• Welcome to Phoenix Rising!

    Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of, and finding treatments for, complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia, long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.

    To become a member, simply click the Register button at the top right.

Link to videos of talks from the CMRC conference

Cinders66

Senior Member
Messages
494
Holgates talk was depressing, he basically part admitted the CMRC hasn't achieved much, Newton and parry are leaving CMRC, MRC lady is leaving (some replacements mentioned) and MEGA was NOT funded but they're still pursuing it. He, when ending, said worldwide research had been interesting but I think UK is limping behind now with the unhelpul, inaccurate way CFS is framed and regarded in UK medical world and the lack of central direction/intervention to get things properly recognised and stepped up a gear as has happened in USA.
 

user9876

Senior Member
Messages
4,556
Holgates talk was depressing, he basically part admitted the CMRC hasn't achieved much, Newton and parry are leaving CMRC, MRC lady is leaving (some replacements mentioned) and MEGA was NOT funded but they're still pursuing it. He, when ending, said worldwide research had been interesting but I think UK is limping behind now with the unhelpul, inaccurate way CFS is framed and regarded in UK medical world and the lack of central direction/intervention to get things properly recognised and stepped up a gear as has happened in USA.


I wonder if that is a positive. He should be realizing the organization he set up is not working. Maybe that would allow something else to happen.
 

Cinders66

Senior Member
Messages
494
I wonder if that is a positive. He should be realizing the organization he set up is not working. Maybe that would allow something else to happen.

We just don't have time for this. He was using the five year marker but he actually set up the ME expert group doing similar things, except the international conference, since 2007. One limp effort based on a vague CFS with no little state action /funding, replaced by another. He gave no indication that it was folding as a thing or that anything else was going to happen. We saw a big MRC lady leaving applause, what for? Letting us use their building and part funding a conference? Wowzers.
One telling thing was that when he wrote to a government ? science ? organisation to get some political action/ interest they said they weren't interested in helping. Holgates seems to think general fatigue /pain stuff is where some action will be but that isn't ME.
 

Cheshire

Senior Member
Messages
1,129
Just watched this presentation:

Gina Wall is a physiotherapist from the Royal Free Hospital Fatigue Service.
She said the patients with hypermobility may be a sub group of CFS or maybe they should be considered a separate group.

Agreeing there was some kind of physiological basis for this, she then said patient education with a biopsychosocial frame was essential to help patients understand what was happening to them and prevent them from freaking out too much, which could lead to sensitisation...
 

lilpink

Senior Member
Messages
988
Location
UK
Just watched this presentation:

Gina Wall is a physiotherapist from the Royal Free Hospital Fatigue Service.
She said the patients with hypermobility may be a sub group of CFS or maybe they should be considered a separate group.

Agreeing there was some kind of physiological basis for this, she then said patient education with a biopsychosocial frame was essential to help patients understand what was happening to them and prevent them from freaking out too much, which could lead to sensitisation...

Oh good grief! It's moronic opinions like that which 'sensitise' me!
 

lilpink

Senior Member
Messages
988
Location
UK
Talking about MEGA:
"Esther Crawley did a stunning job...............I want to thank you Esther.............this is not the end of MEGA"
:vomit:

I suppose it depends on how one defines 'stunning'? The BPS school and hangers on seem to have an alternative dictionary where most assumed meanings have a very different definition. Bit like the definitions for 'service evaluation' vis-a-vis 'research'. Bit like using paediatric REC numbers for adult published papers. Laws unto themselves.
 

NelliePledge

Senior Member
Messages
807
Talking about MEGA:
"Esther Crawley did a stunning job...............I want to thank you Esther.............this is not the end of MEGA"
:vomit:
As we sing at the football* when the opposing fans start leaving early because they are losing

Time to go, time to go, time to go-o-o-o-oh, (The less polite add a coarse expletive at the end.....):eek::wide-eyed:

(*Proper football as played around the world)

nb sorry for flippancy
 
Last edited:

Cinders66

Senior Member
Messages
494
The USA study looked very impressive, so many layers and everything thrown at it although a small number of people. I've only watched that, james mcCullagh and holgates so far

I was, as someone severe, still feeling NIH officials don't get it. It looked so lame for him to suggest that a letter from their own and a congresswoman made NIH suddenly look at an illness there'd not only ignored but not bothered to learn much about for twenty years. He also said there was many ways to study this but he chose one closest to his expertise, fair enough, but he decided not to do an advanced me CFS study concurrently which I woukd have liked (and they could have done), given his cohort for his study (due to its demands , hospital stats, batteries of tests including exercise) are going to be the more or even most highest function and severe ME really needs a research effort of its own.
 

slysaint

Senior Member
Messages
2,125
Just watched the James McCullagh presentation. Metabolomics; showing marked differences. Also did quickly talk about the comparison they did before and after GET but got the impression he didn't dwell on it for obvious reasons.
 

Cinders66

Senior Member
Messages
494
Just watched the James McCullagh presentation. Metabolomics; showing marked differences. Also did quickly talk about the comparison they did before and after GET but got the impression he didn't dwell on it for obvious reasons.

That was a good presentation and research, although I didn't understand if post GET the changes were moving towards normal or abnormal and whether the GET patients felt helped or harmed.
 

A.B.

Senior Member
Messages
3,780
That was a good presentation and research, although I didn't understand if post GET the changes were moving towards normal or abnormal and whether the GET patients felt helped or harmed.

Most metabolites decreased further with GET, but since there was no control it's hard to draw conclusions. In my opinion it's hard to argue that the low metabolites in the illness are a good thing and that further decrease represents improvement.

Interestingly most significant metabolites are decreased after exercise. Notably:
1. Carnitine (lipids)
2. Phospholipids
3. Little change for amino acids

He also talked about glycolysis, Krebs cycle and pentose phosphate pathways before and after GET, mentioning a "depletion in central metabolism after GET".

The other metabolomics findings seemed to be somewhat in contradiction to other published metabolomics research: increased ATP, increased glycolysis and Krebs cycle, decreased amino acids used as fuel for Krebs cycle. At least that's what I understood. Maybe these are actually all in agreement but without knowing the details it's hard to tell. Their results do also suggest widespread hypometabolism which seems to be a very consistent finding.
 
Last edited:

Cheshire

Senior Member
Messages
1,129
Most metabolites decreased further with GET, but since there was no control it's hard to draw conclusions. However it's hard to argue that the low metabolites in the illness are a good thing and that further decrease represents improvement.

The other metabolomics findings seemed to be somewhat in contradiction to other published metabolomics research: increased ATP, increased glycolysis and Krebs cycle, decreased amino acids used as fuel for Krebs cycle. At least that's what I understood. Maybe these are actually all in agreement but without knowing the details it's hard to tell. Their results do also suggest widespread hypometabolism which seems to be a very consistent finding.

Yes, he was somewhat elusive about the changes after GET. But he said they only got the results one week prior to the lecture and were still in the process of analysing them.

Pretty interesting though.
 

A.B.

Senior Member
Messages
3,780
I have added an edit with more info. GET seems to result in further depletion of energy production pathways.

Some more thoughts on this. We knew from the PEM literature that exertion decreases physical function on the next day. This seems to usually be a short term effect. This new work raises the question whether GET can lead to long term decrease of physical function. How long has it been since these patients did GET?