Alem Matthees

@alemmatthees.bsky.social

A dissident with severe ME/CFS who contributed to the PACE trial reanalysis. I was interested in the mind-body problem in philosophy and psyche-soma connection in medicine. I realised not all that glitters is gold and the emperors often have no clothes.

(1/3) Today, about one week into October, marks one year since slowly regaining the ability to read after several years of being unable to read at all. In the months leading up to that, I had been forming characters out of silicone putty for carers to write words on cards that I collected.

"The troubling paradox is that women experience more pain, yet their pain is also more likely to be dismissed, diagnosed late or undertreated ... This enormous study shows that the higher burden of pain in women is remarkably consistent across the body and in a remarkably diverse global population."

Women suffer more pain than men across the whole body, major global study finds

Researchers looked at pain around the world and across the human lifespan, finding steepest rise happens before age 55

theguardian.com

My best friend (paraphrased): "I caught COVID twice. I did not develop #LongCOVID, but I soon realised the acute infection was dangerous so I needed to rest and was able to. I can see how people get harmed by trying to push themselves during infection."

The approach to #LongCOVID has been ignore it until it goes away, preferring fantasy over reality. It has not gone away. This approach was applied to #MECFS for decades and it did not make anything go away except QoL, welfare/insurance costs, critical thinking, foresight to prevent trillions $ lost.

They say they hate “wokeness,” but what they really hate is empathy. Because once you start caring about other people’s experiences, inequalities become harder to ignore, and privilege becomes harder to defend.

(1/3) Perhaps what the GP wrote was lost in translation striving for balance? Of course exercise (beyond our capacity) is inherently dangerous, it is built into the definition of PEM. When improving, it is also far more useful to do hobbies or chores than a bland exercise in the name of exercise.

Specialist services are vital to help people with ME/CFS | Letter

Letters: Readers respond to George Monbiot’s article about how those with myalgic encephalomyelitis, or chronic fatigue syndrome, have been failed by the health system

theguardian.com

(1/3) @georgemonbiot.bsky.social is far more deserving of winning a prize for his journalism on the #MECFS scandal than whatever award was given to another journalist for literally just reporting a curated narrative handed to him by the Science Media Centre (UK) as part of their organised campaign.

Abandoned, dismissed and gaslighted: there is no excuse for the way ME sufferers have been betrayed | George Monbiot

Changes in guidance and science seem to have little impact on millions of devastated lives. It’s a social crisis playing out behind closed doors, says Guardian columnist George Monbiot

theguardian.com

9+ years of very severe #MECFS has done great harm to my physical health. I know there is a belief that ME/CFS does not cause damage. But years of nutritional deficiency, medication effects, and deconditioning from unavoidable restrictions, *does* do harm that is not all necessarily reversible.

Those with #MECFS who do *not* "look" fine are often treated like garbage too, because more ill often means more to blame. Many doctors who believe ME/CFS exists only accept a certain degree of disability, beyond that is then assumed must be due to personal issues rather than the illness itself.

Kat Smith@felineforger.bsky.social · last wk.

One of the things that's most frustrating about having an "invisible" disability like ME/CFS is the judgment I get from others. I "look" fine, but you can't see I'm masking my pain and fatigue. You can't see the despair of being unable to do the simple things I used to. I "look" fine, but I'm not.

(1/3) As an outsider, it appears the US is approaching a crossroad on the edge of a precipice. What happens in November 2026 is going to determine the trajectory for a long time. The heart of the nation and the robustness of democracy is at stake with Project 2025 & Dark Enlightenment sympathisers.

I would add a requirement of the simulation to be the self-gaslighting and demoralization that occurs from repeatedly attempting to get help, only to be “reassured” that nothing is wrong. And the unnecessary physical deterioration resulting from “pushing through” because we internalize the message.

The most insane thing about this #MECFS scandal, beyond all the suffering and neglect, is that it costs hundreds of times more in economic losses every year than it would to fund the research that could eventually decrease this burden. The degree of short-sightedness involved is astounding.

Abandoned, dismissed and gaslighted: there is no excuse for the way ME sufferers have been betrayed | George Monbiot

Changes in guidance and science seem to have little impact on millions of devastated lives. It’s a social crisis playing out behind closed doors, says Guardian columnist George Monbiot

theguardian.com

(1/3) Worth remembering that the NHS clinics delivering CBT/GET generally failed to inform #MECFS patients about potential harms and typically did not record adverse events. (Aside: Patients often report there is resistance to recording harms, so we do not know the true extent of it.)

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(1/3) I would not repeat years of very severe #MECFS again for billions of dollars. Not just because of the ongoing difficulties, but also the risk of not surviving. Just one single day would wipe the smug and doubt off the faces of those who disbelieve. Just one single day, but there is a catch.

Ror Preston: Whilst we know the average quality of life for ME/CFS patients is amongst the very worst for chronic diseases, I think in advocacy the true disaster that is severe / very severe ME has been significantly underplayed. New @wecrunchme visual on this topic 💙 #SevereME #MEcfs #PwME 1/


Health-related quality of life declines
sharply at higher levels of ME/CFS disability
Health-related quality of life (EQ-5D-5L) for general population vs. ME/CFS by disability severity
Mean health-related quality of life (EQ-5D-5L)
1.00
0.80
0.60
0.40
0.20
0.89
ME/CFS disability severity →
0.69
95% confidence interval
O represents a health state valued as equivalent to death, with below- O representing health states considered worse than death
0.44
0.02
0.00
General Population Benchmark
Mild (n=40)
Moderate
(n=137)
Data source: Orji et al. (2024) ‘Assessing health state utilities for people with ME/CFS in Australia using the EQ-5D-5L, AQOL-8D and EQ-5D-5L-psychosocial instrument'
Severe
Notes: Disability severity levels were derived from the DePaul Symptom Questionnaire - Short Form (DSQ-SF). The study did not define a separate 'very severe' category; participants above the highest severity threshold were classified as 'severe'.
(n=19)
M
CrunchME
CC BY 4.0

Hundreds of people die everyday due to preventable deaths and medical malpractice in general. Does this contribute to compassion fatigue for the stream of people who die from complications arising from #MECFS? We are held in contempt for being ill and uninterested busy doctors prefer we disappear. 😟

Thanks everyone! Apologies for not following everyone, replying, or clicking like on everything, it has been difficult keeping up. I have spent months slowly catching up, drafting articles, creating a video, constructing illustrations. Hopefully I can post them in due course.

Happy face: Me in late 2025 when first being able to use the internet again after ~9 years of being offline due to severe chronic illness.

Doom face: Me after spending almost 12 months slowly catching up on what happened during 2017-2025.