So 2020-22 has opened a lot of doors for folks in the ME community. Overall, this is great!
AND it's opened the door to charlatans, tokenistic participation, patient-blaming & ableism, cutesy-app designers & folks clueless about chronic complex disease presented as experts. 🧵
People with #LongCOVID who are new to the space may be unaware how hard #pwME have worked to eradicate people of bad faith from our research, clinical, and advocacy spaces. We've developed a reputation for it: #pwME don't take yr sh!t.
We've developed that tough attitude after being exploited. A great deal. And lied about. A great deal. And promised. A great deal. And harmed. A great deal.
We're trying to stand between you and the same.
Folks of median ethical sensitivity outside the community frame our responses as the result of trauma (which it is), and use that as reason to dismiss our concerns (which it isn't).
Disabled people DO have trauma.
If you're doing work that further traumatizes us, expect a strong response.
Moreover -- no one's incorrect simply because they're upset. No matter how logically superior their upset makes you feel, it has no bearing on the facts.
Thanks to all who have replied; I'll probs take a little Twitter break this weekend. Need to reset.
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That summer, I went to the Johns Hopkins Summer Epidemiology Seminar; had a great prof I still talk to now & again.
Put the survey together (with the help of Paige) and we got 1800+ responses to questions around patient research priorities in ME/CFS. (2/)
I was in a flurry... I remember I had clips from pertinent articles splayed out all over my living room carpet and there was a SYSTEM. Vicky Whittemore kindly gave me an extension when I asked. Then Ben HsuBorger saw the behemoth I'd produced and said, "JAIME. JAIME NO." (3/)
Neuro diseases like ME/CFS may involve hyperexcitability. Hyperexcitability of the neural network can occur after brain injury or degeneration & is a key feature in epilepsy, neuropathic pain, & even tinnitus. bioelecmed.biomedcentral.com/articles/10.11…
It is well-known that dropping carbohydrates helps reduce the number of seizures in treatment-resistant epilepsy, for example. This is not a theoretical construct, but one for which there is an official and extensively tested diet. hopkinsmedicine.org/neurology_neur…
The theoretical framework re: why this works is the PUFAS (polyunsaturated fatty acids) modulate the function of a range of ion channels, rendering them less excitable. pubmed.ncbi.nlm.nih.gov/23049748/
Okay! Let's talk about what lifted me out of the worst crash I've had in years! You may not like it 🙂🙃🙂
An enormous 🧵so get your cuppa and...
Background:
I almost always crash in the winter. I hadn't during the pandemic as badly so I was hopeful maybe I'd totally miss it this year? No such luck. From the first to last week of February, I was as badly off as I've ever been.
Mostly cognitive dysfunction but also extreme physical weakness. Couldn't cook, could barely think straight. And for the first time, I was having some worrying MCAS issues: every time I ate anything, my throat felt scratchy/swelled. I was also having abdominal pain off-&-on.
So it appears there is some association with positive SARS-CoV-2 pre-op in kids with appendicitis -- including kids who tested positive but were asymptomatic. A story about how this relates to #MECFS (1/6) #LongCovidKids#LongCOVID
My own story is that I had LRQ pain and was taken to the ER as a kid. It was baby's first medical gaslighting: they made us wait in the ER for hours, never scanned for anything, said I had probably eaten something bad (like I was 1 instead of 8) and sent me home. (2/6) #MECFS
Then, in graduate school, the same pain started up again, this time lasting weeks. Experience is a hard teacher. I did everything I could on my own, too much to list here. My efforts made a dent, and after 1-2 months, it died down to a dull roar. (3/6) #MECFS