Week beginning 1st April 2019
News
UK: CBT/GET survey results published
The online survey was commissioned by Forward ME following discussions with the NICE guideline group chair and MP's, and analysed at Oxford Brooke's University.
2274 took part reporting on their experiences of CBT and GET treatments for ME/CFS in the UK since 2007.
''In summary, the majority of individuals reported deterioration or no change in symptoms and health over the course of all treatment approaches.''
MEA report including Forward ME summary
here
Oxford Brookes University full report by Professor Helen Dawes, 25 pages
here
Forward ME minutes including discussion of report with Prof Dawes
here
#MEAction summary
here
Thread
here
Dr Luis Nacul has been appointed as Medical Director of the Complex Chronic Diseases Program at British Columbia Women’s Hospital in Vancouver, Canada. He will continue some involvement with the UK ME/CFS Biobank where he is currently Principal investigator, and will still serve on the NICE guideline ME/CFS group.
Cure ME announcement
here Thread
here
UK FOI A First Tier Freedom of Information Tribunal has rejected John Peters' request for recorded numbers of incidents of harassment (with and without police involvement) of ME/CFS researchers at Queen Mary University London.
Tribunal decision pdf
here Thread
here
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Trial by Error by David Tuller
A bit more on Kaiser Permanente
BerkeleyWellness.com has posted an interview by Tuller with Dr Steve Olson from Kaiser Permanente. Hopefully this will lead to more people becoming aware of Kaiser Permanente's new and improved approach to ME, but there are still some questions to be answered.
Article
here Thread
here
This Year’s US Clinician Summit
David reminds us of the first Clinician Summit last year including their statement that CBT/GET are inappropriate treatments for ME/CFS.
He includes a report on this year's summit: ''What’s Next for the ME/CFS Clinician Coalition?'' by Stephanie Griffin. The group plan to set up a website with clinical guidance for diagnosis and management ME/CFS. They see an urgent need for more ME/CFS clinicians and for medical trials of treatments with LDN (Low dose Naltrexone) as the first priority.
Article
here Thread
here
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Articles, podcasts, blogs...
The ME Global Chronicle, March 2019
Contains 100 pages with news from around the world, updates on research and awareness/advocacy work.
Thread with link to chronicle
here
The ME Show Series 2 Episode 10
Gary Burgess interviews Dr Mark Guthridge, Australian cancer researcher. After getting ME himself following glandular fever in 2015 he is now hoping to use his research experience to start researching ME. He talks about the recent EMERGE symposium in Australia, particularly the positive involvement of patients. He explains the problems with the psychiatric CBT/GET approach to ME, and the changing views on this with new biomedical findings.
MEA article with links
here Thread
here
Podcast series 'It's not all about ME' presented by Paddy who has ME. This week he interviewed John Peters (
@JohnTheJack) who described his experience of having ME since 1985. Topics covered include virus infections, the life changing effects of cognitive dysfunction, the negative change in medical attitudes since the psychiatric CBT/GET model was developed, and the PACE trial.
Thread with link to podcast
here
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Conference report
NIH ''Accelerating Research on ME/CFS'' conference was held at NIH on April 4-5th with aim to present high-quality studies. Themes were metabolomics/metabolism, immunology, provocation studies, clinical panel discussion, intramural study update, microbiome/virome, new technology, imaging of the CNS, orthostatic/autonomic disorders.
The conference was live-streamed and the meeting archive will be available on the NIH Videocast in approximately a week.
Transcript of Dr Collins' talk
here Thread
here
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Useful resources
ME Association (UK) MEA summary review: Assessing PEM (Post-exertional malaise) by Charlotte Stephens.
14 page pdf document that covers definitions of PEM, clinical assessment and management including heart rate monitoring, and the latest research.
Document
here Thread
here
Frontiers in Pediatrics
''Meeting the Educational Needs of Young, ME/CFS Patients: Role of the Treating Physician'' Faith R. Newton.
Describes the need for better information for schools about ME such as reduced work load and understanding of symptoms such as brain fog and orthostatic intolerance, and consequent needs of the child. Suggests what to put in a Physician's letter to the school.
Article
here Thread
here
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Biomedical Research - Rituximab trial published
Annals of Internal Medicine
''B-Lymphocyte Depletion in Patients With ME/CFS: A Randomized, Double-Blind, Placebo-Controlled Trial'' by Fluge, Mella et al.
The large and well conducted Phase 3 double blind clinical trial of Rituximab for ME/CFS showed the drug is not an effective treatment for ME.
Editorial ''ME/CFS: Trial Fails to Confirm Earlier Observations of Rituximab's Effectiveness'' by Peter Rowe.
Explains what ME/CFS is and the current treatment situation including pointing out the ineffectiveness of CBT/GET shown after PACE reanalysis.
Summaries for Patients ''Rituximab for Patients With ME/CFS'' by Fluge et al.
Explains how and why the trial was done, and the outcome.
Paper
here Editorial
here Patient summary
here Thread
here
Articles about the trial:
Healio - Primary Care Today
here Kavli Trust
here Medscape
here
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Biomedical research and hypotheses
Frontiers in Immunology
''Cellular immune function in ME/CFS'' by Nacul et al.
UK ME/CFS Biobank samples used to compare ME/CFS with controls. No difference from healthy controls found in herpes virus prevalence or NK cells. Some T cell differences found particularly in severely affected. Suggests longitudinal studies needed to determine cause of this.
Paper
here (provisional) Thread
here
Clinical Therapeutics
''A Timely Multidisciplinary Update on ME/CFS'' by T. Theoharides.
''In the April and May issues of
Clinical Therapeutics, a number of experts report on recent findings on the diagnosis, pathogenesis, and treatment of ME/CFS.''
This article outlines some of the history and current state of ME/CFS research and outlines the upcoming articles.
Article
here Thread
here
Clinical Therapeutics
''Leveraging Prior Knowledge of Endocrine Immune Regulation in the Therapeutically Relevant Phenotyping of Women With CFS'' by Morris et al.
Complicated theoretical models using data of various hormone levels before and after exercise were developed in order to predict outcomes of drug treatments in subgroups. (at least I think that's what it's saying).
Paper
here Thread
here
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Other Research and an overview
Frontiers in Pediatrics
Perspective article: ''Advances in ME/CFS: Past, Present and Future'' by Kenneth Friedman
Describes the history of mis-classification of ME/CFS as psychosomatic and the detrimental effect this has had on research and treatment. Compares the history of research, treatment and support with HIV/AIDS.
Paper
here (provisional) Thread
here
Fatigue, Biomedicine, Health and Behaviour
''ME/CFS case definitions: effects of requiring a substantial reduction in functioning'' by L. Jason et al.
Looked at data from a large sample of CFS patients and some healthy controls and patients with other chronic illnesses and the different definitions of ME/CFS.
Concludes: ''These results suggest that the requirement of a substantial reduction in functioning may be redundant when case definitions specify that individuals must endorse a set of core symptoms at specified frequency and severity levels.''
Paper
here Thread
here
Clinical Nursing Research
''Fibromyalgia, Chronic Fatigue Syndrome, and Multiple Chemical Sensitivity: Illness Experiences'' by Cuesta et al.
A sociological study found the daily experiences of people with these conditions was marked by stigmatisation. The authors conclude: 'The ultimate purpose of nursing care for people with these conditions should be to reduce their vulnerability and exclusion.'
Paper
here Thread
here
Clinical Child Psychology and Psychiatry
''Depressive symptoms in adolescents with CFS: Are rates higher than in controls and do depressive symptoms affect outcome?'' by Loades, Chalder et al.
This is the third questionnaire based study published recently on the same cohort of CFS and asthma patients. Not a recommendation.
Paper
here Thread
here
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Advocacy action
Occupy ME ''NIH Deadlines'' by Jennie Spotila
About three opportunities for the ME community to engage with NIH.
Blog post
here Thread
here
USA NIH ''Request for Information: Soliciting Input on How Best to Advance ME/CFS Research.''
The deadline for submissions has been extended to May 1st 2019. The NIH has provided a simple on line form to fill in with your responses under heading such as the most compelling research needs, strategies, barriers etc.
NIH link
here Thread
here
Germany Petition to the Ministry of Health asking for better funding, clinical care etc for ME/CFS. In German - see thread for translation. People outside Germany can sign.
Thread with link
here
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Fundraising
David Tuller ''Trial By Error: April is Berkeley Crowdfunding Month!''
Fundraising for another year of David Tuller's Senior Research Fellow post at Berkeley is officially opened this week and runs for the month of April.
Article
here Donate
here Thread
here
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