Ok, you are going to love this, It's late and I'm in a weird mood. Anyhoo, the IOM has taken $@% frickin ten years to change a %#@# fricken label from GWS to CMI and after #^%# frickin 10 prior attempts until it met the approval of the VA. I believe that a similar statement was made by Sebelius. This is a cash cow for the IOM on the taxpayers dole. Sebelius didn't tell us about how long it will take, and the prior failed attempts of the IOM Panel costing taxpayers tens of millions of dollars over a ten year period. Don't you think, there should be full disclosure on what the ME/CFS community is buying into? Didn't I hear somewhere about more transparency in government?
OK..all my keys on the keyboard look the same wierd, been typing and reading all day. I uploaded the document and highlighted notable sections for your enjoyment.
You are going to have to read between the lines. Ask yourself what is this document really saying. First off, you will notice they put mood disorders, anxiety and depression with the symptoms. Furthermore they lump some more illnesses together Fibromyalgia and chronic fatigue. that may overlapp other symptoms and they threw in awhole new papient cohort from another war. (Because of the complex nature of CMI, managing patients will take more than simply writing a prescription; it requires broadening the definition of treatment.WHAT! The committee evaluated all treatments for which there was evidence, including prescription medicines and alternative therapies. On the basis of the voluminous evidence it reviewed, the IOM committee cannot recommend one single therapy to manage the health of veterans with CMI and, further, rejects a one-size-fits all treatment approach
What! After these years preaching against one treats all
Instead, the committee endorses individualized care management plans.The committee notes that the best available evidence from studies of treatments for CMI and related health conditions demonstrates that veterans who have CMI may benefit from such medications as selective serotonin reuptake inhibitors and serotonin norepinephrine reuptake inhibitors, and from cognitive behavioral therapy, which has been shown to reduce symptoms. Other interventions and approaches
endured by U.S. military personnel deployed to the 1991 Gulf War and to the wars in Iraq and Afghanistan.They are personal and many. While the cause or causes of the many symptoms experienced by veterans who have CMI remain unknown, this lack of clarity does not undermine the legitimacy of veterans’reports of symptoms. What! this was your assignment to increase clarity
So, basically for the last ten years and hundreds of reports, testimonies, research papers to help define the patient criteria, this llustrous and star studed scammers panel bilked the taxpayer out of tens of millions of dollars to come up with this crap! And they still manage to lack the clarity which they were attempted to defined and instead of individualize medicine for each symptom, they had to broaden thier definition to include all the symptoms at one time. A fact they needed to fix. Give me a break! Was didn't the VA place a paid by performance cause in the contract?
Enjoy the report, this is just the tip of the iceberg. More will come out on analysis on how they arrived with their conclusion never mind their original goal.
Enjoy
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