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."
Well, the Washington Post edited their article title to remove the word "just"!"...not just psychological"
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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
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.
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.![]()
Our lovely David Tuller in the NYT:
http://well.blogs.nytimes.com/2015/02/10/chronic-fatigue-syndrome-gets-a-new-name/?_r=3
DanME, will you be changing your username to DanSEID?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.![]()
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....?
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?
I suspect this is the reason.The problem might be that pain isn't specific enough to ME/SEID to be a useful major criteria.
Are the criteria intended to be clinical or research? Or both?
I hope somebody has some footage of his little act, just waiting for the right time to release it to the public.....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'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.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.