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#postexertionalmalaise — Public Fediverse posts

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  1. 2/
    What post-exertional malaise (PEM) in ME/CFS feels like

    #mecfs #pem #PostExertionalMalaise @mecfs

  2. Post-Exertional Malaise in Long COVID and Post-Vaccine Syndrome: Why “Exercise More” Is the Wrong Answer

    drpierrekory.com/blog/post-exe

    Pity that there is only one reference to ME/CFS in the (long) article

    Screenshot from October AMMES newsletter

    #LongCovid #PostExertionalMalaise #PEM @longcovid

  3. "While caring for a husband with early-stage dementia they pushed through relentlessly & ended up totally bed-bound. Their message to the group was to respect your own limits & stay tuned in to your body, because the cost of caregiving can be losing the very capacity to help"

    From BHC August Event Recap: "Caretaking While Chronically Ill - Parenting or Caring for Family Members"
    batemanhornecenter.org/wp-cont

    #PostExertionalMalaise #PEM @mecfs @longcovid
    #MEcfs #LongCovid
    #PwME #CFS

    1/

  4. 10/
    “Whilst every individual’s experience is unique, it is striking how many shared themes emerge across the PEM survey responses."

    #PostExertionalMalaise #PwME #PEM #MEcfs #CFS
    @mecfs

  5. ME/CFS isn’t ordinary fatigue. Its hallmark is a delayed symptom crash after even minor activity. Recognition, pacing, and supportive care matter.

    #MECFS #PostExertionalMalaise #ChronicIllness #Telehealth #NeuroimmuneHealth

  6. Recognising #PEM early in your patients is critical for safe and #MECFS informed care.

    PEM can be hidden - patients may appear well during appointments but experience significant deterioration afterwards.

    You can learn more about PEM and #pacing - zurl.co/nnY1W

    #MEcfs #LongCovid #PostExertionalMalaise #PEM @mecfs @longcovid

  7. Communiqué: Fatigue isn't the same as post-exertional malaise (PEM)

    "PEM is real. It is serious. And it must not be made worse by misunderstanding."

    Signed by researchers, clinicians and advocates.
    emerge.org.au/wp-content/uploa

    #MEcfs #LongCovid #PostExertionalMalaise #PEM @mecfs @longcovid

  8. 🧵
    Another excellent blog by Fred Rossi who is well worth following

    "The Patient Who Isn’t Supposed to Exist"

    darthfoo.substack.com/p/the-pa

    Nominally on the recent, controversial WIRED article but the points are pretty general

    #LongCovid #MEcfs #PostExertionalMalaise #PEM #PwME #ME #MyalgicE
    @mecfs
    @longcovid

    1/

  9. The “Wired” Account of Cancelled Exercise Study for Long Covid at University of Virginia

    By David Tuller, DrPH On June 1st, Wired published a 7,600-word lollapalooza about mind-body interventions for Long Covid. The article, written by Alan Levinovitz, a professor of religion at James Madison University, posited that angry patients were derailing important research into these and other psychological and behavioral treatments. For balance, Levinovitz quoted multiple critics of these approaches (including me), but at key moments he stacked the deck in favor of his own interpretations.  One example, which I mentioned in an earlier post, involved the discussion of the PACE trial and related research. Levinovitz ignored clear evidence of serious methodological flaws and presented these disputes as matters of “they said, they said.” In another example, he offered what appeared to be a slam-dunk case of a patient suppressing valuable research, in the process portraying an unnamed University of Virginia law professor as an unreasonable anti-science advocate. But he omitted a key detail regarding the study the professor was protesting, rendering their protests hard to comprehend. Moreover, he did not offer the professor a chance to explain their perspective, and then failed to shield their identity from the public. Here’s the relevant section of the article:  “If overcoming opposition feels too burdensome or controversial, researchers may simply abandon a trial. Siddhartha Angadi is an exercise physiologist at the University of Virginia who specializes in rehabilitation. He designed a long Covid exercise trial with a cardiologist and a pulmonologist, both of whom had experience treating patients with severe heart failure. (In rehabilitation medicine, ‘exercise’ means physical activity in service of rehabilitation, so standing up from a chair could qualify.) The IRB approved it. But then a UVA law professor and long Covid patient emailed him and the IRB with ‘grave concerns’ about the trial. There was ‘no way this would be approved if the …

    trialbyerror.org/2026/06/16/th

  10. I like many other people thought this blog post was very good

    "Why I Can’t Just Meet You for Dinner"

    substack.com/home/post/p-17829

    Screenshot from AMMES May 2026 Newsletter

    #MEcfs @longcovid
    #LongCovid #PASC #PwLC #postcovid #postcovid19 #PostCovidSyndrome #PEM #PostExertionalMalaise
    #PwME #ME #MyalgicE
    @mecfs

  11. „Normal findings at rest do not signify normal function; they merely indicate that the system has not yet been sufficiently challenged.” Paul Watton & Bhupesh Prusty: Reframing #MECFS: toward a unified mechanistic model of chronic post-infectious diseases #MEAwarenessHour #PostExertionalMalaise

    Reframing ME/CFS: toward a uni...

  12. Hammer:
    An der Charité Berlin wird ein Test zur "Objektivierung" (messbarer Nachweis) der PEM entwickelt.
    Aktueller Stand: frei zugänglich.

    Und gemessen wird nicht mit irgendeiner Goldrandlösung, sondern einem Plastik-Gerät vom Online-Marktplatz eures Vertrauens!
    Sowas gibt's ab 20€. 🤯

    *We measured the HGS with a digital hand dynamometer (CAMRY, model: SCACAM-EH101) in two separate sessions with a recovery break of 60 min between the sessions.*

    mecfs.de/was-ist-me-cfs/pem/

    Studie:
    link.springer.com/article/10.1

    #LongCovid #PostCovid #MECFS #PEM #PostExertionalMalaise #Fatigue

  13. 5-page post-exertional malaise ( #PEM) fact sheet
    s4me.info/docs/PEM_Factsheet.p

    Headings:
    -Characteristics of PEM
    -Symptoms of PEM
    -Exertion and other PEM triggers
    -Effects of exertion that are not PEM
    -Living with PEM
    -Examples of PEM
    -Research on PEM
    -References

    This was very popular a few months ago so I thought I would re-share it.

    #PostExertionalMalaise #PEM
    #MEcfs #CFS #pwME #LongCovid @mecfs @longcovid

  14. Free webinar today in just over 2 hours wherever you are in the world.

    Register here:
    iecho.org/public/program/PRGM1

    I have been impressed by Amy Mooney in the past and have no reason to believe she will be anything but good in this webinar.

    @longcovid
    #LongCovid #PASC #PwLC #postcovid #postcovid19 #PostCovidSyndrome #LC #Covidlonghaulers #longhaulers #COVIDBrain #NeuroPASC
    #PostExertionalMalaise

  15. Bateman Horne Center is hosting another session of "Coffee" with a Clinician tomorrow

    April 8, 10 am Mountain Time

    Topic: Post-Exertional Malaise (PEM) Part 2

    Learn how PEM is identified and what tools help measure function.

    What questions help identify post-exertional malaise (PEM)?

    Details:

    batemanhornecenter.org/event/c

    Registration:

    batemanhornecenter.zoom.us/mee

    #MEcfs #LongCovid #PEM #PostExertionalMalaise #BatemanHorne

  16. 🧵
    Thoughtful blog post by somebody with long Covid and ME/CFS. Initially focuses on describing the post-exertional malaise effects of working 3 days in a row before discussing how the whole illness(es) and the effect it is having on his life is making him feel emotionally

    centerleftstack.substack.com/p

    #MEcfs #PwME #ME #MyalgicE
    @mecfs
    @longcovid
    #LongCovid #PASC #PwLC #postcovid #postcovid19 #PostCovidSyndrome
    #PostExertionalMalaise #PEM

    1/

  17. This image from ME/CFS South Australia refers to this useful webpage on Post-Exertional Malaise (PEM) on the ME/CFS Australia site:
    mecfs.org.au/resources/post-ex
    (the URL redirects here)

    #MEcfs #PEM #PostExertionalMalaise #CFS #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome @mecfs

  18. Long article on the 'mysterious' illness of NBA star Kristaps Porzingis'

    espn.com/nba/story/_/id/481029

    One person has collated just the parts on his health struggles here:
    s4me.info/threads/well-known-f

    Viral onset plus all these symptoms suggest ME/CFS as a strong possibility. Best for his long term health I think to take an extended break

    #PostExertionalMalaise #PEM #MEcfs #CFS #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome
    @mecfs
    #POTS @pots

  19. Extract from:
    "Physical Therapy (= physiotherapy) Must Catch Up: Teaching ME/CFS is No Longer Optional"

    batemanhornecenter.org/physica

    Related article:
    Clinical Management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome as a Curriculum Thread to Meet Accreditation Standards in Physical Therapy Education
    nsuworks.nova.edu/ijahsp/vol24

    #MEcfs #CFS #PwME #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #PostExertionalMalaise #PEM @mecfs

  20. 5/
    From:
    "Why I Can’t Just Meet You for Dinner: The Reality of Post-Exertional Malaise"
    substack.com/home/post/p-17829

    I deteriorated over 15 months from high functioning (full-time education for 4+ years) to #severeME for 31 years ☹️

    PEM = #PostExertionalMalaise

    #MEcfs #LongCovid #CFS #PwME @mecfs @longcovid

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