USA - Mayo clinic

Andy said:
Trial By Error: Mayo Clinic Treatment Plan Cites “Deconditioning,” “Perfectionism,” and CBT

https://www.virology.ws/2021/12/19/...n-cites-deconditioning-perfectionism-and-cbt/
Click to expand...

RECOMMENDATIONS:

Ultimately, I suspect he will benefit from our pain rehabilitation program.
Click to expand...


Ultimately, I suspect Mayo will benefit from him attending their pain rehabilitation program...

...to the tune of the $30,000 odd they will charge him for this charade. What a scam.
 
That Assessment/Plan - what a complete load of 'bullocks'!
I strongly recommend cognitive behavioral therapy, ideally to be practiced in conjunction with a pain therapist, to target his fatigue.
Click to expand...
Interesting how pain therapy is being recommended, and ties in 100% with their flawed assumption that the fatigue sensations are purely illusory, and can be air-brushed away with a touch of CBT etc.
WHAT IS CHRONIC FATIGUE:
The underlying issue is central sensitization which is a central nervous system response to heightened stress that amplifies sensation markedly. Cells in the central nervous system become more responsive to multiple stimuli and antinociceptive (anti-pain) pathways malfunction. The net result is an increase in pain and sensitivity to a variety of peripheral stimuli, including physical exertion.

Personality traits developed when younger determine how one copes with present life. As adults, such individuals often show tendencies for people-pleasing, perfectionism, and a strong sense of responsibility. Although this can make one an ideal worker, it comes at the cost of being physically exhausting and serves as a source of great frustration when symptoms prevent expected performance. Oftentimes, these individuals when faced with significant trauma including but not limited to major medical illness, surgery, death in the family, chronic work stress, and pregnancy serve as sensitizing events and catalyze the development of central sensitization syndrome.
Click to expand...
This ... well ... it's just astonishing. They should end up in court for spouting such unevidenced (including presumed evidence based on low quality research) rubbish.
 
intensive rehabilitative approach which is provided in the three-week Pain Rehabilitation Program here
Click to expand...

Sounds sketchy.

Personality traits developed when younger determine how one copes with present life. As adults, such individuals often show tendencies for people-pleasing, perfectionism, and a strong sense of responsibility. Although this can make one an ideal worker, it comes at the cost of being physically exhausting and serves as a source of great frustration when symptoms prevent expected performance. Oftentimes, these individuals when faced with significant trauma including but not limited to major medical illness, surgery, death in the family, chronic work stress, and pregnancy serve as sensitizing events and catalyze the development of central sensitization syndrome.
Click to expand...

YIKES.

Seems like they are pushing, and likely charging, for as many "programs" as possible.
 
Merged thread

Central Sensitization: When It Is Not “All in Your Head”


ARYA B. MOHABBAT, MD, Mayo Clinic, Division of General Internal Medicine, Rochester, Minnesota

JOHN M. WILKINSON, MD, Mayo Clinic Department of Family Medicine, Rochester, Minnesota

Case Scenario
I have a busy morning during clinic, and I realize that a new patient has been added to my late afternoon schedule because of back pain, headache, abdominal pain, fatigue, and difficulty sleeping. A brief review of the medical record reveals that over the past years, this 32-year-old patient has been seen by primary care physicians, numerous specialists, and even in emergency medicine settings for various ongoing symptoms, including headache, neck pain, diffuse body aches, urinary frequency, dysuria, generalized fatigue, brain fog, and anxiety. Despite multiple investigations with negative results, the patient does not appear to have received any definitive diagnoses. Experiencing a moment of dread and anticipating a difficult patient encounter, I vent my frustration to my colleague, knowing that I will unlikely be able to offer any useful tests, explanations, or acceptable treatment recommendations. My colleague suggests that central sensitization could be a useful concept in understanding and explaining my new patient's various types of chronic pain.
Click to expand...
Commentary
Patients and many physicians often think of chronic pain as a direct manifestation of ongoing tissue (nociceptive pain) or nerve (neuropathic pain) damage.1 In recent years, a third type of pain—centralized or nociplastic pain—has been recognized.1 Nociplastic pain is believed to be primarily generated by central sensitization, in which abnormal neural signaling causes the development and amplification of chronic pain as well as a variety of other symptoms that are often difficult to explain or to reconcile with traditional diagnostic tests.

Central sensitization provides a robust conceptual and etiologic framework for chronic pain and many unexplained symptoms. The model facilitates patient engagement, builds trust, and may assist in acceptance of and adherence to a broader range of evidence-based therapies. Several chronic conditions (e.g., irritable bowel syndrome, functional dyspepsia, fibromyalgia, myalgic encephalomyelitis [formerly chronic fatigue syndrome], interstitial cystitis, chronic pelvic pain, chronic neck or back pain, chronic orofacial pain, headache, a variety of postinfectious syndromes) are believed to be attributable to ongoing nociplastic pain caused by central sensitization.1–6
Click to expand...

bit more at link; full article behind paywall.
https://www.aafp.org/pubs/afp/issues/2023/0100/curbside-central-sensitization.html
 
Last edited by a moderator:
I thought I had remembered some patient organization, perhaps ME Action, boast about the Mayo Clinic’s interest in updating its knowledge of ME. Apparently, there would be some partnership with ME Action in facilitating this. If that relationship still exists, this publication might be worth discussing
 
Charles B. said:
I thought I had remembered some patient organization, perhaps ME Action, boast about the Mayo Clinic’s interest in updating its knowledge of ME. Apparently, there would be some partnership with ME Action in facilitating this. If that relationship still exists, this publication might be worth discussing
Click to expand...
yes;
"#MEAction has partnered with the Mayo Clinic to discuss treatment, research, and improved community engagement for people with ME"
Chronically Complex: Mayo Clinic on Apple Podcasts

@JaimeS
 
Taps roof of physician

You can fit so many beliefs about illness in that thing.

The "dear diary" framing is so off-putting and insincere. It's a narrative model alright, but without fail it's the physician's narrative, never the patient's.
 
When I was at Mayo in 2015, they gave me a packet explaining how I need to hydrate and exercise for pots and cfs. The gastro doctor I saw there said I had crps but ran no tests.

Nothing else in my life was as big of a waste of time as Mayo Clinic.
 
From Living Proof UK on Twitter (“recoveree-led non-profit social entreprise promoting mindbody recovery from chronic pain & illness”):

“Have just heard that the Mayo Clinic is advising patients that brain retraining is the only way to fully recover from Long Covid and that all patients who have recovered have this in common. Maybe the tide is turning!!! Go Mayo :)”

 
Just wanted to boost (I know from PR) this recent review of Dr. Stephanie Grach at MC.
GVMOVT-WoAATHIK
Click to expand...
 
Last edited by a moderator:
You must log in or register to reply here.
Back
Top Bottom