Dr Bateman- you noted that most of the patients in your clinic have "a Bipolar mood chemistry." Interesting observation. but I reckon that only a subset of ME/CFS patients have that. There is no empirical literature (of which I am aware) that supports the view that this is basically a sub-clinical presentation or variant of BP. Also, if we look at treatment response, many sufferers do not benefit at all from the use of the mood stabilizers we use for BD. As you know, these patients suffer mostly from delayed and crushing fatigue (after a bit of physical or mental exertion). Oddly, the severity and quality of the fatigue are different from what we generally find in major depressive episodes, melancholic type.
Dr Bateman- you noted that most of the patients in your clinic have "a Bipolar mood chemistry." Interesting observation. but I reckon that only a subset of ME/CFS patients have that. There is no empirical literature (of which I am aware) that supports the view that this is basically a sub-clinical presentation or variant of BP.
Also, if we look at treatment response, many sufferers do not benefit at all from the use of the mood stabilizers we use for BD.
As you know, these patients suffer mostly from delayed and crushing fatigue (after a bit of physical or mental exertion). Oddly, the severity and quality of the fatigue are different from what we generally find in major depressive episodes, melancholic type.
If only the family Dr. would order enough sleep meds. Who can go 2 or 3 hours of sleep when you have ME/FM, any suggestions?
Increased magnesium levels helps some at bedtime
Are these types of lectures in CME for doctors???
How would you treat POST EXERTIONAL MALAISE?
Exactly. The most crushing symptom.
Right.
Rest, nutrition, time, support?
Bedrest and quiet time, fluids? , i.v. hydration if severe
That 2 day test, grrr, tested severe I did, was shocked.