POLL: physical vs cognitive PEM - same or different?

[alktipping]

Ah,.now here we differ.

Cognitive exertion - even if I take mini breaks immediately at the onset on ROLS (rapid onset symptoms) sill cause delayed PEM. Especially if I repeat that several times during the day and it will be even more pronounced if I were to do that several days in one week.

This is one of the reasons why I struggle so much with filling in the forms for benefits such as ESA. I have to repeatedly concentrate then rest and repeat far too often and filling in the form can easily cost me a couple of months of PEM.

this happens to me even when spacing my appeal papers over two days with my sister doing all the writing the pem kicked in on the following day and of course i still had to complete the appeal document while my sister was still visiting . thanks to her efforts i won my appeal . dreading the next review .

 

[Invisible Woman]

dreading the next review .

 

[wallfish]

Interesting thread. I'll add my anecdote. For me, the difference is very distinctive.

From physical exertion, I get a flu-like feeling. When I was mild I noticed I got it more from endurance-type sports than strength training.

From cognitive exertion, I get a different "wired" feeling and tingling sensation in the joints. Relevant example is concentrating long and hard on something, like computer work, especially when I am very invested and take few breaks. I also get it from drawing or writing, but these involve more muscle activity.

 

[Spitfire]

Cognitive exertion has led me to 0 patience. I have enough energy to perform a task once, if it fails, or I need to repeat myself in a conversation, I am done. The wave of exhaustion then just hits and decorum leaves the building.

Physical exertion is delayed, and usually starts at night and keeps up for days on end. Near all of the time I feel flu-like symptoms without actually being ill.