One of the biggest challenges #mecfs has faced is that there isn't a tidy story to organize one's thoughts around. "Fatigue" has been offered up as the story, but it's a TERRIBLE one. Trivializing, false, and vague. 1/
Some percentage of long-haulers will end up meeting the criteria for #mecfs. The big advantage that they have is that they have a better story: they never recovered from a pandemic. 2/
Long-haulers likely do face some challenges that are unique to that virus. There is a lot of heterogeneity among #mecfs pts, so even just from that perspective , it should be expected that their experience won't be identical to any other #mecfs patient. 3/
But given that virus after virus leads to #mecfs in some percentage of patients, we should also expect that there will be a great deal of commonality as well. 4/
The big question is whether researchers taking up the tidier, more inviting story of #longcovid will understand the deep links to #mecfs, and whether they'll learn from the #mecfs literature and collaborate with #mecfs researchers. 5/
If they do, it will accelerate long Covid research and expand the impact of their research, helping to clarify the problem for ME patients -- along with other pts with poorly understood, closely related problems including MCAS, EDS, Lyme, dysautonomia, autoimmunity, etc. /end

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More from @julierehmeyer

17 Jan
It's been 13 months since my craniocervical fusion surgery and 7 months since my tethered cord surgery. My diagnoses were craniocervical instability, tethered cord, ME/CFS, MCAS, POTS, and mold illness (which may or may be fully explained by MCAS). 1/n
Before my first surgery, I couldn't sleep inside a house b/c of mold illness/MCAS. I got paralyzed, unable to speak, and barely able to breathe, sometimes 8 or more times a day. This could result from tilting my head back, speaking too much, a loud sound, a tap on the head. 2/n
Traction (pulling my head away from my body) brought me back from these episodes. I couldn't ever be left alone. I wasn't bedbound, but I could do essentially nothing for myself. 3/n
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