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    Q&A: Avindra Nath, MD

    I am not sure they have really explained it in this interview. You can plug in just about any virus or infection where he uses "Lyme", and come up with a post-viral fatigue type syndrome. It also is not clear that these ex-Lyme patients won't eventually come down with sequelae; many who...
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    Q&A: Avindra Nath, MD

    I came away from this interview with an uneasy feeling. The lead investigator seems centered on - yet again - fatigue. Moreover, the other ME/CFS feature that appeared to have his attention is malaise? So what he, in part, tries to impart to the interviewer, the specific sequelae of pwME that...
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    Q&A: Avindra Nath, MD

    There are hundreds of diseases/infections. Hundreds. Out of this rich pool of infectious diseases from which to pick, they just happen to pick the one disease that arguably is more disputed,more contentious than ME/CFS? "Convenient" does not do it justice.
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    A multiplex serologic platform for diagnosis of tick-borne diseases, 2018, Tokarz, Lipkin et al

    Lipkin was joined in this effort with Lyme royalty: Adrianna Marques of the NIH, and Brian Fallon of Columbia U's Tick team. That's significant backing. I wonder if a clinician ordering the test for a patient can pick and choose those pathogens he wants tested, or if it's a set template, and...
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    NICE announces next steps in updating its guideline on ME/CFS

    These days, @Webdog , with the rate of flu deaths for kids at an all time high, and increasing coverage of the Lyme debacle grabbing the spotlight, CDC repute may be not something NICE wants to hang its hat on.
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    Legs weakness

    Yeah, sadly, there are not too many of these, are there? I imagine there are far more expert ME patients, and many frequent this forum. As it is a forum, discussing symptoms, while refraining from making diagnoses, would be expected. As ME/CFS is a syndrome by some definitions, it's not too...
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    Elevated brain natriuretic peptide levels in chronic fatigue syndrome associate with cardiac dysfunction: a case control study, 2018, Newton et al

    I would think one way to approach this is via patients' ejection fractions, and I see that one of the links provided by @Andy suggests the same.
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    A multiplex serologic platform for diagnosis of tick-borne diseases, 2018, Tokarz, Lipkin et al

    Eh. Although it would be good to have a packaged lab approach to helping diagnose multiple TBDs, I am under the impression after reviewing this that it would still only be testing for exposure, which for Lyme at least means we cannot distinguish an active infection. If I am misinterpreting...
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    Infection Elicited Autoimmunity and ME/CFS (2018) Blomberg et al

    Yes, that is one good explanation. A second might be that the infection persists, frequently at sub-clinical levels, at least in terms of most conventional labs.
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    1st ME/CFS Canadian Collaborative Conference

    I'm not sure this accomplishes or prevents what the researchers might imagine it does. Moreover, to some it might smack of false peer-reviewed nonsense with a dollop of elitism thrown in for flavor. Letting patients in to at least listen to hitherto closed sessions might actually aid in the...
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    Recruiting study: (Stony Brook University, USA) Exercise-related Post-exertional Malaise (CFS/ME)

    A psych looking into biobehavioral gender differences in pwME? What could go wrong?
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    Improvement of severe myalgic encephalomyelitis/chronic fatigue syndrome symptoms following surgical treatment of cervical spinal stenosis, 2018, Rowe

    Most ME/CFS manifestations are refractory to treatment - if only because no one know nothing about treatments which consistently work for any subsets, let alone across subsets. "The prompt restoration of normal function" is at best a myth for most pwME.
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    MEA Summary Review: The dysfunctional autonomic nervous system in ME/CFS

    Sleep...A downstream effect. I should think well they know it.
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    Public "Integrative Personal Omics Profiles during Periods of Weight Gain and Loss", 2018, Synder et al

    What a load of crap. Weight is secondary. Fix the primary culprit first. Oh, right...
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    Does anybody know this?

    I have a tin ear these days - upon rereading what I wrote, it did come across negative. Sorry. Tell the neurologist you have concerns about PP. People with PP often have treatment options that really work, which for most of us would be a good change of pace. Oh, that sounds like a downer, too...
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    Does anybody know this?

    It's a challenge to find a neurologist qualified in this area, for sure. It's not unlike finding an expert in ME/CFS. If there are 1000 neurologists, maybe only one or two would have a vague idea of PP. You read a PP patients' forum and it reads like an ME/CFS forum - often frightening and bleak...
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    Does anybody know this?

    I am no doctor, but these descriptions seem similar of those I've heard from patients with various forms of Periodic Paralysis (these typically involve channelopathies,e.g. potassium). Episodes can occur at odd times, for instance, upon waking. It may be prudent to see a competent physician to...
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    Book Review: Conquering Lyme Disease: Science Bridges the Great Divide by Brian A. Fallon & Jennifer Sotsky

    I am afraid I find this article surprisingly inadequate and even, in some cases, inaccurate (for instance, Steere reportedly thought in the late 70's Lyme was caused by a virus, not bacteria. Why? Because antibiotics failed to clear it in so many patients) There are many charities and...
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    Interview with neuroscientist Michael VanElzakker: Vagus Nerve, ME/CFS, latent infection and more

    Good for him. Seems like a ballsy guy, especially in light of his affiliation with Mass General and Harvard Medical (merely mentioning Bb in a sentence that might be interpreted as suggesting Lyme can be an ongoing infectious Vagus Nerve agent is a thing of beauty - many would suggest those...
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