Dr Speedy proudly presents the ME Guidelines according to
The NICEGUIDELINES BLOG.
HOW TO DIAGNOSE ME:
1. Listen to your patient
2. Take a proper history
3. Examine the patient
4. Request some (lab) tests, see Australian or Canadian guidelines
5. Use page six of the Australian Guideline, an easy to use tick chart, to diagnose ME, or not, available at:
http://www.investinme.org/Documents/PDFdocuments/c6a_mecfsguidelines.pdf
6. The sooner you make the diagnosis, the better the outcome
7. Answer all the questions your patients asks, if you don't know the answer say so.
And your reward: a happy patient as he now knows what is wrong with him. Even though ME is not a NICE disease.
Remember, you are a doctor, and your job is to help patients,
NOT to accuse them of lying.
Forget about GET and CBT, it doesn’t work for MS; and it doesn’t work for ME.
But do consider consulting a good psychiatrist to exclude mental health problems like depression, burn-out etc., as these are usually treatable, and there is NO CURE for ME as yet, as long as we keep pumping money down the CBT drain.
Have a NICE day,
Dr Speedy
Brace yourselves...
ReplyDeleteFrom today's Body & soul section of the Times [UK]
"That misleading impression, however, still inspires hostility towards CBT among people who might benefit greatly. Chronic fatigue syndrome (CFS) is a case in point. The National Institute for Health and Clinical Excellence has recently recommended CBT and a related strategy, graded exercise, for the condition, on the back of good randomised clinical trials that indicate a benefit. There are no other therapies for CFS with such good evidence in their support, yet some patient groups have reacted with anger...
...A recommendation for CBT, too, says nothing about the origins of ill-health. The biology of cancer and diabetes is quite well understood, yet there is evidence that CBT can help and many patients are keen to have it. It is unfortunate that people with CFS do not think likewise."
Times Body & soul article, Cognitive Behavioural Therapy
September 15, 2007
Junk medicine: I think this might work
Cognitive behavioural therapy
MARK HENDERSON
Thx meagenda,
ReplyDeleteI have now posted a new BLOG called:
CBT: junk medicine at the Festival of Science
about this article by Mr Henderson.
Dr Speedy.
"But do consider consulting a good psychiatrist to exclude mental health problems like depression, burn-out etc"
ReplyDeleteME/CFS has as much resemblance to depression, as AIDS has to the measles.
"Chronic Fatigue Syndrome" carries the burden of a incorrect case definition as well as an inappropriate, trivializing name, both produced by the CDC.
As a result of the flawed case definition as well as an inappropriate, trivializing name, patients face discrimination in the health care system, alienation from society and friends, loose their income, live in poverty and often in isolation.
Not getting depressed, or burned out, after fighting for decades for a little bit of human dignity, would be abnormal !