What really bothers me is that a lot of people that have a functioning body and 90% more energy than we have, are actually chronically lazy or complaining about minimal efforts. I know a person that works 6 hours in a pet shop and he doesn't stop complaining how hard his work is, how tired he is in the evening and how he doesn't have enough energy to do anything except work, eat and sleep. If I had his body and energy I would build an house and run a marathon daily (kinda)
So he is actually the lazy one, the complaining one, a person (like many others) that never learned the vital skills of adaptation, flexibility, will-power; but if we were to be compared I would be considered the "lazy" one, because I don't (can't) work six hours in a pet shop. But I actually think that considering my physical exhaustation level is a lot lower than his, I actually do a lot more than him. It's like saying that if a person with a pain tolerace of 5 is stung with a needle and a person with pain tolerance 100 is cut with knife, objectively the person stung with the needle has experienced more pain.
I have read there's actually a very simple way to test for CFS
In fact if you do any physical activity for 30 minutes, the next day you're supposed to match your performance from the previous day
Every healthy people, no matter how lazy, can pedal to the point of fatigue on sunday and doing the same on monday with the point of fatigue being the same.
A person with CFS will not be able to match the performance from the previous day and if he/she reached the point of fatigue after 10 minutes, he/she will reach it after 1 minute the next day, if he/she is able to move his/her leg muscles at all.
So, no matter how tired a person claims to be, no matter if one thinks one will collapse unless he sleeps 12 hours on sunday morning, no matter how tiring a person thinks his/her job is ... they're going to match an "activity to failure" performance from one day to another. A person with CFS isn't and this is as objective and pathological as it gets.
There are two reasons people don't understand.
First one: they feel fatigued too.
But it's a normal fatigue, explanaible by their activities and which goes away after a good night sleep
So you need to point out what you suffer from is long-lasting exhaustation not explanaible by activity and that doesn't improve with a good night sleep. Ask them if they remember how they feel when they have a bad flu, their legs feel tight and heavy and they can't even leave the beedroom. If so, then explain them that's how you feel IF you push too much.
And this leads to the second point: we are trying not to push ourselves too much
We're resting and reducing our activities, so people might actually see we're not always bedridden or so tired to be unable to talk
but they need to know that's so because we're living 50% to 90% less than they are, giving up studying, travelling, working, club dancing, playing and a lot of things we would rather do. Have you ever seen how agitated someone becomes when he/she doesn't have anything to do with his/her time?!
My theory is that humans have the extinct to do, even the lazy boy that doesn't do his homeworks, isn't planning to just breath and lay down but his going to practice with his skateboard or beat the video-game record (all things that could be considered learning, so he actually wants to learn... even if schools doesn't interest him) or have a basketball game. Tell this boy he can't do these thing but can lay down and stare the ceiling and he will get agitated and anxious. Tell a person he can sit on the coach for days if he wants to and within 2 days he will beg you to please involve him in some kind of activity or project. Humans want to do, being unable to do is the worst nightmare for a human.
So these people need to understand that we have to reduce our existence and waste our precious time in order to diplay the kind of semi-health we need for certain events and need to understand that partecipating to these events often means we'll have to rest in bed for three days in a row afterward with an extremely low pressure upon standing and muscle cramps; so we're actually sacrifing ourselves in order to please a person (to be at his birhday, at his marriage, at someone's mother funeral...)
When they tell you you're faking your fatigue, ask them "then why I give up on a lot of funny things, like cinema, dinners, parties, sport? I know lazy people who fake illnesses in order to have more free time and eschew works, but they also have lot of fun and are always going out, spending money at parties and clubs, travelling with friends. If I was faking it I would pretend I'm tired when there's something to do but would never miss a party, cinema, travel, vacation, sport-game and so on invitation; which is actually what I do all the time"
No sane human being would ruin his life in order to pretend to be sick.
If a person tells you that he would rather laying in bed unable to walk without pain and unable to dedicate his time to his hobbies, interests and passions rather than going to work; then you're allowed to say to this person that he is completely insane and actually the lazy one.
If a person tells you that he would be glad to live your life because it's total rest, then he is insane too. No sane person would spend his life staring at the ceiling rather than doing, which is the most important human instinct and the things humans love more, no matter how they claim to love "doing nothing", they don't!
Last thought: people have no problem understanding the issues of someone with an heart defect.
A person with a defective heart looks completely normal and can live a normal life as long as he doesn't push himself too much.
So when he is sick people have no problem understanding that "his heart is acting up" and when he feels good and partecipates in social life people have no problem understanding that "his heart is giving him some rest finally"
If they see the person walking on the street and laughing they don't think "he was faking the heart thing because he is fine now"
People have no problem understanding that if you're allergic to pollen it means that in those months there's pollen in the air you're going to be sick and that those months without pollen you're going to feel fine. If they see the person walking on the street and laughing on a pollen-free month, they're not going to think "he was faking the allergy thing, he is fine now"
In other words people have no problem understanding "reactive pathologies", those chronic pathologies that can be dormant or acute according to whether the trigger is there. CFS is a reactive pathology, it's a defective reaction to activity and its trigger is excessive or long-duration activity which for someone with CFS could mean also reading for 4 minutes or walking from bedroom to kitchen.
I don't say anymore i suffer from CFS, I say i have a defective neurovegetative system and can't tolerate any long-lasting activity without resting periodically or suffering flu-like symptoms (including fever in my case) the next day. If they bother me I use the "defective heart" analogy.
There are also several differences between someone with CFS and someone who is just being lazy or hipochondriac.
Lazy, hypochondriac people don't have swollen glands, fever or orthostatic low pressure.
Lazy, hypochondriac people feel better after exercising, people with CFS feel worse.
Lazy, hypochondriac people always underestimate their abilities, CFS people always overestimate their abilities
Lazy, hypochondriac people feel suddenly better if there's something interesting going on, like a dinner or a party, people with CFS don't and usually decline the invitation.
Lazy, hypochondriac people with a concentration/memory problem can "remember" if there are hints written on a sheet, people with CFS can't, because it's not that they have low memory but that their brain activity is fogged so even reading the actual answers to a test questions would still have them confused and writing the wrong answers (i.e a lazy student can pass a test using little sheets with hints, reminders or answers on if he didn't study for the test, a CFS student in a moment of brain fog can't even understand the questions and won't pass the test even if he studied and knew the answers the previous day)
Of course there are a lot of more differences involving post-exertional-malaise, medical check-ups, low immune system and so on but those above are the more straightforward and visible ones for a "skeptic"
P.S
I keep editing my message (that's the fifth time) because I can't write more than a couple dozen lines at a time.
Ask your "friend" whether that happens to her while she chats with her friend or when she's writing a post or comment about something she is interested to and whether that would happen if she was faking an ilnesses for whatever reason.