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Harvard: "Fight fatigue by finding the cause"

Discussion in 'General ME/CFS News' started by WillowJ, Jul 7, 2011.

  1. WillowJ

    WillowJ คภภเє ɠรค๓թєl

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    novel concept, that. :thumbsup:

    Komaroff on CFS:

    *I gave every sentence a separate paragraph

    Read the entire article: http://www.health.harvard.edu/blog/fight-fatigue-by-finding-the-cause-201107062952
     
  2. kurt

    kurt Senior Member

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    Interesting article. Also, the referred link on causes of fatigue was good:

    http://www.health.harvard.edu/special_health_reports/boosting_your_energy#excerpt

    The section on anemia caught my eye. CFS patients who have low blood volume but normal RBC counts should probably be considered anemic, as the standard CBC test only measures concentration of RBCs and not the body mass or volume of RBCs. I suspect most of us have this, it should be called 'hypovolemic anemia.'
     
  3. gregf

    gregf Senior Member

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  4. WillowJ

    WillowJ คภภเє ɠรค๓թєl

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    but this article was not specific to ME/CFS. It was about figuring out what is wrong with any patient who presents with "fatigue". Many other causes of "fatigue" were discussed, such as anemia, heart disease, kidney failure, and so on. The point they were making is that you figure out what's wrong. This is a very important point. You don't just say, oh well, "many people are fatigued" (I have been told this exact thing by my doctors and shown the door, visit over... it's no wonder it took 9 years for me to get any kind of diagnosis!).

    Komaroff said ME/CFS is a real disease, but a rare cause of "fatigue". It's true that "fatigue" is not a good descriptor of what's going wrong, though! I have taken to saying "weakness." (this recently seemed to cause one of my doctors to diagnose me with ICD-9-CM 780.79 "Other malaise and fatigue", described as "asthenia", which means weakness, apparently instead of using 790.71 CFS which I'd already been diagnosed with)
     
  5. Gemini

    Gemini Senior Member

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    Do you know if the Vanderbilt reseachers or others studying ME/CFS hypovolemia have considered this?

    Any idea why hypovolemia is not part of a standard diagnostic workup? There's an available test and
    patients report improvement on IV saline.
     
  6. Enid

    Enid Senior Member

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    Quite agree Willow - fatigue is such a vague thing at the moment - ME/CFS should never have been consigned.
     

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