
Bateman Horne Center
@BatemanHorne
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Bateman Horne Center is a non-profit medical, research, and education center devoted to eradicating ME/CFS, FM, Long COVID, and related conditions.
Joined July 2010
PEM is unique to #MECFS and has not been documented in ANY other illness, absent even in those suffering post-chemotherapy complications. Access the full series here: @OpenMedF @LBatemanMD .#PEM #PESE #LongCOVID #MedEdMatters #medicaleducation #MERC
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A recent article by Jeff Wise (@ManvBrain) in @NYMag was a disturbing misrepresentation of the science around #MECFS and other post-viral conditions. It disregarded decades of evidenced-based research and minimized the experience of our communities.
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"The disabling weakness and exhaustion a person with ME/CFS experiences is so profound that "fatigue" is. probably an insult.". -Jane Cuozzo. #severeME #verysevereME #exhaustion #fatigue #weakness #sosick #stillsick #MECFS #fibromyalgia #chronicillness #postviral #disabled
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For some people, the simple act of changing a routine or a basic daily self-care task can trigger PEM/PESE in those with severe ME/CFS. Check out the "PUSH/CRASH CYCLE" handout.👉 #MECFS #myalgicencephalomyelitis #LongCOVID #PEM #PESE #MedEdMatters
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ICYM: BHC is starting a new study in February to learn if endothelial dysfunction and hours of upright activity are linked to brain fog in people with #MECFS and #LongCOVID. Read Dr. Vernon's brief blog about the study here: #brainfog.
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RELEASED: "ME/CFS Crash Survival Guidebook: The Art of Living with ME/CFS." Includes info on how to meet your critical needs during a crash and ways to conserve energy in everyday living. For pw #MECFS, #LongCOVID, #OI, #FM, care partners, med providers.
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Exertional triggers that can elicit #PEM can include exercise, orthostatic stress, cognitive or mental activities, environmental stressors, and emotional responses. Full series link 👉 @OpenMedF @LBatemanMD .#PESE #MECFS #LongCOVID #medicaleducation #MERC
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To our severe and very severe ME community - we see you today & every day. #severeMEday #chronicillness #disabilityawareness #MillionsMissing #MECFS #StillSickStillFighting #PostInfectiousIllness #MedEdMatters #ResearchMatters
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The word "exertion" may undermine the fact that basic activities can be sufficient to trigger an episode of #PEM among particularly ill individuals. Full video series 👉@OpenMedF @LBatemanMD .#PESE #MECFS #LongCOVID #MedEdMatters #medicaleducation #MERC
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Dear Community,.We are pleased to share the Post-Exertional Malaise and Pacing video presented at the Unite to Fight conference on Wednesday, May 15. #MECFS #pwME #myalgicencephalomyelitis #LongCOVID #PEM #PacingforPEM.
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Many #PEM triggers have been identified. Take a look to help reduce and perhaps even avoid certain #triggers. #EMF #MedEd #crash #PESE #postviral #complexchronic #illness #MECFS #longcovid #fibromyalgia #PostExertionalMalaise #physicaltherapy #occupationaltherapy #preventivecare
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We are also disappointed by the misrepresentation of information provided by Dr. Bateman (@LBatemanMD) and other leading experts. This was irresponsible journalism.
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In conditioned athletes, activity beyond anaerobic threshold is rapidly fatiguing & unsustainable. MECFS patients operate w/in anaerobic metabolism on day 2 of serial testing and for days after. More: 👉 #PEM #PESE #medicaleducation #MECFS #LongCOVID
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We know that even mild exercise can lead to post exertional malaise (PEM), exacerbating ME/CFS. @4Workwell has shared a great resource - letter to healthcare providers.Opposition to Graded Exercise Therapy (GET) for ME/CFS. #MECFS #GradedExerciseTherapy
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BHC remains committed to further educating, advancing the science, and bringing awareness to #MECFS and #LongCOVID on behalf of the individuals and families devastated by these diseases. This is why #MedEdMatters.
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Brain activity in #PEM study:.Decline in #MECFS patient performance accompanied by a significant increase in post-exercise brain activity. No significant brain activity responses were noted among non-fatiguing cognitive or motor tasks. #pwME #fibromyalgia #LongCOVID
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A study investigated gene expression across receptors in pain pathways. Individuals with #MECFS demonstrated significantly elevated expression of mRNA in Adrenergic, Sensory, & Immune receptors within the post-exertional interval. #PEM #medicaleducation #LongCOVID
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Happy Birthday to Dr. Lucinda Bateman! This pioneer in medicine has brought together the core elements of research, clinical care, and education to transform the way people with #MECFS, #FM, and now #LongCOVID are treated.
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1/2 In honor of the millions of people impacted by #MECFS, #FM, or #LongCOVID we are starting a series in partnership with @OpenMedF called #MedEdMonday where we post a #medicaleducation resource each Monday. Today we share a recorded lecture by Dr. Bateman (@LBatemanMD) given.
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Despite max efforts, MECFS patients are uniquely unable to reproduce CPET outcome measures during serial 2-day testing. More in video 3 of the PEM series.👉 #PEM #PESE #MedEdMatters #MERC #medicaleducation #MECFS #myalgicencephalomyelitis #LongCOVID
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Clinical Trial for Women w/ Long COVID!.BHC is conducting a pilot study to test whether a combo of anti-viral drugs celecoxib and valacyclovir reduce fatigue and other symptoms in women w/ #LongCOVID aged 18-65 yrs. #clinicaltrial #PVS #ResearchMatters
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Continued and repeated episodes of #PEM are associated w/ worsened long-term functional capacity for pw #MECFS & #LongCOVID. This handout explains exertion and the "push-crash cycle" to #medicalprofessionals. 👉
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The article published in @NYMag by @ManvBrain on Nov 4, 2022, “Has Long COVID Always Existed? The pandemic might not have spawned a new chronic illness but rebranded an old one,” was a disappointing step back 30 years to a time when the science of post-viral conditions was young.
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#MedEdMonday.Is medicine missing a #diagnosis? Dr. Yellman explains how #dysautonomia and sympathetic overdrive can look like anxiety and/or PTSD in this accredited lecture for medical professionals. 👉#MECFS #LongCOVID @OpenMedF.
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BHC is conducting four new clinical trials for #MECFS and #LongCOVID this year! Dr. Vernon provides a high-level overview of them in her latest blog post. #pwME #longcovidresearch #PASC #clinicaltrial
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🎯How different would your healthcare experience be if your providers understood PEM/PESE and its impact on quality of life? . We are working to make #PEM common knowledge👉 #MERC #MedEdMatters #PESE #pwME #LongCOVID #MedTwitter @OpenMedF @amymooney145
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[1/3]During a #MECFS or #LongCOVID crash, a well-meaning loved one can either make things worse or assist w/ recovery back to baseline. The Caregiver Guidance explains how to meet essential needs while taking care not to exacerbate suffering. @OpenMedF
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CAREGIVER GUIDANCE.Many individuals with ME/CFS and Long COVID may not want or be able to talk while in an illness crash (or if they have severe ME/CFS). #MedEdMatters #MECFS #pwME #LongCOVID #PEM #PESE
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#RESEARCHOPPORTUNITY for pw #MECFS and #LongCOVID Utah. BHC is conducting a combined study on endothelial function, upright activity, and cognition. Two-hour in-person visit and surveys done from home for seven days. #MedTwitter
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As part of our education series for rehab professionals, we created the Heart Rate Variability handout to help cue patients when their heart rate may be exceeding a pacing threshold and could result in #PEM / #PESE .👉 #MECFS #LongCOVID #MedEdMatters #MERC
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The broken battery metaphor is used to teach healthcare professionals about the physiological mechanisms of PEM/PESE. Check out the "Pacing for PEM/PESE" handout. 👉 #MECFS #myalgicencephalomyelitis #LongCOVID #PEM #PESE #MedEdMatters
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#MedEdMonday. Continued and repeated episodes of #PEM are associated with worsened long-term functional capacity for pw #MECFS & #LongCOVID. This handout explains exertion and the "push-crash cycle" to #medicalprofessionals. 👉
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Ron Davis and Janet Dafoe joined members of BHC staff and board for what turned out to be an evening of sharing knowledge, passion, and sorrow. #MECFS #MECFSresearch #MedEdMatters.
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New Video: Very Severe #MECFS is a debilitating condition causing profound suffering and life threatening symptoms. They are bedridden and dependent on care. Most doctors have had no training; leading to misdiagnosis, Inappropriate management and medical neglect.
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US Reps Pressley, Duckworth, Beyer, and colleagues unveil the #TREATLongCOVID Act today. ✅Fund & expand access to #LongCovid Clinics.✅Prioritize $$ for underserved populations.✅Ensure treatment is not denied based on insurance coverage @RepPressley .
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#MedEdMonday PEM is NOT deconditioning or a psychological disorder. Preset advances in movement frequency, intensity, and duration will only make #PEM worse. 👉 @OpenMedF @amymooney145 .#MERC #MedEdMatters #MECFS #LongCOVID
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BHC is excited about the knowledge exchange and ideas discussed at a scientific meeting yesterday with Ron Davis, Baldinero Olivera ( Toto), Dr. Yellman, and other brilliant minds. Stay tuned. @JanetDafoe #MECFS #pwME.
We are going to Salt Lake City tomorrow with Rob Phair to work on their progress figuring out a way to block the itaconate shunt.
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#pwMECFS in Germany are requesting signatures to support their petition to the government for support and recognition. Click here to learn more and sign: #SIGNforMECFS #MECFS #pwME #ME.
@loy_daniel_de Dear @BatemanHorne, with this petition on ME/CFS we have a chance to make the German government listen. We need 50.000 supporters until November 9th. Anybody anywhere may sign. Maybe you might want to sign & share?. #SIGNforMECFS .
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#MedEdMonday.Traditional therapy or exercise approaches do not work for patients with post-exertional malaise. Therapy providers and patients will need to adapt their expectations and approaches in order to reduce/prevent PEM. Learn more 👉
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The US ME/CFS Clinician Coalition recommends that medical providers consider #MECFS in the differential diagnosis of #LongCOVID, esp when #PEM is present. Read their consensus letter here: @marydimmock @LBatemanMD @GrachStephanie.
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If you would like Bateman Horne Center to invite your healthcare providers to attend this series, please send their contact information via direct message or email to outreach@batemanhornecenter.org. #MECFS #PEM #PostViral #Illness #LongCOVID #Recovery #MedicalEducation #CME
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Listen to Drs. @LBatemanMD and @PutrinoLab discuss #MECFS and #LongCOVID on this episode of @OnPointRadio. We thank Hannah for sharing her experience with #LongCOVID and for her service in the US military. 📻 #fibromyalgia #MedEdMatters #MEawareness.
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A study in video 4 of our #PEM series shows that the increased gene expression in #MECFS patients directly correlates with increased physical fatigue, mental fatigue, and pain. #PESE #MedEdMatters #MERC #medicaleducation #myalgicencephalomyelitis #LongCOVID
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Dr. Yellman reviews post-exertional malaise (#PEM) as part of an accredited series designed to enhance #healthcareprofessionals' ability to manage #MECFS, #LongCOVID, #FM, and related comorbidities. #MedEdMonday #MedEd #MERCatBHC #MillionsMissing @OpenMedF.
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#MedEdMonday. Video three of the series features Cardiopulmonary Exercise Testing (CPET) - a reliable, reproducible, accurate measure of PEM/PESE. @openmedf @LBatemanMD @marydimmock. #PEM #PESE #MedEdMatters #MERC #medicaleducation #MECFS #myalgicencephalomyelitis #LongCOVID
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Big News! BHC and @OpenMedF launch the Medical Education Resource Center (MERC) to increase the number of #healthcareprofessionals equipped to care for pw multi-system chronic complex disease (msCCD) like #MECFS, #FM, & #LongCOVID. #MedEdMatters #MERCatBHC
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"Patients with chronic fatigue syndrome (CFS) have the lowest quality of life and greatest disability of any disease tested, including lung disease, rheumatoid arthritis and heart disease. A quarter of us are homebound." @julierehmeyer
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We're on a mission to educate healthcare professionals on ME/CFS, Long COVID, & related diseases. Help expand our reach: #MERC #MedEdMatters #medicaleducation #MECFS #pwME #LongCOVID #LongHaul #HealthcareEducation
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📘🩺Updated Medscape #CME on #MECFS in the age of #LC with Drs. Bateman, Komaroff, and Systrom. Share especially with #physician and #nurse colleagues who may obtain CME for watching the webinar!.
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#MedEdMonday.Red flags of PEM and how physical and occupational therapists must modify their treatment plan for individuals with post-exertional malaise (PEM). 🎥 @OpenMedF .#PEM #MECFS #LongCOVID #MedEdMatters #rehabprofessionals #medicaleducation
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Dr. Bateman [@LBatemanMD] was interviewed for this long-form article that profiles the experiences of three different women living with #MECFS. Share to raise awareness! 👉 #pwME #LongCOVID #MedEdMatters #ResearchMatters @Sabrina_Poirier.
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“These findings underscore the need for early diagnosis and treatment of ME/CFS and Long COVID to improve daily cognitive functioning.” Read @SuzanneDVernon’s blog on orthostatic hemodynamic changes and cognitive impairment. Blog post 👉 @LBatemanMD
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#MedEdMonday.In video 2, Drs. Yellman and @LBatemanMD review a study by Dr. Chu, outlining triggers, time to PEM/PESE onset, symptoms and duration of episodes. #MedEdMatters #medicaleducation #MERC #MECFS #pwME #LongCOVID #PEM #PESE.@OpenMedF
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When PEM/PESE does arrive, energy debt is required to be paid back, resulting in symptom exacerbation and decreased functionality. think compounded interest. #PEM #PESE #MECFS #LongCOVID #MedEdMatters #medicaleducation #MERC
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You're invited! MECFS Research Roadmap Webinar Series. First session: Nervous System.When: Friday, August 25, 10am-2pm.Join: *Current research, knowledge gaps, & future opportunities for #MECFS . *Opportunities for questions, comments, & new ideas
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We are thrilled to have more clinicians and researchers join the fight to bring back the lives of those living with #MECFS, #FM, #LongCOVID, #dysautonomia, and #PVS.
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Inspired by the unwavering dedication and passion of incredible women, we celebrate the advocates, collaborators, and thought leaders who are leading the charge in transforming the landscape of care for individuals grappling with #MECFS, #LongCOVID, & #msCCD.
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Introducing video 6 of the Post-Exertional Malaise series, Neurobiological Changes. 👉 View the entire PEM video series: #PEM #PESE #MECFS #MERC #MedicalEducation #MillionsMissing #LongCOVID #MedEdMonday
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Research findings show changes in the gut that could help explain a potential driver of #PEM. BHC Scientific Dir @SuzanneDVernon, Ph.D., shares the compelling inside story of this important project here #MECFS #LongCOVID #clinicalresearch.
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New Video #treatment #tips & #strategies for #longCOVID.most of our #LC #patients met #MECFS criteria. #fatigue #PostExertionalMalaise #CognitiveImpairment #ChronicPain #Headache #POTS #Allergies #MastCell #MCAS #Sensory #SensoryOverload
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*High prevalence of orthostatic intolerance (OI) in ME/CFS.*Blurred vision, fatigue, light-headedness & syncope.*Symptoms can often be reduced by lying down. OI diagnostics 📽️ #OrthostaticIntolerance #MECFS #MedEd #Dizzy #Fainting #Fatigue #LongCOVID
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We are surprised and troubled by the misrepresentation of information provided by Emily Taylor @PlzSolveCFS, Dr @mhornig, @LBatemanMD, the work of @davidtuller1, & the complete absence of existing science. We have contacted @NYMag and called for a retraction of the article.
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#MedEdMonday. PACING is the GOLDEN RULE when living with #MECFS or #LongCOVID. In Chapter 11 of the guidebook, we cover vital strategies and considerations to aid in learning the art of preventing and minimizing #PEM and a subsequent crash. 👇 @OpenMedF
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Thank you @VanJones68 for bringing attention to this film and the community of patients suffering due to lack of proper medical and research funding!
Powerful film about women and gender bias in medicine, @jenbrea’s @unrestfilm premieres on #IndieLensPBS tonight at 10/9c. #UnrestPBS. Check your local listings: or visit: and join the conversation #UnrestPBS.
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WE NEED YOUR OPINION! BHC is pleased to announce the upcoming release of a multifaceted guidebook about living with #MECFS & managing a crash. We need your help to determine which cover to use on this downloadable & printable resource. PUT YOUR TOP 2 FAVS IN THE COMMENTS.
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@Dysautonomia @OpenMedF @LBatemanMD This series [ and the pathophysiology described throughout is specific to the clinical criteria outlined by NAM for ME/CFS. The inability to recover normally following. .
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Individuals with #MECFS often experience a 24-48 hour delay in their symptom exacerbation or #PEM/#PESE. Learn more in the PEM series video 2, "Clinical Attributes." @OpenMedF @LBatemanMD . #PESE #MedEdMatters #medicaleducation #MERC
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1/2 A message from Dr. B (@LBatemanMD) on the @OpenMedF supported Medical Education Research Center at BHC: "We know that #research progress and access to care are critical needs. We also know that well-educated providers will #diagnose more patients and provide better care,.
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⚠️Cardio pulmonary exercise testing can be injurious. We don't encourage it for ME/CFS patients. We don't fault anyone for doing CPET, as HC providers make informed decisions based on each patient individually. If CPET is done, be proactive to lessen #PEM.
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"What is needed in medicine is for all clinicians to come up to speed on what we are learning about long COVID and then open our arms and take care of those people around us who have been sick for decades with symptoms of these complex chronic illnesses." @LBatemanMD.
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#MedEdMonday. Screening for #PEM is an essential skill for healthcare professionals. As part of our new education series, this guide helps them through a decision tree, symptom questionnaire, and screening tools. 👉 @amymooney145 @MasterBarb @OpenMedF
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@Dysautonomia @OpenMedF @LBatemanMD Furthermore, we posit that many with other illnesses like Sjogren’s and MS may actually concurrently suffer from ME/CFS or PASC.
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.@BostonGlobe covers the experience of a critical care nurse who was sick for yrs before being dx w/ #MECFS. @LBatemanMD gives the medical expert perspective. 👇This is why BHC is teaching med professionals to recognize and care for #pwME. #MedEdMatters.
In today's paper: Learning to treat long COVID could help those struggling with myalgic encephalomyelitis/chronic fatigue syndrome, too; students with disabilities are often left out of Boston’s popular dual language programs; and more.
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Margot Gage Witvliet, PhD, is a social epidemiologist and has #LongCOVID. She articulates her experience and that of many others with #MECFS, #FM, and #PostViralSyndrome in this compelling #TedTalk.
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2/2 to #healthcareprofessionals as part of the Long COVID and Post-viral Syndromes ECHO. #MERCatBHC #MillionsMissing #MyalgicE #OrthostaticIntolerance #PASC #hEDS #OI #dysautonomia #SFPN #MCAS.
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During a crash, it can be incredibly difficult to communicate your needs to others. These communication cards can assist you and your support network by creating an unspoken dialogue to ensure your critical health & comfort needs are met. #MECFS #LongCovid
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This JAMA news article illustrates the need for medical providers to receive education on diagnosing and treating diseases like Long COVID and ME/CFS. 👉 #LongCOVID #MyalgicE #MECFS #PEM #POTS #MERC #MedicalEducation @elandhuis @LBatemanMD @OpenMedF.
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@Dysautonomia @OpenMedF @LBatemanMD While we welcome a robust debate, the PEM described in other illnesses (and in the IOM report) is often defined by patient reported symptom worsening, but does not seem to meet the definition of the pathophysiological changes of PEM discussed in this series.
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@Dysautonomia @OpenMedF @LBatemanMD Precise definitions matter, and we hope that those who watch this series will come to understand that PEM is a unique pathophysiological entity with definable biological underpinnings differing from patient-reported symptom worsening with exertional activity in other illnesses.
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