educating your doctor and you

Blog entry posted by Andrew, May 21, 2010.

I have been in several discussions where patients say they were asked by doctors to suggest articles or studies about the treatment of CFS/ME. Because this topic keeps coming up, I created this list with the help of other patients. It also includes information for ME/CFS patients who want a
foundation for dealing with their illness. Ive attached it here as a PDF. Its still a work in progress. Feedback is welcome. reading list updated April 4, 2015

Please note that I am not recommending you even mention ME/CFS to your doctor. Some of us have found that once we do that the doctor no longer take our individual symptoms seriously, and they tend to see us as a fatigued person. So what some of us do is describe the symptoms without mentioning ME/CFS.

Attached Files:

  1. Andrew
    I've ended up revising the reading list several times, including fixing dead links. You can see if you have the latest version by checking where it says: "reading list updated"
  2. Dr. Yes
    Like the shades and the new 'do' man. But stop giving me the eye.
  3. Andrew
    I made some changes to the list that I hope make it more user-friendly. I'm much happier with it now. If I revise the list in the future I will probably not post about it. I'll just change the "modified" note in the first message.
  4. Michelle
    Ahh! I'm so glad you said that! I'd downloaded the MESA PDF of CCD and skimmed through it awhile back, but hadn't noticed that it cut off at 36. Just noticed it didn't mention much about medications. When I'd been liked to the Canandian ME site, I'd only ever seen CCD in an HTML page, which I didn't feel comfortable sharing with my doctor. But since you'd mentioned a PDF, I scrolled down and clicked. Voila! Over 100 pages and lots of info about drugs! Thanks. :)

    If only they could update the CCD...sigh...
  5. Andrew
    Michelle, good points about the reality of working with a doctor. But if you want to research antibiotics, the medication book on my list could be a place to start. Interestingly, the woman who wrote the book is a CFS patient who was getting worse and worse over time. Her decline was only stopped after a doctor agreed to prescribe what she requested. And I guess we are often stuck in this position.

    BTW, the Canadian Consensus document at the link you provided is incomplete. It is cut off after page 36. There's a link to the full version in my reading list.
  6. Michelle
    I'm still working on my lit review/reader for my doctor and will post mine when I've finished it. Appreciate some of the abstracts you've got in yours - very helpful!

    Like jace, my biggest concern has been how to balance the complexity of this illness, the complete dearth of knowledge among physicians (most of whom do want to do right by their patients), and the fact that my doctor works 10-11 hour days. What I find my doctor really wants to know is, what can I prescribe? While we tend to want to give our doctors the latest research so that he/she will validate how disabled and sick we are, our doctors tend to want to know what to do right now. And that's what has been difficult to get my hands on, particularly with regard to finding/treating infections. Being on Medicaid makes this even more difficult because it will not cover the treatment of "chronic fatigue syndrome" nor will it cover many of the tests that a lot of people on this forum have access to.

    Btw, the Canadian Consensus Document can be found in its original form (JCFS article) as a downloadable PDF here.
  7. Misfit Toy
    I have no desire to educate a doctor. IF the doctor does not know about my condition, I will not go to him/her. It's too much work for me to educate a professional. I go to a doctor because I hope they know more than me!!

    However, thank you for posting this. It took time and effort and that is much appreciated.
    alkt likes this.
  8. Andrew
    Hi Jace. I agree the list looks like too much for a busy doctor. And we all need to decide how to present information to our doctors.

    I think what I'll try next is create a reading plan that suggests what to read first and how to break this up. That might make the list look less intimidating.
    alkt likes this.
  9. jace
    Hi Andrew,

    Durr, am I dumb. If anyone has the same trouble that I did, at the top right of Andrew's pdf, click on A in the tool mode box. Then I could copy and paste.

    I think it is important not to overwhelm our doctors with information. So this very useful list can be used to choose a point of information at a time, that you think your doctor needs to know. Would you agree? Doctors are busy people, after all.
    alkt likes this.
  10. tymewarp#9
    Great Thanks for this!!!