That perfume thing with the special medical transport schemes around my state, seems to be the norm as I also had that issue with the local transport service (not the red cross but one run by the community health place) in the last area I lved in too. Ive tried to explain she needs to somehow slow down. My sister as she's still after 2-3 years, still struggling to just accept that she's got ME/CFS so she's till a long way off of being able to accept that for the PEM all which can be done is better pacing. She's still convinced that symptoms must be somehow fixable. Its very hard for her to pace well too right now as she's got 3 young children to take care of so has to take them to school etc etc. They are around 3, 6 and 9 years old. I know that the kids have missed school due to my sister being in bed and not feeling well enough to take them (Ive no idea how often this happens but know it does as Ive rang there before and found this situation going on). They were/are also ending up being taken to school quite late most days. If my sister had her children in a normal public school, she would of ended up in trouble for all this by now but she's got her kids at a school which is very very lax so nothing is said about kids not showing up or late very often.