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12 reasons that <some> doctors disbelieve patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome #MECFS

1. Doctors tended to see #pwME as having “certain personality traits"

#SickNotWeak #MedEd #MedicalTwitter
bmj.com/content/328/74…
2. Doctors felt that #MyalgicE lacks a plausible pathological mechanism and its symptoms couldn't be ascribed to a precise location

3. There has been variation in the diagnostic criteria for #MECFS which has delegitimised the disease

#SickNotTired
bmj.com/content/328/74…
4. Doctors felt that #pwME had a poor work ethic

5. Doctors felt that #pwME had a poor attitude, they lacked stoicism and did not make every effort to get better as quickly as possible

#chronicillness #MedEd
bmj.com/content/328/74…
6. Doctors reported many conflicts with their patients about the causes of #MECFS and its treatment

7. Some doctors stereotype #pwME and their value-laden approach may prevent patients being assessed as objectively as possible

#MyalgicEncephalomyelitis
bmj.com/content/328/74…
8. Barriers to the effective clinical management of
#pwME are partly due to doctors’ beliefs that may not take into account the best available scientific evidence

9. Some doctors were skeptical that #MECFS might be a "fashionable epidemic"

ncbi.nlm.nih.gov/pubmed/7629762
10. Some doctors felt that diagnosis of #MECFS would become a self-fulfilling prophecy and that entirely 'normal' symptoms of fatigue and weakness might become unnecessarily pathologized

#chronicpain
ncbi.nlm.nih.gov/pubmed/7629762
11. And some interpretations of #MECFS are completely baffling

"The narrative of the struggling self seeking renewal that defined the illness experience.. articulated the negative effects to self and personhood associated with #MECFS.."

sciencedirect.com/science/articl…
12. And some feel #MECFS is just good old fashion hysteria

#MECFS is a "transition in one's life and the instilling of hope are ways to reframe the experience. Women may find meaning by exploring their spirituality and developing.. coping strategies"

tandfonline.com/doi/abs/10.108…
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