The Real McCoy

@rippermd41.bsky.social

My life runs by the Murphy’s Law of illness: If something can go wrong, it will go wrong. Latest one is #MECFS but the laundry list is long. Live in New England

Today is Severe ME day. I never thought that I could get this sick and be receiving LESS medical care. I never thought following the advice of clinicians could leave me mostly bedbound. I never thought I would lose the whole world this way.

There are many things known by the #MECFS and #LongCovid communities that barely show up in the medical literature. The effectiveness of IV fluids is one. It affects patient care and research. I was barely able to convince my NP to try them with a case study and case series in ME.

Putrino Lab@putrinolab.bsky.social · 3w ago

Them: Did you know that people in #longCOVID trials have extremely high placebo rates? Really makes you think…. Me: Oh yeah? What placebo did they use? Them: Nothing crazy, just IV saline Me: 😐😠😡🤬 I wish people understood pathophysiology.

“If it were really that bad you would have more support”. People believe that when you’re disabled, help magically appears. That when you get worse, you get more help and/or funding. The reality is far different. There’s little to no help. We live in legislated poverty. Survival is hard.

This is still expensive, but those with #MECFS and #LongCovid know this is relatively cheap by comparison. Most of the specialty clinics don’t take insurance. This is the reality we live with: you can only access doctors with knowledge of ME and LC if you’re wealthy.

Vindara Health@vindarahealth.bsky.social · 3w ago

For $400/month, patients get monthly visits with a clinician specially trained in complex illness, unlimited direct messaging, access to the latest tests and treatments, prescription management, and a team working on their care between visits.

A community member requested we share this. Please check it out! Emily has been part of our community for many years and needs a cervical spinal fusion and/or decompression and/or stent the veins in the left and/or right side of my head (and maybe more care to help) #pwME #SevereME

Emily Johnson@emilyrj.bsky.social · 3w ago

It’s so awful to have Chiari, IH, CSF leaks, CCI, AAO and AAI (slow internal decapitation) It’s very severe, I can feel my head popping off my neck and try to pop it back in, so painful My neurosurgery follow-up is soon, please donate and share: www.gofundme.com/f/help-emily...

Today is #SevereMEDay I dropped from moderate to #SevereME 3 years ago. It’s really hard to paint a picture of how bad this illness can get, but I’ll add pieces from my journal below. 1/

It's ME(Jaime)@exceedhergrasp1.bsky.social · 2y ago

#MECFS patients have a very low quality of life: lower than people with chronic renal failure, lower than heart failure, lower than any disease QOL to which it's been compared. So what is 'severe' ME? While there are many definitions, here is one from Montoya et al. (2021). 🧵 #SevereMEDay 🧪

Severity in ME/CFS - #MEAction logo in gold in upper right-hand corner, with www.meaction.net underneath.  Content of slide says:

MILD: Mobile and able to self-care. May be working or attending school, but often with accommodations and by reducing other domestic and social activities.

MODERATE: Reduced mobility and restricted activities of daily living. Requires frequent rest periods and typically not working or attending school.

SEVERE: Mostly homebound. Limited activities of daily living (e.g., self-care, showering, dressing). Severe cognitive difficulties. May require mobility devices

VERY SEVERE: Bedbound. Unable to carry out most activities of daily living for themselves. Often extreme sensory sensitivity to light, sound, touch. May need total care.

Cited: Montoya, J. G., Dowell, T. G., Mooney, A. E., Dimmock, M. E., & Chu, L. (2021). Caring for the Patient with Severe or Very Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. Healthcare, 9(10), 1331.

Today is Severe ME Day. I wanted to post today about falling from moderate/severe ME into severe ME 4 1/2 years ago. Yesterday, I sat in my wheelchair a little too long. Today, I’m wrecked. Severe ME is totally unforgiving. (My daughter is writing this.)

Today is #SevereME day. Please take a look at and share the thread below: help teach people about severe ME.

It's ME(Jaime)@exceedhergrasp1.bsky.social · 2y ago

Today, Aug 8, is #SevereMEDay. Today we discuss severe-presenting #MECFS and remember people with severe ME. #MECFS is an infection-associated chronic illness, which means it is often, but not always, kicked off by an infection. ~Half of #LongCOVID cases at 6 mo meet the dx criteria for ME/CFS. 🧵

Two diagrams from the Mayo Clinic Proceedings article I co-authored.  On the left, a diagram of a woman's body, including symptoms of fatigue, muscle aches, PEM, cognitive dysfunction, unrefreshing sleep, orthostatic intolerance, temp. dysregulation, urinary frequency, myalgia, sensory sensitivity/reactivity, swollen lymph nodes & other flu-like symptoms, shortness of breath, palpitations/chest pain, appetite changes and diarrhea/constipation.  On the right, a wheel diagram of symptoms that may flare in post-exertional malaise, the pathology that occurs w/overexertion in which many symptoms flare and new symptoms may appear.  It notes that PEM is not deconditioning, not being more tired than usual after activity, not second-day muscle soreness and symptoms are not necessarily relieved by sleep. It includes all the symptoms mentioned in the first diagram but has some sections on what it's like in the patient's own words.

The survey has 100+ unique emergency room narrative responses already! But we're aiming for 150 before we close. If you have a diagnosis of #MECFS or #LongCOVID and have been to the emergency room in the past 10 yrs for your symptoms, I hope you'll take the survey. And if you don't, please share!

#MEAction Network@meactnet.bsky.social · last mo.

Are you someone with myalgic encephalomyelitis/chronic fatigue syndrome #MECFS or #LongCOVID who’s been to the emergency room at least once over the past 10 years for your symptoms? Clinical care needs your voice! Take the Emergency Department research survey: surveys.mayoclinic.org/jfe/form/SV_...

The next step in the @meactnet.bsky.social/Mayo Clinic collaboration to improve care for those living with ME/CFS addresses our emergency room experiences. If you live with ME/CFS and have visited the emergency room for your symptoms in the past ten years, please fill out the survey below.

#MEAction Network@meactnet.bsky.social · last mo.

Are you someone with myalgic encephalomyelitis/chronic fatigue syndrome #MECFS or #LongCOVID who’s been to the emergency room at least once over the past 10 years for your symptoms? Clinical care needs your voice! Take the Emergency Department research survey: surveys.mayoclinic.org/jfe/form/SV_...

It is Medicaid Monday! We are sharing a step-by-step guide to submitting a comment to CMS regarding their Interim Final Rule on Medicaid work requirements. Deadline July 31! We have a template document with all the information you need! Head to ow.ly/hoVX50ZkQhc and we walk you through it.

Step-by-step guide to submitting a public comment on Medicaid work requirements for people with serious medical conditions, with a QR code to access the MEAction template. Text: People with serious or complex medical conditions should be exempt from Medicaid work requirements. Period. Join us in submitting your own public comment. MEAction template available!

Please take a moment to read through and share information about the changes to Medicaid and what that means for the disability community! #NEISvoid #MECFS

#MEAction Network@meactnet.bsky.social · 2mo ago

It is Monday and that means it is time for #MedicaidMondays! Today we are sharing facts about Medicaid, upcoming changes, and how to take action. See our #FrailAndFurious campaign page here: www.meaction.net/frail-and-fu... #Disability #PwME #MECFS #LongCovid

Facts About Medicaid and upcoming changes that we all need to know. #MedicaidMondays Red #MEAction logo at the top. Black text on white background

ME/CFS community! Please, if you are able, come to the community meeting held by #MEAction on tomorrow - Sunday, June 14 at 3 PM ET. We are facing a changed advocacy environment, and to make any progress, we have to forge new paths and move forward together. Come tomorrow and see where we stand.

#MEAction Network@meactnet.bsky.social · 3mo ago

REMINDER! Join us for a community meeting TOMORROW - June 14th at 3 pm ET to hear about the next steps #MEAction is taking in US advocacy, and what steps you can take to be part of these efforts. https://ow.ly/p1jM50ZablP #PwME #MillionsMissing #FrailAndFurious #MyalgicEncephalomyelitis #MECFS

Graphic in red and white about virtual community meeting for #MEAction scheduled on June 14, 2026, at 3:00 PM ET with optional cameras and required registration. Photo of 4 people in an online meeting on a screen. Text: community meeting June 14, 2026 3 pm ET Registration required. meaction.net Virtual meeting- cameras optional.

ok the more I stare at the image of zero studies, the angrier I am. Wired, are you for real? Did you not check for a single study in a reputable journal, first? You're advertising snake oil to desperate people on what? a whim? I assumed a study had come out, at least, even if it was very poor.

Exciting update! The drive to ask Senators to sign a request for Long Covid funding is going so well that the deadline has been extended to Monday—calls and shares this weekend will continue to help! And 13 Senators have already signed on! Ask yours to join: tinyurl.com/LongCOVIDCall

Long COVID Campaign | www.longcovidcampaign.org@lccampaign.bsky.social · 4mo ago

📣GREAT NEWS📣 Just spoke to Hill champions: your hundreds of calls & emails are making such a difference, they've extended deadline for Senator sign-on to #FundLongCOVID Dear Colleague letter to MONDAY APRIL 20 10am ET! More @lccampaign.bsky.social details incoming, senators now signed: 1/x

Please call or email your Senators by close of business Friday 4/17 & ask them to sign on to the “Dear Colleague” letter for Long Covid funding: Call tool: win.newmode.net/longcovidcam... Email tool: win.newmode.net/longcovidcam...

New/Mode | Make your voice impossible to ignore

win.newmode.net

Long COVID Campaign | www.longcovidcampaign.org@lccampaign.bsky.social · 5mo ago

📣U.S. Action Item: #pwLC #POTS #pwME #NEISVoid we need your help! Will you contact your Senators & ask them to sign on to the FY27 Senate “Dear Colleague” Letter for over $210 million to #FundLongCOVID in 2027 Appropriations using our EASY low-spoons call/email tool?🧵

Drawn image of the U.S. Capitol dome, with the words underneath: Long COVID patients have waited too long for TESTS, TRIALS & TREATMENTS. #FundLongCOVID

I'm extremely belated at boosting this but *waves hands* these workshops are happening this week It's a creativity + advocacy workshop: a way to creatively frame your own experiences to help push for key systemic goals in preparation for #MillionsMissing

#MEAction Network@meactnet.bsky.social · 5mo ago

Join MEAction's Shalida Dobbins and our amazing narrative working group volunteers for one of the two storytelling workshops to prepare for #MillionsMissing! April 14 at 1 pm PT/ 4 pm ET: us06web.zoom.us/meeting/regi... April 16th at 1 pm PT/ 4 pm ET: us06web.zoom.us/meeting/regi...

Email Congress for ME/CFS funding! Prescripted—just takes 1 min! Can personalize it if you like, but it’s not required. There’s an option to follow up w/phone calls. My ME is so severe that I can’t speak, but calls make even more impact, so I’m v grateful to anyone willing to lend me their voice 🤍

Tell Congress to Fund ME/CFS Research in FY27

9 million Americans live with ME/CFS — a serious, disabling disease with no FDA-approved treatments. I just contacted my representatives to urge them to increase CDC funding, keep ME/CFS as an eligibl...

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