{"id":20520,"date":"2019-05-09T22:13:58","date_gmt":"2019-05-09T22:13:58","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?page_id=20520"},"modified":"2023-05-12T14:11:25","modified_gmt":"2023-05-12T13:11:25","slug":"me-snapshots-for-professionals","status":"publish","type":"page","link":"https:\/\/wames.org.uk\/cms-english\/professionals\/me-snapshots-for-professionals\/","title":{"rendered":"ME &#8211; snapshots for professionals"},"content":{"rendered":"<h1><span style=\"color: #993300;\">ME &#8211; snapshots\u00a0for professionals<\/span><\/h1>\n<p>&nbsp;<\/p>\n<p>Myalgic encephalomyelitis (ME) is a chronic, debilitating disease with progressive or fluctuating course. (#<a href=\"http:\/\/www.meaction.net\/wp-content\/uploads\/2018\/10\/Diagnosis-and-Management-of-Myalgic-Encephalomyelitis-MEAction.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">MEAction<\/a>)<\/p>\n<p style=\"padding-left: 40px;\"><em>Compelling research evidence of physiological and biochemical abnormalities identifies ME\/CFS as a distinct, biological clinical disorder<\/em>. (<a href=\"http:\/\/www.mefmaction.com\/images\/stories\/Overviews\/ME-Overview.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Canadian<\/a> p1)<\/p>\n<p><a href=\"https:\/\/wames.org.uk\/cms-english\/professionals\/me-snapshots-for-professionals\/icp-cover\/\" rel=\"attachment wp-att-20557\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignleft wp-image-20557 size-thumbnail lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/ICP-cover-115x150.jpg?resize=115%2C150\" alt=\"\" width=\"115\" height=\"150\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/ICP-cover.jpg?resize=115%2C150&amp;ssl=1 115w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/ICP-cover.jpg?resize=231%2C300&amp;ssl=1 231w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/ICP-cover.jpg?w=393&amp;ssl=1 393w\" data-sizes=\"(max-width: 115px) 100vw, 115px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 115px; --smush-placeholder-aspect-ratio: 115\/150;\" \/><\/a><strong>Pathophysiolog<\/strong>y: Profound dysfunction\/dysregulation of the neurological control system results in faulty communication and interaction between the CNS and major body systems, notably the immune and endocrine systems, dysfunction of cellular energy metabolism and ion transport, and cardiac impairments. (<a href=\"http:\/\/www.investinme.org\/Documents\/Guidelines\/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ICP<\/a> p1)<\/p>\n<p>&nbsp;<\/p>\n<p style=\"padding-left: 40px;\"><em><a href=\"https:\/\/wames.org.uk\/cms-english\/professionals\/me-snapshots-for-professionals\/nice-cover-2007\/\" rel=\"attachment wp-att-20558\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-20558 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/NICE-cover-2007-105x150.jpg?resize=105%2C150\" alt=\"\" width=\"105\" height=\"150\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/NICE-cover-2007.jpg?resize=105%2C150&amp;ssl=1 105w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/NICE-cover-2007.jpg?resize=209%2C300&amp;ssl=1 209w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/04\/NICE-cover-2007.jpg?w=409&amp;ssl=1 409w\" data-sizes=\"(max-width: 105px) 100vw, 105px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 105px; --smush-placeholder-aspect-ratio: 105\/150;\" \/><\/a>Everyday life for people with ME\/CFS, their family and carers is disrupted and<br \/>\nunpredictable. Many people with the condition are unemployed, and less than a fifth work full-time. Approximately 25% have severe disease and are housebound or bedbound. The quality of life of people with ME\/CFS is lower than that of many people with other severe chronic conditions, including multiple sclerosis and some forms of cancer. (<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng206\/chapter\/Context\" target=\"_blank\" rel=\"noopener\">NICE 2021<\/a>)<br \/>\n<\/em><\/p>\n<p><a href=\"https:\/\/wames.org.uk\/cms-english\/professionals\/me-snapshots-for-professionals\/pem-2\/\" rel=\"attachment wp-att-21030\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignleft wp-image-21030 size-thumbnail lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/PEM.png?resize=150%2C150&#038;ssl=1\" alt=\"\" width=\"150\" height=\"150\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/PEM.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/PEM.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/PEM.png?w=640&amp;ssl=1 640w\" data-sizes=\"(max-width: 150px) 100vw, 150px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 150px; --smush-placeholder-aspect-ratio: 150\/150;\" \/><\/a><strong>Post-exertional malaise<\/strong> (PEM) can help distinguish ME from other diseases. PEM is a significant and prolonged worsening of all symptoms after sustained physical or mental activity. It\u2019s important to know that overexertion can damage a patient\u2019s health, sometimes permanently \u2013 and that patients cannot be cured by gradually increasing their exercise over time.\u00a0 <a href=\"http:\/\/www.meaction.net\/wp-content\/uploads\/2018\/10\/Diagnosis-and-Management-of-Myalgic-Encephalomyelitis-MEAction.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">(#MEAction<\/a>)<\/p>\n<p style=\"padding-left: 40px;\"><strong>A diagnosis<\/strong> requires the presence of 4 symptoms, with the possibility of many more:<br \/>\n\u2022 Debilitating fatigue i.e. feeling flu-like with low energy and loss of muscle stamina &#8211; not significantly relieved by rest<br \/>\n\u2022 Post-exertional malaise aka post-exertional symptom exacerbation.<br \/>\n\u2022 Unrefreshing sleep or sleep disturbance (or both)<br \/>\n\u2022 Cognitive difficulties (sometimes described as &#8216;brain fog&#8217;) <em>(<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng206\/chapter\/Recommendations\" target=\"_blank\" rel=\"noopener\">NICE 2021<\/a> Box 2)<\/em><\/p>\n<p><strong>Video &#8211; Doctors discuss ME (14 mins)<\/strong>:\u00a0 <a href=\"https:\/\/www.dialogues-mecfs.co.uk\/films\/introduction\/\" target=\"_blank\" rel=\"noopener\">Introduction to ME\/CFS<\/a><\/p>\n<p><strong>Video &#8211; Patients ask doctors to distinguish fatigue from ME and listen to the patient (3 mins): <\/strong><a href=\"https:\/\/www.youtube.com\/watch?v=TGIo1v7KVJQ\" target=\"_blank\" rel=\"noopener\">ME &amp; PEM<\/a><\/p>\n<p style=\"text-align: right; padding-left: 40px;\"><a href=\"#top\">Return to top of page<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ME &#8211; snapshots\u00a0for professionals &nbsp; Myalgic encephalomyelitis (ME) is a chronic, debilitating disease with progressive or fluctuating course. (#MEAction) Compelling research evidence of physiological and biochemical abnormalities identifies ME\/CFS as a distinct, biological clinical disorder. (Canadian p1) Pathophysiology: Profound dysfunction\/dysregulation &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/professionals\/me-snapshots-for-professionals\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":41,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"one-column-subpages.php","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-20520","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P5qkYK-5kY","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/20520","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=20520"}],"version-history":[{"count":10,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/20520\/revisions"}],"predecessor-version":[{"id":39266,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/20520\/revisions\/39266"}],"up":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/41"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=20520"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}