Week beginning 16th November 2020
More responses to the draft NICE ME/CFS guideline
STAT "Proposed British guidelines reject useless chronic fatigue syndrome treatments"
Excellent opinion piece by David Tuller and Steven Lubet. "Clinical guidelines developed by NICE are influential in medical practice around the world, including in the U.S. Its new draft on ME/CFS is a long-overdue and much-needed corrective to years of misguided and potentially harmful recommendations."
Article
here Thread
here
The Science Bit "No more Mr NICE Guy..."
Brilliant summary by psychology professor Brian Hughes. "This is not just a turning point for people with ME, CFS, and related conditions — it is a high-profile exposure of exactly how, for years, entire subfields of the psychological sciences have been willing to overlook, if not embrace, shoddy standards."
Article
here Thread
here
Trial by Error by David Tuller "The Science Media Centre and UK's Coverage of New NICE Draft"
A summary and analysis of the press coverage of the draft guidelines for ME/CFS, including from the SMC.
Article
here Thread
here
CBT Watch "CBT Is Not A Treatment Or Cure for ME/CFS" by Dr Mike Scott.
'IAPT assesses the competence of its CFS clinicians, in part, by whether they explain the CBT model of MUS. They need an urgent rethink. ... 'Professor Jonathan Edwards submission to the NICE guideline Committee is a must read he highlights the importance of support over treatment.' ... 'His is a clarion call for basic humanity, being with people rather than believing that everything is fixable, walking the road with them. This should not be put under a CBT umbrella, to do so is a gross imperialism.'
Article
here Thread
here
The
BMJ article reported last week, which can be read in full
here, now has excellent rapid responses raising important points, including the lack of research funding, the outdated Cochrane reviews, and challenging the views of the CBT/GET supporters.
Andrew Devereux-Cooke (
@Andy)
here, Robert Saunders (
@Robert 1973)
here and
@Caroline Struthers here Thread
here and
here
#MEAction UK “Loopholes Need Closing” – ME/CFS Draft Guideline Community Discussion was held online with 50 participants. You can sign up for the next discussion on Monday 23rd November at 8pm. These will contribute to the #MEAction UK’s response to NICE’s consultation on the draft guideline.
Article
here Thread
here
Norway Thorough article about the NICE guideline draft titled "Major changes in recommendation for the treatment of ME in the UK" on a news site about research.
Article
here Thread
here
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News, articles and videos
Dialogues for a neglected illness "Activity and Energy Management - Pacing"
Another excellent film from this project about ME. This time on pacing, with contributions from Mark VanNess, Todd Davenport, Charles Shepherd, Luis Nacul and two biobank donors. Duration: 15 minutes.
Film
here Thread
here
Jonas Bergquist A private clinic for functional medicine in Sweden has done an interview in English with professor Jonas Bergquist about ME and his research into the disease. Duration: 57 minutes
Interview
here Thread
here
Sheffield ME & Fibromyalgia Group
Dr Diane O'Leary, philosopher and bioethicist, gave an online talk entitled:
"Seeing the big picture: ME, Fibromyalgia, MUS, FND and Long Covid". A recording of the talk will be made available.
Thread with links
here
Myriad Editions "My Bookish Life with... Paula Knight"
Interview with Paula Knight, author of comic book "The Facts of Life" (2012) and severe ME sufferer. "graphics author Paula Knight talks to us about living with ME during lockdown, scavenging foxes, and bed-bound diaries"
Interview
here Thread
here
Norway The Norwegian ME Association is launching a bi weekly news summary in Norwegian on their website.
News summary for week 46 and 47
here Thread
here
Solve ME/CFS Chronicle
The Fall 2020 issue of the Solve ME/CFS Chronicle, the group's quarterly newsletter, is now available.
PDF version
here Thread
here
Trial by Error by David Tuller "Jennie Spotila's Annual Review of NIH Funding"
A repost of Jennie Spotila's recent annual analysis for NIH funding for ME at the blog Occupy M.E. "NIH funding for ME/CFS research should be increasing each year. Everyone agrees that this is needed. Instead, 2020 funding has flatlined. Worse yet, we are in danger of falling off several cliffs looming ahead."
Article
here Thread
here
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Biomedical research
Fatigue, Biomedicine, Health and Behavior
"A hierarchical logistic regression predicting rapid respiratory rates from post-exertional malaise" by Colter, Jason et al.
216 ME/CFS patients attending an outpatient clinic for a 2 day cardiopulmonary exercise test had their respiratory rates measured on 2 consecutive days. The results showed that 'PEM was a significant predictor of tachypnea (rapid respiratory rate), while psychological/somatic assessments and sedentary behaviors were not significantly predictive of tachypnea.' The authors conclude: 'These findings suggest that respiratory rate may be useful as an objective clinical metric of PEM, and potentially ME/CFS.'
Paper
here Thread
here
Nature - Scientific Reports
"Profile of circulating microRNAs in ME and their relation to symptom severity, and disease pathophysiology" by Moreau et al.
Blood samples were taken from 11 ME/CFS patients and 8 matched controls, and a replication cohort of 32 ME/CFS and 17 controls, before and after a 90 minute 'post-exertional stress challenge' using an arm massager.
From the abstract: 'The present study uncovers specific microRNA expression signatures associated with ME/CFS in response to PEM induction and reports microRNA expression patterns associated to specific symptom severities.'
Paper
here Thread
here
Nature - Scientific Reports
"Deep phenotyping of ME/CFS in Japanese population" by Kitami et al.
A study of 48 patients and 52 controls found 26 potential distinguishing biomarkers. From the abstract: 'Monocyte number, microbiome abundance, and lipoprotein profiles appeared to be the most informative markers.' '...we found that lipoprotein and microbiome profiles most closely correlated with sleep disruption while a different set of markers correlated with a cognitive parameter.' They conclude that 'Our study points to a cluster of sleep-related molecular changes as a prominent feature of ME/CFS in our Japanese cohort.'
Paper
here Thread
here
Frontiers in Immunology
"Impact of Long-Term Cryopreservation on Blood Immune Cell Markers in ME/CFS: Implications for Biomarker Discovery" by Gómez-Mora et al.
From the abstract: 'A correlation analysis of marker cryostability across immune cell subsets based on flow cytometry immunophenotyping of fresh blood and frozen PBMC samples collected from individuals with ME/CFS (n = 18) and matched healthy controls (n = 18) was performed.' Some markers were found to be stable after freezing but others were not. 'Our findings show that some of the previously identified immune markers in T and NK cell subsets become unstable after cell biobanking, thus limiting their use in further immunophenotyping studies for ME/CFS.' The authors point to the importance of this finding for future multicentre studies using biobanked samples.
Paper
here Thread
here
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Other research
Mayo Clinic Proceedings
“Fibromyalgia and Chronic Fatigue Syndrome in the Age of COVID-19” by Mohabbat et al.
In this commentary, physicians from Mayo Clinic write that fibromyalgia and CFS “although medically distinct, share a common pathophysiological etiology: central sensitization (CS).” The authors argue that patients suffering from these conditions may be extra vulnerable for stressors and isolation caused by the coronacrisis. They recommend treatments including CBT and graded exercise therapy.
Article
here Thread
here
Journal of Psychosomatic Research
In this Dutch study, 50 ME/CFS patients were followed up using ecological momentary assessment (EMA). 22 behaviours, cognitions and affects, were measured, including actigraphy, to look for factors that might perpetuate fatigue. Two perpetuating components were found in individual patients: “psychological discomfort” and “activity”. For the total patient group, however, both perpetuating components did not predict fatigue on a following time-point.
Article
here Thread
here
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Advocacy
#MEAction is looking to hire a new Executive Director. Applicants must live in the USA. To be considered submit an online application by December 15, 2020.
Details
here Thread
here
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Coming events
Czech Republic A webinar about clinical aspects of ME/CFS will be held on 25 November 2020 at the Institute of Postgraduate Medical Education in Prague. Talks in English will include Susan Levine, Betsy Keller, and Kristian Sommerfelt.
Announcement
here Thread
here
USA - NIAID-hosted workshop: "Workshop on Post-Acute Sequelae of COVID-19"
Registration is now open for a two day virtual workshop, December 3 & 4, 2020, from 10:00 am to 5:00 pm Eastern Time.
Register
here Thread
here
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Fundraising
USA The Solve ME/CFS Initiative (Solve M.E.) announced a $500,000 matching grant as part of their #GivingTuesday campaign. Solve M.E. board members have promised to match all gifts made before midnight on December 31st up to $500,000.
Donate
here Thread
here
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Covid-19 and ME
Open Medicine Foundation
OMF announced an anonymous, $1,000,000 grant to fund research into the relationship between COVID-19 and the possible trajectory to ME/CFS. The study will be conducted at the internationally-based Collaborative Research Centers.
Announcement
here Thread
here
The Guardian "Long Covid: overlap emerges with ME - including debate over treatment"
On similarities between ME and Long Covid. Interview with Dr. and patient Amy Small who raises concerns about graded exercise therapy as treatment approach. Consultant in rehabilitation medicine Dr. Manoj Sivan believes "future research will look into targeting specific rehabilitation approaches to specific subgroups".
Article
here Thread
here
Physios for ME "Cardio-Respiratory Rehab COVID19 Update: Goverment Update and When not to Exercise". A zoom presentation to over 400 cardiorespiratory physios about rehab of long Covid, learning lessons from the ME population. Duration 1 hour.
Video
here Thread
here and
here
Other items of interest
BBC radio Wales "The Long Tail - My Coronavirus Recovery"
Programme
here Thread
here
Edinburgh News "Doctor forced to give up her job after months of terrifying covid-19 symptoms call for one-stop clinics"
Article
here Thread
here
FiveThirtyEight "What We Know About 'Long COVID'" with among other Dr. Mady Hornig
Podcast
here Thread
here
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