@tomkindlon@disabled.social
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tomkindlon

@tomkindlon@disabled.social

95% of posts on #MyalgicEncephalomyelitis, #LongCovid or #chronicillness.

With ME/CFS 34 years, housebound 29 years.

Health has deteriorated post Covid (March 2022).

Irish ME/CFS Association* trustee 26 years.

26 publications in peer-reviewed journals.

MEpedia entry which has links to my social media accounts (among other things): https://me-pedia.org/wiki/Tom_Kindlon

#ChronicFatigueSyndrome #MECFS #PwME #fedi22

*IrishMECFSAssociation@mastodon.ie

This profile is from a federated server and may be incomplete. Browse more on the original instance.

tomkindlon, to mecfs en
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Petition:
Cochrane: Withdraw the harmful 2019 Exercise therapy for CFS review

https://www.change.org/p/cochrane-withdraw-the-harmful-2019-exercise-therapy-for-cfs-review

I signed saying: The 2019 review is fatally flawed. See “Problems with the amended version" by Michiel Tack https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003200.pub8/detailed-comment/en?messageId=266353165# for a carefully argued, well-referenced critique which built on earlier critiques by Robert “Bob” Courtney and myself.

@mecfs

tomkindlon, to fibromyalgia en
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StudyME (Please!) The Open Medicine Foundation’s Project to Accelerate ME/ , & Research

https://www.healthrising.org/blog/2023/09/23/study-me-open-medicine-foundation/

"I know of at least two studies that failed to get completed because they failed to find enough participants. That’s a horrible thing to have happen in a field that needs every research dollar it can get its hands on."

@mecfs @longcovid
@fibromyalgia

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Sharing with permission, a message by Dr. Hwang (via @dakota_150 )

Dr Hwang was lead author of WASF3 disrupts mitochondrial respiration and may mediate exercise intolerance in myalgic encephalomyelitis/chronic fatigue syndrome

https://www.s4me.info/threads/wasf3-disrupts-mitochondrial-respiration-and-may-mediate-exercise-intolerance-in-myalgic-encephalomyelitis-chronic-fatigue-syndrome-2023-hwang-et-al.34776/page-11#post-495760

@mecfs

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Long-term health outcomes of Q-fever fatigue syndrome patients

Free fulltext:
https://www.cambridge.org/core/journals/epidemiology-and-infection/article/longterm-health-outcomes-of-qfever-fatigue-syndrome-patients/99B3D80E172A66619C216506E020BB02

"many experienced post-exertional malaise complaints (98.9%)...This is line with...other patient populations that experience long-term sequelae of infectious diseases"

@mecfs

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Registration is open for the upcoming NIH Symposium For Promoting The Advancement Of Research Knowledge In ME/CFS (SPARK ME) on December 11, 2023

Go to: https://event.roseliassociates.com/me-cfs-symposium/for more info

@mecfs

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2/

Paper title: Vaccination after developing long COVID: impact on clinical presentation, viral persistence and immune responses

@longcovid @covid19

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David Tuller: With so many patients being diagnosed with ME or ME/CFS, it’s essential physiotherapists (or physical therapists in US) - grasp the essentials of the disease, & in particular the existence of post-exertional malaise". "I recently spoke with 2 of the authors of A Physiotherapist's Guide to Understanding & Managing ME/CFS about why they wrote the book, how they formed Physios for ME, etc.”

https://youtu.be/MN2LXemIUOI
@mecfs
@longcovid

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2/

“My talk at Cambridge was an effort to categorize some of these practices and provide key examples of each. The flaws I discuss generally lead to results that distort and misrepresent the true nature of what is happening with patients." - David Tuller DrPH

@mecfs

tomkindlon, to mecfs_de en
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Germany:

Guideline to promote interdisciplinary collaborations to research the pathomechanisms of / (ME/CFS)

From September 1st 2023 - Deadline: December 11th 2023

Google English translation
https://www-gesundheitsforschung--bmbf-de.translate.goog/de/16423.php?_x_tr_sl=de&_x_tr_tl=en&_x_tr_hl=en-US&_x_tr_pto=wapp

@mecfs_de @mecfs

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2-minute segment on (US) WFRV Green Bay TV

or ?

https://news.yahoo.com/healthwatch-fibromyalgia-chronic-fatigue-9-222152330.html

Tries to be sympathetic but somewhat flawed e.g. says fatigue rather than PEM is cardinal symptom of CFS & says "important to stay active" with video of person doing weights 🤦‍♂️

@mecfs
@fibromyalgia

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Understanding, diagnosing, and treating / – State of the art: Report of the 2nd international meeting at the Charité fatigue center

Full text not free:
https://www.sciencedirect.com/science/article/abs/pii/S1568997223001866

@mecfs @mecfs_de

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"Chronic fatigue syndromes: real illnesses that people can recover from"

Some wishful thinking from the biopsychosocial school

Free fulltext:
https://www.tandfonline.com/doi/epdf/10.1080/02813432.2023.2235609

What was supposed to be the definitive trial, the £5M , found no increased recovery rates with CBT or GET using the protocol recovery criteria:
https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-018-0218-3

@mecfs

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New US pre-print:
Association Between / & Cardiovascular Disease

Free:
https://www.researchsquare.com/article/rs-3332913/v1

"A history of CFS/ME was independently associated with CVD [Cardiovascular Disease] after adjusting for traditional CVD risk factors"

@mecfs

1/

tomkindlon,
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2/

A history of chronic fatigue syndrome was derived from a "Yes" response to the question, "Have you ever been told by a doctor or other healthcare professional that you had Chronic Fatigue Syndrome (CFS/ME) or Myalgia Encephalomyelitis (ME)?"

@mecfs

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(UK)
From
"Major study hopes to tackle ME stigma: DecodeME is hoping to test 20,000 DNA samples from people living with the condition"
https://www.independent.co.uk/news/health/symptoms-university-of-edinburgh-dna-leeds-b2416303.html

This extract briefly explains the importance of the study & highlights how more samples are still needed. Please try to use reach all your contacts in whatever way possible to encourage them to sign up

Sign up: https://www.decodeme.org.uk/

@mecfs

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Healthcare system barriers impacting the care of Canadians with : a scoping review

Free fulltext:
https://www.medrxiv.org/content/10.1101/2023.09.20.23295809v1

"Healthcare system barriers arose from an underlying lack of consensus & research on ME & ME care; the impact of long-standing stigma, disbelief, & sexism; inadequate or inconsistent healthcare provider education & training on ME; & the heterogeneity of care coordinated by family physicians."

@mecfs

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Some travel tips for people with ME/CFS

TABLE 2. Strategies to provide ME/CFS patients for testing.

From:
Cardiopulmonary Exercise Test Methodology for Assessing Exertion Intolerance in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
https://www.frontiersin.org/articles/10.3389/fped.2018.00242/full

@mecfs

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Disability At Home:
"This website documents the ingenuity and creativity that caregivers and disabled people, including those with chronic illnesses, use every day to make home accessible..."

https://www.disabilityathome.org/

@chronicillness
@spoonies
@disability @mecfs

tomkindlon,
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tomkindlon, to chronicillness en
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tomkindlon,
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2/

"I see it almost daily. In the health communities I’m in, someone will say 'I need to get a disabled placard but I’m afraid to.' I see the images of awful notes left on the car of someone who uses a placard. You can find examples here, here, here and here. I could keep going"

@chronicillness @spoonies @disability @mecfs @longcovid

tomkindlon,
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3/

"My doctor signed it without question. I still was not comfortable with the term “disabled” then and I was still trying to pretend I could physically do what I was longer able to do. “Passing” as able-bodied was significantly easier than trying to live with disability (or so I thought at the time), and I was coasting on denial as long as I could."

@chronicillness @spoonies @disability @mecfs @longcovid



tomkindlon,
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4/

"But I was wrong. I was and am disabled. I got the [parking] placard and ended up using it every day because it was a life saver. I wished I had gotten it sooner when I needed it, long before I finally talked to my doctor about it."


@chronicillness @spoonies @disability @mecfs @longcovid

tomkindlon,
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5/

"I imagine there are a variety of reasons people leave notes on cars or make discriminatory comments to the disabled...they may assume all disabilities are visible and that only individuals who require a mobility aid qualify as disabled."


@chronicillness @spoonies @disability @mecfs @longcovid

tomkindlon,
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6/
"When someone leaves a note on a car or makes a comment, they are making rash judgments about someone they’ve never even met and enacting a gross injustice on someone who faces daily obstacles already.

This needs to stop."


@chronicillness @spoonies @disability @mecfs @longcovid

tomkindlon,
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7/

"1. Most and are invisible. Often, you cannot “see” kidney disease, cognitive disabilities, neurological conditions, cancer, prosthetic limbs, etc. All of these and more qualify as disabilities, and these individuals are allowed access to a disabled placard to make their lives and the world that much easier to navigate."

@chronicillness @spoonies @disability @mecfs @longcovid


tomkindlon,
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8/

"2. Police officers, parking attendants, etc. can ask someone to show them the permit people are required to carry when they use a placard. Other people do not need to enact their own form of vigilante justice. There is a system in place to make sure that those who use the placards are permitted to use them."

@chronicillness @spoonies @disability @mecfs @longcovid


tomkindlon,
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9/

"4. If someone would like to help those with , there are better ways to do this than by leaving notes on someone’s car or making disdainful comments... You can spread the word that many disabilities are invisible and learn more about why disability and illness are often considered “invisible.”..."

@chronicillness @spoonies @disability @mecfs @longcovid

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10/

"Those with face hurdles every day the able-bodied cannot fathom. If you are concerned that the are getting a “privilege” that is somehow “undeserved,” you are entitled to your opinion but please don’t act on it."


@chronicillness @spoonies @disability @mecfs @longcovid

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Good news from Norway:
"Forskningsrådet (The Research Council) has awarded the team at Haukeland 11 million NOK to their research on ME/CFS and energy metabolism"

This is equivalent to €957,902/US$1,024,396/ST£827,980

https://www.s4me.info/threads/news-from-scandinavia.647/page-89#post-494915

@mecfs

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Recovery Position Statement

This 2-page document seems to me to be a fair overview of the topic, though will likely be disappointing for people unaware of some of the research.

https://www.emerge.org.au/recovery-position-statement/

@mecfs

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Latest
e-newsletter is here:
https://s4me.info/threads/uk-decodeme-recruitment-open-online-questionnaire-postal-spit-kit-12pm-12th-sept-2022.29463/page-30#post-494577

It shows they have less than 16,000 DNA samples (they have funding for 25,000). Hopefully the ME community will make a big effort to reach more people in next 8 weeks.

@mecfs

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From: DecodeME the ME/CFS Study @DecodeMEstudy

DecodeME Recruitment is closing on November 15 at 5pm. Sign up and complete the questionnaire by this date to be a participant.

There will be time after this to provide your saliva sample

Sign up: https://shorturl.at/dklxS

@mecfs

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2/

Dr. Iwasaki says: "Post-acute infection syndromes have historically been ignored. They've been going on for decades - or maybe hundreds of years - but we haven't been paying attention. Our center is uniquely positioned to tackle these diseases because of our building expertise from and our many collaborations across different disciplines".

@mecfs @longcovid

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L”Association Française du Syndrome de Fatigue Chronique (ASFC) a édité un petit guide du pacing, conçu pour les malades

https://www.asso-sfc.org/asfc-actualites-details-478.php?zan_id=478

@mecfs
 @longcovid

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tomkindlon,
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4/

"This reality also helps explain, once again, the staying power of old ideas. Short-term and low-cost interventions such as GET and CBT are attractive not because of their evidence base, which has been exposed as flimsy and unconvincing, but rather because of their seemingly plausible and easily replicated approach to a very complex scientific and public health issue. (contd)”

@mecfs @longcovid

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5/

"(Contd.) The converse is clear as well when critics frame research into the biology and pathophysiology of ME/CFS or as unnecessarily expensive. If you’re reluctant to spend significant resources addressing a new problem, ignoring its potential significance is an understandable strategy."

@mecfs @longcovid

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6/
“Although paradigms are bound to shift when new knowledge contradicts prior beliefs, the resistance phase can be highly troublesome. This is especially the case when purportedly effective treatments arising out of poor-quality science carry a risk to human welfare. In the current context, psycho-behavioral approaches to treatment have been shown to be not only flawed but likely harmful by triggering the serious relapses that characterize PEM (contd)” @mecfs @longcovid

tomkindlon,
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7/

“(Contd) Ongoing resistance to the paradigm shift only ensures that patients will continue to be offered inadequate & possibly dangerous therapies. Recent reports from patient support groups suggest that many health care services across England are not yet aligned with the new ME/CFS guideline, still offering treatments that are now disfavored”

@mecfs @longcovid

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8/

“A new NIH institute or center for post-infectious illness is a promising prospect. However, any such initiative is unlikely to happen quickly, & obtaining actionable results would take even longer. In the interim, we believe medical & public health authorities should not wait for the paradigm to shift by itself. Instead, they must push the paradigm & help ensure its onward passage against the forces of resistance & revanchism”

@mecfs @longcovid

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🧵
"17 Things I Don’t Admit on Bad Days With Chronic Fatigue*"

https://themighty.com/topic/chronic-illness/hidden-truths-of-what-chronic-fatigue-feels-like/

*Note that she clarifies "people with many illnesses experience chronic fatigue, but it should not be confused with / , a distinct diagnosis that also includes as a symptom."

@chronicillness
@spoonies




1/

tomkindlon,
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6/

"7. “I’m in more pain than someone could even imagine. I wouldn’t wish this pain on my worst enemies. I don’t like to complain to those around me because if I did, I’d be complaining 24/7 and I don’t want to be ‘annoying’ or ‘a burden’ to anyone.”

@chronicillness @spoonies


tomkindlon,
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7/

  1. “I’m on the verge of losing it at everyone because everything seems so loud, like it’s way louder than normal. And it’s so annoying it makes me angry. Like even someone drinking a drink seems like they have megaphone at their throat.”

@chronicillness @spoonies


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8/

  1. “I’m often so tired that even taking a deep breath is exhausting. I will even put off going to the bathroom for as long as possible because just walking the few feet from my couch to the restroom feels like walking a mile. My whole house feels like it triples in size on my bad days and everything is so far away.”

@chronicillness @spoonies


tomkindlon,
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9/

  1. “Having two big days in a row wipes me out, and I need a quiet day with little interaction, which is hard for my son to understand as he just wants to talk to me.”

@chronicillness @spoonies

tomkindlon,
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10/

“I don’t admit that I feel lonely. CFS can be such a lonely disease because when you are sleeping constantly you are separating yourself from the rest of the world. And the pain is so segregating — you own it, no one else is sharing that pain, you are alone. It is hard to feel connected to others when you crash for days.”

@mecfs
@chronicillness @spoonies

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