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    Preprint Chronic Viral Reactivation and Associated Host Immune Response and Clinical Outcomes in Acute COVID-19 and [PASC], 2024, Maguire+

    It's possible this study inadvertently demonstrates a concept of immune tolerance, and by extension, its implications. I am not referring to it as it pertains to protecting embryos. In some circles, in theory at least - and if I'm not mistaken - this framing of immune tolerance relates to how it...
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    CoRE: Long Covid, Lyme and related conditions clinic at Mt Sinai hospital

    I cannot navigate their website. I'm curious as to the credentials of the researchers and clinicians involved in all three diseases, but particularly Lyme. This is in New York. Who are their ME/CFS experts? They're are plenty of good names in that area. Lyme experts? LC? I would think the...
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    News from the USA, United States of America

    If it gets this far, they should expand the search during those autopsies to include other pathogens.
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    The Concept of ME/CFS

    There are a couple words that may lose their conventional meaning with ME/CFS. Balance/vertigo/dizziness come to mind. Neuropathy. Brain fog - yuck, but it's accepted (personally I'd opt for cognitive decline and the erosion of clarity). Ditto for malaise, not happy with it. But all of these...
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    Is PEM triggered by physical exertion the same as worsening triggered by sensory stimuli, cognitive exertion or emotions? What are the implications?

    Perhaps, even if ME/CFS is very much tied into energy issues, PEM is triggered by something other than exceeding or insulting energy thresholds, e.g. heart rate or blood flow or vascular impairments of a sort.
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    Is PEM triggered by physical exertion the same as worsening triggered by sensory stimuli, cognitive exertion or emotions? What are the implications?

    I've learned over the years to mitigate or often avoid PEM from overdoing things "physically" , that is walking, lifting etc, so I may be off in this, but it seems to me that those produce PEM in 48 hours or so. But emotional stress or heavy and prolonged concentration will total me within 12...
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    Is PEM triggered by physical exertion the same as worsening triggered by sensory stimuli, cognitive exertion or emotions? What are the implications?

    My first thought relates directly back to the thread title: There is an argument that says emotional stress and sensory stimuli result in forms of exertion, e.g., heart rate, breathing etc. Concentration and focus are forms of exertion, too. If anything, there may be a consistency between what...
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    Hampshire and Isle of Wight

    Yes, it may help to see it in black and wight.
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    The Concept of ME/CFS

    You may be correct. In my layman's way, I've seen enough cannibalism among the medical community - specifically over contested diseases - to leave me with the impression that most doctors just won't give a shit what or how anything is explained to them, even from a respected and credentialed...
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    The Concept of ME/CFS

    Or the devil in the details. Everything is a concept. Everything. It is baked into whatever idea you are trying to convey or discuss. Bringing attention to a medical term and then adding "concept" to it is not only redundant, it potentially brings attention to and then amplify the message that...
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    What do we actually know about orthostatic intolerance?

    A few years back I tried to distinguish between my POTS and my OI, but I just go with the flow these days. I was tested for POTS day and night - about once an hour or so in the day at least - for four days. Abnormal HR and BP within 10 minutes of standing plus tachycardia. But I don't know if...
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    What do we actually know about orthostatic intolerance?

    I am always better in the morning and I worsen as the day drags on. It's not due to sleep because my sleep always sucks. I've assumed, in part at least, that it relates to OI and POTS. I seem to recall a poll about morning vs evening and I thought it was here. Maybe not. But I do recall most...
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    What do we actually know about orthostatic intolerance?

    The brainstem has been implicated many times in OI and ME/CFS and fibro and Gulfwar syndromes. I've had it suggested to me, for me, in two of those four, once after a 4-day stay at a well-regarded study for ME/CFS. The question for me is, what damages the brainstem and then maintains that...
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    News from the USA, United States of America

    Add to that the chronically ill who can still work, and a potentially large voting block could emerge. Many millions of sick people under a single banner. Larger than most unions.
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    The Concept of ME/CFS

    For many clinicians Lyme Disease as a diagnosis is undermined - even undone - by the Lyme Disease concept. The latter is much broader and unwieldy and contemptuous of conventional medical doctrine. As for any clues we can make sense of in process terms, I'd only caution against reducing things...
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    The Concept of ME/CFS

    Seems like a "diagnosis" to me. "Diagnosis" would be safer than a concept. Everything is a concept, and concepts carry unintended ambiguities when we've enough of those already..
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    The Concept of ME/CFS

    Thank you very much. I hate to ask questions when everyone else gets it. I think this may be wrong on a couple of levels. I think you may be oversimplifying the ME/CFS experience. More worrisome to me personally is this again seems to suggest issues with perception e.g., we think we cannot do...
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    The Concept of ME/CFS

    Thank you, and sure, but how does that relate to ME/CFS, and how do perception and artificial stories in our brain cells and faulty neural signaling fit? If I say "persistence" is at the root of ME/CFS, or a corrupted immune response, or an autoimmune issue - any of these could qualify as an...
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    The Concept of ME/CFS

    I'm sorry, I find this "perception of voluntary action" reference combined with "our own bodies are narrated in artificial stories in our brain" - both in close proximity to ME/CFS - a little disconcerting. I'd greatly appreciate you explaining how this fits your ME/CFS understanding, preferably...
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    The Concept of ME/CFS

    Oversimplifying what?
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