United Kingdom: ME Association news

To convince them that there’s no point having an ME service?
To convince them this MECFS service isn't fit for purpose


To convince them the current system is a fallacy and helps mainly the NHS employees more than patients?
Yes


To convince them that a specialist consultant under which discipline should be in charge?
That's not entirely clear, but could be discussed. JE has suggested rheumatology, but immunology and neurology are other options (neurology imo is a bad idea until neurologists are properly educated about MECFS)


There isn’t a firm ask.
I think specialist physician led services is a firm ask. And I think other people in the community could be convinced of that.


On a related note, lobbying for funding for SequenceME is another firm ask that the ME Association and other non a4me charities should be doing, not to mention digging into its own coffers instead of funding useless apps and studies that have less chance of identifying the mechinism than SequenceME.
 
Where are they being handed a firm “ask” on a plate?

At the ForwardME service working group. Handed in person. And there is a lot of agreement from individuals but organisational policy does not seem to shift much.

The DHS have also been handed the same.

I agree that it is all about not rocking the boat. Advocacy organisations exist by appearing to be able to do something. Doing something is the essence. Admitting that it might be better not to do it is to an extent unthinkable, I suspect.
 
To convince them this MECFS service isn't fit for purpose



Yes
That won’t fly with the community
That's not entirely clear, but could be discussed. JE has suggested rheumatology, but immunology and neurology are other options (neurology imo is a bad idea until neurologists are properly educated about MECFS)
That’s not a firm position
I think specialist physician led services is a firm ask. And I think other people in the community could be convinced of that.


On a related note, lobbying for funding for SequenceME is another firm ask that the ME Association and other non a4me charities should be doing, not to mention digging into its own coffers instead of funding useless apps and studies that have less chance of identifying the mechinism than SequenceME.
Even here we don’t really have a consensus, we have threads of discussions.
 
That won’t fly with the community
How do you know that? I haven't seen anyone who loves the UK MECFS services posting on reddit or anywhere.


That’s not a firm position
Well then we need to firm it up before we take it to the wider community.


Even here we don’t really have a consensus, we have threads of discussions.
True unanimous consensus is very rare. We have JEs letter, we have an idea of what many on here think services should look like.

We cannot just let the harmful status quo play out indefinitely without attempting to change it.
 
How do you know that? I haven't seen anyone who loves the UK MECFS services posting on reddit or anywhere.



Well then we need to firm it up before we take it to the wider community.



True unanimous consensus is very rare. We have JEs letter, we have an idea of what many on here think services should look like.

We cannot just let the harmful status quo play out indefinitely without attempting to change it.
I agree but I also think our best hope is via the Forward ME buy-in JE mentioned.

I don’t believe people or charities will come out and say something as negative as “scrap the lot, it’s more harm than good”.

I also think we are somewhat different to the wider community- for example when I see @ME/CFS Science Blog posts out in the wild, pwME get really upset about them debunking x, y, z because they have fully bought into whatever it is. You won’t even get the wider community to give up the awful “ME/CFS is a chronic, complex, multisystem…” intro. Many people see you as a BPS enemy if you don’t buy into the “good” myths.
 
That's not entirely clear, but could be discussed. JE has suggested rheumatology, but immunology and neurology are other options (neurology imo is a bad idea until neurologists are properly educated about MECFS)



I think specialist physician led services is a firm ask. And I think other people in the community could be convinced of that.
Thinking out loud... Maybe physician led services would be good enough, open to any of them (rheumatologists, immunologists, neurologists,...) to lead the service. In a world in which they didn't think the illness was functional and in which they had an opportunity to regularly meet and discuss, perhaps the diversity of expertise would be a good thing, egos permitting.
How do you know that? I haven't seen anyone who loves the UK MECFS services posting on reddit or anywhere.
Urgh, believe me they exist. Some people love their OT who thought them how to pace, some people claim to have been helped with mind-body/CBT tricks, some people think we should accept any help that's offered to us. There are people who have spontaneously improved during a fatigue course or shortly thereafter, never severely affected and ill too shortly to see those services for what they are.

People who are into mind-body stuff love some of the explanations and I've seen posts of praise and relief after their first appointments where they felt heard, believed and reassured, even if they were offered CBT.
 
Urgh, believe me they exist. Some people love their OT who thought them how to pace, some people claim to have been helped with mind-body/CBT tricks, some people think we should accept any help that's offered to us. There are people who have spontaneously improved during a fatigue course or shortly thereafter, never severely affected and ill too shortly to see those services for what they are.
It’s the same thing with people who swear by the GET/CBT approach.

The average person takes what someone with epistemic authority over them says at face value. And even when that fails, they have a hard time letting go of it.

I mean I think most of us weren’t instantly S4ME style sceptics right? It’s a learnt skill due to overwhelming failure of medical knowledge w.r.t. us.

If my mini month long near-remission whilst I was doing therapy had actually been permanent, and not been followed by a steep decline into very severe, as much as it hurts me to admit I might’ve been going around saying how “ignoring my symptoms” and “not overthinking” cured my “long covid”.
 
If my mini month long near-remission whilst I was doing therapy had actually been permanent, and not been followed by a steep decline into very severe, as much as it hurts me to admit I might’ve been going around saying how “ignoring my symptoms” and “not overthinking” cured my “long covid”.
Yeah if I had spontaneously recovered when I started GETing myself in 2020 I'm pretty sure I would be f-king unbearable lol.

When I was convinced it was working but had just started to learn about severe MECFS ect I was like 'those people have a different illness to me, I don't think they're not sick', but I would probably have been encouraging mild people to try exercise and stuff.
 
If anyone is hoping that change will come from Forward ME, I suspect you will be disappointed. I'm told that two representatives of BACME - one a physiotherapist with a "special interest" in "behaviour change approaches"; the other an OT who "teaches about fatigue management and mindfulness" and leads a psychobehavioural clinic - were invited to & attended that Forward ME meeting with DHSC. The purpose of affording members of BACME - the organisation that is the very embodiment of the problems that we face - such a window into the internals of patient advocacy efforts eludes me, but is now entirely par for the course.

Years ago I simply assumed that, although the charities would put out nonsense from time to time that we were, essentially, on the same side and shared many significant common assumptions about what ME/CFS actually is and what needed to be done about it. I thought they were just under-resourced and amateurish. It is only recently that I've become certain that view was wrong.

They know very well what the views of most members here are. They know very well what the mood & opinion is in the broader patient community.

They simply don't share those views.

Nothing will change for us until the interests of patients are genuinely represented.
 
Nothing will change for us until the interests of patients are genuinely represented.

And it's quite hard to envision that until we see evidence a treatment can modify the disease.

I doubt even that would shift things quickly, but strong trial results would start the process. I think part of the problem is that doctors don't really know what to do with us; that changes if there are treatment options.
 
And it's quite hard to envision that until we see evidence a treatment can modify the disease.
I'm not so sure. I think there is plenty that could be done even if we do not have treatments & even if we continue to have little understanding of the pathophysiology.

In general I think it would be rather beneficial to have more S4ME members involved in charity governance, including in trustee roles. Even minor tweaks to their positions, such as focussing on ME/CFS rather than being drawn in to spurious and counterproductive "overlapping illness alliance" type arrangements would be useful. However, I'm increasingly of the view that the problems with the UK's national charities are effectively irremediable. I'm not sure what ME Action UK are doing but ME Action in the U.S. appears committed to promoting fringe medicine and I doubt the UK branch can fully escape their gravitational pull.

Of late I have thought more and more that the only viable solution is a new national charity. That would be a massive undertaking for anyone who attempted it but I'm increasingly convinced that we are so poorly and badly represented that there are few alternatives if any progress is to be made.

Groups like #ThereForME have demonstrated that even a small, newly formed group of people can rapidly insert themselves into & influence events like the DHSC process (to what end is unclear in their particular case; but it is difficult to argue that they have not exerted influence). Their launch was helped along by favourable coverage in the Times, but elements of it could be replicated.

I think if a new national charity started up that actually represented patients' evident desire to obtain appropriate supportive medical care, support high-quality biomedical & epidemiological research, reject psychobehaviouralism, produce appropriate resources and represent & defend their interests robustly then most patients would happily abandon AfME & MEA in favour of it.
 
In general I think it would be rather beneficial to have more S4ME members involved in charity governance, including in trustee roles.
I think it can be hard to influence change being new and in the minority, especially with limited capacity due to the illness. But...
Of late I have thought more and more that the only viable solution is a new national charity.
I agree with this, despite feeling there might be too many ME/CFS charities.
I think if a new national charity started up that actually represented patients' evident desire to obtain appropriate supportive medical care, support high-quality biomedical & epidemiological research, reject psychobehaviouralism, produce appropriate resources and represent & defend their interests robustly then most patients would happily abandon AfME & MEA in favour of it.
I think AfME has a good reputation and probably ticks off those goals for a lot of patients. I'm not following MEA on socials but I I've never seen any criticism of them in the groups I've been in. People share their resources and articles a lot.

I would be pleased with a charity whose views and efforts are in line with the opinions on S4ME but I'm also aware that:
I also think we are somewhat different to the wider community- for example when I see @ME/CFS Science Blog posts out in the wild, pwME get really upset about them debunking x, y, z because they have fully bought into whatever it is. You won’t even get the wider community to give up the awful “ME/CFS is a chronic, complex, multisystem…” intro. Many people see you as a BPS enemy if you don’t buy into the “good” myths.
I have no idea about the proportion of patients who think along the lines of what we write here on the forum. I don't think it's many because those who claim to be into biomedical model and science are typically into the myths.
 
Of late I have thought more and more that the only viable solution is a new national charity.

Th trouble with charities is that decisions are made by trustees. I've seen several steered away from their original mission by dominant trustees, to the point where the people who founded and poured thousands of hours into them left.

The objects set out in the constitution have to be broad so that charities can adapt to change, but that also leaves them vulnerable. Volunteers who establish charities need trustees with skills like accounting and marketing, and professionals working in those sectors may not have experienced whatever hardships the beneficiaries live with—partly because they're working professionals—and don't always get it.

We've seen some of this with the MEA.
 
Thinking out loud... Maybe physician led services would be good enough, open to any of them (rheumatologists, immunologists, neurologists,...) to lead the service. In a world in which they didn't think the illness was functional and in which they had an opportunity to regularly meet and discuss, perhaps the diversity of expertise would be a good thing, egos permitting.

Urgh, believe me they exist. Some people love their OT who thought them how to pace, some people claim to have been helped with mind-body/CBT tricks, some people think we should accept any help that's offered to us. There are people who have spontaneously improved during a fatigue course or shortly thereafter, never severely affected and ill too shortly to see those services for what they are.

People who are into mind-body stuff love some of the explanations and I've seen posts of praise and relief after their first appointments where they felt heard, believed and reassured, even if they were offered CBT.
And sadly some of those people will, in a decade or so, turn up here. Dejected, harmed, and now totally able to see they were sold a dream.
 
I think it can be hard to influence change being new and in the minority, especially with limited capacity due to the illness. But...

I agree with this, despite feeling there might be too many ME/CFS charities.

I think AfME has a good reputation and probably ticks off those goals for a lot of patients. I'm not following MEA on socials but I I've never seen any criticism of them in the groups I've been in. People share their resources and articles a lot.

I would be pleased with a charity whose views and efforts are in line with the opinions on S4ME but I'm also aware that:

I have no idea about the proportion of patients who think along the lines of what we write here on the forum. I don't think it's many because those who claim to be into biomedical model and science are typically into the myths.
It’s sad but it’s true, there are so many patients on social media who are all in on “I got ME after an infection” and so only want to consider treatments related to infections, as many as there are “of course I was burned out and my body is full of inflammation, so I must to do yoga breathing which of course helps, but it’s not a cure but also…” or “I have ME and MCAS so it’s obvious that histamine is what we should pour money into, there was a paper by ….” It’s actually very diverse and usually there’s some scientific interest, I can’t blame people for backing a certain “theory” of ME especially when they’ve been fed some allegedly firm science for it. But if you don’t agree you’re a BPS, the enemy attacking their scientific approach. They don’t want to hear it.

(Personally I came here because I was fed up of the MEA promoting “amazing breakthrough paper” every few weeks for a few years which never actually came to anything. Why are we always on the brink of a great discovery which never comes? Now I know. Studies need to be replicated, scaled).

It’s pretty destabilising to realise the true scientific landscape is still so unclear (as was a few years ago, lately there has been great advances like DecodeME).
 
Thinking more about this, I wonder if a lot of the problem is because most PwME don't know what normal care for a serious chronic condition actually looks like. I was amazed when I read @Jonathan Edwards's description of it. It sounds fantastic. Maybe if more PwME know what's normal and that we're not getting it, we'd be in a better position.

As for setting up a new charity, I think we're too sick. We struggle to do projects here, even without having to run a charity on top of it. But we have a platform, and can keep trying to educate, and to pass on our factsheet info to other charities.
 
And it's quite hard to envision that until we see evidence a treatment can modify the disease.

I doubt even that would shift things quickly, but strong trial results would start the process. I think part of the problem is that doctors don't really know what to do with us; that changes if there are treatment options.
I’m not sure that will change the issue. If there is a cure that undoes all damage for everyone (unlikely as those having it worse for longer might have other things made worse or still bad left after ‘the thing’ has gone - another ‘splitting point’)

Then there will still be the split and spectrum between those who had it timing, length of time, severity and support wise how it wrecked all their human relationships- and no one wants to apologise nevermind look back and rewrite the narrative they stuck on someone for 30yrs and realise EVERYTHING they assumed in their story should now be rewritten to ‘oh that had something completely different and so when I thought whatever I do make it clear it’s ignore it or fail as I’ll make sure there’s no safety net to incentivise them each time and made them iller that caused the next thing that I called them even more pathetic git struggling through even more for’ etc

And I’m sorry but those who had it mildly for a few years that mattered less but kept their relationships, had a family they still have now and didn’t have the snowball effect of it affecting their qualifications do getting jobs that were tougher on them than well people had and having to perform twice as well in those just to keep them as well people because disability bigotry does exist and you know it every day. Well will they be like ‘well I’m now working so there’s really just psychology work need for those other people as it just just be trauma they need to take responsibility for’ instead of acknowledging they didn’t get the brunt of the whole world labelling them as a different person than they are whatever they did and were and even after it’s proven not to be that won’t give you back your identity or respect. Because it didn’t happen to them after 20yrs of being x having a support network when they were ill a few years those who only starting to receive the odd person being a bit funny are often even worse than those who never had me/cfs at all

Exact what @vrt says 2posts up and agree with @Nightsong

We’ve organisations speaking ‘for us and about us’ who no longer ‘get it’ and I think that has changed over time or the problem ones within got quieted when it was just the guidelines committee and the staff working closely to finally sort the press issues were the focus back around 3020.

Theoretically even bacme could have some less ignorant members given the reigns and move out the evangelists from controlling direction and also be quite different, but it would require them to see that it’s going to be required if them / a come to Jesus that that’s where they need to head as the wrong way isn’t profitable anymore. Etc.

We I agree can’t do much huge fast but I think we can plan long and do good strategy to make the little we have count by not trying to compete on the terms of people with more energy by just taking on the work rather than being really smart about where we are limited and what we can ‘keep up’ and what we can do to get more on board who would help in the right way without it being free reign etc.

I think there is an internal community hearts and minds (not noise and passion) around having a doable ask and why we have to be precise in what we ask for not just fuzzy (and leave the one asked to do what they think.want/want to hear) and we need the same clarity and rationale and calmness to then work on a programme of not just ‘getting allies’ but ‘educating allies’ - and we might find the type who support us in what we need aren’t those who’ve been attracted to whatever those who say they are now think we actually have or that they’d dump on us if they were honest.

There are people out there though who do ‘get it’ but just are quiet until one day I have to chat about something else but their position isn’t easy because we’ve not made it easy for them. If I wasn’t ill I ask myself how would I support ‘pwme’ and know I wasn’t sponsoring someone or something that’s actually ‘the wrong thing’ with what’s out there.

And there’s loads - allies, well-intentioned public, and loads of one who can’t think and don’t think just liking and donating to the biggest and easiest thing atm . And that’s normally the big charity. Without asking if what they do is useful. Even when some things in fact seem dodgy they hope to assume it’s just a hiccup. And ‘where’s better’ anyway.

Well right now those people are getting repeats of old history instead of clear messages from the few pwme they are rubbing past subtly keeping them up to date by eg the fb birthday fundraiser that gently says ‘sewurnceME us where I want you to give funds if it’s in my name or for my illness (not just any old charity that uses ME in its name)’

Not everything has to be in detail unless someone asks (genuinely- if they are antagonists doing god the sake ignore em) because in the last decades people are aware of chuggers and some big scandals elsewhere meaning questions are more to be asked vs in the 2000s and so ‘not making the right moves’ or ‘supporting things that have been detrimental’ or whatnot is enough. Tactful and appropriate to context (if it’s a friend vs public on social media you’d be careful of it not being taken the wrong way).

But having somewhere else for someone who at that point is really only offering what they are offering - be it a small chunk of money or time to reshare something - in a direction that helps the right way and hopefully by doing that gets a message to others who might do the same.

What I think the research does do is provide those other , better things as directions that give those with good intentions ‘something they can do’

It is down to the community to then work on the other orgs that are an issue and get those who do have the right listening and governance more supported than those who don’t.

And I agree that even getting people in a close ish network to agree to discuss and then stick to a line …. Well that’ll need a new level of plan ?
 
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