@Amaya2014 Unfortunately, it isn't only doctors' "internal dialogue" we have to contend with. A few years ago, following advice from a sleep specialist resulted in the worst ME crash I've ever experienced. I took a copy of the ME "International Consensus Primer for Medical Practitioners" to my next appointment, with the advice regarding sleep highlighted. The specialist treated the document as if it were on fire. He threw it on the floor at my feet, while stating he knew none of the doctors involved in writing it, and that it meant nothing to him. This is the first, and only, time I've literally screamed at a medical practitioner. How he could later describe me as "pleasant" in his report to my physician, I'll never know. Regardless, I didn't return to his practice.