Nath's back, finding a chronically activated immune response causing neuronal injury in the brains of #pwLC. It explains why it's taken him forever to publish his big #MECFS study, but the good/bad news is he thinks the same thing's happening in #pwME. 1/4 healthrising.org/blog/2022/07/1…
This looks very similar to what Komaroff et al suggested was happening in #MECFS 30 years ago: "patients may have been experiencing a chronic, immunologically mediated inflammatory process of the central nervous system." 2/4 pubmed.ncbi.nlm.nih.gov/1309285/
Nath also found the same widespread punctate hyperintensities in the microvasculature of brains which first started showing up in MRI scans of #pwME in the 80s (see J. Goldstein) and were routinely dismissed by neurologists as insignificant. 3/4 healthrising.org/blog/2021/01/2…
Nath says these vascular injuries are usually seen in strokes and other inflammatory diseases and could well be evidence of a neuro-inflammatory process in LC. It'll be interesting to see if his long-awaited intramural study finds the same thing in #MECFS. 4/4
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🧵 With poliomyelitis emerging as another Brexit benefit, it's worth restating, for people who are new to the study of infectious diseases, that the history and aetiology of #MyalgicEncephalomyelitis (ME) are inextricably linked to polioviruses. 1/
The viruses which cause polio belong to the Enterovirus family of viruses. Enteroviruses typically infect the gastrointestinal tract, sometimes spreading to the central nervous system. 71 human EV serotypes have been identified but more than 100 are thought to exist. 2/
Polio was originally thought to be caused solely by three enteroviruses - polio 1, 2, and 3, included in the Salk (1955) + Sabin (1960) immunisations. Since then at least 25 EVs capable of causing paralytic polio have been identified. No vaccine has been developed for these. 3/
🧵Long Covid research is advancing at an incredible rate. It's taken LC researchers less than 2 years to reach a point it's taken #MECFS researchers decades to get to - a reminder how quickly progress can be made when enough money/resources are dedicated to solving a problem.1/10
Good news for pwLC but it's not clear how pwME will benefit from this progress. Despite growing recognition that the two conditions share many similarities, not all LC research acknowledges the relationship between LC and ME/CFS, or even references earlier ME/CFS research. 2/10
Some LC papers are reproducing earlier ME/CFS findings which weren't replicated (due to funding) + were ignored by the med profession. Other LC papers show findings which have been hypothesised by ME/CFS researchers but not validated, again due to insufficient funding. 3/10
The British Association for CFS/ME (BACME) has very little credibility in the eyes of UK ME/CFS patients. The NHS clinics who its members run have been delivering harmful and inappropriate treatments (GET/CBT), with no system in place for reporting harm, for years. 1/ #MECFS
Now, just weeks before NICE releases the draft of its ME/CFS guidelines review, BACME puts out an announcement purporting to reject the biopsychosocial view of ME/CFS and offering a tweaked version of its main treatment (graded exercise therapy) to minimize its culpability. 2/
If BACME is sincere about having seen the error of its ways, one wonders why these changes couldn't have happened much sooner? The suspicion is, BACME either already knows what the NICE draft contains, or is taking an educated guess at its contents... 3/
There is growing awareness that proponents of psycho-behavioral interventions have disseminated the idea of so-called 'medically unexplained symptoms' (MUS) throughout the NHS to deny patients with underlying organic dysfunction proper recognition/treatment.1/ #MECFS#LongCovid
Patients with Myalgic Encephalomyelitis, aka Chronic Fatigue Syndrome (ME/CFS), have long been their target, but in recent years, emboldened by the government’s funding of counselling services through the Improving Access to Psychological Therapies (IAPT) programme,... 2/
... they've cast their net wider to encompass a range of complex, chronic conditions of the body (many affecting women at a higher rate than men) which afflict millions of people worldwide but which inexplicably barely get a mention in their medical training. 3/
Petition update: I provided 15 academic/media sources within hours of @38_degrees pausing my petition. I've still not heard back from a moderator. I'll give them til tom morn then switch platform. Sorry to all who shared it + were unable to sign themselves. 1/ #meawarenesshour
Tbh I feel pretty unhappy about how 38 degrees approached this and the general lack of administrative support. 2/
I wonder in the first place whether a petition about medical gaslighting really needs verifying sources? It felt kind of gaslighty being asked to produce them. 3/