Release of the IOM report - live webcast-2/10/2015

Nielk

Senior Member
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6,970
Comment by Dr. Derek Enlander on his fb page:https://www.facebook.com/DrEnlander?fref=nf

A comment from Dr. Enlander on the IOM's "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness" report:

"The notion to rename the disease Myalgic Encephalomyelitis (which, if we mention, we should also mention 'Chronic Fatigue Syndrome,' just to be clear) to "SEID" is highly unnecessary. This will confuse not only patients but physicians who are expert in the disease as well as those who are not familiar with the condition.

"The criteria that are quoted are a truncated version of the Canadian Consensus Criteria (CCC), truncated in a manner that allows the over-diagnosis of the disease. These criteria would also allow the diagnosis to include psychiatric conditions that are specifically excluded by both the Fukuda and CCC. I am surprised that the experts in the IOM Oversight group has not commented on this."
 
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Forbin

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966
Although I've certainly had other forms cognitive impairment - brain fog - memory issues - word finding - etc... I wonder if dizziness/vertigo would also qualify as a "cognitive impairment" under SEID. It is certainly a perceptual impairment that can make you feel like you're drugged, or in some kind of delirium. The ceaseless sensation of movement was, for several years, my most debilitating and dispiriting symptom. I suppose I'm just lamenting that neurological issues seem to be so narrowly defined in the criteria - or, as Dr.Enlander put it above - that the SEID criteria are a "truncated version" of the CCC.
 

DanME

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289
From the full report:

"The primary message of this report is that ME/CFS is a serious, chronic, complex, multisystem disease that frequently and dramatically limits the activities of affected patients. In its most severe form, this disease can consume the lives of those whom it afflicts. It is “real.” It is not appropriate to dismiss these patients by saying, “I am chronically fatigued, too.”

Not bad. :)
 

Ember

Senior Member
Messages
2,115
The IOM Committee was directed to “conduct a study to identify the evidence for various diagnostic clinical criteria of ME/CFS using a process with stakeholder input, including practicing clinicians and patients.” Two members of the Committee serve on the International Consensus Panel. In comparing the existing diagnostic criteria, the IOM Report claims, “While all of the criteria make clear that they are describing the same illness, some may very in the terminology used to refer to the illness or to the symptoms.”

Not so, according to the Evidence Report (December 2014):
The case definitions overlap but vary greatly in their symptom set, leading to concern that they do not all represent the same disease or identify the same cohort of patients.7 The international ME consensus panel of experts recommends that patients meeting the International Consensus Criteria (ICC) be given the name ME, and that those meeting the criteria for CFS but not the ICC for ME be given the name CFS.7
 

Anne

Senior Member
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295
I found it interesting that they did acknowledge the unique findings of the two-day test. It will be interesting to see how the CDC responds to this. That said, the proposed name "exertion intolerance" completely misses the boat while dropping the "post" from PEM.

I agree - on both points!
 

L'engle

moogle
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Canada
From the full report:

"The primary message of this report is that ME/CFS is a serious, chronic, complex, multisystem disease that frequently and dramatically limits the activities of affected patients. In its most severe form, this disease can consume the lives of those whom it afflicts. It is “real.” It is not appropriate to dismiss these patients by saying, “I am chronically fatigued, too.”

Not bad. :)

:)
 

Ember

Senior Member
Messages
2,115
The IOM Report calls for a complex systemic disease to be diagnosed using four symptoms: impaired day-to-day functioning, PEM, unrefreshing sleep and cognitive impairments or orthostatic intolerance. In dumbing down the CCC, the SEID definition abandons the grouping of coordinated patterns of symptom clusters that identify areas of pathology.

According to Dr. Bateman, “The IOM report is thoughtful, evidence based, designed to engage PCPs and specialists in care. Challenge them!” Well, not too much.
 

snowathlete

Senior Member
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5,374
Location
UK
From the full report:

"The primary message of this report is that ME/CFS is a serious, chronic, complex, multisystem disease that frequently and dramatically limits the activities of affected patients. In its most severe form, this disease can consume the lives of those whom it afflicts. It is “real.” It is not appropriate to dismiss these patients by saying, “I am chronically fatigued, too.”

Not bad. :)
DanME, will you be changing your username to DanSEID? :confused:
 

acer2000

Senior Member
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821
Yeah, I guess it can be taken in more than one way. I initially read it as: not "just psychological" -- as in, many considered it before to be "only psychological" -- not that it was physiological and psychological....?

Its a dig at people with psych illnesses. I thought it was an inappropriate headline. Just because our illness isn't a psych illness doesn't mean the headline has to minimize people who have psych illnesses.
 

acer2000

Senior Member
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821
Is it accurate someone said in a Q&A on the IOM report we can give blood?
Source:
http://www.mecfsforums.com/index.php/topic,21784.msg167901.html

If so, this doesn't make sense. CFS research has shown us ME CFS patients can carry many infectious agents to the point you run out of paper to write on. Basically, we're like mini AIDS patients.

Someone break out the iPhone and Youtube account and go down their local donor center with your local news reporter if that's correct. I'm sure they'll turn you away if you say you have chronic fatigue syndrome or ME.

Donating blood if you have ME CFS or SEID, makes the UK's PACE trial look like a form of safe holistic therapy. (Some healthy become patients from developing CFS, post receiving blood). There was a court case I think, in the US.

In the UK, from 2010 ME Association:



So does the American position differ?

Yes, Dr. Bateman seemed to confirm that "this was not an issue anymore" after someone asked if it was OK (due to past reports of a possible retrovirus). I found that astounding that this would be the case, since the lack of known etiology doesn't confirm a non infectious/transmissible one.

But to be honest, I never understood the desire of people who are sick to give blood anyways. Even people with temporary illness like the flu or something. You'd have to be dishonest on the screening questionnaire when they asked you if you were sick in the last X weeks.

There are plenty of perfectly healthy people who can be blood donors. They need to reach out to them and encourage more participation and exclude anyone who is sick, for any reason (even unknown reasons).
 

Sean

Senior Member
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7,378
....Unlike, say, the work of Sir Wessely himself. Right?

I wonder if his infamous comedic impersonations and colorful parodies of ME/CFS patients that he (allegedly) often performed to other doctors added, not reduced, confusion about this condition.
I hope somebody has some footage of his little act, just waiting for the right time to release it to the public.

Like, about now.
 

Antares in NYC

Senior Member
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582
Location
USA
I hope somebody has some footage of his little act, just waiting for the right time to release it to the public.

Like, about now.
I've been hoping someone releases that footage. You know there has to be video recordings. Allegedly he's taken his comedy routine on the road, performing his whiny impersonations in conferences beyond the UK.
 
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