Ireland: Drummartin Functional Medicine Clinic

Jonathan Edwards said:
Drummartin Functional Medicine Clinic in Dublin, https://drummartinclinic.ie/tired-all-the-time/
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Feeling tired all the time?
I have been involved with the treatment of fatigue and extreme fatigue disorders for over 20 years. At a certain stage I realised that, for most sufferers of fatigue, it was not “all in their head” or that they were “just depressed and didn’t know it”.

That being said for the first 8 to 9 years of my career as a doctor I bought into the standard model and did my fair share and more of prescribing antidepressants. I could be very persuasive in those days and of course I passionately believed in the standard pharmaceutical model.

The patient then would come back a few weeks later and say ” I just can’t take those antidepressants things you gave me- they made me feel even worse”. So I had to rethink and reskill.

These terms are not really very meaningful clinically

Chronic fatigue syndrome/chronic fatigue immune dysfunction syndrome/myalgic encephalomyelitis really are not very meaningful labels in terms of facilitating a treatment approach.

All they mean is that: “you have had all the tests, thankfully nothing sinister has been discovered but also nothing usefully actionable either has been discovered”.

The diagnoses listed above all refer to persistent, unexplained extreme fatigue manifesting itself normally in feeling tired all the time. There are some technicalities but these terms refer to patients who have been carefully investigated and no significant medical disorder has been discovered which would explain their fatigue symptoms. Nevertheless at least these labels allow someone to have a ‘diagnosis’ which can be written down and used for sick leave or social welfare purposes.
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I don’t think this person understands what ME/CFS is.
 
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