Week beginning 14th February 2022
News, articles and advocacy
USA NIH has announced new grants for the ME/CFS Collaborative Research Center (CRC) program.
Announcements
here and
here Thread
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MEAction "NIH Comes Up Short Again"
The latest NIH announcement of research funding shows no increase even though the "CRCs themselves have previously stated they do not have the necessary funds to carry out their mission."
Article
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Germany The German ME/CFS Association has published an article on the parliamentary hearing on ME/CFS on 14 February. One of the petitioners and patient with ME/CFS, Daniel Loy, gave a powerful opening statement while Prof. Carmen Scheibenbogen provided further information about ME/CFS.
Article
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here
UK parliamentary petition "Fund research into any relationship between microclots and long Covid and ME".
This has received a written response from the Department of Health and Social Care. It states the amount spent recently on ME/CFS and Long Covid research, and says there is a highlight notice for some specified aspects of biomedical ME/CFS research but funds are not ringfenced for particular topics.
Thread with response
here
UK Daily Express published an article under the heading "Chronic fatigue syndrome: Study finds the most effective treatment to reduce symptoms" which reported a CBT study with claims of effectiveness. Following a complaint from Forward ME the article was significantly amended with quotes from the new NICE guideline under the new heading"Chronic fatigue syndrome: Important guideline change for CBT as 'treatment' for condition".
Article
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here
Trial by Error by David Tuller
"My Letter Responding to Norway Health Leader's Efforts to Denigrate My "Activist" Work"
In an email from 2020 to Norway's Research Center in Complementary and Alternative medicine (NAFKAM), Dr Flottorp from the Norwegian Institute of Public Health characterised Dr David Tuller as an "ME-activist" while dismissing criticism of Prof. Crawley's LP study. Tuller writes to head of NAFKAM, Dr Miek Jong filling her in on both his academic credentials and why the study is criticised.
Letter
here Thread
here
Journal of Orthopaedic & Sports Physical Therapy
"Lessons from ME/CFS for Long COVID Part 3: “Energy System First Aid” for People With Postexertional Symptom Exacerbation (PESE)" by Davenport et al.
In this third of 4 articles on the JOSPT blog, Davenport and team explain that aerobic activity does not function properly for people with PESE, and therefore 'quota-based progressive exercise jeopardizes the ability to attain initial physiological and symptom stabilization'. They provide summary advice on pacing using the energy envelope idea, and suggest heart rate monitoring and key symptom tracking can help.
Article
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here
Norway A new website has been launched sharing over 30 inside stories from people who have tried the controversial alternative method The Lightning Process.
Website
here (in Norwegian) Thread
here
A Life Hidden What It Means to Be Clinically Vulnerable in a World of Covid
Naomi Whittingham writes about the exposed position for clinically vulnerable people as society is easing Covid restrictions. "There is a glaring lack of consistent, scientifically-based support and advice for those with pre-existing conditions. Two years into a global pandemic, this is a terrible indictment of those in charge".
Article
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here
Denmark Article in a medical journal about ME sufferer Rasmus' long journey for a diagnosis and help to live with the disease. The article also mentions the new NICE guidelines and the motion from the Danish Parliament to stop classifying ME as a functional disorder.
Article
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here
UK Maudsley Learning Podcast Chronic Fatigue Syndrome/ME with Dr Charles Shepherd
A 1 hour interview with Hon Medical Advisor to the ME Association, Charles Shepherd covering a broad range of topics concerning ME.
Podcast
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here
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Opinion piece about the NICE ME/CFS guideline and responses
The Lancet
"New NICE guideline on chronic fatigue syndrome: more ideology than science?" by Flottorp, Brurberg, Fink, Knoop and Wyller.
As we reported last week, the authors, all well known supporters of the biopsychosocial model of ME/CFS and CBT/GET treatments, argued that the guideline committee was biased in its review of evidence. Below are some responses:
Trial by Error by David Tuller
"The Lancet Published Whine de Coeur from Impassioned GET/CBT Defenders"
About the recent Lancet comment from Flottorp et al accusing the NICE ME guideline for relying more on ideology than science. "They are on the wrong side of a crumbling paradigm, and they sense it, and in this tendentious document they come across as dismayed, confused, and even scared."
Article
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ME/CFS skeptic
A new blog post by ME/CFS Skeptic provides and excellent detailed dissection of the arguments made by Flottorp and colleagues in their critique of the new NICE guidance in the Lancet.
Article
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here
Professor Jonathan Edwards, expert witness on clinical trial methodology to the NICE guideline committee, has written to the authors and included Professor Garner who has supported the article on social media. He points out that he has no vested interests, unlike the authors. 'What has shocked me most is how pervasive the lack of rigour is in the Cochrane circuit for non-pharmacological treatment, and also to see physician colleagues buy in to poor evidence for political reasons.'
Letter
here
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Advocacy action
UK Forward ME Survey A Picture of_ME: media images of ME
As part of a project to encourage the media to use more appropriate images to illustrate articles about ME, Forward ME have set up a survey asking people to rate the suitability of 6 images used in UK media articles.
Thread with link to the survey
here
UK Forward ME are asking for feedback on whether ME/CFS clinics' communications have been updated to reflect the new NICE guideline.
Thread
here
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Coming events
New Zealand Webinar for health professionals
A practical approach to ME/CFS (Chronic Fatigue Syndrome) by Dr Cathy Stephenson - Wed 23rd Feb 7-8PM
The My HealthHub webinar series are endorsed by the Royal New Zealand College of General Practitioners (RNZCGP) and 1 CME credit can be claimed.
Details
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here
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Job vacancy
ME Research UK is advertising for a full time science writer. Closing date for applications 15th March 2022.
'Our Science Writer will hold a key position within a small but growing team of staff tasked with interpreting, explaining and contextualising research into ME/CFS in order to raise the charity’s presence and visibility'.
Details
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here
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Research
Journal of Translational Medicine
"Impaired TRPM3-dependent calcium influx and restoration using Naltrexone in natural killer cells of ME/CFS" by Eaton-Fitch et al
This team from Griffith University have previously hypothesised from small studies that ME/CFS an NK cell ion channel disorder. In this study NK cells were isolated from10 ME/CFS patients and10 matched healthy controls. They found that naltrexone restores impaired TRPM3 function in NK cells of ME/CFS patients.
Paper
here Thread
here
Environmental Research and Public Health
"Prevalence of Aspergillus-Derived Mycotoxins (Ochratoxin, Aflatoxin, and Gliotoxin) and Their Distribution in the Urinalysis of ME/CFS Patients" by Ting Yu Wu et al.
This preliminary study of 236 ME/CFS patients in Florida who had a history of exposure to mold in water damaged buildings found mycotoxins in the urine of 92%. The authors discuss the effects of mycotoxins on the body and suggest they may play a role in ME/CFS symptoms for some patients, and further investigations are warranted, however there was no control group comparison.
Article
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here
Journal of Translational Medicine
"Physiological assessment of orthostatic intolerance in chronic fatigue syndrome" by Natelson et al.
63 patients diagnosed with Fukuda criteria did a 10 minute standing lean test for orthostatic intolerance. The researchers found some patients had postural orthostatic syndrome of hypocapnia [POSH] which is normally caused by hyperventilation. Some others had postural orthostatic tachycardia syndrome (POTS) or orthostatic hypotension (OH).
Paper
here Thread
here
International Journal of Molecular Sciences
"Implication of Covid-19 on Erythrocytes Functionality: Red Blood Cell Biochemical Implications and Morpho-Functional Aspects" by Russo et al.
During acute Covid-19 infection severity of changes in red blood cells matched severity of illness. The authors suggest it would be helpful to track this in severely ill patients. 'Finally monitored changes in erythrocytes and blood, in general, may be one of the causes of the condition known as Long COVID.'
Paper
here Thread
here
Healthcare
“Is It Useful to Question the Recovery Behaviour of Patients with ME/CFS or Long COVID?” by Vink and Vink-Niese
ME/CFS patient and former insurance physician Mark Vink made a comprehensive overview of the effect of rehabilitative interventions on work-related outcomes in ME/CFS. The authors conclude that more patients are unable to work after treatment with cognitive behavior therapy and graded exercise therapy than before treatment with them.
Article
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here
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Other items of interest
Scientific American "COVID Long Haulers Are Calling Attention to Chronic Illness"
On how the scope of Long Covid is making post viral disease more visible with several mentions of ME/CFS. "It is time for medical researchers to investigate these long-contested illnesses with the full force of science's power and for medical educators to train doctors in how to effectively
care for chronically ill patients".
Article
here Thread
here
northjersey.com "COVID could launch an epidemic of chronic fatigue syndrome, doctors warn"
The article refers to research suggesting the pandemic might more than triple the prevalence of ME. Robert Sklans from #MEAction Network says: "When we saw COVID happening, people in the ME community were some of the first to raise alarm bells that his was going to be a mass disabling event". NIH's Koroshetz says: "doctors will have to become skilled in taking care of persistent problems... The silver lining is it may increase good care for people with ME/CFS, whether from COVID or not".
Article
here Thread
here
New England Journal of Medicine (Supplement) "Studying Long COVID"
In this 30 minute interview (audio only, no transcript) the editors talk with Cliff Rosen, principal investigator in the NIH-funded RECOVER Initiative’s study of long Covid.
Interview
here Thread
here
NYT How Long Covid Exhausts the Body
On current hypotheses concerning Long Covid pathology with mentions of similarities to ME. Prof. Akiko Iwasaki, Dr. Avindra Nath and Dr. David Systrom are among the experts interviewed for the article.
Article
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here
Independent.ie Tackling brain fog and other nasty legacies Covid-19 has left in its wake
Article
here (paywalled) Thread
here
Kyodo News FEATURE: Reduced brain function, immune disorder a possibility of "long COVID"
Article
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Nature Lessons from Long COVID: working with patients to design better research
Article
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New Haven Register Long COVID fatigue may not be a heart or lung problem, Yale doctors say
Article
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uchealth People get help for a variety of confusing symptoms of long COVID
Article
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