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The Story of Sophia and ME
The Alison Hunter Memorial Foundation, on behalf of Criona Wilson,
wish to announce that on 28 September 2006 an official complaint
was lodged with the General Medical Council UK against all the doctors
involved with the treatment of her daughter Sophia Mirza.
For more
information, see New Scientist article "First
official UK death from chronic fatigue syndrome", and Sophia's
Story at the Invest In ME site.
Canadian Consensus Document Overview available
as PDF
The Overview can now be downloaded in PDF format from this page.
Chronic fatigue syndrome can kill - official
21 June 2006, NewScientist.com news service
"FAR from being "all in the mind" chronic
fatigue syndrome has been recorded as a cause of death in the UK
for the first time. The coroner's verdict is a breakthrough for those
who argue that CFS, or myalgic encephalomyelitis, is a physical rather
than psychological condition." Read more on the New
Scientist website.
Commentaries on the Canadian ME/CFS Consensus
Document
"In the
past few years, science has made extraordinary strides in understanding
the basic mechanisms of ME/CFS. Yet, because of its complexity, little
of this science has reached medical practitioners... The Canadian consensus
definition of ME/CFS is a concise summary of these advances and permits
a clear diagnosis for patients. The Canadian Consensus Document should
be read and studied by every medical provider." - David S. Bell, MD. Read more.
'Turning Point' by Jessica Miller
"My brother is eleven years older than I, the eldest of four, and
for the past five years he has been cut off from the world and
society living with an illness that some doctors don't even believe exists." Read
more.
Adelaide ME/CFS Forum
The Adelaide ME/CFS Forum was an informal meeting
of researchers and clinicians invited to present their work and to
reach consensus on the issues around clinical diagnostic and research
criteria for ME/CFS. When tight subject cohorts are identified, then
ME/CFS research outcomes will more reliably progress medical knowledge
to assist those who suffer with ME/CFS. Read
more.
Address to Federal Government Policy Committee of
Health and Aging
Christine Hunter
"The biological basis of ME/CFS can no longer be ignored. There
is now considerable pathophysiological evidence which includes dysregulation
of antiviral pathways, altered brain perfusion, orthostatic intolerance,
oxidative stress, and endothelial dysregulation. We need an urgent
Forum of researchers, clinicians, health authorities and key consumer
representatives to examine the barriers to clinical care and strategic
research development funding for ME/CFS." Read
more.
ME/CFS: A
Clinical Case Definition and Guidelines for Medical Practitioners
An
Overview of the Canadian Consensus Document
This link to the ME/FM Action Network supplies an overview of the new
Canadian ME/CFS guidelines to assist busy medical practitioners.
ME/CFS Info Sheet
Jill McLaughlin's extensive and up-to-date info sheet on ME/CFS now
online.
Psychological factors play no role in the
development of CFS following infection
Read
more from the AACFS 2004 Conference Press Release
New articles in Medical
Politics
The place
of psychiatry in the CFS debate —Prejudice,
power and pitfalls by Nicole K. Phillips
How to differentiate
CFS from psychiatric disorder by Eleanor Stein
Read these papers and more articles and correspondence in Medical
Politics.
New section: Medical Politics
Medical Politics is a new section
of our site which catalogues articles, papers, opinions, and research which
have some bearing on the politics surrounding ME/CFS.
In this Australian Doctor article from 2000, Prof Ian Hickie
describes the problems facing physicians treating CFS patients in this Australian
Doctor article:
"As a psychiatrist I rarely have the luxury of confirming my clinical diagnosis
with laboratory tests, but I also have the pleasure of making syndrome diagnoses
that are meaningful and translate into real patient outcomes."
Announcing
Australian Research Studies
Following organisation of the 1998, 1999 and 2001 International
Clinical and Scientific Meetings for ME/CFS, the Alison Hunter
Memorial Foundation's future direction will be fundraising for
targeted research projectsresearch that will make a difference to
the lives of people with ME/CFS.
Read details of proposed research, and
how to make a donation
Fatigue
fallout
Sydney Morning Herald 19/06/03
Most sufferers of the so-called "yuppie flu" are no closer to finding
relief. Peter Munro reports.
Peter Evans could walk for two minutes
before his body collapsed. Back and forth to the mailbox might send him to bed,
where he would sleep for 16 hours but wake exhausted and in pain.
The days he could work, as a Crown prosecutor for the Commonwealth
Director of Public Prosecutions, he would fall asleep at lunch and
wake when it was dark. Walking to and from the photocopier eight times
in one morning wore him out. An 800-metre walk to a specialist doctor
once put him in bed for three days. He couldn't concentrate, his memory
was poor and his words came out wrong.
Read
the complete article on the SMH website

Review:
Video - Who Will Protect the Children?
Gurli Bagnall
A report on the Foundation's video excerpt from the 2001 Clinical and Scientific
Meeting.
"The cold, hard deliberateness with which the extensive scientific evidence
of the physical nature of ME/CFS is routinely dismissed or ignored, goes beyond
abuse. It speaks of an agenda that is not concerned with patient welfare...It
is hard enough for sick adults to protect themselves against misdiagnoses and
mistreatments, but this video highlighted that where children are concerned,
some are even denied parental protection."
Read full text
6th International
AACFS Conference
Dr Rosamund Vallings
Dr Vallings reports on three days of presentations and posters from the 2003
AACFS Conference, covering topics such as epidemiology, immunology, technology,
physiology, psychosocial issues and treatment plans.
Read full text
Video: Who
Will Protect the Children? now available
A video exerpt from the 2001 Clinical and Scientific Meeting
is now available for purchase.
Young people severely affected by ME/CFS can face serious medical disbelief
resulting in court enforced removal from their families. Serious physical
symptoms are dismissed with shifting diagnoses such as somatoform disorder,
abnormal illness behaviour, Munchausen's syndrome by proxy or hysteria.
Dr Nigel Speight, paediatrician, University Hospital of North Durham, UK,
documents the serious risk factors for removal of the child with ME/CFS and
relevant case histories, epidemiology, spectrum of severity and natural history
of paediatric ME/CFS. John Chapman PhD recounts the experience of the "medical
nightmare" faced by his family.
Description and order form.
2001 Proceedings
now available
The Proceedings of the 2001 Clinical and Scientific Meeting
are now available for sale. Copies are $50.00 (not including GST
or international postage) and can be ordered by printing out, filling
in and faxing the Order Form.
2001 Proceedings
Preface now online
The Preface to the Proceedings of te 2001 Clinical and Scientific
Meeting is now online.
People with ME face enormous obstacles to access equitable
health care.
Among the impediments over the past decade has been research which shifted
emphasis to fatigue, fatigue states and chronic fatigue with scant regard
for the myriad yet distinguishing neurological, autonomic, and gastrointestinal
features of ME.
Read more.
Invasion
of the Bread Eaters
Australian Doctor's Weekly September 2002
Dr David Whitten
While I never again ventured into the world of market research, I must say
I have always retained an interest in statistical analyses, and the validity
of the interpretations that are drawn from them. Read
article.
Submission
to RACP Guidelines for CFS
AHMF, 1997
Christine Hunter, Annette Leggo, Anne Gotsis and Maureen Stephenson
This authoratative, readable document was prepared with reference to extensive
scientific literature searches and updates, direct contact with international
researchers and clinicians, and the experiences of people with ME/CFS documented
over more than a decade. The submission provides concise information on many
aspects of ME/CFS and can be reprinted without prior permission providing
authorship is acknowledged.
Now uploaded as multiple pages for quicker download. Read
submission.
Forget M.E. Not
September 1993
Alison Hunter, aged 16
Somewhere in the recesses of my mind there is a memory of being active,
of having the energy to be active...when sprinting across the street was
a reflex action and a good day was a day in the surf followed then by dinner
at a new restaurant followed by a movie. Read
more.
Chronic
fatigue could flag depression
Medical Observer 19.07.02
Dr Jocelyn Lowinger
"Professor Ian Hickie, CEO of beyondblue: the national depression
initiative and lead author of the study, said GPs should be aware
"the great majority of people who come through their door with medically
unexplained tiredness have unrecognised depression or anxiety.""
Read more.
Chronic
Fatigue Syndrome Clinical Practice Guidelines
Medical Journal of Australia 03.06.02
Richard Larkins and Simon Molesworth
"We acknowledge, as do the guidelines, that CFS is a serious,
disabling illness...There is significant evidence of a range of
biological abnormalities occurring in people with CFS. It remains unclear whether
these are primary or secondary...Treatment plans should be worked out by the
patient together with a healthcare professional and designed to be within the
capabilities of the patient.
Scientific evidence on aetiology, pathophysiology and treatment
is, at this stage, grossly deficient. More research is required
to understand the biological mechanisms involved and to clarify the role that
genetic, environmental and infectious agents might have in the aetiology and
pathophysiology of this complex and debilitating illness." Read more.
Ignoring
the evidence on chronic fatigue
Medical Observer 24.05.02
Dr A Breck McKay
"Editor: I have received and read the MJA claptrap on chronic
fatigue syndrome (CFS).
If ever there was an argument to throw out the rigidity of the current
misapplied 'evidence-based medicine' (read: 'only the evidence that
has already conformed to our specific, accepted concepts, will be
considered'), this is obviously it!" Read
more.
Neurotic
or Misunderstood?
TIME Magazine 20.05.02
Daniel Williams
"A close reading of the guidelines suggests patients aren't
being over-sensitive. Though doctors are urged to acknowledge CFS
patients' suffering, they're advised to "discourage excessive rest"
to break the "vicious cycle" of inactivity, and urged to make a
psychological evaluation of the patient and note any family history
of "depressive disorder, self-destructive behaviour or substance
misuse," before reaching a diagnosis." Read
more.
New
guidelines on chronic fatigue care
Australian Doctor 10.05.02
Bianca Nogrady
Chronic Fatigue Syndrome (CFS) should be considered in the same
way as migraine, where there is no clear pathology or diagnostic
test but the condition is well recognised and taken seriously by
practitioners, an Australian expert says. Read
more.
Living
with Pain of Chronic Fatigue
Canberra Times 09.05.02
Danielle Cronin, Health Reporter
"Canberra chronic fatigue syndrome sufferers are tired of attempts
to "trivialise" their illness and are waging a public
campaign to change perceptions.
ACT Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Society
members, armed with blue ribbons, will visit local shopping centres
in the lead-up to the International Chronic Fatigue Syndrome Awareness
Day on May 12." Read
more.
RACP
Guidelines for the Treatment of CFS released
MJA website 06.05.02
See the MJA
CFS Guidelines page for full text.
See responses to, and correspondence regarding, the second draft
of the Guidelines: the Foundation's RACP
Guidelines page.
Norman
Swan Interviews Dr Robert Loblay
Health Matters, ABC Radio National 06.05.02
Norman Swan: While these guidelines have been in preparation,
and also over this weekend you've been the subject of a lot of flak
because with Chronic Fatigue at least in the Associations, have
been saying these are dreadful guidelines. What's the essence of
the criticism?
Rob Loblay: I think that there is a probably minority view
that the guidelines are saying this is a psychological problem.
This is in fact not the case, it's the exact opposite. What we've
tried to do is give doctors other ways of thinking about therapy
that will mesh better. Using for example, an educational strategy
in the way they do with diabetes or asthma, or a rehabilitation
approach in the way they might do with cardiac disease or chronic
lung disease. Read
more.
Riddle
of the Quiet Killer
Sydney Morning Herald 04.05.02
Julie Robotham
"Despite a decade of crippling physical symptoms and abnormal
pathology and neurology tests, medical science never came up with
anything more tangible than chronic fatigue syndrome (CFS) to describe [Alison
Hunter's] illness. ...
Immunologist Dr Robert Loblay developed the new treatment guidelines
for the Royal Australasian College of Physicians...It was a valid
complaint that the research papers his group considered were distorted by the
characteristics of study participants. "People who are too
ill drop out," he said. "People who don't like psychological language
drop out." Those who were house-bound could not take part, and had
never been formally studied." Read
more.
Brain
link to Fatigue Syndrome
Sydney Morning Herald 04.05.02
Julie Robotham
"An area of the brain that controls the stomach receives substantially
less blood in some people with chronic fatigue syndrome, a study
shows.
The finding adds more weight to the argument that the controversial
illness is biological, not psychological.
Brain scans of 40 chronic fatigue patients were carried out by
Adelaide scientists and compared against the scans of healthy people.
The director of nuclear medicine at Queen Elizabeth Hospital, Dr
Steven Unger, who headed the study along with neurologist Dr Rey
Casse, said: "There
was a very strong change in cerebral blood flow in patients."
Read more.
Patients
slam guidelines on chronic fatigue syndrome
Medical Observer 03.05.02
Helen Carter
"Chronic fatigue syndrome (CFS) patient groups have slammed
Australia's first CFS clinical practice guidelines, saying they
will lead to misdiagnosis, and inappropriate and inadequate medical care." Read more
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