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I'd say there's no question that compensating for a balance disorder requires a lot of mental energy and that that can become exhausting. It also requires a lot of conscious attention which means there's not much left over for other things, especially when you're on your feet and in motion. My...

I don't know about this. Even self-proclaimed history of fatigue expert Edward Shorter has written that the diagnosis of neurasthenia had become rare by WWI, and was virtually gone by WWII. This 1984 article appeared in the New York Times: HYSTERIA WAS FOR WOMEN, NEURASTHENIA FOR MEN...

Interesting. I haven't heard of this before. If a patient were fed intravenously (paraenteral feeding), I could see the gut microbiome being so starved of nutrition that it eventually "disappears." In enteral tube feeding, on the other hand, nutrients are still delivered to the gut, so I'd be...

I think it took more than a decade after the discovery of h. pylori and its role in peptic ulcers was recognized (in 1982) for there to be an official recommendation to treat the bacteria (and the disease) with antibiotics. Fortunately, they got around to it before Marshall and Warren were...

Oh, good! That college philosophy course is about to finally pay off!

A possibility I wonder about is if something in the microbiome could be producing a molecule that gets into the blood and causes havoc. Some post-infectious change in the balance of the microbiome might favor an organism that normally produces an innocuous amount of this molecule. Subsequent...

It's hilarious that the following description is apparently intended to raise eyebrows about David Tuller: It reminds me of a line from an old episode of "Get Smart" in which Max is on trial... Maxwell Smart : "Now it's easy for the prosecuting attorney to stand up here and accuse me of all...

My dizziness seems to be unrelated to PEM. It was at it's worst in the first 4-5 years following onset and then gradually (and I mean gradually) has improved improved since then.

Aside from certain memory effects, like "word finding," it's hard for me to disentangle "brain fog" from the effects of "dizziness." The dizziness seems to put me at a sort of "remove" from what I'm seeing. I suspect this is due to a failure of the eyes to converge properly, leading to the...

If the treatment that one endorses requires one to put the most positive spin on one's perceived results, how can others determine whether the endorsement itself is not an act of putting the most positive spin one's perceived results? The very method of the treatment undermines the ability to...

This is pretty interesting. By analyzing microRNA from ME patients, they found 4 distinct groups, which also had distinct responses to stress/exercise. Group 1 had the most severe reaction and was the only group in which vertigo/dizziness and "mental fogginess" was a major reaction. When...

Does any one know if this is likely to show up on YouTube or elsewhere? The high data rate of uncompressed streaming made it impossible to watch on my slow internet hookup . It also didn't help that I took Spanish in high school... and German in college. :))

Got a still image at 10:41 Pacific Daylight Time.

I just noticed the same thing. I don't know much about how YouTube works, but can the people who post videos go in and remove any comment they want?

Wow... this is powerful stuff. Just watching that testimonial cured me! [What a savings!]

It could be that an enterovirus infection can permanently alter the microbiome, and it's the changes in the microbiome's constituents that are promoting ME long after the virus is gone. The paper below describes a daily longitudinal study of the microbiomes of two people over the course of a...

Dr. Komaroff's online article in JAMA currently has about: 31,000 views. (07/12/19) 35,000 views. 42,000 views. 47,000 views. 65,000 views. (07/24/19) 70,840 views. (08/12/19) https://jamanetwork.com/journals/jama/fullarticle/2737854

He is like a beautiful ocean liner. No, wait, that's the worst analogy ever. OK, the second worst.

I was curious about the so-called "international criteria for chronic fatigue syndrome" mentioned in the PACE trial abstract. Since the PACE trial was published in 2011, it seems unlikely that the "international criteria" it mentions are the International Consensus Criteria (ICC), which was...

If science teaches us anything, it's that it's always possible to MAKE new friends...