I wish everyone would read Melvin Ramsay's text from 1986, The Saga of Royal Free Disease - it has a great summary of all the epidemic outbreaks pre-1980s (available from ME Association) - and Peter Behan, who diagnosed me, wrote the preface. Dr Ramsay himself said other viruses were causing almost identical illness, not all down to enterovirus. He saw little clinical difference between epidemic and endemic. As someone who has proven Coxsackie trigger to ME (others were getting ill from Coxsackie in west Scotland at this time, but not all of us developed ME) I am of course interested in the role of enterovirus, but am certainly not wedded it to being the sole cause. Too many patients nowadays have severe ME from other viruses. Not sure this is where I want research to be focused. Revisiting old ground.