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Invest in ME Newsletter
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Welcome to
Invest in ME's May 2008 newsletter.
IN THIS ISSUE |
International ME Awareness Month |
International ME/CFS Conference 2008 |
The
Whittemore-Peterson institute |
The
HHV-6 International Symposium on Viral
infections in CFS |
DVD
Offer |
Short Takes on ME |
Journal of IiME |
Around Westminster - Questions in Parliament |
and what of Sophia? |
International ME Awareness Month
2008
We have just a short
newsletter this month. May is
ME
Awareness Month - an opportunity for raising
awareness of ME around the country, and around the
world. Earlier in the year Invest in ME attempted to
initiate a coordinated, international effort for May by
contacting many different groups around the world.
Although we weren't successful we still hope that enough
is happening in May to build on the effort by many
people over many years to use every opportunity
to publicise the need for more urgency being given to
people with ME and their families. Another option is
provided by
this link from Vannessa Mitchell.
The IiME London conference fittingly
comes at the end of the month to provide a wonderful
finale of biomedical research from some of the leading
experts on ME in the world.
And no ME Awareness Month
would be complete without another attempt by IiME to get
Google interested in the illness and honouring the
unnecessary struggle which people with ME are enduring
by making a
Google-Doodle
-
see here. We have put in our annual request though we doubt if
our third attempt will be any more successful than
previous ones.
We wish
everyone organising or participating in any awareness
event the best of luck and hope to see many in London on
23rd May.
Best
wishes,
All at IiME
The
International ME/CFS Conference 2008 -
Sub Grouping and Treatments of
ME/CFS
and The Journal of IiME
We are
glad that there is now more talk of the need for sub
grouping of ME. This was made into our theme for the
conference already last year when were planning the
event and the speakers at the conferenceIiME are happy to publish the 3rd Journal of
IiME during May in time for the International ME/CFS
conference. Included will be a conference pull-out section.
Although our hope has been to supplement
the newsletter with this publication as often as we
can - at least four times a year - due to lack of
funding we seem to be able to produce it only twice
per year at the moment. We hope this will change and
that we can eventually
raise funds to print/distribute the Journal to
healthcare staff and others
in due course.
IiME is run by volunteers for free and we attempt always to make available everything for
free, or at cost price. The Journal will remain free from our web site.
In Volume 2 Issue 1 of the
Journal we hope to have contributions from Japan,
Norway, Australia, Sweden, Holland, USA and Korea as
well as information for delegates at the IiME
conference. Our thanks go to our
contributors who have provided more useful
information. The Journal will be part of each
delegate's conference pack at the International ME/CFS
Conference and made available to all after the
conference.
An extract from the Journal - concerning a
potential sub group -
Research
An academic dissertation by
Jaana Renko from Tampere University, Finland
entitled Bacterial DNA Signatures in
Arterial inflammation (2008) found signs of
past bacterial infections in arterial
plaques.
Atherosclerosis develops over
time starting often in childhood. Plaques
develop in arterial walls resulting in
narrowing of blood vessels. The plaques
contain chronic inflammation and it has been
thought for some time that bacteria are
involved in causing the inflammation. The
most identified of these bacteria are
Chlamydia pneumoniae and oral bacteria.
Jaana Renko examined arterial
samples from autopsies and surgeries and
found high overall diversity of bacterial
DNA in the atherosclerotic coronary and
abdominal artery samples. Her study supports
the theory that past infections increase the
risk of developing atherosclerosis. It is
not clear whether the bacterial findings are
the cause or consequence of the illness. It
may be that it is easier for bacterial DNA
to stick to the damaged arterial wall. This
study showed the role of inflammation and
possibly infection in the role of
atherosclerosis.
Chlamydia pneumoniae is
implicated in the development of ME/CFS in
some cases and is one of the sub groups for
which further research is required.
The most common causes of
death among people with ME/CFS are heart
failure, cancer and suicide (Jason et al.
2006). According Jason et al. people with
ME/CFS died 25 years earlier than rest of
the population.
see
http://acta.uta.fi/pdf/978-951-44-7249-7.pdf
|
The Journals of IiME are
available here.
For those
delegates who are attending the conference we'd like add
a reminder that refreshments will be available in the
morning from 08.00 to 09.00, prior to the conference
start. This will allow extra networking time. The agenda
is
available
here.
Also, a
quiet room has been made available for delegates who
need to rest.
For those still thinking of coming to the conference
then you are welcome.
The speakers at the conference
promise to make this a unique event providing a wealth
of biomedical research which builds on the research
presented over the last couple of IiME conferences.
Dr John Chia produced research which has
confirmed much of the research organised by the John Richardson
Research Group in the past. An interesting blog of Dr Allen
Blaivas (http://www.healthcentral.com/sleep-disorders/c/68/14552/fatigue/)
describes Dr Chia's work as does Health on the Net
http://www.hon.ch/News/HSN/608181.html.
Dr Chia is also on the clinical team of the CFS
Research Foundation (http://www.cfsrf.com/index.html).
Dr Martin Lerner is the former Director of Infectious Diseases at Wayne State
University School of Medicine and he has been studying and
analysing ME for over twenty years and has published over
10 papers since 1993 on the role of sub clinical Myocarditis
in a subset of ME patients. He will be speaking on successes
with long term treatment with antivirals in patients with
chronic EBV and CMV infections. Dr. Lerner uses antibody
tests for early antigen to CMV and EBV that are not
available in most commercial laboratories; he believes that
they are better for differentiating active from latent
infections. Dr Lerner's work has probably received less
attention than deserved in the past yet there is now more interest in the
link
between viral Myocarditis and ME with new studies showing HHV-6 and parvovirus
B-19 to be the most common viruses found in biopsies of
patients with viral Myocarditis. Both viruses are also
implicated in a subset of ME.
We could go on about the work of Dr Leonard
Jason - one of the most prolific authors in the field of ME
- but we'll leave it for the London conference.
Who is Attending the
CONFERENCE
We have at least nine countries represented at the
conference - from as far away as USA and Australia.
We hope to have a fair complement of people
from the media. Our aim with the conference was again to attract
healthcare staff to listen to some of the leading experts on
ME and allow the objective data presented to change
perceptions relating to ME. As we wrote prior to our first
conference just one change in the knowledge of one
healthcare practitioner could be significant for one family
- something which will be worth the effort.
We are pleased
to write that we have delegates attending representing PCTS,
GP practices, ME Clinics, Universities, Educational
services and occupational therapists. We also
have the Medical Research Council and the Chief Medical
officer represented. And, of course, we have individuals with ME and their
carers or parents - without their support we could
not have made this conference a reality.
And Who is not attending
The Department of Health will not be
represented despite (as mentioned later) representations
made to the government ministers to be our guests for the
day. Otherwise this year we have an eclectic mix which we
hope will provide a very interesting day for all.
The
Whittemore-Peterson Institute
Annette Whittemore of the Whittemore-Peterson
Institute in Nevada was recently interviewed by Cort Johnson
(see
http://www.immunesupport.com/library/showarticle.cfm/ID/8800).
The WPI reflects very much the model which IiME believe
needs to be set up in UK and it is just a pity that the
current government and MRC strategies are not yet
recognising the necessity of such an approach.
It will be fascinating to listen to
the WPI's Research Director Dr Judy Mikovits at the IiME
London conference to hear how the WPI will be moving on with
the sub grouping of ME/CFS.
Annette was also interviewed for our
Conference DVD (see later in the newsletter).
The Whittemore-Peterson Institute is also accepting
donations for its work - see
http://www.wpinstitute.org.
The
HHV-6 International Symposium on
Viral Infections in CFS
Several
of the speakers at the IiME conference will also be speaking
at the International Symposium on Viruses In CHRONIC
FATIGUE SYNDROME & POST-VIRAL FATIGUE in Baltimore, USA, on
22nd and 23rd June. This has been organised by the HHV-6
Foundation - more details at
http://www.hhv-6conference.com/index.php.
The speakers include Dr Lerner, Dr Chia, Dr Kerr from the
this year's IiME conference,
Dr Kenny De Meirleir and
Dr Dan Peterson
from last year's IiME conference, as well as Dr.
Anthony Komaroff, Dr Mariko Seishima, Dr Jose Montoya, Dr
Nancy Klimas, Dr Suzanne Vernon, Dr Birgitta Evengard and Dr
Peter White.
DVD Offer - CG + DVD = £15
For ME Awareness Month we've decided to add a copy of the Canadian Guidelines
overview document for each order placed for the IiME 2007 or
2006 DVD. This represents a saving of
over £5 for each package over normal prices.
Just order the required DVD
via this link and we'll add the other documents to the
shipment.
Short Takes on ME
We are grateful to
Kevin Short for supplying this document - [read
here - PDF 68 kb]
- which
contains Basic Information on ME. It is a valuable quick
reference guide to ME and we know the effort that was put
into compiling it (The idea for the annual
IiME
International ME/CFS
conferences originated from the work of Kevin and the others in Norfolk
who set up the 2005 talks in Norfolk with Professor Malcolm Hooper and
Dr Bruce Carruthers).
There is so much unnecessary suffering
occurring in the lives of pwme and their families and at
times it is unbearable. Dr Speedy brings a different view on
life with ME. As he says in his Blog [http://niceguidelines.blogspot.com/]
-
I am a Family Physician or GP
as it is called in Australia or the UK. I am
also an ME patient unfortunately. Bed bound
that is. So at the moment I’m in private
practice so to speak. |
Humour and satire will sometimes show the
absurdity of the situation more easily than a serious review
can. Dr Speedy has provided this article to IiME - [click
here - pdf -88kb] - a review of ME from a slightly
different angle.
Around Westminster - Questions in Parliament
The pressure on the government to be accountable for their
policy regarding ME is being maintained by pwme and their
families. Recent questions tabled in the Commons show the
continuing indifference
IiME's chairman, Kathleen McCall, wrote to Mark Oaten (LibDems
MP), to raise issues regarding ME -
In May we are holding our 3rd
international ME/CFS conference at
Birdcage Walk, Westminster and the
DoH and the Secretary of State have
again this year refused to attend or
even send representatives, it would
be good if you could mention that
when you speak (in parliament).
I find this very annoying,
especially when all one receives in
reply to any letters written to the
minister or DoH are the same old
standard template letters stating
that there is little knowledge of
the illness.
How is it possible to ignore invites
to these conferences and still
maintain these untruths regarding
the knowledge which currently exists
and which overwhelmingly supports
the case for more biomedical
research into ME/CFS in order to
produce proper treatments and,
eventually, a cure.
The line up of speakers we have is
superb and we are very fortunate
that they have agreed to travel to
London from the likes of the USA to
speak for us.
|
Mark Oaten's parliamentary researcher
has come back with this -
We have some responses to a few of
the Parliamentary Questions we (Mark
Oaten) asked.
Mark Oaten:
To ask the SoS for
Health what guidance he has recently
issued on the diagnosing of myalgic
encephalomyelitis.
Ann Keen:
The National Institute for
Health and Clinical Excellence has
published, in August 2007, a
clinical guideline on the diagnosis
and management of chronic fatigue
syndrome/myalgic encephalomyelitis.
Mark Oaten:
To ask the SoS for
Health what assessment his
Department has made of the clinical
causes of fibromyalgia.
Ann Keen:
We have made no assessment
of the causes of fibromyalgia.
Mark Oaten:
To ask the SoS for
Health what evaluation he has made
of research on the effects of
genetics on people with myalgic
encephalomyelitis.
Dawn Primarolo:
None
We are still waiting for some other
responses but unfortunately these
aren't all that encouraging. The
last one in particular is quite
abrupt.
|
One of IiME's friends has, in the last year, been in contact
with his MP - Mr. Francis Maude (Cons.) and has forcefully
described the issues facing pwme and their families. Mr
Maude has eventually followed up these issues by asking the
following questions in parliament -
Mr. Maude:
To ask the Secretary of State for
Health if he will establish an
independent scientific committee to
oversee research into myalgic
encephalomyelitis/chronic fatigue
syndrome. [199903]
Ian Pearson:
I have been asked to reply.
There are currently no plans to
establish an independent scientific
committee to oversee research into
myalgic encephalomyelitis/chronic
fatigue syndrome (ME/CFS). However,
the Medical Research Council (MRC)
is planning to set up a panel of
experts from different disciplines
to look more closely at the area.
The panel will come from varied
fields including neuroscience,
immunology, toxicology and imaging,
and will involve interested parties
and focus on the subtypes and causes
of ME/CFS.
Mr. Maude:
To ask the Secretary of State for
Health if he will take steps to
ensure that Government funding for
biomedical research on ME/CFS is
equal to Government funding for
psychological research on Myalgic
Encephalomyelitis/Chronic Fatigue
Syndrome. [199904]
Ian Pearson:
I have been asked to reply.
The Medical Research Council (MRC)
is committed to funding scientific
research into all aspects of myalgic
encephalomyelitis/chronic fatigue
syndrome (ME/CFS) including
evaluations of other treatments and
studies into the biological and
psychological basis of the
condition. The amount provided by
the MRC to each type of research
depends on the quality and number of
proposals received.
|
The above confirmation from Ian Pearson that a
"panel
of experts from different disciplines to look more closely
at the area. The panel will come from varied fields
including neuroscience, immunology, toxicology and imaging,
and will involve interested parties and focus on the
subtypes and causes of ME/CFS"
was discussed in last month's newsletter and we await more
news on the composition of this group.
The recent Royal Society of Medicine conference on CFS
(which included speakers representing purely the
psychosocial view of ME) confirmed our view in the
Parallel Worlds topic in
last month's newsletter that "any research performed in collaboration with
the psychiatrist lobby who have so manipulated the lives of
people with ME and their families over the last decades is
doomed to examining relationships between valid and proven
biological markers and generic, unproven and sometimes
deleterious treatments."
There cannot be any attempt at mixing
these conflicting positions in the name of having a balanced view.
Why should we take such a strong view on this?
We have Dr
Lerner working with antivirals for the herpes family of
infections and Dr Chia investigating antivirals for
enteroviruses and Dr Jonathan Kerr identifying different
subsets. Yet at the RSM conference we have psychiatrists
stating the same unscientific view that NICE displayed with
their recent guidelines for ME where a one size fits all
approach of using CBT and GET is the
main answer for treating
ME. Here is one of the presenters at the RSM conference - Peter White's reported conclusion to his
presentation -
..is that CFS is likely to be
heterogeneous (i.e. composed of diverse
elements) in nature when it comes to
pathophysiology/causation whereas it is more
useful to regard CFS as homogeneous (i.e. of
the same kind) when considering treatments.
and
The term ME is best avoided
as it refers to an illness with neurological
signs that occurred in outbreaks some time
ago - such as the one at the Royal Free
Hospital
from
Dr. Charles Shepherd's summary of the RSM
conference - click here |
When there is no mention of the neurological
classification of ME at the very latest conference organised
by one of the establishment's pillars of medical authority
then one should be left in little doubt that events will not
quickly change the injustices of the past. This makes the
development of the Whittemore-Peterson Institute, and
similar enterprises, all the more important for the future.
and what of Sophia?
A proper
representation
of the
organic
nature
of ME
needs to
be at
the
front of
any
future
research.
Our
thanks
to
Horace
Reid and
for
allowing
the
following
to be
reposted
-.
The Sophia Mirza
Archive, compiled by her
mother, Criona Wilson.
The life and early
death of a severely
affected ME patient.
Hospital doctors have a
wry saying that
"physicians bury their
mistakes -
psychiatrists lock
theirs up". In a sense,
Sophia Mirza defied both
of these
options. Her forced
detention within a
mental hospital was
reversed within
weeks. And although she
died as a consequence,
her voice lives on. She
still
bears witness against
those who persecuted
her.
That her voice can still
be heard is due to her
mother Criona Wilson
who,
uniquely, has published
her daughter's
confidential medical
case notes
online. With visionary
foresight, Sophia
tape-recorded crucial
interviews
between herself and her
doctors, and the
transcripts form part of
the
archive. Sophia was
lucid, rational and
defiant to the last.
ME patients are
unfortunate with their
doctors. While most
other patient
groups have a trusting
relationship with the
medical profession, far
too
often ME patients
complain of neglect,
abuse, misdiagnosis and
stigma. Our
patients have a visceral
dislike of the
psychiatric construct of
ME, and for
good reason. Besides the
disadvantages of
misdiagnosis, it forces
them into
a clinical environment
where the validity of
their opinions is
routinely
delegitimized, where
their right to give
informed consent is
often not
respected, and where in
some cases they may be
subjected to involuntary
detention. These are
fears which lurk in the
minds of all ME
patients. For
Sophia Mirza they became
a nightmare reality.
This online archive
provides a compelling
narrative of Sophia's
last years.
But it is a painful and
frightening experience
to read her case notes.
For
this is the kind of
tragedy that has the
potential to affect many
other
patients, and from which
many of us have escaped
only by good luck. The
narrative has the
quality of a real life
drama documentary, and
hopefully
will raise awareness
among an audience beyond
the confines of the ME
patient
community. There are
close up factual
portraits of patient and
family, the
psychiatrist, the GP and
the social worker. The
ineptitude of the NHS in
respect of ME degrades
many patients. But the
nature of the disease
inflicts
its own humiliations on
patients and family. The
grim reality of life for
the severely affected is
described here in
unsparing detail. It
required
considerable moral
courage for Criona to
publish this archive
unedited.
It is possible for good
to come out of tragedy.
Sally Clark, Trupti
Patel
and Angela Cannings
suffered miscarriages of
justices: but now it is
much
more difficult to
falsely accuse bereaved
young mothers of
Munchausen's by
Proxy. Sally Clark and
Sophia Mirza were both
martyrs, literally, to
medical
failure at institutional
level. But Sally Clark's
case fatally undermined
"Meadow's Law".
Hopefully Sophia's
tragedy will have the
same effect on
"Wessely's Law".
Horace Reid, 1 May 2008.
Sophia’s
case notes
were first
posted
online by
her mother
on 28 April
2008 at
http://www.sophiaandme.org.uk/
With
Criona’s
permission,
I have
downloaded
the files
and
collected
them in easy
to read pdf
format.
Criona
arranged the
documents in
four
sections.
1. The red
section
gives a
chronological
list of 213
documents
from
Sophia's
medical
records. A
large and
representative
selection
are
published
online.
2. The blue
section
contains
Social
Services
documentation,
including
the
warrant to
search for
and remove
Sophia, and
the report
from the
independent
investigating
officer.
3. The
purple
section
contains
correspondence
with the
Attorney
General's
Office.
4. The
fourth
section,
(also red)
contains
Criona's
correspondence
with the
GMC in
respect of
six doctors.
For ease of
downloading
I have
divided them
as follows.
1.
Sophia's
medical
records:
MirzaGMC1
(7.5MB),
http://www.meactionuk.org.uk/Sophia/MirzaGMC1.pdf
MirzaGMC2
(6.8MB),
http://www.meactionuk.org.uk/Sophia/MirzaGMC2.pdf
MirzaGMC3
(7.4MB),
http://www.meactionuk.org.uk/Sophia/MirzaGMC3.pdf
MirzaGMC4
(5.9MB),
http://www.meactionuk.org.uk/Sophia/MirzaGMC4.pdf
2. Social
Services:
MirzaSS1
(5.5MB),
http://www.meactionuk.org.uk/Sophia/MirzaSS1.pdf
MirzaSS2
(4.3MB),
http://www.meactionuk.org.uk/Sophia/MirzaSS2.pdf
MirzaSS3
(7.4MB),
http://www.meactionuk.org.uk/Sophia/MirzaSS3.pdf
3.
Attorney
General's
Office:
SophiaLeg1
(5.8MB),
http://www.meactionuk.org.uk/Sophia/SophiaLeg1.pdf
SophiaLeg2
(5.5MB),
http://www.meactionuk.org.uk/Sophia/SophiaLeg2.pdf
4. GMC
Correspondence:
MirzaDrs
(6.4MB),
http://www.meactionuk.org.uk/Sophia/MirzaDrs.pdf
|
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We still receive comments about Sophia [
see here ], and most recently this from
Daphna, studying to be a doctor -
"I am
horrified, but not
entirely surprised by
the behaviour of the GPs
and psychiatrists
involved in this case. I
am currently medical
student, and I can
promise you that I will
never forget this case
when I am a doctor. I
think that the attitudes
towards CFS are changing
(no doubt largely thanks
to Sophia and her
mother), but there are
still many women who are
treated as mentally ill,
simply because doctors
cannot readily explain
the causes for their
disease. I send my
wishes for full recovery
of all the patients
using
this site, and thank
you for sharing your
story." |
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