News from Germany

Discussion in 'Regional news' started by TiredSam, Aug 28, 2019.

  1. Joh

    Joh Senior Member (Voting Rights)

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  2. Hutan

    Hutan Moderator Staff Member

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  3. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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  4. MSEsperanza

    MSEsperanza Senior Member (Voting Rights)

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    Deutsche Gesellschaft für ME/CFS (22.07.2021) :

    Open letter to neurological professional associations

    July 22nd is World Brain Day. It was created by the World Federation of Neurology in 2014 to bring more attention to neurological diseases. The German Society for ME / CFS took the World Brain Day as an opportunity to contact the neurological professional associations in Germany. You will find the text of the open letter below.

    https://translate.google.com/transl...ttps://www.mecfs.de/welttag-des-gehirns-2021/
     
    Last edited: Aug 7, 2021
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  5. Peter Trewhitt

    Peter Trewhitt Senior Member (Voting Rights)

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    Even in machine translation this reads very well. Though it perhaps overstates our physiological understanding of some symptoms, it is overall a very useful document.
     
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  6. Hutan

    Hutan Moderator Staff Member

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    I agree @Peter Trewhitt, and thanks @MSEsperanza . For example, I knew that the GET and CBT studies had been rated a low or very low quality by NICE, but I was not aware of the preponderance of the 'very low' rating:
    Lots of useful material for advocacy there.
     
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  7. Wyva

    Wyva Senior Member (Voting Rights)

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    I know this is not news but a question but anyway: A member in my group who lives in Germany needs some help and asked me to ask German pwME for info. A doctor referred her to a CFS centre in Berlin but there they rejected her because she didn't have a viral trigger (she had gradual onset two years ago and she didn't have any obvious trigger, it just started). She has been screened very thoroughly for other diseases, everything is fine and she would like to be accepted at that CFS centre in Berlin but she is stuck.

    So the question: What other options does she have? (She would like to convince the centre to accept her.)
    What are the closest good options for her if she wants to see a specialist? Are there any?
    Is the Berlin ME/CFS centre worth it? Is it a place with decent understanding of the disease? (This last one is my question actually.)

    Thank you!

    Edit: I just realized: Is this Scheibenbogen's place?
     
    Last edited: Aug 29, 2021
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  8. TiredSam

    TiredSam Committee Member

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    My 13-part blog series on my trip to the Charite in Berlin:

    https://forums.phoenixrising.me/blog-articles/blog/tiredsam.20476/


    It is Scheibenbogen's place.

    I personally decided that there was no other option than going to the Charite, if they hadn't seen me I wouldn't have gone anywhere else, or to any other doctors. I wanted a non-psych diagnosis from a credible institution, and I got one. They definitely have a decent understanding of the disease. They are an oasis in the desert that is Germany, where belief in the mysterious power of the mind and other forms of woo is rampant amongst doctors and patients. Since my diagnosis in 2016 I have gone back into hiding from the medical profession. I have heard of and looked into other places claiming to specialise in CFS, but they seem clueless and I wouldn't go to any of them. There are a few private doctors who are spoken very highly of in patient circles, they will charge a fortune for vitamin B injections and the like and have a wonderful bedside manner, the patients I know who've been to these doctors never seem to get any better in the long term.

    As you may read in part 4 of my blog, I was a bit flexible in my answer about susceptibility to infections, and said my ME started with a viral infection, although I can't be sure it did. Perhaps your friend could suddenly remember the viral infection she had just before her ME started? The Charite won't be able to do much for her apart from give her a diagnosis and recommend pacing, but at least she'll have that instead of being psychologised. My report and treatment recommendations, and my opinion of them, are contained in part 9 of my blog onwards.
     
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  9. TiredSam

    TiredSam Committee Member

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    From part 7 of my blog (just reading it again for a trip down memory lane ...)

     
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  10. SWA

    SWA Established Member

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    May I introduce two important links regarding ME/CSF:

    Prof. Dr. Scheibenbogen. Berlin DNA-Markers for ME/CSF
    Full article: https://www.frontiersin.org/articles/10.3389/fimmu.2020.00578/full

    Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Essentials of Diagnosis and Management

    Abstract: “Despite myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) affecting millions of people worldwide, many clinicians lack the knowledge to appropriately diagnose or manage ME/CFS. Unfortunately, clinical guidance has been scarce, obsolete, or potentially harmful…”
    https://www.mayoclinicproceedings.org/article/S0025-6196(21)00513-9/fulltext

    On Monday I saw Neurologist number 5. As expected he had never heard of ME/CSF, but I came prepared with a printout of the same I posted here.
     
    Last edited: Sep 1, 2021
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  11. Trish

    Trish Moderator Staff Member

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    Forum threads on these two articles:

    Autoimmunity-Related Risk Variants in PTPN22 and CTLA4 Are Associated With ME/CFS With Infectious Onset (2020) Scheibenbogen et al.

    Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Essentials of Diagnosis and Management
     
  12. Joh

    Joh Senior Member (Voting Rights)

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  13. MSEsperanza

    MSEsperanza Senior Member (Voting Rights)

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    One of the largest companies of compulsory statutory health insurance in Germany, the 'Techniker Krankenkasse' updated their information about ME/CFS. In their rubric 'treatments and medicine' / neurological limitations, they say:

    (Translated with www.DeepL.com/Translator, free version)

    ME/CFS: more than just exhaustion

    Author: Salima Coy
    Date of publication: 03.06.2021

    https://www.tk.de/techniker/gesundh...ngen/me-cfs-mehr-als-nur-erschoepfung-2016418

    Google translate link:

    https://www.tk.de/techniker/gesundh...ngen/me-cfs-mehr-als-nur-erschoepfung-2016418

    I think it's a huge a progress compared to an older version that I only vaguely remember.

    It would be even better if they referenced what they say so that people themselves could have a look at the evidence.

    But they don't do that for other diseases either. This is what they say about living with MS:

    https://www.tk.de/techniker/gesundh...enkungen/leben-mit-multipler-sklerose-2098474

    google translate link:

    https://translate.google.com/transl...enkungen/leben-mit-multipler-sklerose-2098474

    Edited to add a missing 'y' and to fix some issues with the layout.
     
    Last edited: Sep 16, 2021
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  14. TiredSam

    TiredSam Committee Member

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    I may have to move from the Barmer.
     
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  15. janice

    janice Senior Member (Voting Rights)

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    I think that piece is a brilliant brief summary which I would love all our UK GPs, consultants in fact all HCPs to read. I feel sure that would help them to improve their reaction to ME/CFS patients.

    Thank you for sharing. Gave me a much appreciated and needed morale boost.:thumbup::hug:
     
    Last edited by a moderator: Sep 19, 2021
  16. NelliePledge

    NelliePledge Moderator Staff Member

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    This seems quite important - what will be the consequences for PWME in Germany?
     
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  17. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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  18. rvallee

    rvallee Senior Member (Voting Rights)

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    I'm no expert but making the information accurate and relevant seems like a more important priority than making it accessible. Not quite there yet, Cochrane.
     
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  19. Leila

    Leila Senior Member (Voting Rights)

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    I'm insured at TK. Not sure though how much of what they put out publicly will have any effect on their decision making, e.g. when it comes to granting therapies.

    The first gatekeeper in all of this are our GPs and they in general aren't very open to reading anything a patient is handing over to them. So even if my own health insurance is recommending ruling out several other illnesses/going for expensive testing, I doubt that a "non believer" GP will follow that.
     
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  20. rvallee

    rvallee Senior Member (Voting Rights)

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    Somehow I don't think they have their eye on the ball. See, they do not fear a rehabilitation supply deficit, which is not even something relevant here. It's amazing how it's completely optional to pay attention to reality in health care, like looking at life through a straw.

    https://twitter.com/user/status/1442986406817632257
     
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