Thread:
12 reasons that <some> doctors disbelieve patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome #MECFS
1. Doctors tended to see #pwME as having “certain personality traits"
#SickNotWeak #MedEd #MedicalTwitter https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
12 reasons that <some> doctors disbelieve patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome #MECFS
1. Doctors tended to see #pwME as having “certain personality traits"
#SickNotWeak #MedEd #MedicalTwitter https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
2. Doctors felt that #MyalgicE lacks a plausible pathological mechanism and its symptoms couldn& #39;t be ascribed to a precise location
3. There has been variation in the diagnostic criteria for #MECFS which has delegitimised the disease
#SickNotTired https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
3. There has been variation in the diagnostic criteria for #MECFS which has delegitimised the disease
#SickNotTired https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
4. Doctors felt that #pwME had a poor work ethic
5. Doctors felt that #pwME had a poor attitude, they lacked stoicism and did not make every effort to get better as quickly as possible
#chronicillness #MedEd https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
5. Doctors felt that #pwME had a poor attitude, they lacked stoicism and did not make every effort to get better as quickly as possible
#chronicillness #MedEd https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
6. Doctors reported many conflicts with their patients about the causes of #MECFS and its treatment
7. Some doctors stereotype #pwME and their value-laden approach may prevent patients being assessed as objectively as possible
#MyalgicEncephalomyelitis https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
7. Some doctors stereotype #pwME and their value-laden approach may prevent patients being assessed as objectively as possible
#MyalgicEncephalomyelitis https://www.bmj.com/content/328/7452/1354">https://www.bmj.com/content/3...
8. Barriers to the effective clinical management of
#pwME are partly due to doctors’ beliefs that may not take into account the best available scientific evidence
9. Some doctors were skeptical that #MECFS might be a "fashionable epidemic"
https://www.ncbi.nlm.nih.gov/pubmed/7629762 ">https://www.ncbi.nlm.nih.gov/pubmed/76...
#pwME are partly due to doctors’ beliefs that may not take into account the best available scientific evidence
9. Some doctors were skeptical that #MECFS might be a "fashionable epidemic"
https://www.ncbi.nlm.nih.gov/pubmed/7629762 ">https://www.ncbi.nlm.nih.gov/pubmed/76...
10. Some doctors felt that diagnosis of #MECFS would become a self-fulfilling prophecy and that entirely & #39;normal& #39; symptoms of fatigue and weakness might become unnecessarily pathologized
#chronicpain
https://www.ncbi.nlm.nih.gov/pubmed/7629762 ">https://www.ncbi.nlm.nih.gov/pubmed/76...
#chronicpain
https://www.ncbi.nlm.nih.gov/pubmed/7629762 ">https://www.ncbi.nlm.nih.gov/pubmed/76...
11. And some interpretations of #MECFS are completely baffling
"The narrative of the struggling self seeking renewal that defined the illness experience.. articulated the negative effects to self and personhood associated with #MECFS.." https://www.sciencedirect.com/science/article/pii/S0277953607005023">https://www.sciencedirect.com/science/a...
"The narrative of the struggling self seeking renewal that defined the illness experience.. articulated the negative effects to self and personhood associated with #MECFS.." https://www.sciencedirect.com/science/article/pii/S0277953607005023">https://www.sciencedirect.com/science/a...
12. And some feel #MECFS is just good old fashion hysteria
#MECFS is a "transition in one& #39;s life and the instilling of hope are ways to reframe the experience. Women may find meaning by exploring their spirituality and developing.. coping strategies" https://www.tandfonline.com/doi/abs/10.1080/07399330050082263?journalCode=uhcw20#.XpLOy-F22vk.twitter">https://www.tandfonline.com/doi/abs/1...
#MECFS is a "transition in one& #39;s life and the instilling of hope are ways to reframe the experience. Women may find meaning by exploring their spirituality and developing.. coping strategies" https://www.tandfonline.com/doi/abs/10.1080/07399330050082263?journalCode=uhcw20#.XpLOy-F22vk.twitter">https://www.tandfonline.com/doi/abs/1...