home.social

#thereforme — Public Fediverse posts

Live and recent posts from across the Fediverse tagged #thereforme, aggregated by home.social.

  1. Trying to book an accessible holiday is marginally less difficult than trying to buy a new car and a new wheelchair at the same time! #ThereForME @[email protected] #ME #Chronicillness #LC #PEM @[email protected] @[email protected] @[email protected]

  2. From David Tuller @david

    I spoke with Oonagh Cousins, one of the people involved in #ThereForME, about the UK government's pathetic so-called "delivery plan" for ME and about the great disappointment many are feeling about it:

    youtube.com/watch?v=ybI_SbgnU5

    #MEcfs #PwME @mecfs

  3. "The Tiger Who Came to Tea… and stayed" by @LongCovidAdvoc

    thereforme.uk/p/the-tiger-who-

    Many important issues in this article: the language gap, lack of research, and lack of clinical care for severe ME/CFS patients.

    Bedbound patients have a harder time getting any type of medical treatment. They'll be excluded from most research studies. And on top of that, their symptoms and lived experience are often questioned.

    @mecfs @longcovid

    #MEcfs #LongCovid #ThereForME #SevereME #PwME #PwLC

  4. #ThereForME guest blog is from @LongCovidAdvoc

    They write about the experience of severe ME, exclusion from research and healthcare, and how the sickest patients are putting their health at risk to help others.

    thereforme.uk/p/the-tiger-who-

    @mecfs #SevereME
    #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME

  5. UK Government:
    Publication of the long delayed Delivery Plan for ME/CFS has been delayed again. Advocacy group #ThereForME give an update, saying they have been involved in the final stages and there is a plan, but no new funding.

    substack.com/@karenlhargrave/p

    #MEcfs #PwME @mecfs

  6. From the #ThereForME series:

    "The importance of understanding rest"

    thereforme.uk/p/the-importance

    "This cultural dismissal of rest is especially harmful to people with ME or Long Covid, who must often rest for prolonged or indefinite periods. They face not only the impact of their condition, but also repeatedly justifying their need to adapt."

    @mecfs

    #MEcfs #PwME #LongCovid #ChronicIllness #StopRestPace

  7. From #ThereforME:
    We’ve got a great guest blog today from Ella Barnard 🔥

    Ella writes about the hermeneutical injustice of ME, why the right words don’t exist and how we can find them.

    thereforme.uk/p/the-hermeneuti

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

  8. I missed this back when it was first published:

    "The hermeneutical injustice of ME"

    thereforme.uk/p/the-hermeneuti

    When Words Fail

    "For me, one of the hardest parts of living with ME was the absence of a clear framework for describing and understanding it. The way I had once made sense of my body no longer applied …

    I had no reference points for what I was experiencing."

    @mecfs

    #MEcfs #PwME #ThereForME #MEAwareness #MyalgicEncephalomyelitis

  9. New Zealand GP Group Disavows Lightning Process Endorsement; BBC’s Con or Cure Takes Skeptical Look at LP

    By David Tuller, DrPH

    “A small step in New Zealand”

    Sometimes there is modest good news.

    In this case, the good news is all due to the diligent efforts of Nina Steinkopf, who writes the always useful blog MElife (MElivet). Steinkopf, who was diagnosed with ME in 2010, mostly covers goings-on in Norway and across Scandinavia. That means she frequently writes about the Lightning Process (LP), which seems to have some high-profile and media-friendly advocates in the region.  

    The modest good news relates to a recent LP paper from a New Zealand general practitioner, Bruce Arroll, and colleagues. Published in February in the Journal of Family Medicine and Primary Care, it was called “An audit of 12 cases of long COVID following the lightning process intervention examining benefits and harms.” (Dr Arroll is known in New Zealand for his advocacy of the LP.)

    As I wrote in a post last month, the paper is a load of nonsense, for any number of reasons, including:

    “Of the 12 participants, five had self-diagnosed with Long Covid. Specific symptoms experienced by patients are not described at length. Did they suffer from post-exertional malaise? Did any of them meet diagnostic criteria for ME/CFS? Who knows?…The study included no comparison group, so it is impossible to make any legitimate causal conclusions–even though the authors clearly do. The participants took the LP around less than a year, on average, after their bout with COVID-19. That means they could easily have been on a normal path of recovery. Assumptions or claims that any reported improvements were due to the Lightning Process are unjustified and violate standard scientific principles.”

    In a glaring lapse, Dr Arroll and colleagues exempted themselves from ethical review for specious reasons. They interviewed multiple people, and ethical review was absolutely required by any standard. No reputable journal should even have ever considered publishing this paper. (Even before considering that it is of poor quality.)

    Steinkopf also had big issues with the paper. Unlike me (!!!), she took action.

    As she reported in late February, she wrote to the journal to express concerns. Then, as she explained in her most recent post (“A small step in New Zealand,” April 8th), she came across an article about the Lightning Process that Dr Arroll had co-written for New Zealand Doctor, a website for health professionals.

    The article, headlined “Using Lightning Process to break cycle of fatigue in long COVID,” was published under a column heading called “Practice.” Steinkopf noticed that the article carried the following note: “This Practice article has been endorsed by the RNZCGP and has been approved for up to 0.5 credits for continuing professional development purposes.” The RNZCGP is the Royal New Zealand College of General Practitioners.

    Steinkopf wrote to the RNZCGP, questioning the organization’s endorsement of the practice article in New Zealand Doctor and alerting them to issues with the journal paper on which it was based. A few hours later she received the following response:

    “Kia ora Nina,

    Thank you for your patience while we investigated this matter.

    Please note that the Journal of Family Medicine and Primary Care 2025 is not affiliated with the Royal New Zealand College of General Practitioners (the College). We have, however, located the article in question on the NZ Doctor platform, which is one of our endorsed education providers.

    That said, the Lightning Process is not a topic endorsed by the College, as it does not align with current NICE guidelines. [The UK’s National Institute for Health and Care Excellence recommended against the Lightning Process in its 2021 guidelines for ME/CFS.]

    We have contacted NZ Doctor and requested that they remove any reference suggesting College endorsement and clearly state that this article is not endorsed by the College.

    Please feel free to reach out if you have any further questions.”

    And that was that. New Zealand’s GP association was stating clearly that they follow the 2021 NICE guidelines in this instance and do not endorse the LP. Dr Arroll’s article in New Zealand Doctor now carries the following alert: “The RNZCGP does not endorse this content for continuing professional development purposes.” The Journal of Family Medicine and Primary Care has not dealt with the problems involving Dr Arroll’s LP paper, but that’s another issue.

    Even if they’re small, small steps are important and should be celebrated! And often small steps do not happen on their own, without some impetus. Luckily, in this case, the observant Steinkopf was paying attention to the details and prompted a substantive change.

    **********

    BBC’s Cure or Con takes on the LP

    The BBC series of health segments called Dr Xand’s Con or Cure, with the physician and TV presenter Christopher van Tulleken, just took on the Lightning Process. (Apparently van Tulleken’s identical twin is also a physician and TV presenter, and the two sometimes work together. They were not on my radar.  Are they well-known in the UK?) The nine-minute segment focused largely on the story of Oonagh Cousins, the former rower forced by Long Covid to give up her Olympic dreams.

    (I interviewed Cousins last summer. She always comes across as thoughtful and well-spoken. She now works with #ThereForME, an awareness and advocacy campaign.)

    In the segment, Cousins recounted how faith healer and LP-founder Phil Parker himself had recruited her to the program. After she appeared in the press talking about her situation, he contacted her and offered her a free course of LP as a way to get rid of her debilitating Long Covid symptoms. Well, it didn’t work—and it led Cousins to begin advising patients to be wary of the claims made by the LP and other self-styled “mind-body” programs. Besides Cousins, the segment included an interview with Dr Melissa Heightman, a respiratory specialist consultant.

    (View the original post at virology.ws)

    #LightningProcess #NinaSteinkopf #norway #ThereForME

  10. New Zealand GP Group Disavows Lightning Process Endorsement; BBC’s Con or Cure Takes Skeptical Look at LP

    By David Tuller, DrPH

    “A small step in New Zealand”

    Sometimes there is modest good news.

    In this case, the good news is all due to the diligent efforts of Nina Steinkopf, who writes the always useful blog MElife (MElivet). Steinkopf, who was diagnosed with ME in 2010, mostly covers goings-on in Norway and across Scandinavia. That means she frequently writes about the Lightning Process (LP), which seems to have some high-profile and media-friendly advocates in the region.  

    The modest good news relates to a recent LP paper from a New Zealand general practitioner, Bruce Arroll, and colleagues. Published in February in the Journal of Family Medicine and Primary Care, it was called “An audit of 12 cases of long COVID following the lightning process intervention examining benefits and harms.” (Dr Arroll is known in New Zealand for his advocacy of the LP.)

    As I wrote in a post last month, the paper is a load of nonsense, for any number of reasons, including:

    “Of the 12 participants, five had self-diagnosed with Long Covid. Specific symptoms experienced by patients are not described at length. Did they suffer from post-exertional malaise? Did any of them meet diagnostic criteria for ME/CFS? Who knows?…The study included no comparison group, so it is impossible to make any legitimate causal conclusions–even though the authors clearly do. The participants took the LP around less than a year, on average, after their bout with COVID-19. That means they could easily have been on a normal path of recovery. Assumptions or claims that any reported improvements were due to the Lightning Process are unjustified and violate standard scientific principles.”

    In a glaring lapse, Dr Arroll and colleagues exempted themselves from ethical review for specious reasons. They interviewed multiple people, and ethical review was absolutely required by any standard. No reputable journal should even have ever considered publishing this paper. (Even before considering that it is of poor quality.)

    Steinkopf also had big issues with the paper. Unlike me (!!!), she took action.

    As she reported in late February, she wrote to the journal to express concerns. Then, as she explained in her most recent post (“A small step in New Zealand,” April 8th), she came across an article about the Lightning Process that Dr Arroll had co-written for New Zealand Doctor, a website for health professionals.

    The article, headlined “Using Lightning Process to break cycle of fatigue in long COVID,” was published under a column heading called “Practice.” Steinkopf noticed that the article carried the following note: “This Practice article has been endorsed by the RNZCGP and has been approved for up to 0.5 credits for continuing professional development purposes.” The RNZCGP is the Royal New Zealand College of General Practitioners.

    Steinkopf wrote to the RNZCGP, questioning the organization’s endorsement of the practice article in New Zealand Doctor and alerting them to issues with the journal paper on which it was based. A few hours later she received the following response:

    “Kia ora Nina,

    Thank you for your patience while we investigated this matter.

    Please note that the Journal of Family Medicine and Primary Care 2025 is not affiliated with the Royal New Zealand College of General Practitioners (the College). We have, however, located the article in question on the NZ Doctor platform, which is one of our endorsed education providers.

    That said, the Lightning Process is not a topic endorsed by the College, as it does not align with current NICE guidelines. [The UK’s National Institute for Health and Care Excellence recommended against the Lightning Process in its 2021 guidelines for ME/CFS.]

    We have contacted NZ Doctor and requested that they remove any reference suggesting College endorsement and clearly state that this article is not endorsed by the College.

    Please feel free to reach out if you have any further questions.”

    And that was that. New Zealand’s GP association was stating clearly that they follow the 2021 NICE guidelines in this instance and do not endorse the LP. Dr Arroll’s article in New Zealand Doctor now carries the following alert: “The RNZCGP does not endorse this content for continuing professional development purposes.” The Journal of Family Medicine and Primary Care has not dealt with the problems involving Dr Arroll’s LP paper, but that’s another issue.

    Even if they’re small, small steps are important and should be celebrated! And often small steps do not happen on their own, without some impetus. Luckily, in this case, the observant Steinkopf was paying attention to the details and prompted a substantive change.

    **********

    BBC’s Cure or Con takes on the LP

    The BBC series of health segments called Dr Xand’s Con or Cure, with the physician and TV presenter Christopher van Tulleken, just took on the Lightning Process. (Apparently van Tulleken’s identical twin is also a physician and TV presenter, and the two sometimes work together. They were not on my radar.  Are they well-known in the UK?) The nine-minute segment focused largely on the story of Oonagh Cousins, the former rower forced by Long Covid to give up her Olympic dreams.

    (I interviewed Cousins last summer. She always comes across as thoughtful and well-spoken. She now works with #ThereForME, an awareness and advocacy campaign.)

    In the segment, Cousins recounted how faith healer and LP-founder Phil Parker himself had recruited her to the program. After she appeared in the press talking about her situation, he contacted her and offered her a free course of LP as a way to get rid of her debilitating Long Covid symptoms. Well, it didn’t work—and it led Cousins to begin advising patients to be wary of the claims made by the LP and other self-styled “mind-body” programs. Besides Cousins, the segment included an interview with Dr Melissa Heightman, a respiratory specialist consultant.

    (View the original post at virology.ws)

    #LightningProcess #NinaSteinkopf #norway #ThereForME

  11. New Zealand GP Group Disavows Lightning Process Endorsement; BBC’s Con or Cure Takes Skeptical Look at LP

    By David Tuller, DrPH

    “A small step in New Zealand”

    Sometimes there is modest good news.

    In this case, the good news is all due to the diligent efforts of Nina Steinkopf, who writes the always useful blog MElife (MElivet). Steinkopf, who was diagnosed with ME in 2010, mostly covers goings-on in Norway and across Scandinavia. That means she frequently writes about the Lightning Process (LP), which seems to have some high-profile and media-friendly advocates in the region.  

    The modest good news relates to a recent LP paper from a New Zealand general practitioner, Bruce Arroll, and colleagues. Published in February in the Journal of Family Medicine and Primary Care, it was called “An audit of 12 cases of long COVID following the lightning process intervention examining benefits and harms.” (Dr Arroll is known in New Zealand for his advocacy of the LP.)

    As I wrote in a post last month, the paper is a load of nonsense, for any number of reasons, including:

    “Of the 12 participants, five had self-diagnosed with Long Covid. Specific symptoms experienced by patients are not described at length. Did they suffer from post-exertional malaise? Did any of them meet diagnostic criteria for ME/CFS? Who knows?…The study included no comparison group, so it is impossible to make any legitimate causal conclusions–even though the authors clearly do. The participants took the LP around less than a year, on average, after their bout with COVID-19. That means they could easily have been on a normal path of recovery. Assumptions or claims that any reported improvements were due to the Lightning Process are unjustified and violate standard scientific principles.”

    In a glaring lapse, Dr Arroll and colleagues exempted themselves from ethical review for specious reasons. They interviewed multiple people, and ethical review was absolutely required by any standard. No reputable journal should even have ever considered publishing this paper. (Even before considering that it is of poor quality.)

    Steinkopf also had big issues with the paper. Unlike me (!!!), she took action.

    As she reported in late February, she wrote to the journal to express concerns. Then, as she explained in her most recent post (“A small step in New Zealand,” April 8th), she came across an article about the Lightning Process that Dr Arroll had co-written for New Zealand Doctor, a website for health professionals.

    The article, headlined “Using Lightning Process to break cycle of fatigue in long COVID,” was published under a column heading called “Practice.” Steinkopf noticed that the article carried the following note: “This Practice article has been endorsed by the RNZCGP and has been approved for up to 0.5 credits for continuing professional development purposes.” The RNZCGP is the Royal New Zealand College of General Practitioners.

    Steinkopf wrote to the RNZCGP, questioning the organization’s endorsement of the practice article in New Zealand Doctor and alerting them to issues with the journal paper on which it was based. A few hours later she received the following response:

    “Kia ora Nina,

    Thank you for your patience while we investigated this matter.

    Please note that the Journal of Family Medicine and Primary Care 2025 is not affiliated with the Royal New Zealand College of General Practitioners (the College). We have, however, located the article in question on the NZ Doctor platform, which is one of our endorsed education providers.

    That said, the Lightning Process is not a topic endorsed by the College, as it does not align with current NICE guidelines. [The UK’s National Institute for Health and Care Excellence recommended against the Lightning Process in its 2021 guidelines for ME/CFS.]

    We have contacted NZ Doctor and requested that they remove any reference suggesting College endorsement and clearly state that this article is not endorsed by the College.

    Please feel free to reach out if you have any further questions.”

    And that was that. New Zealand’s GP association was stating clearly that they follow the 2021 NICE guidelines in this instance and do not endorse the LP. Dr Arroll’s article in New Zealand Doctor now carries the following alert: “The RNZCGP does not endorse this content for continuing professional development purposes.” The Journal of Family Medicine and Primary Care has not dealt with the problems involving Dr Arroll’s LP paper, but that’s another issue.

    Even if they’re small, small steps are important and should be celebrated! And often small steps do not happen on their own, without some impetus. Luckily, in this case, the observant Steinkopf was paying attention to the details and prompted a substantive change.

    **********

    BBC’s Cure or Con takes on the LP

    The BBC series of health segments called Dr Xand’s Con or Cure, with the physician and TV presenter Christopher van Tulleken, just took on the Lightning Process. (Apparently van Tulleken’s identical twin is also a physician and TV presenter, and the two sometimes work together. They were not on my radar.  Are they well-known in the UK?) The nine-minute segment focused largely on the story of Oonagh Cousins, the former rower forced by Long Covid to give up her Olympic dreams.

    (I interviewed Cousins last summer. She always comes across as thoughtful and well-spoken. She now works with #ThereForME, an awareness and advocacy campaign.)

    In the segment, Cousins recounted how faith healer and LP-founder Phil Parker himself had recruited her to the program. After she appeared in the press talking about her situation, he contacted her and offered her a free course of LP as a way to get rid of her debilitating Long Covid symptoms. Well, it didn’t work—and it led Cousins to begin advising patients to be wary of the claims made by the LP and other self-styled “mind-body” programs. Besides Cousins, the segment included an interview with Dr Melissa Heightman, a respiratory specialist consultant.

    (View the original post at virology.ws)

    #LightningProcess #NinaSteinkopf #norway #ThereForME

  12. New Zealand GP Group Disavows Lightning Process Endorsement; BBC’s Con or Cure Takes Skeptical Look at LP

    By David Tuller, DrPH

    “A small step in New Zealand”

    Sometimes there is modest good news.

    In this case, the good news is all due to the diligent efforts of Nina Steinkopf, who writes the always useful blog MElife (MElivet). Steinkopf, who was diagnosed with ME in 2010, mostly covers goings-on in Norway and across Scandinavia. That means she frequently writes about the Lightning Process (LP), which seems to have some high-profile and media-friendly advocates in the region.  

    The modest good news relates to a recent LP paper from a New Zealand general practitioner, Bruce Arroll, and colleagues. Published in February in the Journal of Family Medicine and Primary Care, it was called “An audit of 12 cases of long COVID following the lightning process intervention examining benefits and harms.” (Dr Arroll is known in New Zealand for his advocacy of the LP.)

    As I wrote in a post last month, the paper is a load of nonsense, for any number of reasons, including:

    “Of the 12 participants, five had self-diagnosed with Long Covid. Specific symptoms experienced by patients are not described at length. Did they suffer from post-exertional malaise? Did any of them meet diagnostic criteria for ME/CFS? Who knows?…The study included no comparison group, so it is impossible to make any legitimate causal conclusions–even though the authors clearly do. The participants took the LP around less than a year, on average, after their bout with COVID-19. That means they could easily have been on a normal path of recovery. Assumptions or claims that any reported improvements were due to the Lightning Process are unjustified and violate standard scientific principles.”

    In a glaring lapse, Dr Arroll and colleagues exempted themselves from ethical review for specious reasons. They interviewed multiple people, and ethical review was absolutely required by any standard. No reputable journal should even have ever considered publishing this paper. (Even before considering that it is of poor quality.)

    Steinkopf also had big issues with the paper. Unlike me (!!!), she took action.

    As she reported in late February, she wrote to the journal to express concerns. Then, as she explained in her most recent post (“A small step in New Zealand,” April 8th), she came across an article about the Lightning Process that Dr Arroll had co-written for New Zealand Doctor, a website for health professionals.

    The article, headlined “Using Lightning Process to break cycle of fatigue in long COVID,” was published under a column heading called “Practice.” Steinkopf noticed that the article carried the following note: “This Practice article has been endorsed by the RNZCGP and has been approved for up to 0.5 credits for continuing professional development purposes.” The RNZCGP is the Royal New Zealand College of General Practitioners.

    Steinkopf wrote to the RNZCGP, questioning the organization’s endorsement of the practice article in New Zealand Doctor and alerting them to issues with the journal paper on which it was based. A few hours later she received the following response:

    “Kia ora Nina,

    Thank you for your patience while we investigated this matter.

    Please note that the Journal of Family Medicine and Primary Care 2025 is not affiliated with the Royal New Zealand College of General Practitioners (the College). We have, however, located the article in question on the NZ Doctor platform, which is one of our endorsed education providers.

    That said, the Lightning Process is not a topic endorsed by the College, as it does not align with current NICE guidelines. [The UK’s National Institute for Health and Care Excellence recommended against the Lightning Process in its 2021 guidelines for ME/CFS.]

    We have contacted NZ Doctor and requested that they remove any reference suggesting College endorsement and clearly state that this article is not endorsed by the College.

    Please feel free to reach out if you have any further questions.”

    And that was that. New Zealand’s GP association was stating clearly that they follow the 2021 NICE guidelines in this instance and do not endorse the LP. Dr Arroll’s article in New Zealand Doctor now carries the following alert: “The RNZCGP does not endorse this content for continuing professional development purposes.” The Journal of Family Medicine and Primary Care has not dealt with the problems involving Dr Arroll’s LP paper, but that’s another issue.

    Even if they’re small, small steps are important and should be celebrated! And often small steps do not happen on their own, without some impetus. Luckily, in this case, the observant Steinkopf was paying attention to the details and prompted a substantive change.

    **********

    BBC’s Cure or Con takes on the LP

    The BBC series of health segments called Dr Xand’s Con or Cure, with the physician and TV presenter Christopher van Tulleken, just took on the Lightning Process. (Apparently van Tulleken’s identical twin is also a physician and TV presenter, and the two sometimes work together. They were not on my radar.  Are they well-known in the UK?) The nine-minute segment focused largely on the story of Oonagh Cousins, the former rower forced by Long Covid to give up her Olympic dreams.

    (I interviewed Cousins last summer. She always comes across as thoughtful and well-spoken. She now works with #ThereForME, an awareness and advocacy campaign.)

    In the segment, Cousins recounted how faith healer and LP-founder Phil Parker himself had recruited her to the program. After she appeared in the press talking about her situation, he contacted her and offered her a free course of LP as a way to get rid of her debilitating Long Covid symptoms. Well, it didn’t work—and it led Cousins to begin advising patients to be wary of the claims made by the LP and other self-styled “mind-body” programs. Besides Cousins, the segment included an interview with Dr Melissa Heightman, a respiratory specialist consultant.

    (View the original post at virology.ws)

    #LightningProcess #NinaSteinkopf #norway #ThereForME

  13. New Zealand GP Group Disavows Lightning Process Endorsement; BBC’s Con or Cure Takes Skeptical Look at LP

    By David Tuller, DrPH

    “A small step in New Zealand”

    Sometimes there is modest good news.

    In this case, the good news is all due to the diligent efforts of Nina Steinkopf, who writes the always useful blog MElife (MElivet). Steinkopf, who was diagnosed with ME in 2010, mostly covers goings-on in Norway and across Scandinavia. That means she frequently writes about the Lightning Process (LP), which seems to have some high-profile and media-friendly advocates in the region.  

    The modest good news relates to a recent LP paper from a New Zealand general practitioner, Bruce Arroll, and colleagues. Published in February in the Journal of Family Medicine and Primary Care, it was called “An audit of 12 cases of long COVID following the lightning process intervention examining benefits and harms.” (Dr Arroll is known in New Zealand for his advocacy of the LP.)

    As I wrote in a post last month, the paper is a load of nonsense, for any number of reasons, including:

    “Of the 12 participants, five had self-diagnosed with Long Covid. Specific symptoms experienced by patients are not described at length. Did they suffer from post-exertional malaise? Did any of them meet diagnostic criteria for ME/CFS? Who knows?…The study included no comparison group, so it is impossible to make any legitimate causal conclusions–even though the authors clearly do. The participants took the LP around less than a year, on average, after their bout with COVID-19. That means they could easily have been on a normal path of recovery. Assumptions or claims that any reported improvements were due to the Lightning Process are unjustified and violate standard scientific principles.”

    In a glaring lapse, Dr Arroll and colleagues exempted themselves from ethical review for specious reasons. They interviewed multiple people, and ethical review was absolutely required by any standard. No reputable journal should even have ever considered publishing this paper. (Even before considering that it is of poor quality.)

    Steinkopf also had big issues with the paper. Unlike me (!!!), she took action.

    As she reported in late February, she wrote to the journal to express concerns. Then, as she explained in her most recent post (“A small step in New Zealand,” April 8th), she came across an article about the Lightning Process that Dr Arroll had co-written for New Zealand Doctor, a website for health professionals.

    The article, headlined “Using Lightning Process to break cycle of fatigue in long COVID,” was published under a column heading called “Practice.” Steinkopf noticed that the article carried the following note: “This Practice article has been endorsed by the RNZCGP and has been approved for up to 0.5 credits for continuing professional development purposes.” The RNZCGP is the Royal New Zealand College of General Practitioners.

    Steinkopf wrote to the RNZCGP, questioning the organization’s endorsement of the practice article in New Zealand Doctor and alerting them to issues with the journal paper on which it was based. A few hours later she received the following response:

    “Kia ora Nina,

    Thank you for your patience while we investigated this matter.

    Please note that the Journal of Family Medicine and Primary Care 2025 is not affiliated with the Royal New Zealand College of General Practitioners (the College). We have, however, located the article in question on the NZ Doctor platform, which is one of our endorsed education providers.

    That said, the Lightning Process is not a topic endorsed by the College, as it does not align with current NICE guidelines. [The UK’s National Institute for Health and Care Excellence recommended against the Lightning Process in its 2021 guidelines for ME/CFS.]

    We have contacted NZ Doctor and requested that they remove any reference suggesting College endorsement and clearly state that this article is not endorsed by the College.

    Please feel free to reach out if you have any further questions.”

    And that was that. New Zealand’s GP association was stating clearly that they follow the 2021 NICE guidelines in this instance and do not endorse the LP. Dr Arroll’s article in New Zealand Doctor now carries the following alert: “The RNZCGP does not endorse this content for continuing professional development purposes.” The Journal of Family Medicine and Primary Care has not dealt with the problems involving Dr Arroll’s LP paper, but that’s another issue.

    Even if they’re small, small steps are important and should be celebrated! And often small steps do not happen on their own, without some impetus. Luckily, in this case, the observant Steinkopf was paying attention to the details and prompted a substantive change.

    **********

    BBC’s Cure or Con takes on the LP

    The BBC series of health segments called Dr Xand’s Con or Cure, with the physician and TV presenter Christopher van Tulleken, just took on the Lightning Process. (Apparently van Tulleken’s identical twin is also a physician and TV presenter, and the two sometimes work together. They were not on my radar.  Are they well-known in the UK?) The nine-minute segment focused largely on the story of Oonagh Cousins, the former rower forced by Long Covid to give up her Olympic dreams.

    (I interviewed Cousins last summer. She always comes across as thoughtful and well-spoken. She now works with #ThereForME, an awareness and advocacy campaign.)

    In the segment, Cousins recounted how faith healer and LP-founder Phil Parker himself had recruited her to the program. After she appeared in the press talking about her situation, he contacted her and offered her a free course of LP as a way to get rid of her debilitating Long Covid symptoms. Well, it didn’t work—and it led Cousins to begin advising patients to be wary of the claims made by the LP and other self-styled “mind-body” programs. Besides Cousins, the segment included an interview with Dr Melissa Heightman, a respiratory specialist consultant.

    (View the original post at virology.ws)

    #LightningProcess #NinaSteinkopf #norway #ThereForME

  14. UK #ThereForME:

    “Exploring the barriers that impact access to NHS care for people with ME & Long Covid” - Karen Hargrave

    A short article highlighting problems people with ME/CFS have accessing suitable NHS care. Posted on the Patient Safety Learning website, with opportunity for people to join & add their experiences.

    pslhub.org/learn/improving-pat

    #mecfs @mecfs #longcovid @longcovid

  15. Interview by David Tuller @davetuller1.bsky.social
    with Karen Hargrave, Co-Founder of #ThereForME

    virology.ws/2024/11/21/trial-b

    A conversation with Karen Hargrave from the advocacy campaign #ThereForME about how the campaign started and what they hope to achieve.

    #MEcfs #PwME #CFS @mecfs

  16. #ThereForME have sent a letter, co-signed by 28 organisations and smaller initiatives, to Layla Moran MP (chair of the UK government Health and Social Care Select Committee). "The letter points to inadequacies, present and historic, in care for people with ME and Long Covid, and calls on the committee to undertake an inquiry."

    thereforme.uk/p/thereforme-let

    @mecfs

    #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME

    @longcovid
    #LongCovid

  17. By David Tuller, DrPH

    Tuesday, September 17th, was World Patient Safety Day. (I didn’t know that either.) In the UK, more than 200 physicians, nurses and other health care providers and professionals marked the occasion by issuing an appeal—in the form of a letter to Wes Streeting, Secretary of State for Health and Social Care since–about the dire state of care for ME patients within the National Health Service. The letter highlighted in particular the plight of patients with severe ME.

    The inquest this summer into the death of Maeve Boothby O’Neill, who died in Exeter three years ago at the age of 27, drew widespread attention to the abysmal situation for such patients at NHS hospitals. The presiding coroner, Deborah Archer, ruled that no individuals were responsible for causing or contributing to Maeve’s death, although she acknowledged that some of the decisions made were concerning. On Friday, September 27th, she will hold a hearing to consider whether to issue a report with recommendations to prevent future deaths.

    As a Times article about this week’s letter to Secretary Streeting noted:

    “A lack of NHS specialist services was highlighted at the inquest of Maeve Boothby O’Neill, who died in 2021 aged 27. An inquest last month concluded that she died from malnutrition caused by severe ME, with the government acknowledging that Boothby O’Neill ‘fell through the cracks’ and was “repeatedly misunderstood and dismissed” by the NHS.”

    Dr Binita Kane, a respiratory physician in Manchester, co-organized the letter with #ThereForME, a campaign launched by carers for patients with severe ME associated with Long Covid. Dr Kane posted a thread about the letter on X (the former Twitter). The first listed demand is “acknowledgement from the very top of government…that gaps in NHS services for ME are resulting in serious patient safety concerns” and a commitment “to taking action.”

    I have posted the full letter below, along with all the signatories. (I haven’t counted them, but the article in The Times says there are 202.)

    **********

    Dear Secretary of State,

    We write to you on World Patient Safety Day to express our concerns about the safety of patients with Myalgic Encephalomyelitis (ME) within the NHS.

    In August over 2,600 patients and carers affected by ME and Long Covid wrote to you, sharing recommendations from the #ThereForME campaign. The Department of Health and Social Care has thus far declined to meet with the campaign. On World Patient Safety Day, we – as healthcare workers – call on you to listen to their voices and take immediate action.

    The theme for this year’s World Patient Safety Day is ‘Improving diagnosis for patient safety’, using the slogan ‘Get it right, make it safe’. Devastatingly, for patients with ME this simply is not true. There is little access to truly specialist ME care or treatment within the NHS and paradoxically, the sicker a patient is, the less care they receive. 

    The number of people affected by ME has grown vastly since the start of the pandemic. Although the data is difficult to disentangle, by some estimates as many as half of patients with Long Covid could meet the diagnostic criteria for ME and face the same gaps in NHS care. Even if doctors and healthcare professionals are knowledgeable and willing to treat patients, the infrastructure to provide safe and appropriate care does not exist.

    Like all patients, people with ME deserve safe care within the NHS. 

    Patients at the severe end of the disease spectrum are bedridden, sometimes tube-fed and confined to quiet, darkened rooms due to extreme light and sound sensitivity. Hospital appointments or admissions often become impossible or make the condition worse. In the most extreme cases, patients languish behind closed doors with little or no support. Some – including high-profile cases in the media – have even starved to death. 

    This is a state of affairs barely conceivable in the UK in 2024.

    The new cross-government delivery plan is a welcome opportunity to put patient safety at the heart of NHS care – but it will be months before the plan is published and perhaps years before it is implemented. Urgent action is needed today. 

    On World Patient Safety Day we call on you to:

    • Acknowledge, from the very top of government, that gaps in NHS services for ME are resulting in serious patient safety concerns, and commit to taking action.
    • Work with us to immediately convene an ME Clinical Taskforce to provide emergency specialist guidance in cases where patients are hospitalised, and drive forwards improvements in NHS treatment and care (including managing risks of malnutrition).
    • Commit that this government will hold NHS Trusts and Integrated Care Boards accountable for implementing guidance from NICE on diagnosing and managing ME (NG206), recognising that a failure to do so risks unsafe care.

    Doing nothing is not safe. We urge you to take action now. 

    Your sincerely,

    Dr Binita Kane – Consultant Respiratory Physician, special interest in ME/ Long COVID, Manchester

    Professor Carolyn Chew-Graham OBE – GP Principal and Professor of General Practice Research, Manchester

    Dr Anna Porter – NHS GP, North Central London

    Dr David Shakespeare – Consultant in Neurological Rehabilitation Medicine, Lancashire, Royal Preston Hospital

    Dr Deepak Ravindran – Consultant NHS Pain Medicine, specialist interest in Long COVID, Berkshire

    Dr Hollie Francis – GP Partner, Greater Manchester

    Professor Amitava Banerjee –  Consultant Cardiologist and Professor of Clinical Data Science, London

    Dr Michelle Moore – GP Partner, Greater Manchester

    Dr Cilla Rosen – GP with extended role in Long Covid, Hampshire

    Professor Melvin Lobo – Cardiovascular Physician, Specialist in hypertension and PoTs, London, London Bridge Hospital

    Dr Melissa Sargaison – Specialist Physician, Clinical Lead ME/CFS & Fibromyalgia Service, London, Royal London Hospital for Integrated Medicine

    Dr Sarah Mason-Whitfield- GP, special interest in Emergency Medicine, London

    Dr Helen Miles – GP, Oxfordshire

    Professor Sarah Tyson – Physiotherapist and Honorary Professor of Rehabilitation, Manchester

    Dr Asad Khan – Consultant Respiratory Physician, Manchester

    Dr Ben Marsh – Consultant Neurodisability Paediatrician (retired), Exeter

    Dr Abbas Khushnood – Consultant Paediatric Cardiologist, special interest in Long COVID, Newcastle

    Dr Rebecca Goody – Consultant Clinical Oncologist, Leeds

    Robin McNelis – Clinical Physiotherapist, special interest in Long COVID, Epping Forest

    Dr Ben Sinclair – GP and Long Covid Doctor, London

    Dr Clare Rayner – Consultant Physician in Occupational Medicine, Society of Occupational Medicine Long Term Illnesses Taskforce, Greater Manchester

    Dr William Weir – Consultant in Infectious Disease, special interest in ME, London

    Dr Claire Taylor – GP, special interest in Long Covid/ME, Perth, Scotland

    Dr Rebekah Holmes – GP, Manchester, Northenden Group Practice

    Dr Helen Salisbury – GP, Oxford

    Sheryl Randhawa – Registered Nurse. Community Mental Health Nurse, London, Mother/Carer of Hannah who died of severe ME in 2022

    Michael Lauchlan – Emergency Care Assistant, East Midlands

    Amy Urry – Family and Systemic Psychotherapist, Exeter

    Dr Rebecca Williams – GP Registrar with specialist interest in Paediatrics, training on hold due to ill health, West Yorkshire

    Dr Rebecca Hall – GP, special interest in ME/Long Covid, Somerset

    Dr Linn Järte – Specialist Registrar in anaesthetics, Wales

    Julie Taylor – Nurse, special interest in Long Covid, Hull

    Angela Tillen – Clinical Phlebotomist, supporting care of community patients with ME, Derby

    Edd Tillen – Clinical Phlebotomist, supporting care of community patients with ME, Derby

    Dr Clarke Gostelow – Junior Doctor

    Dr Nicola Clague-Baker – Physiotherapist and Lecturer with special interest in ME, Liverpool, University of Liverpool, Physios For ME

    Dr Michelle Bull – Physiotherapist, special interest in ME, Surrey, Physios For ME

    Karen Leslie – Physiotherapist, special interest in ME, Merseyside, Physios For ME

    Dr Charles Shepherd – Honorary Medical Advisor to ME Association

    Dr Yasmin Levene – Histopathologist, London

    Claire Appleton – Paramedic, Harrogate

    Dr Eleanor Balmer – Consultant Paediatrician, Manchester

    Carla Golding – Registered Nurse and Clinical Governance Advisor, Staffordshire

    Aileen Mulligan – Registered Nurse, Belfast

    Rachel Potter – Staff Nurse

    Mandy Jones – Midwife, East Cheshire

    Lorraine Horobin – Registered Nurse, Corporate Clinical Governance Facilitator, Staffordshire

    Dr Nigel Speight – Paediatrician, special interest in ME, Durham

    Dr Mark Fabrowski – NHS GP, Sussex, Medical Advisor to Long Covid Foundation

    Dr Robin Kerr – GP, Scotland, Action For ME

    Dr Katherine Wildon – GP, North West

    Dr Joanne Murray – Consultant Clinical Psychologist, Manchester

    Sarah Benjamins – Nutritionist, Manchester

    Claire Sehinson – Functional Medicine Practitioner, Surrey

    Amanda Dench – Paediatric Diabetes Nurse Specialist, East England, East of England Trust

    Dr Stephanie de Giorgio – GP, East Kent

    Mihai Mihai – Registered Nurse, Exetter

    Dr Rageshri Dhairyawan – Consultant in Sexual Health, London

    Dr Moira Phillips – Consultant Clinical Psychologist, Glasgow

    Matthew Strang – Orthopaedic Surgeon, Bristol

    Dr Kate Christie – GP, Surrey

    Dr Emma Rivers – GP, Wetherby

    Dr Azima Hussain – GP West Yorkshire

    Dr Sakander Mahmud – Functional Disability Assessor (DWP), former GP registrar, West Yorkshire

    Dr Alexis Gilber – Consultant in Health Protection, Leeds, UKHSA

    Dr Sherena Nair – Consultant Elderly Medicine, Leeds, Leeds Teaching Hospitals NHS Trust

    Dr Laura Graystone – GP Registrar, North Yorkshire

    Dr Pia-Sophie Wool – GP, special interest in Paediatrics, Worcestershire

    Dr Rachel Duncan – GP, special interest in Dementia, Sussex

    Dr Johanna Theron – Clinical Lead Long Covid, Kent, Kent and Medway ICB

    Kerry Davies – Registered Nurse, Cumbria

    Dr Susie Harris – Emergency Care Registrar, Wirral

    Dr Paul Smith – Consultant Physician, Lancaster

    Dr Fayyaz Chaudhri – Community Dermatologist, North Cumbria

    Dr Clare McNulty – Consultant Anaesthetist, Scotland

    Sharon Garton – Registered Nurse, Derby, University Hospitals of Derby and Burton NHS Foundation Trust

    Angela Marsden – Advanced Nurse Practitioner, East Sussex, Supporting Healthcare Heroes

    Dr Alison Twycross – Nursing Professor and Deputy Dean (retired), Honorary Associate, Professor, Aylesbury, Supporting Healthcare Heroes, University of Birmingham

    Dr Vikki McKeever – GP, special interest in ME/CFS, Leeds and York

    Dr Elke Hausmann – GP, Derby

    Amy Warbuton – Advanced Clinical Practitioner for Diabetes and Endocrinology, Lancaster, Royal Lancaster Infirmary

    Dr Badia Ahmed – Histopathology Speciality Trainee Doctor, London

    Dr Sheena Rakhra – GP, London

    Gill Armstrong – Nurse Manager (retired), London

    Professor Lesley Kavi – GP (retired), Visiting Professor, Warwickshire, Trustee and Chairperson of PoTs UK

    Dr Rachel Reaveley – Rehabilitation Consultant, North East

    Dr Anam Ahmed – GP and LTFT Obs and Gyne speciality training registrar, South Yorkshire

    Dr Clare Rollason – GP, Urgent Care, Lancaster

    Dr Andrew Blease – GP, East Kent

    Sophie Lewthwaite – Registered Nurse, Cumbria

    Deborah Singleton – Nurse specialist Long Covid, Cumbria

    Dr Yasmin Razak -NHS GP & Educator, London, Golborne Medical Centre

    Dr Hannah Georgious – GP, Cheshire

    Dr Paulette Ah-Chung – GP (Retired), Essex

    Dr Gemma Banham – Consultant Renal Medicine and General Internal Medicine, West Midlands

    Dr Nina Muirhead – Consultant Dermatologist, London

    Dr Sarah Glynne – GP and Menopause Specialist, London, The Portland Hospital

    Dr Paul Glynne – Consultant Physician, special interest in Long COVID, London, ULCH

    Dr Ian Barros D’Sa – Consultant Radiologist, Birmingham

    Dr Shaun Qureshi – Palliative Medicine Physician, Oxford

    Dr Helen Smith – GP, Bedfordshire

    Patricia Temple – Staff Nurse NHS

    Dr Gareth Price – GP Partner, West Yorkshire

    Dr Adelaide Lippold – GP, North Yorkshire

    Clare Westwood – Advanced Nurse Practitioner, West Yorkshire, Huddersfield Royal Infirmary

    Katie Wade – Advanced Clinical Practitioner, Paediatrics, West Yorkshire, Calderdale Royal Hospital

    Leanne Spender – Midwife, North Yorkshire, Harrogate Royal Hospital

    Dr Natalie Winfield – GP, Leeds

    Ellen Dedus – Children’s Community Nurse, West Suffolk, West Suffolk Foundation Trust

    Kate MacDougall – Physiotherapist, Bedford

    Sally Jennings – Palliative Care Physiotherapist (Retired), Leicester

    Dr Timothy Jennings – GP (Retired), Leicestershire

    Dr Julia Ward – GP, Dundee

    Dr Eleanor Drager – Consultant in Genitourinary Medicine, London

    Dr Cara Strachan – GP Locum, East Lothian

    Dr Salina Jain-Parmar – GP, North Leeds

    Dr Julie McDonald – Consultant Anaesthetist, Aberdeen, Aberdeen Royal Infirmary

    Dr Calum McDonald – Consultant Anaesthetist, Aberdeen, Aberdeen Royal Infirmary

    Dr Chia Liang – Consultant Geriatrician, London

    Dr Rachel Ali – GP, Plymouth

    Dr Sara Thompson – GP, Hertfordshire

    Dr Amy Small – GP, Sheffield

    Dr Catherine Steven – GP Partner, North London

    Dr Lakhveer Manku – Consultant Physician, Manchester, Northern Care Alliance

    Dr Mary-Ann Bentham – Consultant Paediatric Anaesthetist (Locum), Manchester, Manchester Children’s Hospital

    Dr Susannah Thompson – GP, North East

    Dr Kul Bushan – Consultant Psychiatrist, London

    Dr Anna Wylie – GP, Cambridgeshire

    Dr Avril Washington – Consultant Paediatrician, London

    Alice Martin – Midwife, Suffolk

    Dr Angela Stevens-King – GP Partner, Cambridgeshire

    Dr Aisha Sarwar – GP, Manchester

    Karen Donaldson – Respiratory ACP, Lancashire

    Anna Gregorowki – Consultant Nurse and BACME Chair, London, University College London Hospital

    Dr Richard Tozer – Consultant Paediatrician and Local lead for ME/CFS, Devon

    Dr Kelly Fearnley – Foundation Doctor, Bradford, Bradford Royal Infirmary

    Maria Esslinger-Raven – Midwife, Lancashire

    Dr Brian Holloway – Consultant Radiologist, London

    Dr Wolfgang Water – GP, Bristol

    Dr Sarah Jenkins – Consultant Neuroradiologist, Glasgow, NHS Greater Glasgow & Clyde

    Dr Mary Zadik – GP, Greater Manchester

    Dr Sarah Pocknell – GP (medically retired), London

    Jonathon Dunn – Family and Systemic Psychotherapist, West Devon

    Debora Tudge – Specialist Public Health Practitioner, Derbyshire

    Emma Brown – Specialist Nurse, Cumbria, Dismissed from NHS on grounds of ill health, due to Long Covid

    Professor Louise Cummings – Professor of Clinical Linguistics, York, St Johns University, UK

    Rachel Jessey – Long Covid Nutritionist, Hampshire

    Jessica Wainman-Lefley – Clinical Psychologist, Glasgow

    Marina Townend – Specialist Occupational Therapist, Team Lead on ME/CFS and Post-Covid Syndrome services, Malvern Community Hospital

    Dr Jonathan Fluxman –  GP (retired), London

    Dr Rachael Fear – SPT4 Obstetrics and Gynaecology

    Sue Luscombe – Registered Dietician, Bedfordshire, Honorary Dietary Adviser ME Association

    May Nisbet – Midwife (retired), Scotland, Aryshire and Arran NHS Trust

    Dr Sarah Gawthorpe – GP with Special Interest in Dermatology, Southampton

    David Martin – Clinical Psychologist, Suffolk

    Dr Helen Day – Consultant GP, Yeovil, Ryalls Park Medical Centre

    Dr Joanna Kirkcaldy – GP, Devon

    Dr Chantal Meystre – NHS Emeritus Palliative Medicine, West Midlands

    Dr Sophie Carpinteiro – GP and Genito-urinary Medicine Speciality Doctor, Brighton

    Dr Sarah Jordan – Consultant in Acute Medicine and Gastroenterology, Darlington

    Dr Alice Poskett – Obstetrics and Gynaecology, West Midlands

    Mrs Amy Pearson – Consultant ENT Surgeon, Hull

    Dr Sarah Loveridge – Surgical registrar (retired), Essex

    Dr Jennifer Gibb – FY2 Doctor, Severn Deanery

    Dr Christopher Gibb – GP, North Devon

    Dr Rebecca Steed – GP, Nottingham

    Dr Francesca Farmer – GP, London

    Dr Sammy Syed – GP, Manchester

    Dr Sharon Taylor – Psychiatrist, London

    Dr Kerry Smith – GP, Chichester

    Dr Lindsay Wakeford – GP, Rugby

    Dr Angela Wilkinson – Consultant Geriatrician, Fife

    Dr Rachel Jones – NHS Consultant, London

    Dr Davina Darmamin – Community Paediatrician, Cardiff, Cardiff & Vale University Health Board

    Dr Julia Bodle – Consultant in Obstetrics and Gynaecology, Sheffield

    Louise Lumb – Healthcare Assistant, Huddersfield, Huddersfield Royal Infirmary

    Dr Clare Bolt – Former Consultant Psychiatrist, Hereford

    Dr Laura Hobbs – GP, Hampshire

    Dr Kaveri Jalundhwala – GP Registrar, Thames Valley

    Dr Nathalie MacDermott – Consultant Paediatric Infectious Diseases, Cambridgeshire

    Dr James Gill – GP, Assistant Professor Warwick Medical School, Warwickshire

    Dr Terry Segal – Consultant adolescent paediatrician, Adolescent Specialties Lead, University College London Hospitals, London

    Fiona Mckechnie – Occupational Therapist, ME/CFS Advanced Clinical Practitioner, Bristol

    Dr Ella Billson – ST4 anaesthetics, West Yorkshire Deanery, West Yorkshire

    Dr Esther Mitchell – GP, Shetland

    Dr Alice Leaney – GP, Somerset

    Dr Leanne Royle – Consultant Paediatric Radiologist, Sheffield Children’s Hospital, Sheffield, 

    Dr Angela Rowntree – GP and Occupational Health Practitioner, Oxfordshire

    Dr Sophia Williams – CAMHS Psychiatrist (ST6), London

    Dr Rosemary Shilling – Consultant Anaesthetist, Midlands

    Dr Ian M Frayling – Consultant in Genetic Pathology (retired), Honorary Senior Clinical Research Fellow, Cardiff University, Wales

    Lesley Pickering – Specialist Occupational Therapist, North West Fatigue Clinic and Yorkshire ME/CFS Service, Lancashire

    Dr Holly Vickers – Consultant Urogynaecologist, Mid Yorkshire Teaching Trust, Yorkshire 

    Dr Gregory Gibson – Resident Doctor, London

    Sue Mangan – Practice Nurse, Primary Care, Greater Manchester

    Dr Charlotte Morris – GP, Greater Manchester

    Rebecca Matthews – Delivery Suite Coordinator, Harrogate and District Foundation Trust, Harrogate

    Dr Leila Hummerstone – GP, Pickering Medical Practice, North Yorkshire

    Dr Heather Reid – Paediatric Registrar, Royal London Hospital, London

    Dr Tessa Dessain – Anaesthetic Registrar, Bristol

    Hannah Ashcroft – Advanced Clinical Lead Practitioner, Leeds Teaching Hospitals, Leeds

    Dr Alice Reid – Foundation Year 1 Doctor, Royal Devon and Exeter Hospital, Devon

    https://trialbyerror.org/2024/09/18/uk-health-care-professionals-appeal-to-health-secretary-for-quick-action-on-poor-me-care/

    #ThereForME

  18. Open letter to the Health Secretary from 200 healthcare professionals raising concern about safety of patients with ME/CFS/Long Covid in the NHS:

    "... paradoxically, the sicker a patient is, the less care they receive.

    "Even if doctors and healthcare professionals are knowledgeable and willing to treat patients, the infrastructure to provide safe and appropriate care does not exist."

    thereforme.uk/p/9ee430f4-53b1-

    #ThereForME #LongCovid #MECFS