Interesting study on how long-term exhaustion has been discussed in medical literature 1860-present day

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I found this article gave a really interesting oversight into how fatigue conditions have been veiwed by medical professionals and by society.

"We found that in the medical literature, long‐term exhaustion became transformed from a somatic ailment bred by modern civilisation to a self‐inflicted psychiatric ailment. At the same time, it changed from being a male‐connoted high‐status condition to a female‐connoted low‐status condition."

https://onlinelibrary.wiley.com/doi/full/10.1111/1467-9566.12249

I used a text-to-speech app to listen to it as it's quite long.
 

Wishful

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I wondered whether anyone would be able to identify ME historically. From this article, it seems that it did exist, but was called different things, such as neurasthenia. I don't think we can know for sure how many people had ME at different times in history--we don't even know how many there are today--but at least there's some likelihood of estimating a number.

What I would really like is a clear explanation for what fatigue actually is, and I haven't found that yet, and maybe it's still a mystery of science.
 

andyguitar

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"We found that in the medical literature, long‐term exhaustion became transformed from a somatic ailment bred by modern civilisation to a self‐inflicted psychiatric ailment
Old medical books can be fairly interesting @Donsboig and give an insight into how societies change their view on "fatigue". I read a book from about 100 years ago. There was a description of what looked like me/cfs. Cause was supposed to be fast paced living in cities. The illness had the nickname "American Itis" One treatment was a diet of only boiled milk for a month.
 
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85
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UK
I wondered whether anyone would be able to identify ME historically.

Yes I wonder whether fatigue as we know it is something that has affected humans for millennia, or whether it is newer and to do with chemicals / new virus strains etc.


One treatment was a diet of only boiled milk for a month.

Fast forward 100 years and it's one month of celery juice. Same nonsense, different century!
 

Wishful

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Yah, I had a laugh at the boiled milk therapy too. Some of the old treatment ideas are pretty funny in retrospect. Of course, we're still generating such silly nonsense... :rolleyes:
 

Diwi9

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I'm unable to read the article at the moment, so hopefully my comment doesn't sound uninformed. But, historically the concepts of being sickly or infirm or a convalescent seemed to be ubiquitous. I've always pondered if some of the folks given these descriptors belonged to our community.
 

lenora

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5,018
Hello Everyone....Yes, ME, CFS/FM has been around for centuries. One only has to go back to the epidemic of polio at the Royal Free Hospital in London in the last century to see how one illness can follow another.

A fairly large group of doctors and nurses came down with a mysterious illness after treating polio victims. Over 250 were affected. This was in l955, at that time it was given the name ME. In the late 1970's - 1980's at the time I became ill it was redifined as CFS/Chronic Fatigue Syndrome and FM/Fibromyalgia. We now know that a lot of the doctors and nurses at The Royal Free Hospital recovered, but many did not, treatments were not available and in England, pscyhiatrists were able to lay it at the feet of "mass hysteria." Psychiatrists have been involved since the mid 1900's to explain the psychological "implications."

At the time my illness began, we were treated as AIDS patients...there was a lot of shame and laughter at our expense, 'Time' magazine finished us off with a real hatchet job of an article and you simply didn't tell anyone this additional diagnosis. First off, we didn't know how infectious it was, so why scare people and risk losing their friendship and/or love? So we kept quiet and suffered in silence. I have 3 very serious neurological conditions that were bad enough, and I had some rather barbaric surgeries in order to deal with them. Today there is help...and hope. In my day, the main one was described in medical books (no computers then, remember? No research whatsoever.) Anyway, it was a very short description, one line that said: Quadraplegia followed by death. And, indeed, I knew many people who died just that way. We knew that others had to be afflicted, so worked with finding them info from the NIH (which had nothing at the time of my diagnosis, but I left my name and address. It paid off.) We reached out to others by having our organization's name placed in the packet sent from the NIH and received more phone calls than we ever expected to.

It went from nothing to personal telephone calls, Newsletters and the latest information. Research was hard to come by, but little by little it became The Mouse that Roared. Today it's a national organization with branches in every major city in the world....people can readily find information via the computer. Whereas I used to receive telephone calls day and night from all parts of the world (the founder had since died of the illness), others did much more but I wasn't happy with the amount that ended up for Research. What people don't understand is this: The victims have to put up money often long before the govt. will take notice and also put in $$. AIDS had broken our healthcare system, we overspent on Research and you'd be pretty shocked at how much some groups receive...such as MS and far more than that AIDS and other groups. The VA is a big supporter of my primary disease, but once that's under control, that money will then be diverted to ours since so many soldiers are returning with it. Things change; and knowledge is available.

I joined another group, an offshoot of the original, but all of the money gathered was used for research. A very hard-working family has hired researchers, especially from Australia, and they're making great progress in the very mechanism of the causes and how to "fix" the problem. A lot of people donate, but being poor is a big problem among that group and ours. That's why those of us who can give to help others should. Everyone can afford $5/mo., check about Amazon's donation to charitable group based on how much you spend, and many companies, my daughter's included will double the amount given up to $5,000/yr. I believe. Now I give to other groups also and always will, but you can do your part by checking these sources out. There is/was a time when other companies joined together and tripled the amount given on a certain day once/year. I believe it is/was called Giving Tuesday. We need to actively raise funds ourselves in order to fund more Research.

I've been sick with ME also for the past 35+ yrs. (one forgets dates, etc.). All of my doctors have believed me, and I know that I'm most fortunate. I was diagnosed fairly early and no, it hasn't been easy, but that's the road I'm on. Well, not just me, but my husband and children, also. I read about the Royal Free Hospital and just checked to see the date this occurred. This was during my childhood and I can remember receiving the polio prevention cube b/c my state was one of the first b/c it was discovered at The University of Pittsburgh. So for me, this is simply the past....not history. We could certainly use the money that's brought in by a public outcry for answers to the present caronavirus outbreak, but I thought the same would occur as research from ME, ALS and AIDS filtered down to us. It never did. I'm not saying these groups didn't deserve their money, but when is it time to also include other illnessses. I actually thought I had AIDS myself as I'd had a transfusion during one of my surgeries. Everything was a big unknown for a long time. My husband always believed me, and teens...well teens are teens. One didn't believe me at times, the other always did. We all have a wonderful relationship today and I'll be forever grateful for their support in all necessary ways.

If I may offer some advice it's this: Seek counseling for what's occurring. I was too ill to attend myself, but it would have helped my husband and especially my daughters cope. It was a very scary time...the youngest thought I had cancer. The neurosurgeon was sure I did and it took results over 3 mos. to return. I was too sick to care, I still have never-ending pain, but now the volume is turned down. Not off, but down. So things have improved in my lifetime. The computer advanced us quite rapidly and research is now shared among countries. As a matter of fact, now there's too much and people hang their hopes on a certain announcement. Well, I know better and I firmly believe that when an answer does come, it won't be a cure, b/c the illness is so diverse, but rather a series of meds and natural products that can work in the body. But that's just my opinion. The Lone Ranger here. So yes, if you can find a book, read the history of this throughout the ages. Where do we think the children's story 'The Princess and the Pea' came from? I believe this was an early tale of it, I've never read that anywhere, but read the story and tell me what you think.

Many good wishes as you travel your own personal way with this. Yours, Lenora.
 
Messages
38
Hello Everyone....Yes, ME, CFS/FM has been around for centuries. One only has to go back to the epidemic of polio at the Royal Free Hospital in London in the last century to see how one illness can follow another.

A fairly large group of doctors and nurses came down with a mysterious illness after treating polio victims. Over 250 were affected. This was in l955, at that time it was given the name ME. In the late 1970's - 1980's at the time I became ill it was redifined as CFS/Chronic Fatigue Syndrome and FM/Fibromyalgia. We now know that a lot of the doctors and nurses at The Royal Free Hospital recovered, but many did not, treatments were not available and in England, pscyhiatrists were able to lay it at the feet of "mass hysteria." Psychiatrists have been involved since the mid 1900's to explain the psychological "implications."

At the time my illness began, we were treated as AIDS patients...there was a lot of shame and laughter at our expense, 'Time' magazine finished us off with a real hatchet job of an article and you simply didn't tell anyone this additional diagnosis. First off, we didn't know how infectious it was, so why scare people and risk losing their friendship and/or love? So we kept quiet and suffered in silence. I have 3 very serious neurological conditions that were bad enough, and I had some rather barbaric surgeries in order to deal with them. Today there is help...and hope. In my day, the main one was described in medical books (no computers then, remember? No research whatsoever.) Anyway, it was a very short description, one line that said: Quadraplegia followed by death. And, indeed, I knew many people who died just that way. We knew that others had to be afflicted, so worked with finding them info from the NIH (which had nothing at the time of my diagnosis, but I left my name and address. It paid off.) We reached out to others by having our organization's name placed in the packet sent from the NIH and received more phone calls than we ever expected to.

It went from nothing to personal telephone calls, Newsletters and the latest information. Research was hard to come by, but little by little it became The Mouse that Roared. Today it's a national organization with branches in every major city in the world....people can readily find information via the computer. Whereas I used to receive telephone calls day and night from all parts of the world (the founder had since died of the illness), others did much more but I wasn't happy with the amount that ended up for Research. What people don't understand is this: The victims have to put up money often long before the govt. will take notice and also put in $$. AIDS had broken our healthcare system, we overspent on Research and you'd be pretty shocked at how much some groups receive...such as MS and far more than that AIDS and other groups. The VA is a big supporter of my primary disease, but once that's under control, that money will then be diverted to ours since so many soldiers are returning with it. Things change; and knowledge is available.

I joined another group, an offshoot of the original, but all of the money gathered was used for research. A very hard-working family has hired researchers, especially from Australia, and they're making great progress in the very mechanism of the causes and how to "fix" the problem. A lot of people donate, but being poor is a big problem among that group and ours. That's why those of us who can give to help others should. Everyone can afford $5/mo., check about Amazon's donation to charitable group based on how much you spend, and many companies, my daughter's included will double the amount given up to $5,000/yr. I believe. Now I give to other groups also and always will, but you can do your part by checking these sources out. There is/was a time when other companies joined together and tripled the amount given on a certain day once/year. I believe it is/was called Giving Tuesday. We need to actively raise funds ourselves in order to fund more Research.

I've been sick with ME also for the past 35+ yrs. (one forgets dates, etc.). All of my doctors have believed me, and I know that I'm most fortunate. I was diagnosed fairly early and no, it hasn't been easy, but that's the road I'm on. Well, not just me, but my husband and children, also. I read about the Royal Free Hospital and just checked to see the date this occurred. This was during my childhood and I can remember receiving the polio prevention cube b/c my state was one of the first b/c it was discovered at The University of Pittsburgh. So for me, this is simply the past....not history. We could certainly use the money that's brought in by a public outcry for answers to the present caronavirus outbreak, but I thought the same would occur as research from ME, ALS and AIDS filtered down to us. It never did. I'm not saying these groups didn't deserve their money, but when is it time to also include other illnessses. I actually thought I had AIDS myself as I'd had a transfusion during one of my surgeries. Everything was a big unknown for a long time. My husband always believed me, and teens...well teens are teens. One didn't believe me at times, the other always did. We all have a wonderful relationship today and I'll be forever grateful for their support in all necessary ways.

If I may offer some advice it's this: Seek counseling for what's occurring. I was too ill to attend myself, but it would have helped my husband and especially my daughters cope. It was a very scary time...the youngest thought I had cancer. The neurosurgeon was sure I did and it took results over 3 mos. to return. I was too sick to care, I still have never-ending pain, but now the volume is turned down. Not off, but down. So things have improved in my lifetime. The computer advanced us quite rapidly and research is now shared among countries. As a matter of fact, now there's too much and people hang their hopes on a certain announcement. Well, I know better and I firmly believe that when an answer does come, it won't be a cure, b/c the illness is so diverse, but rather a series of meds and natural products that can work in the body. But that's just my opinion. The Lone Ranger here. So yes, if you can find a book, read the history of this throughout the ages. Where do we think the children's story 'The Princess and the Pea' came from? I believe this was an early tale of it, I've never read that anywhere, but read the story and tell me what you think.

Many good wishes as you travel your own personal way with this. Yours, Lenora.

By the way there is a Twitter account (curated by me) which publishes newspaper headlines of the Royal Free Hospital outbreak 65 years to the day when those headlines and stories were printed. It also (from time to time) publishes snippets of other articles and documents relating to the outbreak.

The account is @RFH1955. My colleague and me will be happy to answer questions on what we know happened in the outbreak.
 

lenora

Senior Member
Messages
5,018
By the way there is a Twitter account (curated by me) which publishes newspaper headlines of the Royal Free Hospital outbreak 65 years to the day when those headlines and stories were printed. It also (from time to time) publishes snippets of other articles and documents relating to the outbreak.

The account is @RFH1955. My colleague and me will be happy to answer questions on what we know
happened in the outbreak.

Hello @Donsboig.....The reading of the roots of neurasthenia, nervous exhaustion, etc., were most interesting to read as a refresher course. My mind needed it. Too many hospitalizations for too many serious conditions, plus steroids (off a few mos. ago, thank goodness!), together with too many new meds had left me unable to concentrate on anything for any length of time. Except for reading, thank goodness!!

Yes, I've read about the implications of fatigue over the centuries, and this has been around for a long, long time....just keeps changing form and name. I don't have a Twitter Account and have been trying to get out of Facebook for years. Thus, unfortunately, I won't be able to follow you on it.

How many of the Royal Free Hospital "nervous sufferers" ever recovered? I honestly don't remember that and since it was an outbreak after an extremely hard working and exposed nurses, doctors and other hospital workers were exposed to polio and then exhaustion that followed what they were trained to do. It seems in the end they were"sacrificed on the altar of forget about them."

I think stress and physical exhaustion can play a part in this, but the body has to be primed for it in some manner or another. What are your thoughts?

Anything you have on the Royal Free outbreak would be most interesting to me. Personally, I think it's viral as the basis and then we have layers and layers on top of it. Genetics also play a role....the researchers have a tough road ahead, don't they?

To sum it up: I had no idea of the LA outbreak and will surely look that up. Earlier in history there have been outbreaks of the same thing....it's all a big question, isn't it? I hope I live long enough to see even a partial answer, but then won't that be challenged at some later date in history? But then that's what we all become, isn't it? History - a story of us and our times, without thought of who we were, how we thought, our very humanity...and so many other things. In the meantime we use the tools at hand that help us. And I can truthfully tell you that while there's pain in life, there's also joy.

Thank you for writing. Yours Lenora (and yes, I know that's obsolete today, but I'm a letter writer, and I genuinely care about others.)
 
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Wishful

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Personally, I think it's viral as the basis and then we have layers and layers on top of it.

My theory for ME epidemics is that they involve infectious agents that are particularly good at triggering ME. The particular "twist" of that agent is either unstable or uncompetitive, so it doesn't spread far. Other factors could be involved, such as other infectious agents at the same time or preceeding, or toxins in the food or water, or the level of stress.
 

Pyrrhus

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By the way there is a Twitter account (curated by me) which publishes newspaper headlines of the Royal Free Hospital outbreak 65 years to the day when those headlines and stories were printed. It also (from time to time) publishes snippets of other articles and documents relating to the outbreak.

The account is @RFH1955. My colleague and me will be happy to answer questions on what we know happened in the outbreak.

Thanks so much for that excellent Twitter project. I have been trying to follow it. Very informative, when I can figure out how to link all the people mentioned in the tweets, and remember who's saying what and when...
 
Messages
38
Thanks so much for that excellent Twitter project. I have been trying to follow it. Very informative, when I can figure out how to link all the people mentioned in the tweets, and remember who's saying what and when...

What's being released at the moment is a selection of what we have. It is deliberately *not* exhaustive. It hopefully gives people time to piece together the basics. I have also thrown in one or two bits of incidental information and pointers to what we have and will talk about in the future.
 
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85
Location
UK
@lenora I'm glad you enjoyed it! As to your question about how the illness is triggered I have read so many theories but I really have no idea. I am (or was...) a problem solver, and I would love to have at least a partial answer to this one
 

lenora

Senior Member
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5,018
So would I like an answer; so would everyone on here and other sites.

I read about the Lost Angeles outbreak of 1934 and it reads almost word for word like the Royal Free Hospital situation. Amazing really and polio was involved in the first instance with the treatment of the patients. Why shouldn't viruses change their form and infect different people in other ways? I was amazed at the nurses who into having hysterectomies (b/c they were hysterical??? From the Greek word hysteria meaning uterus. If it's wrong, please let me know. I'd like to know exactly what was suggested to be removed from the doctors? Again, how many never recovered. Why don't they print that info.?

I'll try to find a book on that outbreak....I hadn't even known it existed. At one time it was called,"Americanitis" b/c of our fast moving and ever changing society.

Perhaps our country was like the moon/planets are now...a place of germs that we know nothing about. Yours, L.
 
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