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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More from @exceedhergrasp1

Apr 16
Anybody remember when, in 2016, #MEAction put together this community request to help respond to the @NIH 's RFI on ME?

I was pretty new to the world of advocacy. A long, thoughful 🧵(1/)

meaction.net/2016/06/18/tak…
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/)
Read 23 tweets
Mar 27
Given the number of questions on this one, an elaboration.
ITT (insulin tolerance test) is often mistaken for a GTT (glucose tolerance test). They are different. You might even say they are opposite!

GTT tests your response to high glucose.

ITT tests your response to low glucose.
I've had both, given my metabolic symptoms.

GTT can be done in a regular doctor's office.

ITT has to be done in a hospital.
Read 14 tweets
Mar 27
THREAD #2:

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/
Read 27 tweets
Mar 27
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.
Read 26 tweets
Feb 14
A familiar old chestnut: people who refuse to accept their chronic illness will get well.

A study out of the UK years ago found that those who said their illness was "purely biomedical" didn't get better.

The flaw in reasoning is obvious unless you're a True Believer: (1/2)
Severity is correlated to belief in the biomedical nature of the disease.

A combo of not believing their 'thoughts' have THAT much power & knowing they would never do this to themselves.

People with severe presentations are least likely to spontaneously recover. (2/2)
Like, I have to believe that not understanding the actual relationship is a choice: a refusal to see anything that falls outside one's belief system.

"No, they believe they're going to get worse and so that makes it manifest!"

UGGGGGGH pls just go back to the crystals & vibes
Read 7 tweets
Jan 30
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

bmcinfectdis.biomedcentral.com/articles/10.11…
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
Read 9 tweets

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