However, I am rather shocked by what appear to be inaccuracies in the description of the case of Sophia Mirza, case 2, in Dr O'Donovan's talk as described by Dr Vallings. It is very misleading to say that she refused any medical help and refused food and water.
I have watched the video of Sophia which her mother made to show her solicitor and listened to the recordings Sophia made of her interactions with the GP, social worker and psychiatrist, as well as reading many letters. I have also interviewed her mother and sister for the film "Voices from the Shadows" which my son and I are working on.
After becoming very severely ill Sophia was receiving medical advice and treatment from a specialist doctor whose treatment approach is described in Martin Pall's book 'Explaining "Unexplained Illness"'. Sophia found this treatment very helpful and her health and energy levels were improving substantially. She declined the offer of a place at Oldchurch Hospital because she was too ill to travel such a distance and she had made a researched and informed decision that the treatments on offer were not likely to be of greater benefit to her than the programme of medical treatment she was already undertaking, with the help of her mother a qualified and experienced nurse. She had already tried the various approaches that were available at that clinic and she had not heard encouraging reports of what had happened to other severe ME patients who had been there.
She was then threatened with being removed to a psychiatric hospital against her wishes, because she had declined the offer of a place at the ME clinic. This threat was carried out even though she later begged in desperation to be allowed to go to an ME clinic instead. She was told that she had had her chance.....
Her forcible removal to a psychiatric hospital and the total lack of understanding of ME by the staff and the psychiatrist resulted in a very, very severe deterioration in her illness from which she never recovered. She was removed from her GP's practice without being told and the only new GP she could find also didn't believe ME to be a physical illness. So, during the last months of her illness she could not ask for medical help from a GP because she had no GP with any understanding of ME as a physical illness to turn to and feared further psychiatric 'help'.
It is inaccurate to say that 'she refused food and water'. She became so ill, so intolerant of foods, that she could no longer eat, and then the same with water. It was not a matter of choice or refusal. This is, I believe, what also happened to Sue Firth and to Annabel Senior, both of whom died as a consequence of having ME - here in the UK. I have read some notes that Sue made about her illness and read the description by Richard Senior on the IiME website, of his wife's illness.
From all that I have seen and heard, while researching both the film and the book 'Lost Voices', Sophia comes over as a very articulate, intelligent, sane, independent and motivated young woman who did everything she possibly could to help herself get better. I admire her.
She had actually been ill for far longer than 5 years - probably since she had meningitis and two car crashes aged about 17. She suffered horrendously during the last years of her life. This was not a consequence of her own actions and choice, as the conference report seems to imply, but in spite of everything she and her family could do to help her and protect her.