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SKEPTICAL OF SKEPTICS:
A DOCTOR WITH CFIDS SPEAKS OUT
Several years ago Tom English, MD, of Asheville, NC, wrote a letter about his experience as a CFIDS
patient that was published in the highly prestigious Journal of the American Medical Association. It
remains every bit as relevant and meaningful as the day he wrote it. The following is excerpted from
his letter.
S kepticism permeates our profession. It is ingrained during medical training and reinforced by
professional experience... Healthy skepticism is the “in” attitude for intelligent, discriminating
physicians. But healthy for whom?
“There is nothing Four years ago I was diagnosed as having CFS. The experience has given me a new perspective of
my profession, one that is not always flattering. In one early report the average CFS patient has
you hold dear that previously consulted 16 different physicians. Most were told they were in perfect health, that
they were depressed, or that they were under too much stress. Many were sent to psychiatrists.
this illness cannot Is CFS a real disease? I believe it is, but I cannot settle that here. I would only plant this seed in
the mind of skeptics: What if you are wrong? What are the consequences for your patients?
take from you. Imagine for a moment that you are the Subjective patient, not the Objective physician. You
catch a “cold” and thereafter the quality of your life is indelibly altered. You can’t think clearly.
Nothing.” Sometimes it’s all you can do to read the newspaper or follow the plot of a television program. Jet
lag without end. You inch along the fog-shrouded precipice of patient care, where once you
walked with confidence. Myalgias wander about your body with no apparent pattern. Symptoms
come and go, wax and wane. What is true today may be partially true tomorrow or totally false
next week. You know that sounds flaky, but, dammit, it’s happening to you.
IN THIS ISSUE continued on page 2
You are exhausted, yet you can sleep only two or three hours a night. You were a jogger who ran On July 11, the US women’s soccer team
three miles regularly; now a walk around the block depletes your stamina. won the World Cup, and Reuters named
Akers the “most outstanding player of the
Strenuous exercise precipitates relapses that tournament.” Links to Michelle’s CFIDS
last weeks. There is nothing in your experience website, www.michelleakers.com/cfids.html,
in medical school, residency, or practice with
its grueling hours and sleep deprivation that
“This is no illness for and detailed news stories can be found at
www.cais.net/cfs-news/news.htm.
even approaches the fatigue you feel with this
illness. “Fatigue” is the most pathetically cookbook doctors. It is Thanks to Roger Burns and CFS-News for this
inadequate term. information.
e happy of July, a GAO official stated that continue to investigate. You can print it off,
ns to th they had no plans to investigate the issue sign it, and mail it in to the organizers, who
latio of scientific bias. There is concern that will present it to the General Accounting
atu
Congr
such bias has affected the design and scope Office. Upon request, Carol will mail you a
!
couple of epidemiological studies, the formulation
of the case definitions, and led to the
copy. Make your voice heard!
5
INTERNATIONAL CFS CONFERENCES MEDIA BITES
R esearchers and clinicians from around the world met in Sydney, Australia in February
this year to share the latest information about Chronic Fatigue Syndrome. A variety of
topics were covered including mycoplasma infections, stealth viruses, neurological mechanisms,
The efforts of our local support group were
featured in an article on page 23 of the July/
August CFIDS Chronicle; four of the quilt
coxeilla burnetii, biochemical abnormalities, case studies, predicting disability, immune activa- squares on the cover came from our group.
tion, chronic pain, and dysautonomia. Conference abstracts can be seen at www.ahmf.org. D
The Second World Congress on CFS was held in Brussels, Belgium in September this year. The The Irving Community Cable Channel aired
program was scheduled to included information on epidemiology, clinical observations, diagnosis, a story about CFS and Dr. Cheney’s seminar.
treatment, related disorders, disability, and creating a world organization. The scientific commit- D
tee included researchers and clinicians from the United Kingdom, the United States, Japan, The Washington Post ran two stories related
France, Australia, and Italy. Information on the conference can be found at www.cfs-clinic.com. to the CDC scandal, one on July 21, and
another on August 6.
Both of the above came from Co-Cure.
D
The Dallas Morning News ran a story on
NEW FM DISABILITY TEST TOXIC MERCURY Michelle Akers and CFS on September 20 in
the Health & Fitness Section.
D
A ccuMed, www.accumedsystems.com. an
Atlanta-based mobile diagnostics
telemedicine company, announced a new
T he CFS Radio Show recently
interviewed Professor Boyd E. Haley,
Chairman, Department Of Chemistry at the
Parade Magazine featured a good article on
FM in the July 18 Sunday paper.
diagnostic test to assess disability in FM University of Kentucky. Professor Haley
patients. AccuMed says their cardiopulmo- spoke about the dangers of amalgam fillings D
nary exercise test provides “a true, objective from the mercury they contain and the CNN did a good story about a woman living
metabolic measurement of effort, allowing systemic damage they can cause to people with FM; read it at www.cnn.com/
the physician to conclude if the patient is with immune-suppressed systems. A HEALTH/women/9908/03/fibromyalgia.
wholly, partially, or in no way disabled from transcript can be found at members.aol.com/
a functional standpoint.” rgm1/private/transcr.htm. Thanks, Carolyn
Vivani, for transcribing the interview and
Insurers are evaluating the test as a way to posting it to Co-Cure.
NEW STAFF
appropriately direct the flow of disability
dollars. About 15% of FM patients are Hi there!
considered partially or wholly disabled by MEETING TAPES I’m LJ Fidler (Lori) and
conventional criteria. The test is also being I’m helping Carol reshape
the newsletter. I’ve had
used to assess disability in patients with
“fatigue and malaise.” V ideotape copies of
Dr. Cheney’s May
seminar are still available.
about 10 years experience producing a
variety of printed materials. I’ve had CFS for
If anyone has personal experience and wants We’ve sold almost 250! about 10 years now. It took five years, a
to share the results, please contact Carol. variety of doctors, and a lot of research
Audio cassettes of the following before I finally discovered the correct
medical “label” and got a diagnosis.
CDC RETALIATION meetings are available:
❏ Kim Kenney, Executive Director of The
CFIDS Association of America speaks about Since I was laid off from IBM, I’ve been
7
ONE TO ONE STORIES & PHOTOS NEEDED
A single mother on long-term disability for benefits for people who have gained weight, Chronic Relief is a new magazine for those
CFS has just been turned down on her first have sore throats after exertion, have frequent with CFS, FM, chronic pain, and related
application for SSDI. Her children also have tender lymph nodes in the neck area, perspire illnesses. Information, including submission
health problems and huge medical expenses. a lot, and their perspiration is unusually guidelines can be found at www.freeyellow.
If anyone knows of breaks on utilities in the salty. He offers products at drastically reduced com/members7/chronic-relief/index.html or
DFW area for the disabled or other prices at www.seaquake.com/bulk.html. Dave obtained by sending a business-sized SASE
assistance programs, please contact Carol. is a very well read patient, not a medical to: CRP, PO Box 1321, Tuscaloosa, AL
❖ practitioner. 35403; or, call 205.752.3278.
Stephen, bullocks@gte.net, reports that before D
beginning his protocol, he could only work
less than ten hours weekly. Now he can work
HMO REFORM One of our group members, Gaye Tindel, an
RN, wants to publish a book from the
an average of 30 hours a week. Over time, perspective of a patient with medical
his protocol has built to include a multitude
of both drugs and nutritional supplements.
Since viewing the tape of Dr. Cheney’s
T he Bipartisan Consensus Managed
Care Improvement Act, H.R. 2723,
which guarantees certain patients rights is in
experience. She requests any information
members are willing to share including,
danger! personal story, disability issues, and similar
seminar he has begun Immunocal, Ultra topics. Contact Gaye at 120 Coury Road,
Clear Sustain, and hydroxycobalamin B-12 Everman, Texas 76140, 817. 551.1971, or
injections and s een noticeable improvement. If you want to make a difference with this
bill, write your representative or visit the site tindel@flash.net.
❖
Gloria reports that she is prone to GERD
www.patientadvocacy.org for a sample letter D
online. Representative information can be Del Kennedy hopes to publish a book of stark
(gastroesophageal reflux disorder) and found found at www.congress.org/elecmail.html. photography portraying the worst effects of
that the drug Celbrex exacerbated it. Others
Myalgic Encephalomyelitis (CFS). The MS
prone to GERD may want to use cox-2
Society’s poster campaign triggered the idea.
inhibitors with caution. CDC UPDATE ON CFS The concept calls for juxtaposing ‘skeptical’
❖ quotations about CFS by the medical
Carol, our group leader, is experiencing
significant improvement on IMUPlus, a
supplement recommended by Dr. Cheney.
F rom August 1989 to November
1997, the Centers for Disease Control
(CDC) followed one hundred fifty-five CFS
community with similar statements about
MS made in the earlier in this century when
it was called hysterical paralysis. Financial
This product works to restore the detox patients. Patients with sudden onset of sponsors and professional photographers are
pathway and antiviral/antimicrobial CFS reported significantly needed. Contact Del at godot@clara.co.uk.
mechanisms. Available from NEEDS,
1.800.643.1380, it’s $82.50 + S/H for 60
higher frequencies of sore
throat, fever, tender lymph
D
packets. Although two packets daily are the Laura Wright is collecting information
nodes, chills, difficulty thinking or
recommended dose, Carol initially crashed (surveys) about people’s experiences with
concentrating, and depression
on this amount. She dropped to half a pack, chronic illness and health insurance
than those patients with gradual
then very slowly upped the dose to two portability, gemini.hmi.missouri.edu/
onset of CFS. As the illness progressed,
packs daily. She believes it has made more wrightl. Laura is with the Department Of
differences in symptoms between the two
difference than any other treatment. Health Management and Informatics,
groups disappeared and the symptoms
University of Missouri–Columbia.
❖ fluctuated. At the five-year mark, 31.4%
Susanna reports that problems with your of the patients had recovered. At the ten-
insurance company and their decisions year mark, 48.1% had recovered.
regarding claims can be reported to the Texas
In constrast to its earlier report, the CDC
SLEEP DISRUPTION
Department of Insurance, www.tdi.state.tx.us,
333 Guadalupe Street, PO Box 149104, reports no difference in recovery rates for
Austin, Texas 78714-9104, 512.463.6169.
❖
those with sudden versus gradual CFS onset.
The study concludes that recovery can be R esearchers
disrupted the slow
wave sleep of controls to
reported at any time in the course of the
After years of FM, Patsy S. is now pain-free. evoke the FM profile of musculoskeletal
illness, but is more likely to occur in the
She and others in her support group pain, fatigue, and abnormal alpha EEG sleep
early years. The report calls for additional
discovered that those who have ADD in pattern. They concluded that disrupted sleep
longitudinal studies describing the course of
addition to FM often respond remarkably to is most likely an important factor in the
CFS, determining the recurrence of the
certain drugs. Her story is at www.add- symptoms of FM. Journal of Rheumatology,
illness over time, and predicting the
fibromyalgia.com or by contacting Carol. 1999 Jul; 26(7): 1568–92; “Effects of
occurrence of symptoms over time.
❖ selective slow wave sleep disruption on
Dave Williams, deafwhale@yahoo.com, Chronic Fatigue Syndrome Progression and musculoskeletal pain and fatigue in middle-
(945.946.5551) has had CFS for years but Self-Defined Recovery: Evidence from the CDC aged women.” Lentz, et al.
now considers himself fully recovered. He Surveillance System. Journal of Chronic
developed a protocol that has shown profound Fatigue Syndrome Vol. 5, No. 1, 1999. Copies
from Haworth Press, 1.800.342.9678.
8
SPIRITUAL JOURNEYS UPCOMING MEETINGS
They have invited a dozen leading CFIDS advocates to attend a meeting on October 13 in
Carol Sieverling; see the credits for further Atlanta—at the CDC’s expense—to discuss the problems and make amends. They have promised
information about contacting Carol. Please that they will restore a portion of the missing funds over the next four years. And the General
note that this newsletter will be available online Accounting Office (GAO) has initiated its own investigation into the problems with the
also at:www.virtualhometown.com/dfwcfids. government’s CFIDS research program.
The CFS/FM Support Group of DFW Are we satisfied? No. Here are some reasons why:
meets from 7:00–8:30 p.m., the third ✘ The people responsible for the mismanagement of the funds and the CFIDS program itself are still
Tuesday of each month at Harris Methodist employed at CDC and still have control over the program.
HEB Hospital, located at Hwy 183 and
Hospital Parkway in Bedford. We meet on ✘ There has been no certain sign that CDC managers are taking CFIDS—as a debilitating illness
the first floor of the Edwards Cancer Center; or an important public health concern—seriously.
signs will direct you to the appropriate room.
✘ The Department of Health and Human Services, which is responsible for CDC, has not responded
Some patients are affected by chemical to the Inspector General’s finding of mismanagement, except for repeating the CDC’s party line
odors. We ask for your thoughtful consider- that they’re sorry they made a mistake and they’re changing their accounting system to prevent
ation of others—don’t wear perfume, cologne further problems.
or clothes exposed to smoke to the meeting.
Remember that common household agents ✘ Outside of the situation at CDC, the National Institutes of Health (NIH) has its own history of
frequently contain fragrances also. inattention to CFIDS research. Despite the generous increases Congress has given NIH in recent
years, CFS research funding actually decreased 11% from FY97 to FY98. The total NIH
Advocacy continued... investment in CFS research in FY98 was $6.4 million, hardly a drop in the bucket for an illness
which affects at least 500,000 American women, men and children
Please write to at least one of the following
Senators; if you live in one of the following Clearly these problems are deserving of greater investigation and attention. For this reason, The
states, please make a special point of writing CFIDS Association is calling for a Senate Hearing to delve further into these issues and to bring
to that Senator. If you do not live in any of public attention to these serious issues. We have made our request in meetings with members of
these states, the most important people to the Senate Health, Education, Labor-Pensions (HELP) Committee, and many of them have been
write to are Senator Frist and Senator very supportive of our call for a Hearing.
Jeffords.
Others, however, are unconvinced. For example, the staff of Senator Bill Frist of Tennessee was
✒ James H. Jeffords (Vermont), Chairman quite reluctant to add a CFIDS hearing to their subcommittee agenda. Senator Frist is the only
✒ Bill Frist (Tennessee), Subcomm. Chair. practicing physician in the Senate, and many other Senators look to him for direction on health
✒ Judd Gregg (New Hampshire) issues, so his opinion is very important to us. We need your help NOW!
✒ Michael B. Enzi (Wyoming)
✒ Susan M. Collins (Maine) Help us show that there is a clear and convincing need for the Senate HELP Committee to hold
✒ Sam Brownback (Kansas) a Hearing on the federal government’s management of CFIDS research and policy. We are
✒ Jeff Sessions (Alabama) specifically interested in writing letters to Republican members of the HELP Committee, as they
were the most reluctant to schedule a Hearing on this issue.
Thank you for helping to advance the battle
to conquer CFIDS by telling these Senators What to do: A sample letter has been included below. You may use the letter as-is by doing the
of the need for increased attention, following:
accountability and support for CFIDS
research. As always, please contact The ✒ Fill in the date and your name and address at the top of the page.
CFIDS Association and let us know to ✒ Photocopy the letter (if you plan to send one to more than one of the Senators).
whom you wrote and what sort of response ✒ Address your letter to one of the Senators listed below, as follows (they all have the same
you received. mailing address):
The Honorable (full name)
A sample letter is included on the next page United States Senate
which may be used or you can simply use it Washington, DC 20510
as a guide for writing your own letter.
✒ Put it in an envelope, affix postage and mail it directly to the Senator. Or, if you can, write
an original letter, as many Senators pay closer attention to individual letters rather than form
Advocacy continued on page 12... letters.
11
Advocacy . . . continued from page 11
As you may be aware, last spring the Department of Health and Human Services’ Inspector General found that the Centers for Disease Control and
Prevention (CDC) had misdirected funds for Chronic Fatigue Syndrome (CFS) research and lied to Congress and the American people about it.
Although the CDC has apologized for its mismanagement of CFS funds and has stated that the funds will be restored to the CFS research program,
significant problems remain at CDC and other DHHS agencies.
✘ The people responsible for the diversion of funds from CFS into other programs remain in position at CDC and maintain control over the CFS program’s
operation.
✘ DHHS Secretary Donna Shalala has been virtually silent on the IG’s findings, as have other DHHS officials. Any response they have made is merely a
restatement of CDC’s letter of apology.
✘ There have been no assurances that DHHS is taking CFS seriously as a disabling illness or important public health concern, despite new data from CDC
which shows that more women have CFS than have lung cancer, HIV or AIDS.
✘ The National Institutes of Health (NIH) has not changed its long-standing indifference to CFS research. Despite the generous increases Congress has given
NIH in recent years, CFS research funding actually decreased 11% from FY97 to FY98. The total NIH investment in CFS research in FY98 was $6.4
million, just $12.80 for each of the 500,000 American women, men and children who have CFS.
The CFIDS Association of America, the nation’s leading organization working to conquer Chronic Fatigue and Immune Dysfunction Syndrome
(CFIDS), has tried to work with the federal health agencies to correct these problems, but has met with resistance and apathy from many of those
who are charged with protecting the nation’s health. The problems with the federal government’s CFS research program are grave and deserving of
increased scrutiny. A Hearing in the Health, Education, Labor and Pensions Committee on the federal government’s management of CFS research
would shed light on the problems and send a message to the federal health agencies that Congress is serious about its annual requests for increased
attention and research on CFS.
As one of at least 500,000 Americans with CFS who are depending on federal resources to help scientists to discover the cause, treatment, and cure
for CFS, I ask that you take my request seriously and schedule a Hearing this fall to examine the government’s attention to CFS research and policy.
Thank you for your consideration of this important matter. If you have any questions about the diversion of funds or any other CFS-related matter,
please contact Mary Beth Buchholz of The Sheridan Group at 202 462-7288.
Sincerely yours,
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October 1999 Table of Contents
TABLE OF CONTENTS .............................................................................................................................................................. 1
SKEPTICAL OF SKEPTICS: A DOCTOR WITH CFIDS SPEAKS OUT ................................................................................................ 1
MICHELLE AKERS: STILL KICKIN’.............................................................................................................................................. 1
FM STUDY IN CANADA ........................................................................................................................................................... 2
GAO INVESTIGATES CFS PROGRAMS ........................................................................................................................................ 2
NERVE GROWTH ..................................................................................................................................................................... 2
WHAT’S IN A NAME? ............................................................................................................................................................... 3
THE DFW LIGHTHOUSE CREDITS ........................................................................................................................................... 3
Katt’s World .......................................................................................................................................................................... 3
LET’S TALK! RECOVERY FROM CHRONIC FATIGUE SYNDROME ..................................................................................................... 4
FALSE CFS DEPICTION ............................................................................................................................................................ 4
MERCK MANUAL NOW LISTS CFS ........................................................................................................................................... 4
CFS & CHINESE MEDICINE .................................................................................................................................................... 5
MEMBERS’ ENGAGEMENT ......................................................................................................................................................... 5
PETITION FOR EXPANDED GAO INVESTIGATION ........................................................................................................................ 5
RESEARCH BREAKTHROUGH ...................................................................................................................................................... 5
INTERNATIONAL CFS CONFERENCES ......................................................................................................................................... 6
NEW FM DISABILITY TEST ..................................................................................................................................................... 6
CDC RETALIATION ................................................................................................................................................................. 6
TOXIC MERCURY ..................................................................................................................................................................... 6
MEETING TAPES ..................................................................................................................................................................... 6
MEDIA BITES .......................................................................................................................................................................... 6
NEW STAFF ............................................................................................................................................................................. 6
ORAL ALPHA INTERFERON ....................................................................................................................................................... 7
INTERNET RESOURCES ............................................................................................................................................................. 7
MONEY MATTERS! .................................................................................................................................................................. 7
DISABILITY RESOURCES ............................................................................................................................................................ 7
ONE TO ONE ......................................................................................................................................................................... 8
HMO REFORM ...................................................................................................................................................................... 8
CDC UPDATE ON CFS ........................................................................................................................................................... 8
STORIES & PHOTOS NEEDED ................................................................................................................................................... 8
SLEEP DISRUPTION .................................................................................................................................................................. 8
SPIRITUAL JOURNEYS ................................................................................................................................................................ 9
GATHERINGS ........................................................................................................................................................................... 9
UPCOMING MEETINGS ............................................................................................................................................................. 9
BRAIN FOG ............................................................................................................................................................................. 9
THE REST OF THE STORY ...................................................................................................................................................... 10
THANKS! .............................................................................................................................................................................. 10
FULL SPEAKER INFO .............................................................................................................................................................. 10
CHRONIC FATIGUE SYNDROME & FIBROMYALGIA SUPPORT GROUP OF DFW ............................................................................. 11
ADVOCACY ALERT FROM THE CFIDS ASSOCIATION OF AMERICA .............................................................................................. 11
SAMPLE ADVOCACY LETTER .................................................................................................................................................... 12
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