🕸️Dr.T, PhD Profile picture
Feb 19, 2023 12 tweets 5 min read Read on X
A major part of the stories of #iamthefaceofMAID is that some health conditions are NOT recognized and/or treated in Canada (like MCS and hEDS). BUT!!! They are recognized by #MAID. This is THE disconnect Canada! This is why we need to talk about #IamthefaceofMAID 1/n
If #MAID will recognize conditions, like #MCS and #hEDS, and there are not even specialists in Canada that treat those conditions. Well, we have a problem.
2/n
The #hEDS community struggles every day, thousands of us, for treatment that we know is available but it is not offered in Canada. Often we travel to the US for diagnosis because there are so few specialists in Canada. The surgeries needed are not offered in Canada. 3/n
As a #hEDS patient with CCI and cervical stability issues I cannot even get the right type of MRI in Canada through medical services (a flexion-extension MRI) to be diagnosed properly. The only one in BC is in Kamloops and is not covered by BC medical. 4/n
Let me repeat. I cannot even get a proper diagnosis in Canada for my condition because we dont have the right MRI machines. No Canadian Neurosurgeons will even see #hEDS patients or look at their scans (we have all tried). 5/n
Our only option is 100K cervical surgery offered by two specialists in the US. The full expense of this would be born by the patient. Unfortunately many of us are simply too sick to travel for diagnosis and treatment and based on the cost it is out of reach for most families. 6/n
When I realized the women in the Simon's commercial was 36 and had already been euthanized and that we shared a diagnosis - its hard to describe how I felt - I was torn apart. I know each step she followed to get where she went and each thing that happened to me 7/n
to ensure that my path went in a different direction. I was her, I could be her. I could still be her. That things wont suddenly go downhill for me again is not a given. My health is very poor but somewhat controlled. Tomorrow, who knows. 8/n
#hEDS is a condition that most dont find about until their 30s or 40s after 20+ specialists and doctors. There is no reason for this. Its not a hard condition to diagnose. It should have been done when I was a child - when lifestyle changes could have made a difference. 9/n
My own diagnosis was by chance. A visiting specialist in #EDS from England was doing a sabbatical at the Genetics Center in Halifax when I had my appointment - they did a Beighton test right at the end of my appointment when they saw how much compression gear I wore. 10/n
This was in 2017. I was 43 when I was diagnosed after years of dragging myself from specialist to specialist all the while getting sicker and being told time and time again it was all in my head (and I was a tenured Biology professor at a major research university!). 11/n

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More from @chydorina

Dec 6
Toxoplasmosis infection is one of my opportunistic co-infections and the threat of it getting into the central nervous system (brain) is ever present (it can be a high risk in those that have immunosuppression as well as during pregnancy).

Its not a parasite that can really be successfully treated w/ current pharma drugs - they are not effective on all stages and can be much too hard on altered sick bodies dangerous as the mess with folate metabolism.

I use a Herbal protocol designed by master herbalist Dr. Stephen Buhner (search Buhner toxoplasmosis and you will find it) and I do a 21 day course 2-3 times a year. With addition of a few other herbs its also a good EVB herbal protocol.

I am always looking for alternate ways of keeping the toxo latent and making sure cysts dont grow. Probiotic mixtures that increase SCFAs - seem a useful add-on for anyone dealing with toxoplasmosis.

Probiotic-induced changes in intestinal microbiome inhibits Toxoplasma gondii infection
parahostdis.org/journal/view.p…Image
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Multi-strain mixture composed of: Image
Read 4 tweets
Dec 1
We need an X prize for a biomarker(s) for #LongCovid.

Currently there are no well accepted clinical endpoints that can be used in clinical trials and this more than anything else is hampering research progress and drug development.

There has got to be a couple billionaires out there who would fund an X prize (or we just tap $1 from every person who has #LongCovid and run a few hundred X prizes). With 200+ million people globally, the demand/resource is there. Plus, it would be a billion dollar company eventually.

Special bonus prize of course for the marker also applying to #MECFS.

Home test/commercial test would be the goal.
All we really have right now are 'survey's' - questionnaires were people are asked questions like 'what is your level of fatigue'. This is not acceptable.
Research-only markers are not going to cut-it. Home testing is the goal (and if along the way we find a few that require more expensive tech, well it wont be a waste of time).
Read 9 tweets
Nov 29
"The patients taking the synbiotic reported a significantly superior drop in post-exercise malaise (68.0% on average) at 3-month follow-up as compared to the placebo group (37.5%)."

Small trial finds significant effect of probiotic mixture on PEM with increase of choline in the thalamus, creatine in white/grey front matter, and N-acetyl aspartate before/after

Synbiotic (probiotics+) trial worth mentioning. The trial may have been small (n=32) but the significance of the intervention on PEM was quite high. Interestingly there was no effect on 'fatigue' per se - it was actually Post-exertional malaise where the benefit was found.

What did they do? 3 months of a combo probiotic supplement that included:
- Lacticaseibacillus rhamnosus DSM 32550, -
- Humiome® Lactiplantibacillus plantarum DSM 34532 (formerly known as L. plantarum TIFN101),
- Bifidobacterium lactis DSM 32269,
- Bifidobacterium longum DSM 32946,
- FOS fructooligosaccharides (2.5 mg) - a 'pre-biotic'
- Zinc (5 g).

The effects of 3-month supplementation with synbiotic on patient-reported outcomes, exercise tolerance, and brain and muscle metabolism in adult patients with post-COVID-19 chronic fatigue syndrome (STOP-FATIGUE)

link.springer.com/article/10.100…Image
Image
Image
Read 5 tweets
Nov 18
You are competing RIGHT NOW for ENERGY with all the parasites and pathogens that are living on and in you. Yes, there are pathogens that can hijack the products of our mitochondria and co-opt ATP production for replication. In the process they will create more inflammatory reactive oxygen species, more systemic inflammation, and more dysfunction.

ENERGY production is a resource, and not one we have enough of a surplus of to share with pathogens - treat whole body pathogen load!
Treat what can be treated.
you eat, candida eats
Read 11 tweets
Oct 3
It is possible to have normal oxygen saturation and pathological hypoxia at the same time? In certain conditions like #ME and #LongCovid this is likely what is actually occurring. Some tissues (like brain and muscles) are not getting enough oxygen.

To make matters worse it is possible that epigenetic 'memory' of the sick state is part of what might keep us sick (even when an acute illness ends) - and that changes in oxygen gradients in tissues (pathological hypoxia) is a trigger for these epigenetic changes.

We don't have a definitive answer yet but interactions between inflammation + the immune system + pathological hypoxia (low oxygen) may provide some clues that this is indeed occurring.

It can be hard to wrap ones head around having low oxygen or hypoxia when your smart watch shows normal oxygen saturation.

BUT! It is oxygen USE that is the issue, not that it is there is the first place. When we look at oxygen getting to the brain and oxygen use in the muscles, we see a different story.

It is obvious that hypoxia would interact with the immune response and inflammation and changes oxygen gradients in different tissues.

"These changing oxygen gradients are exaggerated during inflammation, where oxygenation is often depleted owing to alterations in tissue perfusion and increased cellular activity."

Pathological hypoxia also interacts with Mast Cells - causing them to degranulate and release inflammatory meditators. Obviously those that have MCAS might need to pay particular attention to hypoxia as a risk factor to help manage Mast Cells.

If activity also restricts oxygen in brain and muscles this could be one reason why physical activity can lead not just to crashes but also MCAS flares and its maintenance when all other triggers have been removed. (note: mast cells can also release interferon-gamma!!).

Hypoxia potentially interacts with ME and LC disease processes in many ways, affecting inflammation, immune responses including mast cells, and even epigenetics. Hypoxia might induce epigenetic changes in immune cells, such as chromatin remodeling, which can have long-lasting effects leading to 'immune memory' and a change of state from pre-illness that is hard to turn back.

Practically, this means that immune cells exposed to hypoxia may retain a "memory" of this exposure, affecting their response to future infections or inflammatory signals.

"How oxygenation shapes immune responses: emerging roles for physioxia and pathological hypoxia"Image
potential interventions: compression pants and compression + external counterpulsation (EECP)
verywellhealth.com/enhanced-exter…
Read 6 tweets
Sep 26
Screens and Neuroinflammation

We all know that too much screen time can be hard on the eyes and brain, but if you have #ME or #LC it can be a major element of daily life that needs to be managed.

This is because screens both indirectly and directly are related to neuroinflammation - which we already suffer from.

I wish this paper focused less on healthy people/kids and developmental patterns and more on disease conditions and biology - but regardless - I copied the relevant sections on neuroinflammation and circadian cycle disruption (article is paywalled).

This is a topic that really needs to be covered for #ME specifically given our underlying neuro-issues. Using larger screens, blue light blockers, e-ink readers, special eye safe screens, screens with low flicker frequency and checking your tech to make sure if is not one of those units that people complain about are all options. I also wear 'Avulux' migraine glasses.

I upgraded to a 15.6" laptop with a high resolution screen a year ago and this was a great move for me. The smaller the screen is the harder I 'look'.

Search my feed for previous discussions of screen usage: "screens (from:chydorina)"

Interconnections of screen time with neuroinflammation (2024)Image
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Read 12 tweets

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