ahimsa_pdx,
@ahimsa_pdx@disabled.social avatar

I've got a new doctor (old one retired)

At my December appt. I talked about my ME/CFS symptoms & gave him a copy "Diagnosis and Management of Myalgic Encephalomyelitis / Chronic Fatigue Syndrome" (link below)

At some point my doc said, "You must have a very severe case!" My response was no, severe cases are often bedbound, tube fed, etc

I can't work but I'm moderate. Doctors don't realize how severe ME/CFS can be

https://www.mayoclinicproceedings.org/article/S0025-6196(23)00402-0/fulltext

murtaugh,
@murtaugh@mastodon.social avatar

@ahimsa_pdx Physics Girl on Youtube has been bed-bound for almost a year now, and they put out update videos every once in a while. I mention that to folks who don't "get" what long covid can do.

CazimodoCreative,

@ahimsa_pdx I class myself as mild. I can only work three days a week now and only from home and that means I need to spend the next four days recovering. Even then, some weeks the challenge of work, both mentally and physically can become overwhelming and I can crash. I don't think most medical professionals are very well informed. I often get eye rolls if I mention I have been diagnosed with

ahimsa_pdx,
@ahimsa_pdx@disabled.social avatar

@CazimodoCreative
True, many doctors never learn about ME/CFS in medical school, don't take it seriously. With so many new cases from COVID we need better doctor training!

Most studies (surveys) have found that ME/CFS is underdiagnosed (doctors don't recognize it). Yet some patients, who report only fatigue, no other required symptoms (eg, post exertional malaise, unrefreshing sleep), get misdiagnosed with ME/CFS.

CDC diagnostic criteria:

https://www.cdc.gov/me-cfs/pdfs/interagency/What-are-MECFS-Symptoms_508.pdf

ahimsa_pdx,
@ahimsa_pdx@disabled.social avatar

The happy ending to this doctor appointment is that he said that did not know about this but he would read the document so he could learn more.

This is information that has been known by patients for years

Now that there is an official document (from the Mayo Clinic Proceedings) that says this then, thankfully, more doctors will listen to patients.

Sadly, there are still some doctors who won't.

meredithw,
@meredithw@wandering.shop avatar

@ahimsa_pdx Years ago when I was searching for a diagnosis, a doctor told me I wasn't tired enough to have CFS/ME (back then people weren't talking about PEM). Reading this makes me realize he only recognized people at the severe end. I do wish this document included a description of mild the way it does for other levels.

ahimsa_pdx,
@ahimsa_pdx@disabled.social avatar

@meredithw There is a brief description of mild in the document that I linked:

"Patients with mild disease may work or attend school but must often reduce other activities to do so…"

It's in the same paragraph that also has short descriptions for moderate, severe and very severe.

It says an estimated 25% of cases are mild.

meredithw,
@meredithw@wandering.shop avatar

@ahimsa_pdx somehow I missed that. Yes, that describes me.

ahimsa_pdx,
@ahimsa_pdx@disabled.social avatar

@meredithw With cognitive issues it's so easy to miss things.

Even when it's my own post, and I've copied/pasted the text, I still miss things and have to read, and then re-read, to absorb the information!

ahimsa_pdx,
@ahimsa_pdx@disabled.social avatar

I forgot to tag the ME/CFS group!

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