours or days"
As we've discussed elsewhere, for me this is two different things. Unreliably, I can over-exert and feel the consequences, but as long as it is not too much (whatever that is exactly..) and I'm able to rest sufficiently afterwards, it does not necessarily lead to what I consider to be PEM. For me, "A loss of functional capacity and/or stamina" and "Post-exertional exhaustion" (which to my mind are practically the same thing), are the main immediate consequences of over-exertion, but aren't PEM.
Now, it might be that when the answers are analysed, the points I'm making are taken into account, but taking it at face value, this collection of possible answers confuses and concerns me.
