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General health

Could I have [mild] ME?

849 replies

Christmastreedelivery · 14/12/2010 21:19

Hello.

have had a bit of a light bulb moment this week. I am starting to wonder if I might have ME, in a mild form?

I have noticed that I seem to go through cycles of being ok. When I am in a cycle of not being ok, I have the things in my list going on.

Aches. Mainly joints, it hurts to walk up and downstairs. My wrists ache, and I get shooting pains through my long bones. My back aches in a tired muscle sort of way. My pelvis and hips ache like I have been running, even when I am just sitting.

Tired: No matter how I catch up on sleep, or get a normal amount of sleep for me, I feel dog tired. Like jet lag, I feel myself nodding at traffic lights.

Words: I get them mxed up, and use the wrong ones. I start a sentence fine and then it runs away from me and I can't finish it without really concentrating and stumbling through.

Skin: Sore. That's the only way I can describe it, especially over my cheeks and arms.

Sweating: I have days [the bad days] where no matter what I do, I just pour sweat. Only my armpits, but still. Could do without it!

Palpitations: yes. These are there on the down days, at rest. I've had a 24hr tape, it was fine. Naturally I didn't have any during that 24 hrs!! Xmas Hmm

Treacle: Feels like I am wading through treacle. Not surprisingly on these down days I am grumpy and horrid mummy Sad

The thing is the cycle. That's what got me thinking. Yesterday I was great, baked, did crafts, did some plannning for work, tackled some jobs that needed doing [phoning for appointments and stuff like that]. I thought to myself last night, 'OOO you'll pay for this good day tomorrow' and that rang an alarm bell. I shouldn't be thinking like that should I?

I went to town for a 6 hour shopping trip, and seriously I had to go to bed for 2 days afterwards.


What do you think?

BTW, I am very unlikely to be anaemic, and I have had thyroid checked in the past.

Have Dr's appointment tomorrow. Will he think I'm a moaning bored mum who whould loose weight and get out more? I'm scared of getting the Hmm face!

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GraceAwayInAManger · 15/12/2010 22:50

Just read x-posts. I'm so sorry to hear about your little boy, jollyoldstnickschick. I hope he makes a spontaneous recovery or, failing that, you get a diagnosis that actually has a cure.

The other posts have reminded of the reason why I'm not that bothered about getting a definitive diagnosis. Depression is definitive (there are diagnostic criteria, etc) whereas CFS/ME/FM/etc are diagnosed by elimination. You need to be tested for shedloads of other things, because the symptoms could be caused by shedloads of other things. Medical science is imperfect still. If you have the same symtoms for long enough, and can't be diagnosed with anything else, you'll end up with a 'diagnosis' that means "There's something wrong, but we don't know what and so can't cure it."

This is what leads me & other sufferers to take a holistic approach: not out of any other-worldly theories, but simply because - in the absence of definitive medicine - it makes sense.
Which I hope I'm doing Xmas Hmm

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ThisIsANiceCage · 15/12/2010 22:54

"Maybe I'm just miserable, stressed, overweight and run down. Entirely possible. Nothing a good gin and a disco dance wouldn't cure "

And crawling up the stairs on your hands and knees? It's also a pretty specific type of pain, tenderness to touch, rather than general ache or clenchy stomach pains, general stress-y stuff.

It does sound like you have a Something - let's hope it's a sortable Something.

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ThisIsANiceCage · 15/12/2010 23:03

Moose, Grace and nickschick Sad for your experiences. Nodding away here.

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piprabbit · 15/12/2010 23:08

I just want to add, although I hope it doesn't confuse or worry you, that you sound just like me immediately before my diagnosis of SLE (Lupus).
The joint pain and overwhelming tiredness are pretty typical symptoms, but it can muddle your brain (you mentioned problems with words) and is also associated with skin problems, depression and sweating.
Not saying that I think you have SLE, but that it is something you might want to look into and raise with your GP (there are blood tests that can be done - although it's not easy to diagnose).

Although it's not a curable disease, and in it's worst manifestations very scary, there is a variety of treatments which can be tried to alleviate symptoms.

Please take a look at the Lupus UK website for more information.

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ThisIsANiceCage · 15/12/2010 23:12

"his response was to walk the dogs more and do more exercise in general - yeah right I'll get onto that as soon as I can manage to walk from the sofa to the front door!"

Oh it's all true!

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GraceAwayInAManger · 15/12/2010 23:23

Yeah, NiceCage Xmas Hmm
I once posted an outraged reply to a depression forum, where some smartarse personal trainer was recommending his 'healthy body = healthy mind" stepped exercise program.

I pointed out that my daily exercise consisted of a walk to the end of my road (30 yards), a long rest and walk back, leaning on fences for support. I often had to do this in my pyjamas, as getting changed wore me out for the day. Whenever I managed this daily exercise program, my therapist congratulated me!

My ranting post received 50 "Yeah, me too" replies. Fitness guru stopped posting Grin

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Christmastreedelivery · 15/12/2010 23:26

Thank you for sharing your stories, and for all the advice and hand holding. You are all making sense, and yet there are several different paths being put forward. Interesting to see the different ways of gong forward.

GraceAway - glad to hear you have been able to carve a niche for yourself, that lets you respect your own needs. I need to take heed of your warning about toughing it out - if it does turn out I have this thingie. I can well imagine that holistic medicine will help this condition more than 2 paracetamol. The thing is the huge amount of self control and work that holistic life changes need! I admire your motivation and resolve.

jollyoldstnickschick I'm sorry to hear about your little boy. Gosh. Thank you for posting, it must be painful for you. Do feel free to have a vent, there is some comfort in knowing someone out there gets it.

Moose - blimey. I didn't realise how much of this stuff you had been through. Frustrating stuff, I can see why you walked away from it all. Do you think you will ever go back and try chase a diagnosis. If I may ask, did the ad's help with the pain/weakness you talk about?

ThisIsANiceCage - Yes. I agree. It is good to have someone remind me of what I have written and stated, when I am trying to play it down and shrug it off. Between that, and the warnings about toughing it out, I feel I will need some huge life rethinks if I am an ME sufferer.


And you know what, if I'm not an ME sufferer, then I'm bloody knackered and ground down and need to rethink and regroup anyway. So it's all to the good.


Will be back tomorrow, and if not then, Friday. Am moving into a manic work phase, and somewhat concerned about it. However, it's only a week, not 6 months hard labour. I am determned to get through, and get through with a smile on my face. If I get a diagnosis, I have no idea what I will do about work, or if anything needs doing anyway. I guess it would, if I am to avoid the big burn out. That will be a whole new thread!

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Christmastreedelivery · 15/12/2010 23:30

Oh blimey have x-posted! I have to go, will be back tomorrow.

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piprabbit · 15/12/2010 23:34

Please do look at the Lupus UK site (sorry to go on about it).

I was just starting to have medical investgations into why I was so achy (crawling upstairs, unable to stand for any length of time etc.) and tired (would go to bed as soon as I got home from work, or sleep all weekend - not good when working on-call).
I suddenly fell very ill with meningococcal septicaemia, pneumonia and pleurisy.
Basically the SLE had compromised my immune system to the point where I got the whole lot.

But, with treatment and luck I am now 90% back to normal.

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FiveColdRingsForSolo · 15/12/2010 23:49

Whoever said to basically listen to your body was spot on. The worst thing I did was to say and I quote 'It's not going to beat me' and pushed myself even harder. It did beat me and I regret dismissing my own pain and ignoring my jumbled brain and other things; I'm pretty sure I would've recovered if I'd listened to myself 6 years earlier than I did.

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ThisIsANiceCage · 16/12/2010 00:03

OK, I think what I want to say is, it sounds at the moment as if you're vaguely planning to cross your fingers and hope to carry on, Christmas.

Can I beg you not to do this?

Seems Grace and I share exactly this classic mistake. If you think losing your income would be bad, imagine having to pay for a carer, or having your DH juggling work and caring for you. Did I mention the wheelchair?

Whatever nasty you have, you need to be hard-nosed and realistic about it. Positive but unrealistic thinking will get you right royally shafted.

The work pattern you describe is unsustainable - your recovery time is longer than work time! You urgently need to tackle this.

I can see two immediate routes that might give you breathing space in which to have the best possible chance to get better or at least stabilise and then reassess.

  1. get signed off sick by GP for as long as you need or until statutorily dismissed; or
  2. ask for "reasonable adjustments" to be made to your working conditions, eg sounds like shifts are currently a problem (and indeed with ME shifts would be a typical baddie - poor sleep hygiene, doncha know).

    A generous employer might agree to (2) anyway. However, if you need a bit of muscle you can use the Disability Discrimination Act if you have been unwell for long enough. You may need some help proving this, which could be tricky if you've only just gone to the doctor.

    If your current doctor doesn't seem supportive, look for another (PITA I know).

    I would also highly recommend googling or using the yellow pages to find a local disability advocacy charity or just Citizens Advice Bureau to help you get your ducks in a row if you think your employer will be, ahem, unenthusiastic about adjustments. Benefits and Work is v good for info, but needs a subscription. Also don't underestimate the value of having an advocate in meetings, given the whole tired/fuzzy/aphasic thing. Could be your DH if he's prepared to do this.

    You could even investigate a whole redeployment by your employer, removing your more physical work entirely.

    My niece (not blood-relation) was diagnosed with lupus this year and has just gone back to work as a low-level manager at... MacDonalds! I've been really impressed at how good they've been at adjusting work so that she almost never has to do anything physical - so far.

    But the first step is to label yourself as Officially Ill. If you don't believe it, no one else is going to.
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ThisIsANiceCage · 16/12/2010 00:03

Another x-post! Oops!

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ThisIsANiceCage · 16/12/2010 00:09

"Whoever said to basically listen to your body was spot on"

Which brings us onto the NICE-backed Graded Activity Therapy type programmes, and their "Follow the plan not the symptoms" motto. Grrr!

Not a subject for tonight, I think. Wink

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GraceAwayInAManger · 16/12/2010 00:52

NiceCage - seconded!

Your replies say you're taking the message on board, Christmas, but fgs take it on board sooner rather than later (Shouts stressfully)!
You're already showing symptoms of shutdown - and you're right, this is exactly what the '80s called "burnout". Google 'adrenal fatigue' and 'nervous exhaustion' for a cold-water antidote to your "I'll just get this finished" mentality.

The definitive nature of a depression diagnosis means you can be signed off for six weeks straight away. Take it. Believe me, I know how awful it is to face the guilt you feel at leaving your co-workers in the lurch ... followed by the fear you feel when they find they can manage after all. But the responses to your thread are showing you how much worse it CAN get, if you let the principles bully your health.

It's up to you. We're all saying "It's already quite bad. Don't make it worse."
The healthy world will, like that dipshit fitness guru, say "Uh, don't be a wimp! Think positive! Do more to stay level!"
If I could wish CFS on one person, it would be him Grin

But you can, hopefully, avoid the complete breakdown that seems to be heading your way rather quickly. You might even need more than six weeks off. But for now, instead of knocking your doctor, how about accepting the window he's offering?

Thank you for your admiration, but I don't deserve it! I've been forced to learn all this stuff, and apply it as best I can. I'm sure you can imagine how it felt to go - in a couple of months - from Ms Gym Fit Super Achiever to being proud of trudging 30 yards in my pyjamas. That's where toughing it out can get you. Don't do it.

You've started a wonderful thread! Congrats:)
Thanks for all the moving & informative posts you've prompted.

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TheBrandyButterflyEffect · 16/12/2010 01:12

This reply has been deleted

Message withdrawn at poster's request.

Christmastreedelivery · 16/12/2010 11:36

Arggggh. Just lost a huge messge.

This is a great thread, and I for one am so grateful for it. I would be lost and staring at NICE guidelines on ME. Probably crying. Instead here there are experts, advocates and hand holding wise people all in one!

Instead I am thinking and pondering, and wondering what all this might mean.
I am loathe to make demands of employers at this stage. I have no diagnosis, just my own suspicion. I feel I need something concrete before I can go forward on that one. Do you agree?
Like you so wisely say ANiceCage, if I don't believe no one else will. I need to live a bit more, collect more evidence, and see more health professionals to arrive at a judgement. If the conclusion is I do have ME, then I will actively stalk you to help me adapt! Xmas Grin

I am a bit shocked though. I hadn't really grasped the idea that if it is ME, sudden decline and spiralling decline can be triggered by over reaching. I imagined the condition to be an ebb and a flow, with slow cycles of good/bad times. I am really shocked to hear about the change you experience GraceAway. I hear both you and ANceCage, I really do. I think because this is all so new to me, I am having trouble imagining myself as being that affected.

Ok, In regards to work I have changed my thinking overnight and this morning. I am not going to tough out the next week. I am pacing it. I aim to work and work well, but I am going to insist on breaks, and I am going to do all I can to conserve energy. I will walk more slowly, use the lift, sit when ever I can, and make sure any physical stuff I do is done in the best way possible.

If I can't get though it, then I can't. I'll be brave and face it. Alhtough I will need mn to hold my hand in that case!

Don't lurk BrandyButterfly, come on in and pull up a chair!

Today I am less jet lagged. Hurray! That's good as I am on a night shift tonight. I have aching joints, my hips and wrists mainly. That's ok though, not too bad, Can do the stairs and gravity hasn't felt too strong.

How about every one else?

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Christmastreedelivery · 16/12/2010 11:47

Thank you FiveCOldRingsforSolo. Thank you for your experience. Again, I do hear you, what do you think of my plan about waiting for a dagnosis?

piprabbit - thank you too. 'm glad to hear you are 90% back to normal. Bloody scary for you though, you must have been very unwell. What a triple whammy!
I had protein S levels done about 6 years ago, when I was il in pregnancy. I wonder if they will repeat them. I looked at the symtoms, and it seems have a couple of the vauge ones - but none of the screaming ones like rashes and photosensitivity. Did you have any of those, or were you like me and stuck with vauge stuff.

I am really aware that if I read my list of troubles it sounds like a tired mum ground down a bit, in need of holiday. It's hard to mentally make the leap to a medical condition, for me anyway. But I'm getting there. This thread is 100% the driver, and I have been to the Dr which is an important step.
I'm also frightened I'll make the leap, and no one will agree with me. That would be awful, to not be taken seriously. I don't think I'd handle that very well at all, I'd be ranting all over the place!

Apologies for my mega posts, I'm using this like a dear diary aren't I?
I'm sure you are all very busy so I'll shut up Xmas Grin

We have sleet snow!

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Starisonthetree · 16/12/2010 11:54

It seems as though I'm the only person to have had a positive response from my GP, employer and benefits!

I've had ME again for over 2 years, having had in 20 years ago in my early 20's too.

My GP referred me to the Essex CFS clinic based in Southend. I had to tell her about it and take a print out into the surgery, had been ill for 6 months by then.

The clinic was fab and made a diagnosis and I have been seen monthly by an OT who helps me with pacing and understanding the illness. i also see a CBT counsellor who has helped me see how my thinking patterns and learned behaviour has made the condition worse. (not saying it is in the mind, but by trying to be everything to everyone and guilty when i can't be is a dreadful cycle to be in)

The most important thing I learnt is that energy is taken up by social interaction, emotional events, mental tasks as well as physical activity.

Walking and dressing will tire you, but so will a conversation, hearing bad news, having an argument, choosing your child's Christmas present etc.

Swap between activities, I'm on the computer (mental) now as I have just tidyed up (physical). In an hour I will go shopping and that will need a very long rest as it is all energy groups at once!

I try not to spend more than 20 minutes on a physical activity in one go and use a scooter when out if possible.

I have now got a pension and get state benefits. I hope too return to work one day, but family stability is very important.

Sorry long post

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CFSKate · 16/12/2010 12:11

"I thought to myself last night, 'OOO you'll pay for this good day tomorrow' and that rang an alarm bell. I shouldn't be thinking like that should I?

I went to town for a 6 hour shopping trip, and seriously I had to go to bed for 2 days afterwards."




That is an alarm bell. One of the main hallmark symptoms of ME is post exertional malaise.

Did you say you get a lot of sore throats? That is a common symptom of ME. I know if I've overdone it because I get a sore throat.

It's easy to get into the push crash cycle, but it's not a good way to carry on, you have to pace.

Here is an overview of the Canadian Guidelines for ME/CFS -

www.mefmaction.net/Portals/0/docs//Canadian_ME_Overview_A4.pdf

it has a long list of other illnesses that should be ruled out. page 8 has a good description of symptoms.


I would also recommend to any ME sufferer that they visit www.investinme.org/index.htm and sign up for the e-mail newsletter here www.investinme.org/IIMENewslettersubs.htm (they only send about 8 a year, you don't get spammed.)

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Christmastreedelivery · 16/12/2010 12:14

Starisonthetree - wow, sounds like you have a greast service there. That's relly good to hear, it's enouraging.

My service might be ace, I won't judge it on a 10 min consultation. We'll see what transpires I guess.

Thank you for that advice. Wow. It must be tiring putting all the thought into how not to get tired! It's a really total life change and management thing isn't it. Gosh.

So did your diagnosis take the 6 months you were ill, or was it faster than that?

Mega long posts always welcome, although yours 'aint all that mega long Xmas Grin

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Starisonthetree · 16/12/2010 12:23

Thanks for the reply christmastree It does take a while to get your head round and I'm still learning.

They wouldn't make any diagnosis until I'd been off sick 6 months, but then it was quite fast.

Ready meals at Waitrose here I come, then bed..... Xmas Smile

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CFSKate · 16/12/2010 12:29

Most ME patients who have been tested have been found to have problems with their mitochondrial function. I think it's as if mitochondria are like batteries in your cells, and in ME patients they don't recharge quickly enough, so perhaps it's as if you spend all your energy, go into the red, and have to spend two days in bed until you have made enough energy to go back into the black? If that is what is happening, pushing yourself won't work. (I'm not a biologist so if anyone knows better please post.)


Over the last couple of months, a number of countries, including the UK, have banned ME patients for life from donating blood. This is because over the last year it has been discovered that the majority of ME patients tested appear to be infected with a retrovirus called XMRV. Here's a clip from Radio 4

Retroviruses are a special kind of virus, like HIV, or Feline Leukaemia Virus.

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FiveColdRingsForSolo · 16/12/2010 12:38

Christmastreedelivery, my own experience was/is that I struggled for well over a year before going to the GP because I just thought I was tired being a single parent and working a 39 hour week with 12 hours travel on top. My symptoms were a bucket load. My GP immediately told me what he thought it was and referred me to St Bart's in London. I saw a specialist who confirmed the dx.
By this time, 2 years had gone by. Mostly I continued to work; some of my shifts were 07:30 hours to 21:00 hours, then add 3 hours travel time. I was and still am a single parent and struggled big time... work were mostly unsympathetic to my condition. My best thing was to stay in a small office away from everyone else each lunch time, scoff my lunch and sleep for 55 minutes. I worked on the top floor ~ 56 steps up and 56 steps down (most of you will understand why I say the 'down' bit), I did my best to stay up once I got there; I started taking the back stairs whenever I could to avoid being seen struggling; I was fearful of losing my job. I still am.
I Did a cognitive behaviour course which didn't help me in the main I think because I had to keep working full time and I had to care for my son alone. The cog skills plan was to manage your illness; do graded exercise (think that was what they called it) and rest up many times a day Hmm. Well, I couldn't. My job did not allow for rests every hour; the only thing my line manager at the time offered me was to split my lunch hour in two...no good to me, I'd lose my sleep time.
I ended up on several occasions being off work for months at a time. The longest time was 7 months and I returned because I, by then, wasn't being paid a penny.
As luck would have it, I fell pg with my Dd and I've taken a career break. Now this is a good thing in some respects and a bad thing in others for me. I now dread going back (am waiting to hear if I can have another period of time added to it) and I have done very little really whilst I've been off ~ best laid plans and all.
My job is the most stressful job in the country. It is made extra tough for many reasons ~ not least because the management don't want sick people there. I am worried about childcare hours/costs, I have no transport to get me to work at the moment. I have no support practical or otherwise. The thought of getting up at 04:30 each morning fills me with dread. Doing a physical fitness test every year and control and restraint refresher annually which will mean somehow getting fit (HA!).
I could go on, but I'll stop.

I personally think that you need to rethink your life at this time; don't do the unnecessay, enlist help, listen to your body. You don't need to wait for a dx to know that your body wants to do things differently. Plan your days to include some extra rest time.
I don't know what else to tell you. I'm full of bitterness about the illness and what it has done to me, but I hate myself for not listening to my body. For thinking that it was ok to put in 6 hours a week in the gym.
Sorry. Even typing all that has made me angry.

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ThisIsANiceCage · 16/12/2010 12:45

"I am not going to tough out the next week. I am pacing it. I aim to work and work well, but I am going to insist on breaks, and I am going to do all I can to conserve energy. I will walk more slowly, use the lift, sit when ever I can, and make sure any physical stuff I do is done in the best way possible."

Gold stars for Christmas!

I still get caught out, after all these years' practice, not doing things the easy way - staying standing when caught for a quick conversation that stretches into 5 mins, while silently gagging for a sit down. Just sit! No one minds! You're allowed! You don't need a certificate!

I think you can say something low-key at work at this stage, depending on what they're like of course, and it could facilitate your small immediate changes. Perhaps just say to your immediate team that you're not feeling too well atm (you could let them imagine it's flu, or tell them you're looking into it, depending what fits your relationship best) but that meanwhile it would help you to take things easy where possible and will they please join in a friendly conspiracy to stop you being the one to leap up and make tea or be the gofor or stand when you could be sitting.

Completely agree, Starisonthetree, about the range of things that activity, and how to manage all this.

On which note, this thread is taking it out of me slightly (thank you for being so understanding about this further up, Christmas), so I shall buzz off for a bit and ACTUALLY WRITE THOSE CRIMBO CARDS.

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ThisIsANiceCage · 16/12/2010 12:53

Solo just to say AngryAngry for the way you've been treated. But not surprised.

And I hear you about the unrealistic cognitive or behavioural plans. Kept wanting to say, "And who'll be providing the servants so I can follow this lovely plan?!"

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