I read an account by a housebound ME patient about being able to handle very short car trips as a passenger, while longer ones flare their symptoms even though they remain as idle as possible.
Such a flare could only plausibly be induced by sensory stimuli during the trip, among which vehicle...
So one challenge that I believe we face is that if most, if not all, research studies insist on PEM as part of the inclusion criteria, we run the risk of mild sufferers not recognising PEM for what it is.
For example, CCC description of PEM
and ICC description of PENE
I would not have...
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