Chronic
Fatigue Patients And Their Physicians
If I were to speak with or
write a letter to chronic fatigue patients and their physicians
I would want to put in that letter the very latest information
from researchers and highly regarded physicians. Some of the
information may be gleaned from the results of a think tank. A
think tank is an organization or group of experts researching
and advising on issues of society, science, technology,
industry, or business. They are opportunities for learning. A
think tank may be organized in order to conduct intensive
research or to solve specific problems.
During the dates of March 16 - 18 of the year 2000 a think
tank was formed in Reno, Nevada. This is the spot where the
1984-85 outbreak of Chronic Fatigue Syndrome occurred.
Researchers and Physicians participated in the two-panel event.
Nancy Klimas, MD, of the University of Miami, oversaw the
Panel. The think tank's purpose was to address the disease by
studying and assessing treatment and scientific findings
surrounding the disease; so that they could make
recommendations on how this information could be useful to
those treating CFS patients.
The information that came from this think tank is beneficial
to both physicians who treat Chronic Fatigue patients and to
the patients themselves, whom can now better understand their
own symptoms. The panels made recommendations based on their
study. What follows is a brief summary of some of those
recommendations.
Chronic Fatigue Fast Facts
Statistics And Myths Behind Chronic Fatigue Syndrome
The Centers for Disease Control (CDC) estimated in early 1990's that 10 in every 100,000 persons were medically treated for Chronic Fatigue Syndrome. A prevalence study in 1999 evaluated a large random sample of persons living in the metropolitan Chicago area. The study revealed rates of 422 persons per 100,000. More recent studies came to the conclusion that there are 800,000 adults in the USA that have been seen by medical personnel and have exhibited symptoms of Chronic Fatigue Symptom. This...
|
Recommendations
General Physician Suggestions
It is suggested that physicians who treat CFS patients should
be trained in diagnosis & treatment. It is also important
for physicians to be knowledgeable regarding disability claims
so as to assist their patients in filing for disability.
Physicians need to be aware of the dangers of CFS patients
donating blood, as this could compromise their possibly already
low blood volume. Physicians should also be made aware that
using live vaccines could pose a risk of relapse and should be
avoided.
Goals Concerning CFS
During the treatment planning stage all efforts should be made
to address therapy centered on the needs of the patients daily
living routine. Daily tasks like household chores, meal
preparation and other tasks normally done in the maintenance of
the home life may pose fatigue and pain issues. Therapy would
be able to address how to accomplish these tasks in such a
manner as to alleviate as much as possible any aggravation of
these symptoms. The overall goal of therapy is to address not
only accomplishing these daily tasks but to improve the
patients function capabilities. One goal that can be overlooked
is the one to maintain social contact, especially in young
patients.
Managing Fatigue
Suggestions that were made to enable CFS patients to better
cope with the fatigue issues were to strive for a balance
between physical activity and rest, making use of supportive
equipment in doing tasks, and setting priorities when planning
daily tasks. There are many adaptive devices available that can
aid a patient in accomplishing daily chores that will take away
some of the energy output needed to accomplish the tasks.
Early Intervention
Initiating therapy in the earlier onset of the disease can help
minimize the biological effects of the disease. Early
intervention can help improve patient's function.
Rehabilitation
Rehabilitation programs have been more successful the earlier
they are started during the course of the illness. Speech
therapy has been shown to help treat Chronic Fatigue Syndrome
patients' cognitive dysfunction, in areas such as word finding,
memory and information processing.
Immune Tests
These tests can be used to rule out other diseases and can
suggest by process of elimination the diagnosis of Chronic
Fatigue Syndrome. The tests can also be used when making out
disability claims as illness markers.
Exercise
The CFS patient cannot tolerate normal therapy exercises and
therefore any exercise plan must be formulated with improving
function as a goal, through gentle exercising.
Sleep Disturbances
CFS patients commonly suffer from wakeful periods during their
normal sleeping times and often experience difficulty
maintaining adequate amounts of REM sleep. To determine if the
patient is suffering from any sleep disorders outside of the
normal patterns seen in CFS patients a sleep questionnaire is
suggested. Sleep testing should only be ordered if the
physician suspects that the patient is suffering from symptoms
that suggest a sleep disorder not associated with disturbances
seen in CFS patients normally. The physician should be aware
that some medications such as Klonopin, Flexeril and Prozac,
used in CFS patients could actually exacerbate sleep pattern
disturbances. To facilitate better sleep patterns, physicians
may wish to include Tricyclic antidepressants and behavioral
management such as warm baths, setting bed-times and bed-time
routines as suggestions to their patients.
|