Medscape: CFS: Wrong Name, Real Illness

[Wally]

There is an individual who has made several comments to this article ("CFS: Wrong Name, Real Illness") using the name Dr. Steve Coates. A quick google search for "Dr. Steve Coates", "Dr. Steven Coates" and "Dr. Stephen Coates" came up with several doctors with this name in the U.S. and the U.K.

In the U.S., the name Dr. Steve Coates in linked to a dentist in California, a gastroenterologist in Texas and, an oncologist in Indiana. In the U.K. I found two doctors with the name Steve Coates. One was identified as a "neurophysiology consultant" and one was identified as a neurologist. See, http://www.spirehealthcare.com/wash...onsultants/our-consultants/dr-stephen-coates/ and http://en.wikipedia.org/wiki/Clinical_neurophysiology and http://www.epilepsysociety.org.uk/penrith-hospital.

I don't know if the person commenting on this article is actually named Dr. Steve Coates and if one of the names showing up in a Google search for Dr. Steve (Steven or Stephen) Coates is one of the individuals listed above. However, I found it to be an interesting exercise to see what popped up from a quick Google search.

 

[Never Give Up]

There is an individual who has made several comments to this article ("CFS: Wrong Name, Real Illness") using the name Dr. Steve Coates. A quick google search for "Dr. Steve Coates", "Dr. Steven Coates" and "Dr. Stephen Coates" came up with several doctors with this name in the U.S. and the U.K.

In the U.S., the name Dr. Steve Coates in linked to a dentist in California, a gastroenterologist in Texas and, an oncologist in Indiana. In the U.K. I found two doctors with the name Steve Coates. One was identified as a "neurophysiology consultant" and one was identified as a neurologist. See, http://www.spirehealthcare.com/wash...onsultants/our-consultants/dr-stephen-coates/ and http://en.wikipedia.org/wiki/Clinical_neurophysiology and http://www.epilepsysociety.org.uk/penrith-hospital.

I don't know if the person commenting on this article is actually named Dr. Steve Coates and if one of the names showing up in a Google search for Dr. Steve (Steven or Stephen) Coates is one of the individuals listed above. However, I found it to be an interesting exercise to see what popped up from a quick Google search.

I Googlesnooped him the other day, too. On Medscape he identifies himself as being in neurology, so I think he's the one in the UK. Here's his CV, complete with photo.

http://www.cumbriapartnership.nhs.uk/uploads/NeuroCare Cumbria/DrS Coates-CV-web.pdf

I wouldn't want to run into him in a dark alley.

 

[Wally]

I Googlesnooped him the other day, too. On Medscape he identifies himself as being in neurology, so I think he's the one in the UK. Here's his CV, complete with photo.

http://www.cumbriapartnership.nhs.uk/uploads/NeuroCare Cumbria/DrS Coates-CV-web.pdf

I wouldn't want to run into him in a dark alley.

I wonder if the person who is listed as a neurologist at Penrith Hospital in the U.K. is the same person who is identified as a ""neurophysiology consultant" with Spire Washington Hospital.

Do you know if in the U.K. a "neurophysiology consultant" is also a neurologist or if these are two separate specialties?

 

[Never Give Up]

I wonder if the person who is listed as a neurologist at Penrith Hospital in the U.K. is the same person who is identified as a ""neurophysiology consultant" with Spire Washington Hospital.

Do you know if in the U.K. a "neurophysiology consultant" is also a neurologist or if these are two separate specialties?

I think he has both hospital affiliations.

Over the years I've surmised that a "consultant" in the UK is what we would call a specialist in the US. I think the neurophysiologist is a doctor who mostly does diagnostic testing, you know, the gruesome neuro tests like nerve conduction studies and nerve biopsies.

 

[MeSci]

I think he has both hospital affiliations.

Over the years I've surmised that a "consultant" in the UK is what we would call a specialist in the US.

That's right. They are the top-ranking specialists in hospitals. Confusingly, 'consultant' also refers to overpaid and often-inexpert advisors often unwisely hired by organisations, including central governments and local councils, whose constituents tend not to appreciate the exorbitant amounts of their taxes wasted on them!

 

[Never Give Up]

Oh my gosh! The physician comments on this article are getting worse and worse. I suppose it shouldn't be surprising, so many of them act as if they believe these horrid things.

I guess my family is living in a bubble of ME specialist care, ready access to the latest published research findings, and the benefits of both in person and online support groups.

It's hard to think of my son as being lucky, he's so ill. But, it seems he is lucky to live in this bubble and to have the love, support, and care of his parents.

I wish you were all lucky in this way, too.

 

[Roy S]

I've been unable to register to read the comments. It won't accept any password.

 

[Cheshire]

this is not an organic illness

90% of my patients with the diagnosis of 'chronic fatigue'...all female....get totally cured when their husband dies....no kidding!

Almost makes me think there is some antibody-immune response to the intimate aspects of the husband wife relationship...but most likely not. If a divorce occurs, the lady does not improve.

I'm not sure my husband would appreciate that kind of medicine...

We are bordering insanity here. Some doctors are really frightening.

 

[A.B.]

We are bordering insanity here. Some doctors are really frightening.

It all makes sense when you realize that psychosomatic medicine was popularized by Freud, starting shortly after he began taking cocaine. Heavy cocaine use leads to psychosis in which the person loses touch with reality.

 

[chipmunk1]

this is not an organic illness

90% of my patients with the diagnosis of 'chronic fatigue'...all female....get totally cured when their husband dies....no kidding!

Almost makes me think there is some antibody-immune response to the intimate aspects of the husband wife relationship...but most likely not. If a divorce occurs, the lady does not improve.

psychosomatics.... cynical, hostile, idiotic, superstitious, misogynistic, incompetent, out of touch with reality...

are there unmarried females with ME?

http://www.dailymail.co.uk/news/article-89514/Most-British-women-unmarried.html

 

[ahimsa]

I've been unable to register to read the comments. It won't accept any password.

The Medscape interface is a bit confusing. You log in with a user name (which is not the same as your email address) and a password. I can't tell you how many times I have tried to enter my email address as the user name and then I wonder why it does not work.

Of course, there could be some other problem! I'm mentioning this just in case it helps.

 

[chipmunk1]

The Medscape interface is a bit confusing. You log in with a user name (which is not the same as your email address) and a password. I can't tell you how many times I have tried to enter my email address as the user name and cannot figure out why it does not work.

Of course, there could be some other problem! I'm mentioning this just in case it helps.

what works for me:

if i access them via a search engine result i do not need to register.I have not registered so far but i could still read the article. if i access the link directly i need to register to view the page.

try the first result.

http://www.bing.com/search?q=http://www.medscape.com/viewarticle/837577

 

[MeSci]

what works for me:

if i access them via a search engine result i do not need to register.I have not registered so far but i could still read the article. if i access the link directly i need to register to view the page.

try the first result.

http://www.bing.com/search?q=http://www.medscape.com/viewarticle/837577

My search engine didn't give me the article, but yours did! However, I could only read the first page - when I clicked 'next page' it asked me to log in.

Come on, Medscape - open up!

 

[chipmunk1]

My search engine didn't give me the article, but yours did! However, I could only read the first page - when I clicked 'next page' it asked me to log in.

Does this work?

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_2

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_3

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_4

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_5

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_6


new comment:

"Tired all the time" is one of the most common symptoms we see with a multitude of causes. They can be categorized according to the characteristics of the fatigue which can point to various physical or psychogenic causes (stress reactions being the most common).

During the 35 yrs of my career I have become aware of a subset of a type of fatigue that exists as a constant background, feels physical rather than just a loss of drive, unrefreshed by rest. It is notably worse with physical or mental activity which is often referred to as "exhaustion", with delayed recovery often into the next day. Muscle aching is common but not ubiquitous.. It is often but not always associated with headaches, dizzyness, multiple drug, food and other chemical intolerances with GI symptoms. Very commonly these patients have an obsessional personality with chronic anxiety. They are often suggestible and hold strong belief symptoms. Usually the symptoms run a relapsing remitting course.

There is no doubt in my mind that this is due to an environmental trigger in a predisposed individual. The personality characteristics may well be part of the predisposition. It is possible that anxiety related high catecholamine and cortisol levels at a time of certain virus infections cause the abnormal immune response with the multi system cascade that is said to occur. Patients can usually date the onset of the illness.


The problem is that there is already a psychological element in the predisposition as well a a psychological response the illness itself. This can mask the physical nature of the symptoms. Sufferers often slip into a sick role (not always) and feel threatened by the loss of support that any improvement might bring.. It is not surprising both health and social services hold an attitude about the diagnosis that is only slowly waning over the past decade or so.

Anxiety? Doesn't that contradict the depression theory?and does't that contradict the husband "death" theory? So it's not exercise phobia? it's not lack of connection with nature?

 

[MeSci]

Does this work?

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_2

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_3

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_4

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_5

https://www.google.com/?q=http://www.medscape.com/viewarticle/837577_6

No, but this hit from your previous link got me to page 2. I tried just changing the 2 to 3 to get the next page but it didn't work.

EDIT - no, the page 2 hit doesn't work direct. It only seems to work coming from the list of Bing hits.

 

[chipmunk1]

No, but this hit from your previous link got me to page 2. I tried just changing the 2 to 3 to get the next page but it didn't work.

EDIT - no, the page 2 hit doesn't work direct. It only seems to work coming from the list of Bing hits.

bing only knows the first 2 pages.. you need to access from google, each part needs to be accessed from a search result otherwise it doesn't work.

for me it works if: i click one one of the links, then do a google search and click on the first result.
I have to repeat these steps to view another part, just replacing the number doesn't work for me.

 

[MeSci]

bing only knows the first 2 pages.. you need to access from google, each part needs to be accessed from a search result otherwise it doesn't work.

for me it works if: i click one one of the links, then do a google search and click on the first result.
I have to repeat these steps to view another part, just replacing the number doesn't work for me.

I don't quite understand. What do you do a Google search for, exactly?

 

[MeSci]

Is this the whole article?

 

[chipmunk1]

Is this the whole article?

yes i think it is.