My Label and Me: I’m not tired and lazy, I have ME

Andy

Retired committee member
Not a recommendation.
I was first labelled as just ‘tired’ (minus the beer bit) at the age of 10. I was ‘worn out’, ‘depressed’ or simply told that I ‘just didn’t like school’. And yes, these diagnoses all came from doctors. It took around nine months to find an accurate diagnosis, by which point I’d gone from being a national tennis player to a wheelchair.

Over the next year I deteriorated to a point where I was bed bound for two years, before slowly managing to return to full health in my mid-teens through a mix of graded exercise and talking therapy.

There’s a widespread myth that once you have ME, you can never get better. Many can and do return to full fitness – and I was one of them.

Unfortunately, at the start of last year, at the age of 25 my ME made an unwelcome return and I’m now on my recovery journey again.
https://metro.co.uk/2019/02/14/my-label-and-me-im-not-tired-and-lazy-i-have-me-8571106/

Of course AfME shared it though
 
Well, if graded exercise helped him he's allowed to tell his story of course. The CFS diagnosis is very heterogeneous and post-exertional malaise is not a required symptom, so it's possible that some people with the CFS-label find GET to be helpful. This corresponds with the data in patient surveys.

I really don't like the last sentence though:
I want them to be understood as having a complex condition that means they’ll have to be incredibly careful and strict in what they do on a daily basis, but with the right help and discipline can recover.
This seems to suggest that other patients could recover as well, if only they had the discipline to do so.
 
Over the next year I deteriorated to a point where I was bed bound for two years, before slowly managing to return to full health in my mid-teens through a mix of graded exercise and talking therapy.

@Action for M.E. Can you please clarifie your position? On one hand you criticize the PACE trial, and then tweet an article promoting the therapies this same trial tested. I am sorry to say I don't see any coherence in your decisions.
 
He’s probably just repeating what he heard at kings. The bps people usually assert 1/3 can recover but that would be Fukuda oxford NICE CFS with perhaps unusual definitions of recovery. People who get better do sometimes unfortunately seem to think everyone else could if they were also as committed, dedicated positive etc.
 
Well, if graded exercise helped him he's allowed to tell his story of course. The CFS diagnosis is very heterogeneous and post-exertional malaise is not a required symptom, so it's possible that some people with the CFS-label find GET to be helpful. This corresponds with the data in patient surveys.

I really don't like the last sentence though:

This seems to suggest that other patients could recover as well, if only they had the discipline to do so.

He's allowed to tell his story but 'finding GET to be helpful' does not equate to being helped by GET. I see no need to suggest his ME is atypical. In adolescents significant improvement or recovery seem to be fairly common and will likely occur at a time when treatment is being provided but that does not mean the treatment caused the improvement. Moreover, his subsequent relapse sounds familiar enough for ME. I hope he recovers again but it is clearly not guaranteed.

It is interesting how hard it is, whether for doctors, charities or patients, to accept that ME may genuinely be a 'chronic neurological disease'. Everyone wants to be optimistic but for lots of other conditions the long term nature of the problem is accepted - diabetes, scleroderma, hypertension, bipolar disorder, Parkinson's disease, whatever.

I am not suggesting one should be totally gloomy. There are lots of PWME known to the forum who have reached a stable enough condition to lead reasonably satisfying lives, just like lots of people with diabetes, but in either case there's rarely true 'recovery'.

It has taken me a long time to get head around this. But the key question is simple - if ME really is a chronic neurological condition, as it says, why the heck should exercise make it better?
 
For me a good thing in this article was making the point that for some at least who 'recover', relapses do occur.

However ME/CFS does seem to attract people that fall for the logical fallacy of 'going from the specific to the general'. Because something appears to work for one person does not necessitate that it will work for everyone, but that does not stop the steady stream of people that become evangelical about their personal 'cures'. This is why medicine by anecdote is bad.

Also it is important to remember that individual counter examples, anecdotes of harm, do logically allow us to say that for example the blanket statement 'GET is good for people with ME' is not true, but in contrast examples of it apparently working for some does not allow us to say the statement is true.
 
Alternative interpretation: he was bedbound for a while, but then improved which allowed him to increase his fitness through a GET program.

I often think when people credit different things with helping them that they start to get a bit better and that then starts them looking for things that may help. Then if they continue to get better they credit the things that they found that helped.
 
I was poor, I was hungry, I found a pound in the street and bought a lottery ticket. I won £23,00,000.

Why are you still hungry, are you too lazy to buy a lottery ticket and help yourself out of poverty?

ETA - fictional example of the attitude shown, where blind luck is taken as the way things work.
 
He's allowed to tell his story but 'finding GET to be helpful' does not equate to being helped by GET. I see no need to suggest his ME is atypical. In adolescents significant improvement or recovery seem to be fairly common and will likely occur at a time when treatment is being provided but that does not mean the treatment caused the improvement. Moreover, his subsequent relapse sounds familiar enough for ME. I hope he recovers again but it is clearly not guaranteed.

It is interesting how hard it is, whether for doctors, charities or patients, to accept that ME may genuinely be a 'chronic neurological disease'. Everyone wants to be optimistic but for lots of other conditions the long term nature of the problem is accepted - diabetes, scleroderma, hypertension, bipolar disorder, Parkinson's disease, whatever.

I am not suggesting one should be totally gloomy. There are lots of PWME known to the forum who have reached a stable enough condition to lead reasonably satisfying lives, just like lots of people with diabetes, but in either case there's rarely true 'recovery'.

It has taken me a long time to get head around this. But the key question is simple - if ME really is a chronic neurological condition, as it says, why the heck should exercise make it better?


Your last comment always makes me think of the ugly sister trying to get her oversized foot in the glass slipper for the kingdom. Never going to work no matter how hard you try and make extending activity if you have PEM after reading a book, how do they think extending your walk distance is going to cure ME.

I think the problem here with accepting that ME has no full recovery is that we have been drip fed false accounts of recovery. As they would say in CBT and GET world what is recovery? We are also told that unless you think there is possibility of recovery you (as patient or carer ) are not doing your job. This idea gets stuck with everyone, due to this kind of reporting; "You don't want to say you have to be kidding me" to the people that are telling you about the journey to recovery, but that is what is shouting in your head. This is what is so wrong with this article.

The questions needing answers here are
1/ What was his recovery? was he able to live a full and active life as we would recognise it? My son's paediatric tells me that they had recovered but they are unable to work full time, not able to doing extra things with their children without resting
However they are not in the state they once were where they were bedbound. They still think after telling me this I should extend my sons activity level. Now to me this does not sound like they have recovered, but living at a better level of life? This could go down again if they do not get the balance right when they are hit say with another stressor to their body.
2/ What level is he at now,
3/ what caused his down turn in his health or ability to keep active. This is the most important one that I would like answered.
4/ Did he have PEM when recovered and what sort of PEM does he have now.
5/ Over exercising for anyone is bad just ask top trainers, it is considered toxic to the heart.
We need to look just as closely to those that have got better and then relapsed, why and how will enable us to understand so much more about ME
 
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