www.nightingale.ca 121 iona street, ottawa, canada k1y 3m1
TRANSCRIPT
Nightingale Research Foundation
How I Help
M.E. & CFS
Patients in Canada
The NIH/CDC Addendum to the CFS, 2010 Diagnostic Criteria
A minimum of tests should be performed;
Tests have no known value; and
Tests do not aid in diagnosis or management of the CFS patient.
Royal Free Epidemic, London UK 1955-1957
255 MDs, Nurses & Staff became chronically ill in this epidemic, first to be called Myalgic Encephalomyelitis. All were hospitalized, some for months.
Psychiatrists, Beard & McEvedy, without examining a single patient, called this Mass Hysteria. The press gobbled it up.
Psychiatrists Beard & McEvedy
In a case heard before Justice McPherson on June 26,1989, the Lawyer Mr. Beckman, referring to a patient, asked Psychiatrist Alfred Beard:
Mr. Beckman asked:
“Did you then examine him?”
Dr. Beard answered.“A Psychiatrist does not ordinarily conduct a physical examination.”
Nightingale Research Foundation
It is obvious from these few words, that the NIH/CDC, like Beard and McEvedy,
believe that CFS is a Psychiatric disease.
Apparently, one does not have to examine patients as long as you consider them Psychiatric patients.
The Official Interpretation of CFS
Lets be honest with ourselves… according to:
1. the NIH/CDC;
2. the Insurance Industry; and
3. 90% of the World’s Physicians
CFS is a Psychiatric manifestation.
However, It Can Get Worse
Many Physicians and the public consider CFS to be a joke.
The Patient is then laughed at, or treated with contempt.
No Examinations
Thanks to the NIH/CDC definitions that state CFS patients should not be examined, most CFS patients have never been systematically examined.
Myalgic Encephalomyelitis
There is only ONE IMPORTANT CLUE
in the diagnosis of M.E.
And it is…
M.E. Brain SPECT Image
CFS Patient 1 CFS Patient 2
CFS Patient 3
CFS Patient 4
CFS Patient 5
CFS Patient 6
CFS Patient 7
CFS Patient 8CFS Patient 9
CFS Patient 11
CFS Patient 10
CFS Patient 12CFS Patient 13
CFS Patient 14
CFS Patient 15CFS Patient 16
CFS Patient 17
CFS Patient 18
CFS Patient 19
Non CFS 1
Primary CFS Branch
Coxsackie/ECHO Branch
Primary Paralytic Branch
Polio 3aPolio 3Polio 1
Polio 2
Polio 2
Coxsackie A34
Coxsackie A31
Enterovirus 70
Echo 9
Echo 4
Echo 7
Echo 20Echo 3
Echo 11
Non CFS 5
Non CFS 3
Non CFS 6Non CFS 6
Coxsackie B1
Coxsackie A9Non CFS 2
CFS Patient 20
Coxsackie B4
Coxsackie B5
Coxsackie B4ANon CFS 7
Significant Pathologies
Pain Syndromes Arthritic Syndromes Thyroid Pathology
Significant Pain & Arthritic Pathologies
100 % of 153 consecutive patients with significant pain syndromes had Measurable Arthritic Indicators.
100% of Our Chronic FMS PatientsHave These Associations!
Thyroid Pathology
Employing Mayo Clinic guidelines, more than 50% of M.E. patients seen by Nightingale, had Atrophic Thyroid.
Only 23% of M.E. females had a normal Thyroid volume.
0
10
20
30
40
50
60
46 Male M.E/CFS Patients
Series1 30.4 54.3 15.2
Normal Atrophic Hypertrophic0
10
20
30
40
50
60
70
107 Female M.E/CFS Patient
Series1 23.3 65.4 0.05
Normal Atrophic Hypertrophic
Thyroid Volume of 153 Consecutive M.E/CFS Patients
Some Significant Vascular Pathologies In Our Patients
Dysautonomias; POTS (Postural Orthostatic Hypotension) Raynaud’s Syndrome; Decreased Circulating Blood Volume; Viral Triggered, Ehlers Danlos Syndrome; Partially Expressed Marfan Syndrome; Multiple Arterial & Venous Clotting Defects; and Abnormal Ach Mediated Vasodilator Pathway.
Macroscopic VascularM.E. and CFS Anomalies
Missed Coronary Artery Disease; Missed Cardiomyopathies; Missed Aortic Pathologies; Missed Carotid Artery Disease; Missed CNS Arterial Pathologies; and Drug Induced (NSAIDS) Arteritis.
Thyroid Volume of 153 Consecutive M.E/CFS Patients
Conclusions
The previous short list of Major Pathologies found routinely in CFS and M.E. patients,can only be diagnosed if the Physician investigated the patient.
By dismissing M.E. & CFS patients as the NIH, CDC & many Psychiatrists routinely have done as Psychiatric expressions of disease the treatable pathologies will never be found.
More Conclusions
In 25 Years of Testing M.E. and CFS Patients,I have yet to find a single patient who has been adequately investigated.
All CFS patients are: “Missed Diagnoses” with Multiple Missed Pathologies.
All M.E. and CFS patients have multiple pathologies, some which are treatable if diagnosed.
Missed DiagnosesThis inexpensive book can be purchased individually from www.Lulu.com
For approximately $20 Canadian, but if you purchase it through your organization, in more than 10 copies, it may be significantly less expensive.