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    USA: Mount Sinai PACS clinic and Dr David Putrino

    I have seen so many failed attempts. I've also seen a few successes that didn't stick. I'd want real granular specifics before I'd participate.
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    USA: Mount Sinai PACS clinic and Dr David Putrino

    The problem I have with all of this is it sounds too grand, too sweeping. If you only dealt with one third of the proposed triumvirate it would represent an enormous undertaking. Huge. We're talking proving or disproving persistence. If successful, it would be virtually unprecedented as a game...
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    USA: Mount Sinai PACS clinic and Dr David Putrino

    Simple. If you get there, give me a call.
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    I hear you. Alternatively, there are people like me who view both their use in medicine as lazy. :) Yes. This is even more of a dilemma, for lack of a better word, where contested diseases are involved, and where inertia, indifference and even hostility characterize the better part on the...
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    A doctor told me I had CFS and forbade me from having any labs done. His office staff always referred to my fatigue and tiredness, as did he - although I never used the word tired to describe how I felt.He put me on an SSRI. Doctors, and yes, researchers, misuse their own language. It can be a...
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    I cannot speak for the UK or any other part of the world for that matter, but I feel fairly comfortable predicting that in much of the US, if a patient walked into a clinic and pronounced "I am suffering from malaise" to most any medical professional, they'd likely be put on SSRIs or referred to...
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    Do you think, even for a moment, that malaise is any less onerous and injurious to the patient community than fatigue? Any less colloquial and laden with cultural baggage? And malaise is not? If you are searching for science speak, you'll not find it there. Science may be able to rise above...
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    Would malaise work better for you? As a scientific term?
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    Why do I feel like a waif in a Dickens' novel? I'm sure it's the time of year.
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    Not always. In pwME, that is frequently not the case. With pwME the "deliberate" aspect is learned and then relearned, and can remain a moving target. Same holds true with what you casually refer to as routine. This is why pacing has to be individually recalibrated every so often. Might not...
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    My issue is with the word "malaise." It cheapens and sullies decades of accrued patients' experience. It reduces a definitional symptom cluster down to a quaintly idiosyncratic period piece. I don't care if some doctors claim to understand it clinically different than the typical layperson; it...
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    Post-Exercise Hypotension and Its Mechanisms Differ after Morning and Evening Exercise: A Randomized Crossover Study, 2015, Leandro de Brito

    If my memory is ok, this holds true for most pwME. For a minority, including me, it does not, and in fact is flipped, i.e. mornings are optimal, noon frequently marks the beginning of a precipitous decline. Curiously, many reports I've read from channelopathy patients mirror most pwME in that...
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    Covid-19 vaccination experiences

    Yes, which is what I told her. I didn't tell her about any concerns I have about LC. It's sad we who know relatively so much about it have to worry about those close to us that do not (irrespective of vaccination).
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    Covid-19 vaccination experiences

    Sure. Irony and all aside, my overriding sensation is puzzlement. Why didn't the vaccine protect her; weeks had passed before exposure to other earthlings? Why didn't it mitigate her symptoms to minor annoyances as mine were in its absence? "Shit happens" aside, it really is counter-intuitive...
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    Covid-19 vaccination experiences

    Just passing this on cuz. My wife got her third Covid vaccine a month ago. I declined because of annoying paperwork I had to fill last time, otherwise I probably would have gotten another one as well. We had guests stay over. A couple of days after those guest left, my wife tested Covid...
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    I can appreciate where this may be coming from; none of us likes the cavalier hijacking of an acronym which for years has been considered unique to us, and therefore partially definitional. However, I do think there are a handful of conditions that share it with us. And yes, the other two as...
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    Post-Exertional Malaise - a discussion including defining and measuring PEM

    If I were attempting to define or measure something, I'd start by not assigning it a misleading label - or if that ship has sailed, making sure everyone knew that label was misleading. Shouldn't be hard to shed "malaise" since so few of us live in antebellum Charleston.
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    The Observer/Guardian article: Does the microbiome hold the key to chronic fatigue? About patient led 'research' group Remission Biome.

    In total over a decade? I'd guess more than two or three years. In total. I was testing positive off and on for Borrelia and Bartonella and Babesiosis. All three involve abx, even babs despite it being a parasite. I still test positive for two of the three.
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