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#post viral fatigue
m-e-and-more · 1 year
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Not all #LongCovid is #myalgicEncephalomyelitis.
While its super important to raise awareness of the simularities of the #millionsMissing with #MECFS and #millionsMore with #LongC it is also essential to recognize that only a subset of #covid #longhaulers meet the criteria for a diagnosis of ME.
ME aka #ChronicFatigueSydnrome is not the same as #chronicFatigue. The defining symptom of ME / #CFS is #PostExertionalMalaise or an exhasurabtion of metabolic, neurological and immune dysfunction symptoms 24-48 hours after exertion.
When you are talking about long covid patients who experience #PEM you should talk about MECFS because that is what these patients have.
When you are talking about long covid patients be clear that only the subset with PEM have MECFS.
It is important for patients with long covid to receive the correct diagnoses, because while there are no FDA approved treatments for ME, many commorbidities do have effective medication options. Management of ME must also be tailored based on a patients commorbidities.
Patients with MECFS and post viral fatigue syndrome must not be prescribed GET or CBT. This includes all long covid patients with PEM.
Long covid patients who experience PEM should be advised to #StopRestPace and informed about the importance of pacing agressively not just to prevent symptoms from fatigue but to prevent PEM in the following days. This is regardless of whether they have PVFS (less than 6 months post covid) or MECFS (more than 6 months)
Because long covid is a broad category that encompasses patients MECFS #MCAS #fibromyalgia #POTS #dysautonomia #autoimmune and #autoinflammatory diseases in many combinations the prognosis for long covid patients is much more variable than that of ME patients and recovery is more likely in early stages of ME, long covid patients who recover should not generalize their experience onto MECFS patients more broadly and should continue to support MECFS research.
MECFS patients have decades of experience with pacing, medical gaslighting, chronic illness, housebound and bedbound life and more. We hope that #covidLonghaulers will #LearnFromME and ally with us to end #postViralIlness
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acarrcreations · 2 months
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You know you have chronic fatigue when you check your calendar for tomorrow and it just says "DO NOTHING"
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clatterbane · 2 years
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Seriously though, I am pretty much at the point of fighting serious urges to start slapping people in medical facilities now.
That is still the main place I have been going, dealing with the post-viral fatigue that doesn't seem to want to quit. After catching something suspiciously Omicron-like at a medical visit.
So, of course it is only a tiny minority of people--including the ones working with sick people all day!--who are wearing masks at all. The past few times I have gone for medical treatments which required staff getting right up in my face? They have been quick to tell me that I don't need the mask. 💀
Maybe not, but YOU SURE AS HELL DO. Unless you are trying to spread All The Germs you're breathing in all freaking day around to other patients who are liable to end up in much worse shape than I am from that. And I already do not want more possibly-preventable rounds with this particular garbage. Nobody needs that.
It really is frustrating, and honestly another reason for me to want to just avoid medical settings now. It really does feel like a certain disregard for patients' wellbeing.
A few possible explations, btw:
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internalmemos · 2 months
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I don't know what's worse, realising that fatigue now makes me uninterested in being a spreadsheet nerd using excel, or that I'm upset about losing that nerdy little delight
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hellyeahsickaf · 4 months
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"My body hates me" "Ugh I hate my lousy ass body always holding me back" "I'd hang out but my stupid body's too fucked up to let me" I know it feels like your body's working against you but it isn't- it's doing its best to protect you and keep you alive
If your chronic illness is post-viral and/or autoimmune your body's doing everything it can to fight a constant battle against what it believes to be a threat. Sometimes it develops because an infectious disease has interfered with the functions your body carries out. And some illnesses develop symptomatically as a survival response because your cortisol production indicates that constant fight or flight isn't working so it forces a freeze response. If you're in pain, fatigued, have brain fog, etc, you can't exert yourself and are forced to conserve your energy. That way you don't overdo things and possibly compromise your survival. It feels like a lousy survival response, it really sucks, but it's still an indicator that your body's doing its best
You can hate your symptoms and vent about how much they suck, I know they truly suck balls and some days I just wanna scream and break things while I'm in bed struggling to keep my eyes open. Just don't forget that your body doesn't "hate" you and you should treat it kindly. Many symptoms like pain are there to tell your brain something's threatening it- even if your nerves are misinterpreting sensations like strong temperatures and sending pain signals to your brain. Billions of little cells and microorganisms are working 24/7 to keep you going. Those little guys carry out so many functions and none of them are for the sole purpose of making your life harder. It always comes back to your body trying to survive
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(american roadside billboard voice) HEAVEN is REAL and it is IN FLORIDA
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May is ME/CFS Awareness Month!
ME/CFS stands for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Chronic Fatigue (CF), a symptom of many chronic illnesses, is not the same as Chronic Fatigue Syndrome (CFS). There is a push for ME/CFS to be exclusively known as Myalgic Encephalomyelitis (ME) in the future
ME/CFS is a complex, fluctuating, chronic medical condition affecting multiple body systems and symptoms can change unpredictably
Post-exertional malaise (PEM) is the hallmark of ME/CFS
More on symptoms: Symptoms of ME/CFS
ME/CFS affects an estimated 836,000 to 2.5 million Americans, the majority of those diagnosed being AFAB
An estimated 90% of people with ME/CFS are undiagnosed
About 25% of people with ME/CFS are bedbound or housebound for long periods
Most of those diagnosed never regain their pre-disease level of functioning
The root cause of ME/CFS is unknown
Possible triggers include: viral infections (such as mono, the flu, or COVID-19), bacterial infections, physical or psychological stress, and immune system changes. There may also be a genetic component
There is no cure or approved treatment for ME/CFS
However, some symptoms can be treated. For example, PEM is treated by pacing. More on treatments: Treatment of ME/CFS
ME/CFS costs the US economy about $17 to $24 billion annually in medical bills and lost incomes
The ME Association and the CDC have more in-depth articles on ME/CFS for more information
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From: Martin Arber
A blast from the past! This cartoon by the Arber’s first appeared in journal InterAction, the journal of Action for ME, in 1992 many years before the Pace Trial was published in the Lancet.
Subsequently this research was shown to be both invalid and dangerous but Horton, Editor of the Lancet, refuses to retract it. Recently it was offered to CoVed sufferers who were failing to recover. Unbelievable!
From:
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tenspontaneite · 8 months
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Ok so literally no pressure, but I do have a kofi and if anyone feels like showing appreciation for my writing or art or I guess my cat via its medium, now would be a good time because there's a thing I really want to buy and I don't have enough birthday money left over for it lmao
(the thing is an art oriented android tablet. So that I can still draw shit when post work exhaustion compels me to collapse in bed against my desire to,,, you know, draw things.)
Link to my Kofi 👌
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auressea · 8 months
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I know a number of people who are NOW chronically ill. Many of them have not been given any support or resources to adapt.
additionally-Newly disabled people can take a really long time to come to terms with reduced function and barriers.. there's a long process of overcoming our internalised ableism.. to accept our new landscape.
Please. PLEASE-- allow yourself to REST. PACING is IMPORTANT!
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clatterbane · 2 years
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Another bit of pattern matching gone wrong in my tired little hyperlexic brain, which actually worked fine the way I did parse it at first:
"Coffee oil quickly builds up on the inside and requires paper towels or rage to clean it."
Paper towels and rage sounds more my style, tbh. Sadly haven't quite worked out the telekinetic rage cleaning yet. But, I reckon RAGS would work too. 🥴
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headpainmigraine · 2 years
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I know this is a dick move, and I'm aware of that, but a large part of me cannot help but feel bitter about the posts going round about how awful long Covid is when some of us have been living with post-viral syndrome/ME/fibro/similar for so long and no one seems to have given a crap.
Just the fact that no one is calling this post-viral disorder/syndrome/what have you rubs me up the wrong way.
Like, we have BEEN here.
Just for someone to acknowledge that would help.
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wobblefloss · 2 years
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STUFF I DIDN'T KNOW WHEN I WAS STILL ABLED...
Post-viral illnesses are a thing.
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I mean, we all know about long covid now. When the covid virus does too much damage to organs, nerves, veins, arteries, and the immune system? Then it's 'hello, longterm disability.'
But think about before covid. People would say, "It's just a virus. It's not an infection. You don't need antibiotics or to go to the doctor. Just drink orange juice. Take some over the counter medicine. Sleep it off. It'll pass."
Which can be true! Yet, even in the before times, folks were catching and being disabled by 'just' viruses.
Long HIV = AIDS
Long polio = paralytic polio, post-polio syndrome
Long Chicken Pox = Shingles
Long HPV, hepatitis, & others = cancers
And 'Long' versions of lyme disease, mono, hepatitis, herpes, flu, epstein barr, and other viruses--they're all known to doctors.
They can lead to multiple sclerosis (MS), myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS), fibromyalgia, dysautonomia, POTS, mast cell disorders, heightened allergies and food sensitivities, chronic migraine, organ damage...the list goes on.
It's not 'just a virus,' and it never has been. You must rest and recuperate and listen to your body.
No, longterm problems don't happen to everyone or every time. And no, nothing is helped by panicking.
But if you still have symptoms after you're 'cured,' you're not making things up. Your mind isn't tricking you. This isn't your fault. Post viral illnesses and syndromes are real. Go talk to your doctor.
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Seems like something we should all know.
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.
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Disability happens to people without our control or consent. Every single disabled person has strong feelings about their own situation and I would not presume to talk about anyone’s thoughts but my own. But none of us chose to do life on hardmode, so if the world could listen this month, there’s a lot to say.
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jesusonafrickinboat · 2 years
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As someone who has post-viral disabilities/conditions, it absolutely INFURIATES me that, despite a mass rise in post-viral disabilities/conditions (aka long-covid), IT’S STILL NOT BEING RESEARCHED.
I had a virus in May 2016 (end of 8th grade), the symptoms of which (plus more as time went on) never went away. I was diagnosed with celiac disease in 2017, followed by POTS, fibromyalgia, CFS/ME, chronic pain, and more - none of which have a cure. (There are also several conditions that I’ve researched and am almost certain I have as a result of that virus over half a decade ago, but I’m still waiting to get appointments with those specialists.) Since being diagnosed, I have done various treatments/medications, had many appointments with specialists & physical therapists, and have done basically all I can to get better.
Now it’s 2022. It’s been 6 years since the virus and 5 years since the first diagnosis. Can I do more than I could in 2017? Absolutely! I don’t want to say that it will never get better, because it does - just slowly (and at a different pace for everyone). But I’m still NOWHERE near where I was before 2016, certainly not even close to what I might have been able to do now if the virus hadn’t happened. I had to switch to homeschool (away from my friends, though better for my physical and mental health) for 10th-12th grade. Last summer, I rode a bike for the first time since 2016, and I was still in pain afterwards. I’m finally at a place where I can start doing the things I used to be able to do or have missed out on (ex: making my own lunch, learning to drive, going to college), but it’s a very delicate balance. I’m at a place where some of these things are finally in sight (I won’t say in reach yet), and it’s frustrating to desperately want to do them and know I’m so close to being able to, but I still have to be really careful.
Because of my constellation of conditions, it has been incredibly difficult to improve my health. For example: one of the best ways to treat POTS is by exercising, but exercising also unfortunately triggers CFS/ME flare ups (due to post-exertional malaise), which in turn triggers chronic pain, etc. The worst part is that it’s nearly impossible to tell when you’ve overdone it in the moment, which means that after doing more rigorous exercise, I have to make sure I don’t schedule anything for the next 2-3 days in case of a flare up. I know I’m not the only one with complicated, contradictory, incredibly difficult co-morbidities, which is one reason why it takes so long to even start healing post-virus.
I’m upset that there are SO MANY people with long-covid that are receiving the same treatment myself and others have received in terms of our post-viral illnesses. I was hopeful that, even though the last thing I wanted was more people having to go through what I’ve been going through for 6 years, this rise in post-viral cases would have pushed more research into why it happens and how to cure (or at least better treat) the most common disabilities/conditions that it results in. 
Instead, like other post-viral illnesses, we’ve continued to see small, underfunded groups research the resulting individual conditions (CFS/ME, POTS, etc) without the funding to come together to research the co-morbidities as a whole, while the majority of the population (including medical professionals, news sources, the general population, etc) at best completely ignore and at worst utterly deny the existence of long-covid.
And I’m so tired.
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Matthew Dalby @MatthewJDalby : How it feels sometimes. https://twitter.com/matthewjdalby/status/1581323340496523264
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