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Dr. Montoya/Chronic Fatigue Syndrome News Coverage

Groggy Doggy

Guest
Messages
1,130
In addition to good testing, we need physicians really communicating,and that is not happening to the extent it did with AIDS. You read anti virals work for dr Montoya, then other things work like mestinon administered by other doctors, and on it goes. Folks can't just go to every doctor, even though most patients have been to at least 15! .
What would be the incentive for the physicians/researchers to communicate, share data, and work together so we can get repurposed drugs FDA approved? There will only be one Nobel prize for finding the secret of ME (I doubt most of them want to share it). It's no secret that many of us are dying and committing suicide. It's been over 30 years, why would things change now?
 
Messages
64
The one thing i wish all these Drs would do is tests.

That show the abnormality and then connect it to a exactly all symptoms experienced.

Same with POTS if the patient has it. Type symptom cluster and affect.

The reason I say this is to subtype the patients.

In my discussions with others here on PR. There seems to be subtypes or separate diseases.

The sooner I feel that they subtype then sooner we will know what meds work for who.

Get some publishing....done so that we are not just left with CBT and GET.
I have been asking the same or a similar question.Why aren't ME/CFS sufferers divided into subgroups according to symptoms,history,genetic testing findings and why isn't someone(CFSassociations,CDC or NIH)keeping track of different treatments on what criteria the patients are selected and which patients those treatments benefit?If researchers are predominantly interested in their theories and their careers shouldn't there be an independent monitoring coordinating evaluating authority and is there some way we can push for the creation of one(maybe gather signatures)?Out of a number of research centers why isn't anyone interested in filling the gap?Or are they competing for clientele?
 

Groggy Doggy

Guest
Messages
1,130
I have been asking the same or a similar question.Why aren't ME/CFS sufferers divided into subgroups according to symptoms,history,genetic testing findings and why isn't someone(CFSassociations,CDC or NIH)keeping track of different treatments on what criteria the patients are selected and which patients those treatments benefit?If researchers are predominantly interested in their theories and their careers shouldn't there be an independent monitoring coordinating evaluating authority and is there some way we can push for the creation of one(maybe gather signatures)?Out of a number of research centers why isn't anyone interested in filling the gap?Or are they competing for clientele?
If you write a petition, I will sign it. Patients need to be Priority #1.
 

Comet

I'm Not Imaginary
Messages
694
I have been asking the same or a similar question.Why aren't ME/CFS sufferers divided into subgroups according to symptoms,history,genetic testing findings and why isn't someone(CFSassociations,CDC or NIH)keeping track of different treatments on what criteria the patients are selected and which patients those treatments benefit?If researchers are predominantly interested in their theories and their careers shouldn't there be an independent monitoring coordinating evaluating authority and is there some way we can push for the creation of one(maybe gather signatures)?Out of a number of research centers why isn't anyone interested in filling the gap?Or are they competing for clientele?
My guess would be that we haven't been divided into subgroups yet because we have mostly been thrown into the psychosomatic subgroup by official/government authorities until now.

The few doctors who have been treating us are mostly renegades who have recognized our plight and have been doing their best to help.

Also, so many of the existing studies on ME/CFS have been small, unreplicated studies based on Fukuda or other (who knows what) vague fatigue-type criteria, so it's difficult to know how reflective they really are of ME/CFS. Although, it would be interesting to know if anything new could be learned about subtypes, or other info, by doing studies to coordinate some of the better existing studies.

Hopefully, as things start to come together, (NIH RFI info, Big Data study results, NIH study, Ron Davis working with many researchers, etc), subgroups and more information will emerge and start to be recognized by various national health authorities.

Hopefully...
 
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64
If you write a petition, I will sign it. Patients need to be Priority #1.
I am going to need help ,I don't even know how to start a thread.Who has experience with writing petitions?Can we talk for a few days about what we would like to ask for and who we should address our request to?We want someone a)to coordinate and follow up on research eg try to understand why some subjects benefitted from a treatment such as rituximab(maybe carry out genetic testing)or on the basis of symptoms and history why some subjects tested differently eg did or didnot present with PEM after exercise b)try to distinguish different subgroups according to symptoms,history and genetic testingc)try to follow up on genetic testing that some of you have done and look for other tests and research that can be done according to the polymorphisms as well as potential treatments/supplements that might be suitable and d) gather and make data available to researchers and patients so that they would know what the odds are that a treatment/supplement/test might be of benefit.Who can do that?A goverment authority that hasn't showed an interest in doing this so far,a university ,a researcher or a group of researchers that wouldnot have the instinct to use data to give themselves an advantage,maybe a group of doctors and patients who have medical knowledge?
 

Groggy Doggy

Guest
Messages
1,130
I am going to need help ,I don't even know how to start a thread
.

Can you ask a moderator how to start a new thread? We have an upcoming protest, and the protest demand document needs to include our feedback. We need to get funding from HHS to get this started.

Running in parallel to funding ongoing scientific research (that contribute to long term goals of getting treatments (assuming 10+ years from now??), we also need short term goals. Because of the ongoing disagreement on what ME is, a formal name, symptom criteria (CCC, Reeves, Fuduka, etc), discussions of psychomatic vs biologic, this has lead to confusion. ME impacts patients in countries all over the world. Globally, there are busy front line doctors, in the trenches, treating ME patients; these doctors don't have access to millions of dollars nor the luxury of time to promote themselves. They could be primary care or specialists. Due to the confusion as to what ME or CFS is, doctors maybe using a different Dx. I would like to see HHS grant money used toward reaching out to the international community of doctors who are treating patients in their clinics/offices to find out what treatments they are using, why they choose these treatments, and how many patients are benefiting from them. ME has been around for 70+ years, if you consider the Los Angeles outbreak at the first reported case.
 
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64
.

Can you ask a moderator how to start a new thread? We have an upcoming protest, and the protest demand document needs to include our feedback. We need to get funding from HHS to get this started.

Running in parallel to funding ongoing scientific research (that contribute to long term goals of getting treatments (assuming 10+ years from now??), we also need short term goals. Because of the ongoing disagreement on what ME is, a formal name, symptom criteria (CCC, Reeves, Fuduka, etc), discussions of psychomatic vs biologic, this has lead to confusion. ME impacts patients in countries all over the world. Globally, there are busy front line doctors, in the trenches, treating ME patients; these doctors don't have access to millions of dollars nor the luxury of time to promote themselves. They could be primary care or specialists. Due to the confusion as to what ME or CFS is, doctors maybe using a different Dx. I would like to see HHS grant money used toward reaching out to the international community of doctors who are treating patients in their clinics/offices to find out what treatments they are using, why they choose these treatments, and how many patients are benefiting from them. ME has been around for 70+ years, if you consider the Los Angeles outbreak at the first reported case.
I think that it makes better sense to reach to doctors from other countries after there is something concrete eg after it has been proven that rituximab helps a certain percentage of patients and on the basis of symptoms or genetic testing it can be predicted who can be helped and who might be adversely affected although even then I don't know who can notify medical associations or the media in other countries.Maybe their media will report the news that will be reported in western media.I was diagnosed in1993 in Australia.If I was in Greece I don't know if I would have found doctors who think that ME/CFS is an illness that can not be cured with exercise( most doctors who have discussed ME/CFS on Greek TV seem to think that exercise is the cure)I have lived in Greece for the last 17 years most of that time totally uninsured(or only for emergency care).Since the current goverment is allowing uninsured people to have access to health care services I was going to contact The Medical Association in September and ask if there are any doctors who are doing research into ME/CFS so that I can be spared the psychobabble(most people including doctors take vacation in August)I don't think that ideas for research or treatments will likely come from countries where doctors don't follow that closely developments in other countries or in oscure illnesses.Besides cancer patients have to wait for months for treatment,the Health care system in my country and in other countries are in very bad shape which is a good excuse to snub an obscure complicated illness.As far as research and data gathering I would look at USA,Australia and Western Europe for progress.I don't see what can be gained by spending funds in order to contact other countries.Chinese Research into ME/CFS (there was an article a few months ago)is published in english language journals and posted on sites such as PR or UK ME Research.
 
Messages
64
I am going to need help ,I don't even know how to start a thread.Who has experience with writing petitions?Can we talk for a few days about what we would like to ask for and who we should address our request to?We want someone a)to coordinate and follow up on research eg try to understand why some subjects benefitted from a treatment such as rituximab(maybe carry out genetic testing)or on the basis of symptoms and history why some subjects tested differently eg did or didnot present with PEM after exercise b)try to distinguish different subgroups according to symptoms,history and genetic testingc)try to follow up on genetic testing that some of you have done and look for other tests and research that can be done according to the polymorphisms as well as potential treatments/supplements that might be suitable and d) gather and make data available to researchers and patients so that they would know what the odds are that a treatment/supplement/test might be of benefit.Who can do that?A goverment authority that hasn't showed an interest in doing this so far,a university ,a researcher or a group of researchers that wouldnot have the instinct to use data to give themselves an advantage,maybe a group of doctors and patients who have medical knowledge?
@Groggy Doggy there is a thread NIH wants your views on what to research and research strategies.Maybe this is an opportunity to share our views since they are taking the trouble to ask us.There was also a similar request by the norwegian research institute a few months ago but I didn't find out on time.Keeping up with the research info discussed in different forums and threads takes up a lot of my time and energy but I'll give it a thought what I think needs to be done although I am not American.I don't know if I am invited to contribute.I had sent the NIH a letter one and a half year ago and they snubbed me.
 

Groggy Doggy

Guest
Messages
1,130
@Groggy Doggy there is a thread NIH wants your views on what to research and research strategies.Maybe this is an opportunity to share our views since they are taking the trouble to ask us.There was also a similar request by the norwegian research institute a few months ago but I didn't find out on time.Keeping up with the research info discussed in different forums and threads takes up a lot of my time and energy but I'll give it a thought what I think needs to be done although I am not American.I don't know if I am invited to contribute.I had sent the NIH a letter one and a half year ago and they snubbed me.
Thanks for your insight. I took @JaimeS advice and posted feedback to the US Millions Missing protest demands. Now I wish i had copied and pasted segments of your post, into the feedback document, since your words are more eloquently stated. My feedback was regarding HHS to request they do the heavy lifting of gathering treatment data from doctors (globally) who are improving the QoL of patients. As, I recall, there was already a demand listed that spoke to more of a coordinated effort to approach our illness. I was hoping developing and sending out a survey would be something that HHS would have a lot of experience with, and maybe they would consider throwing us a bread crumb to achieve a short term goal that could empower patients in a quicker time frame (because long term goals are too late for the severely ill).
 

JaimeS

Senior Member
Messages
3,408
Location
Silicon Valley, CA
Thanks for pulling me in, @Groggy Doggy -- interesting conversation. We're looking to release the information about the meeting that the #MillionsMissing protesters had with Dr. Karen DeSalvo, the Assistant Secretary at HHS, this Thursday -- I'll be very interested to hear what was said.