The Eleventh Hour–Is Your Illness a Mental Health Issue?

The following text has been supplied by Suzy Chapman for Dx Revision Watch.  Thank you, Suzy.  (http://dxrevisionwatch.com/

 

11th hour call: “Mislabeling Medical Illness As Mental Disorder”, Allen J. Frances, MD.

http://wp.me/pKrrB-2AL

On December 8, Allen J. Frances, MD, blogged at Psychology Today on our shared concerns for the new DSM-5 category – Somatic Symptom Disorder. Dr Frances was chair of the DSM-IV Task Force and of the department of psychiatry at Duke University School of Medicine, Durham, NC. He is currently professor emeritus, Duke.

One in six people suffering from cancer, heart and other serious diseases risks being saddled with a psychiatric diagnosis just because they are worried about their illness or spending more time on the internet researching their symptoms than APA thinks good for them.

But many illness groups stand to be captured by these new criteria, assigned an additional mental health diagnosis or placed at risk of misdiagnosis.

The DSM-5 manual texts are still being finalized and the Somatic Symptom Disorder Work Group has been asked to reconsider its criteria and tighten them up before the next edition of DSM is sent to the publishers.

Please demonstrate to APA and the Somatic Symptom Disorder Work Group the level of concern amongst clinicians and allied health professionals, patients, caregivers and advocacy organizations by visiting the blog post and leaving a comment. You can read the commentary at the link, below.

If you share our concerns that these catch-all criteria will see thousands more patients tagged with a mental health label please forward the link on to your colleagues and contacts.

Thank you,

Suzy Chapman for Dx Revision Watch (http://dxrevisionwatch.com/ )

Mislabeling Medical Illness As Mental Disorder: The Eleventh DSM-5 Mistake

http://www.psychologytoday.com/blog/dsm5-in-distress/201212/mislabeling-medical-illness-mental-disorder

Psychology Today, DSM5 in Distress, Allen Frances, MD, December 8, 2012

Additional commentary

Moving in the Wrong Direction

http://opbmed.blogspot.co.uk/2012/12/moving-in-wrong-direction.html

Dr Tiffany Taft, Ph.D., Northwestern University, December 13, 2012

Posted in Advocacy | Leave a comment

Murderous Mucor–a Mold Story

 

The Joplin, MO tornado

In May of 2011, a massive multi-vortex tornado passed through the city of Joplin, Missouri, killing approximately 160 people.  By June, it was evident that the aftermath was ongoing, as a new health issue emerged in handfuls of survivors. 

According to a June 10, 2011 article in the New York Times,

Several people who were injured when a tornado devastated Joplin, Mo., last month have become sickened by an uncommon, deadly fungal infection and at least three have died, although public health officials said Friday that a link between the infection and the deaths was not certain.

Mucormycosis had set in.  Mucor is a mold commonly found in soil, on plant surfaces, and in rotting vegetable matter.  According to some sources, it is also a fairly common laboratory contaminant.

However, mucor is also capable of aggressive and severe infection when it enters the human body, either via respiration or puncture wound. 

Those who have weakened immune systems have a mortality rate as high as 90 percent. Other people at risk include those with diabetes or cancer and burn victims.

http://www.nytimes.com/2011/06/11/us/11fungus.html?_r=0


The CDC arrives

Subsequently, the Centers for Disease Control and Prevention announced its participation in an investigation into the reports of fungal “skin” infection, which was being conducted by the Missouri Department of Health and Senior Services.  

http://www.cdc.gov/fungal/mucormycosis/outbreaks.html

The link to the CDC’s page on Mucormycosis appears to have not been updated since July of 2011; however, their Public Health Matters Blog contains the following entry from August of 2011:

http://blogs.cdc.gov/publichealthmatters/2011/08/tornado/

Althought the blog concentrates largely on the wonder of teamwork and the process of working with an investigative team, it was noted that..

the local laboratories in Missouri were quickly able to identify the fungal infection as mucormycosis so that the medical teams could begin the correct treatment.


Mucormycosis – Mark Tatum’s story
Mark Tatum suffered the loss of his face as a direct result of a Mucor infection. Drastic surgery was the only option to save his life.

Erik Johnson remarks on conversations he had with Mark Tatum, who died in 2005:

I met Mark Tatum in Sickbuildings and we discussed the cirumstances of his illness.

Mark told me that doctors were willing to save him with incredible surgery, but that RESEARCHERS made NO EFFORT to figure out why a common soil fungus had devastated him.

Based on the immunosuppressive capacity of Stachy, I proposed to Mark that he may have had a stachy exposure which wiped out immunity in his sinuses and allowed the mucor to get going.

Mark had Dr Richard Lipsey test his house, and found his place was full of it.

Mark was furious that this had been overlooked, and tried to tell people, but no one would listen.

Susan Lillard-Roberts wrote the following in a brief retrospective of Mark’s ordeal:

“I began to wonder if their home had toxic mold. Could this have been a contributing factor?

Tests conducted (courtesy of EM Labs) in 2002 confirmed high levels of cladosporium, penicillium, and aspergillus in his home. It is impossible to determine conclusively that high levels of indoor mold caused his illness, but it is highly probable to have been a contributing factor.”

http://www.mold-help.org/content/view/544/

“If memory serves, I explained to Mark that the testing methods were flawed, and miss stachybotrys almost every time,” remembers Erik, “and that he went back and searched again, and found the stachy. I believe he wanted to warn the other mucor cases about this, and find out if stachy was overlooked in their houses too. But it was too late.”

Mark Tatum died on February 26, 2005. 

According to a friend who spoke to him that day, Mr. Tatum was in good spirits and feeling very positive towards his future. He had just been fitted with a new prosthetic face (see below). He was extremely excited about helping victims of toxagenic mold exposure so he could uncover the real truth about fungus as a synonymous predator to the virus and bacteria.

http://www.prweb.com/releases/2005/03/prweb214542.htm


The Joplin Victims

Medline Plus, a service of the NIH, published an article on December 5, 2012, in which the Joplin Mucormycosis cases were discussed.   The “skin” infections were further described as “severe infections that ate away at the skin and underlying soft tissue” – more along the lines of “flesh-eating”. 

13 victims were treated.  Five died.  According to the article,

All of the patients had surgery to remove the infected, dead tissue, along with antifungal drugs — though six initially got drugs that are not active against mucormycosis-causing fungi. It’s not clear, the CDC team said, whether that made a difference in their outcomes.

http://www.nlm.nih.gov/medlineplus/news/fullstory_131969.html

CDC Confirms Fungus Type from May 22 Tornado – December 10, 2012

http://fourstateshomepage.com/fulltext/?nxd_id=347362

JOPLIN, MO.— The Center for Disease Control released a new study reporting the mold “Mucormycosis,” can be deadly when it enters deep wounds. The fungus can be found anywhere in nature but is not dangerous unless a person with a severe injury comes in contact with it. CDC researchers found 13 Joplin tornado victims with penetrating wounds had the fungus in their bodies. Five of those people died from a severe “Mucormycosis” infection. The study also points out only two antifungal drugs have been successful in treating the fungal infection.  


Moldy buildings – a set up for immune system failure?

Is it possible that immune systems everywhere are being compromised by shoddy construction and the resultant infestation of buildings by toxic mold and the pathogenic soup that ensues?  Perhaps.  We may never know the answer to that question if science continues to drag its political heels.  Incline Village (Chronic Fatigue Syndrome) survivor Erik Johnson has been trying to drag attention to the mold factor that was present at inception of CFS for over 25 years, with very little success.  To date, only one researcher has stepped up, and exactly zero CFS researchers have stepped up to look at the dynamics that were present at the beginning. 

Erik has developed what he calls the “Semmelweis Test” to gauge the integrity of those who would call themselves researchers.  To date, only one has passed the test. 

http://survivingmold.createsend1.com/t/ViewEmail/r/5E3AF582A3B80E4C/F2F08E63E1D25E36F99AA49ED5AF8B9E

Posted in Advocacy, Environment | 6 Comments

Life of Brain (blood barrier, that is)

Some things in life are bad.  They can really make you mad.
Other things just make you swear and curse.
When you’re chewing on life’s gristle, Don’t grumble, give a whistle.
And this’ll help things turn out for the best…Eric Idle, Monty Python’s Life Of Brian

The blood-brain barrier (BBB) is a highly effective biological mechanism, a metabolic and cellular barrier located in the capillaries of the brain.  Its primary function is to prevent the passage of nonessential molecules from the bloodstream to the neural tissue while allowing other substances through.  

Delivery of medications and chemical treatments directly to the brain has been a holy grail of science.   The hindrance has, of course, been the BBB.  Nanotechnology is enabling remarkable strides in this field, allowing us to explore the possibilities of nano-induced medication transport, nano-enhanced visual imaging of brain tumors, nanorebooting of blood flow after brain injury, and more.  The emerging field that involves interaction between nanomaterials and living systems is known as “bionanointeraction”.


We know that the high surface energy of nanoparticles is an attractant for VOCs (volatile organic compounds).

This is the trick that is being capitalized upon by science to transport medicines to the brain…use of the surface excitability of nanoparticles to “glom onto” other substances and carry them into the target area.

This is a really good, basic, and graphic little video of how the surface excitability of nanoparticles works:


We know that mold can biosynthesize nanoparticles.

In one of our previous blog pieces, “And now for something completely different!”, we discussed mold and its ability to produce nanoparticles.

In nanotechnology, it has been discovered that by using the natural processes of biological systems, Aspergillus fumigatus can be used as a nanoparticle factory. The synthesis process was quite fast and silver nanoparticles were formed within minutes of silver ion coming in contact with the cell filtrate, claims the Bhainsha study from 2006, Extracellular biosynthesis of silver nanoparticles using the fungus Aspergillus fumigatus

If mold is in fact capable of biosynthesizing nanoparticles and metabolizing them, then that compounds things even more. We know mold is capable of biosynthesis, because scientists are using that technology to create “nanofactories”. There’s no reason to think mold would only do this in captivity.


We know that in this day and age, mold has a lot more access to metal particles than it used to.

Heavy metal contamination from burning oil, aerosolized household chemicals and pesticides, heavy metals and inorganic ions in our waste material which becomes processed into fertilizer via sewer sludge, industrial off-gassing…all have contributed to a toxic planet. 


All of these things come into play in order to conceptualize this: 

What if mold has adapted?   What if it is evolving to meet its survival needs in the industrial atmosphere created by man’s machinations?  Fungi, after all, have been in the business of evolving for well over a billion years.  What if some molds have mutated to allow them to withstand formerly intolerable metal particulates, and convert them to nanoparticulates?


If you’re still with me so far, consider the following theorizations by Erik Johnson.   Based on the above, I found them to make perfect sense and to fit well with what my illness experience has been. 

  1. If a mold only produced nnps while obtaining metal particles, this could account for how the illnesses can mysteriously arise and disappear for “no reason”. Nanoparticle production would vary greatly.
  2. If the mold which produces the nnps is a toxin-producer, the attached VOC would be of the associated mycotoxin, or the toxin produced by that particular mold.
  3. But if the mold is NOT virulent, and just using Fentons (a bio-chemical process)to degrade materials… the resulting illness might be from whatever VOC was scrubbed from the air and transported into the brain instead of mycotoxins.

How would this manifest itself as illness expression?  Well, depending on the mold and what it came into contact with, there could be outbreaks of similar and yet slightly different illness.  According to Erik:

In hospitals, the nurses would have an inexplicable reaction to gluteraldehyde glommed onto the nnp.

In FEMA trailers, the “illness” would be the attached formaldehyde.

In Sheep Dip Farmers who get Myalgic Encephalomyelitis, it would be the OP pesticides they are using on moldy sheep.

In office buildings, reactions to the chemicals in carpet…. MCS galore!


More food for thought from Erik:

The common denominator between seemingly unrelated chemical exposures is that when mold is involved, novel pathogenesis is being seen.

In the past, mold did not have materials of such high density to process, so their Fentons would never have been so strong.

Which may account for the sporadic way this happened in the past, but has become quite common now.

The mold might sit there, toxic to bacteria, yet fairly benign against our normal human immunity, until metal particles sweep in on the winds, precipitate in the rain, channel to a mold colony, spew out nanoparticles, and suddenly turn the same mold colony into the “altered antigenic toxin spewing demon from Hell“, throwing out a means by which nearly any VOC that is there to be attracted by its surface energy, then suddenly allows these toxins to sail right on into the brain.


Stay tuned for the next installment.  Nature may have provided us with the means to perceive and identify this danger.

Posted in Advocacy, Environment | 8 Comments

Chronic Fatigue Syndrome–In the Beginning

A guest blog by Erik Johnson

1985. There was no CFS. – 1988. There was.
And that’s all people wanted to know about it?  Not a single bit of interest in how this happened?  Rather, a universal firewall of “CFS” researchers, doctors, advocates and patients saying that NONE of it matters?

No wonder CFS isn’t taken seriously.

On Thursday, October 24, 1985, an article appeared on page 14A of the Tahoe World newspaper.   Written by Barbara Barte, the article was called “At Least Six Were Affected – Truckee Teachers Recount “Malady””.

Irene Baker, one of the teachers from the Tahoe-Truckee High School, was interviewed for the piece.   Baker said, “Peterson and Cheney believed we were sick. That’s why they got all these patients. All of us showed negative on a mono spot test, but not on an E-B panel.”

This “EBV test” Baker refers to was the special Nichols lab viral titers and EBV nuclear antibody testing ordered by Dr Peterson.

All other did a monospot, and that was it. If you were negative, no further tests or investigation. They just dropped you.

Cheney and Peterson went the extra mile.

The CDC said that EBV testing was unreliable, but they were referring to the monospot, not to the Nichols lab tests.

When these “no effort” doctors were confronted with the Nichols lab tests which reversed the negative monospot, they handed it back, quoting the CDC that EBV testing was unreliable.

They knew, and we knew… they were playing semantic trick.

It was very strange. These doctors did not look evil. They don’t kick their dogs or beat their wives, so far as we know. They have friends who liked them, were respected in the community, and had patients that appeared satisified with them.

How could they do this. Why? What kind of person could do this?

There was no warning, no sign in the Fall of 1984 that doctors were any different than they had been in all the years before.

But they were. In that moment, we knew something was horribly wrong. Had they always been this way, and it took something like this paradigm to unveil them?

The real horror is, yes, it looks like the challenges of facing a paradigm like CFS brought out something in doctors that we didn’t know about them.


Where did the fuss all start?

Dr Cheney told the paper that the CDC was not responding to the evidence. Dr Cheney said “I can stand up in a court of law and prove 90 cases of EBV”.  That is when the battle began in earnest.

This also represented a shift in how the lines were laid out.

Up until Dr Cheney contradicted the CDC, the issue had been over the quality of the evidence. But from that moment forth, the evidence completely left the equation, and it was totally over Dr Cheney’s outrageous audacity and INSULT to the entire medical community for DARING to speak one word against the mighty CDC.

They didn’t even pretend the evidence mattered after that.

It was totally focused on how Dr Cheney was “controversial” and obviously wrong, just because the CDC can never be wrong.

This is where the CDC took advantage of a conceptual dichotomy to destroy the patients.

Cheney and Peterson amassed a huge dataset of concurrent immune abnormalities which, in a single illness, was not like anything in the CDC’s medical literature, and so… needed a name.

The dataset was “provisionally” called “CFS”.

But the CDC did not tell people, and only used some of the outward signs and symptoms to write a definition about the ‘outward appearance’ of the illness… so people thought of “CFS” as being just that definition INSTEAD of a name given to all those immune abnormalities described in Osler’s Web.

We thought of “CFS” as “A research tool to study the reasons for the creation of the name/definition”.

But everyone who heard only the definition thought of “CFS” as “An illness with no evidence”.

By this “reversal” the very evidence that was the reason for the coining of the syndrome was wiped out, as if the CDC planned this all along to make us start all over again… as if Cheney and Petersons evidence had never been seen, and no new syndrome ever created.

I thought that the moment people read about the abnormalities, they would see how the trick was done.

I thought, “The CDC will never get away with it. I can’t believe they are going to try”.


But they ARE getting away with it.

And will continue to do so, by the most horrible quirk of human misbehavior that I could never have imagined.

Every “CFS researcher-advocate-journalist-historian” who claims to be researching CFS does the most extraordinary thing.

When told “I was at the inception of CFS, and can tell you about it” they either turn and walk away, or angrily retort, “No you can’t. NOBODY CAN. CFS didn’t start anywhere, and is different things to different people”

They have made sure that CFS can not be anything, for no matter what CFS is, it will always be something else.

They lose. CDC wins.


Straus and Reeves must be toasting each other in Hell for their astounding success.

During the mid 1980’s, many thought the outbreaks of illness at Incline Village, Nevada were Epstein Bar Virus (EBV). Hence, CFS started life during the later part of the 20th century as EBV.

CEBV proponents “took over” CFS and segued right into “Same thing but possibly without EBV”.

Which is a far, far lesser thing that, “All the evidence outlined in Osler’s Web”.


In the same 1985 Tahoe World article by Barbara Barte, Dr. Paul Cheney mused about what may have kicked off the Tahoe illness:

“Phorbol esters used in copy machine toner, the tung oil in many furniture polishes and in certain glues and varnishes and even in some houseplants may reactivate the mono virus that is latent in 90-percent of adults,” says Cheney.”

While this may be the cause of a few local cases, however, he says he is more inclined to believe a reactivation was triggered by another virus last winter.

While this may be the cause of a few local cases, however, he says he is more inclined to believe a reactivation was triggered by another virus last winter.

If reactivation is caused by a chemical, he said, “a lot would depend on the concentration, ventilation, and a lot of other variables.”

What if there WAS a way that something could have happened “this year” and not last year”?

Once they decided it had to be a virus, it was as if they wrote it in stone and never looked back.

They never asked us. No CFS researcher ever has.

All the ones I”ve told FIGHT to say that even if I’m right about the mold, “That doesn’t matter”.

It mattered to us!


Posted in Advocacy, Environment | 13 Comments

It’s not XMRV? NOW what?

“It’s your right and your ability to become my perfect enemy”…Passive, A Perfect Circle

CFSAC will be reconvening for it’s semiannual meeting in October, just a few weeks away.   Nearly three years ago at the 2009 fall CFSAC meeting, the ME and CFS world was infused with unprecedented hope and excitement when Dr. Dan Peterson, acting as an emissary from the Whittemore Peterson Institute, presented us with XMRV.   The crowd came alive, both in the government building and via cyberspace, as we watched the presentation.   Wanda Jones was nearly tarred and feathered when she almost didn’t allow Annette Whittemore to speak.   A whole new era began, in which the WPI took center stage and catapulted to deity-like status in the eyes of a community that had long gone without hope.

Three years later, we are looking at a completely different dynamic.   The Lipkin study has just declared XMRV dead, dead, dead, and according to this article….http://www.nature.com/news/the-scientist-who-put-the-nail-in-xmrv-s-coffin-1.11444 ….Judy Mikovits herself “said that we have to conclude that we were wrong.”

The Lipkin study alone cost over 2 million dollars.   Add to that the costs of the variety of previous XMRV studies, the large amounts of donations that were made to the WPI, the untold number of patients who paid for useless testing and in some cases antiretrovirals, the advocacy work that pursued the American Red Cross, blood bank regulation, and public awareness, the official meetings that spotlighted XMRV in the agenda, and we have to conclude that a fair amount of resources were devoted to pursuit of the “X factor”.   Some of this was necessary.   Better to chase a potential causative factor down to the bitter end than to have any lingering doubt.   But some of this was robbery.   Patients should not have been sold tests so prematurely, nor should those who volunteered (and paid) to be part of research trials have to wonder what happened to their blood samples or whether or not their “positive” readings were real.

But we did chase it down, and it has been declared a no-go.   So now what?

Oh, wait, I have an idea!

What about this…http://www.cfsuntied.com/toxicmold.html  …an Incline Village survivor has been talking about the impact of toxic mold ever since the thing that was named CFS broke out in Incline Village in the 80s.  And to date, not one CFS researcher has taken the time to look into it.  Erik Johnson has been reporting what he and others experienced for nearly 30 years.   Maybe NOW we could look into it, since we seem to be in a research lull?  

What about others who have taken his cue and acted on it, and have achieved better health because of it?   What about Jeri Kurre’s testimony at the last CFSAC meeting, http://www.cfsuntied.com/index.html  in which she laid it out and asked “what are you going to do about it?” 

What about this?  http://cfsuntied.com/blog2/2011/09/15/and-now-for-something-completely-different/

Or this?  http://cfsuntied.com/blog2/2012/05/21/cfsthe-mold-tour/

Or the fact that Llewellyn King heard Jeri’s testimony and called her about it?  Or the fact that Erik discussed this at length with Judy Mikovits and Annette Whittemore?  Or the fact that PANDORA, Dr. Cheney, Dr. Peterson, the CFIDS Association, and many others have ALL, at one time or another, casually stated that mold toxins can be an issue for CFS sufferers?  

Why, then, is “mold” such a taboo research subject in CFS world?

And….what ARE you going to do about it?

Posted in Advocacy, Environment, WPI, XMRV | 18 Comments

Authors Of Our Own Misfortune? Angela Kennedy’s New Book

Angela Kennedy has written a new book entitled “Authors of Our Misfortune?: The Problems with Psychogenic Explanations for Physical Illnesses”.   This promises to be an exceedingly good read. 

Angela has been known to those of us who are involved in advocacy for ME and/or CFS for quite some time.   Her sharp analyses and level-headed thought processes have helped to guide many of us through the murky waters of the political abyss which seems to engulf scientific research and medical care.  

The book’s description and a few preliminary reviews are available here:

http://www.amazon.co.uk/Authors-Our-Misfortune-Psychogenic-Explanations/dp/0857181017/ref=sr_1_fkmr1_3?s=books&ie=UTF8&qid=1346412380&sr=1-3-fkmr1&fb_source=message

Authors of our Own Misfortune? proposes that psychogenic explanations for physical illnesses are subject to a complex mix of confusing concepts, accompanied by certain moralistic and ideological assumptions about people and their illnesses. Most crucially, such explanations are also, almost always, fatally flawed, both scientifically and logically. Furthermore, the widespread, uncritical acceptance and use of such explanations has had serious and specific adverse effects on the people upon whom they are used. This is a timely, groundbreaking book about a critical theme in medicine.

I am truly looking forward to reading this.  Thanks to Angela for her work in this arena!

Posted in Advocacy | 3 Comments

CFSAC– Jeri McClure Kurre’s Testimony

It has been 27 years since the CDC was sent to investigate this illness and yet, here we are with no cure, no treatments, no help whatsoever for a disease that would more aptly be be described as Chronic Torture Syndrome, rather than it’s given name Chronic Fatigue Syndrome.

Naming a severely disabling, life-destroying disease Chronic Fatigue Syndrome…..what a sick little joke that was. However, that IS the name that the CDC decided to give to a typical outbreak of ME Plus… Myalgic Encephalomyelitis, plus the additional evidence of never before documented immune abnormalities collected by Drs. Cheney and Peterson. We must not let that be forgotten. CFS is the name given to a disease entity of ME Plus. It IS NOT and has never been a social construct, an illness devoid of evidence of severe pathology, or a description of tired people.

Chronic Fatigue Syndrome does not and has never had anything to do with fatigue. The lack of meaningful research on CFS has created an epidemic. The CDC is still claiming that the research program involving their infamous Georgia study (you know, the one where they got their “patients” by random telephone surveys) has according to them “greatly increased knowledge about CFS and has helped the health care community develop viable treatments”. That is complete hogwash. It has done neither. I suppose that is to be expected from an agency that has spent nearly 30 years trying to frame a severe neuro-immune disease as a psychological defect. They have wasted what little paltry pittance of research dollars allocated towards this heinous disease on garbage studies like the ones that claim that childhood trauma is a risk factor for CFS and that CFS is associated with an increased prevalence of personality disorders, even though psychiatric conditions are an exclusion for CFS. I’d argue that there is evidence that personality disorders seem to be a risk factor for employment at the CDC.

CFS is the term coined in response to a severely debilitating illness with evidence of profound immunological abnormalities. Try working with the evidence instead of inventing psychological drivel, or at the very least, if you are not going to help us, at least stop lying about us.

I developed CFS in 2006. I would never have guessed that what I have would be called Chronic Fatigue Syndrome. Fatigue was the least of my problems. I was experiencing episodes of being unable to move my arms and legs. Days that I was so weak that I had to crawl to the bathroom. Pain so severe that the touch of my clothing was excruciating. Head and neck pain that made it feel as if I had been beaten with a baseball bat. New onset dyslexia. Loss of short-term memory. Frequent syncope. Racing heart rate. Frequent syncope. Seizures. NKC numbers so low that my doctor first thought it must be a lab error. I lost my career, my friends, and my independence. On the rare occasions when I was having a “good” day, I sometimes tried to venture out. I knew not to try to go too far, or I’d never make it back. I also knew that I would pay for my time out by an extreme increase in all symptoms by the next day and that I would be bedridden thereafter indefinitely. I would usually use my outings to go drive to the local grocery store just a few miles away. Often when I’d arrive, I would park my car and suddenly realize that I had no memory of how I got there, why I came, or how to find my way back home. Most days though, were spent in bed, too weak to do anything but lie there in pain. As the days slip away and turn into weeks, then years, you cease to exist to the rest of the world.

For the severely ill, chronically bedridden, you eventually come to the realization that you are already dead to the rest of the world. If you want to know why so many CFS patients commit suicide, here it is: There are things far, far worse than death. We are all aware of the stigma associated with the name Chronic Fatigue Syndrome. The public views us as lazy slugs who won’t stop complaining about being tired from normal life stresses. I suppose we can’t really expect any other outcome after an almost 3 decades long propaganda campaign by the very people who are supposed to be helping us. Who instead continue on with their ceaseless efforts to mislead, deceive, and bury the facts.

Let me make something perfectly clear. The illness entity known as CFS, based on an outbreak of ME Plus, has never been fully investigated by anyone. Not one researcher has examined all of the evidence that caused the creation of this syndrome. NOT A SINGLE ONE. After nearly 30 years. This is a disgrace of epic proportions. A disease that has brought brutal,relentless suffering to now millions of people and yet we have evidence that has been around since the inception of the syndrome that has never been examined. The reason that I am able to be here today is because I have been fortunate enough to be able to utilize therapeutic strategies based on evidence that has been ignored for over a quarter century.

Incline Village survivor Erik Johnson, who served as a prototype for the syndrome, noticed a peculiar phenomenon in regards to biotoxins. He devised a strategy in response to it which enabled him to achieve such an astounding recovery that he is able to climb mountains. Thanks to his work and persistence there are now quite a few CFS patients who have used his techniques to achieve recovery. We are not cured. However, many of us who were severely disabled are now able to live near normal lives. I think that it’s about time that researchers start looking into this. It seems to me that discarding evidence for decades on a horrific, life-destroying disease is downright negligent. I want to know why NO doctors and NO researchers are telling patients about this.

If it had not been for Erik Johnson, I would either be dead or at home still rotting in my bed. So, to him I would like to say this: with all of my heart and soul, thank you for helping me. …..And to all of you CFS researchers who claim to be unaware of this particular evidence, I want to say this: You are now.

What are you going to do about it?

Posted in Advocacy, CFSAC, Environment | 7 Comments

IACFS/ME Sponsors a New “Fatigue” Journal

I had a “Reflux Redux” moment on Saturday, June 2 of 2012, when I became the recipient of a link to the IACFS/ME’s announcement that they have signed a contract to launch a new peer review journal titled:   Fatigue:  Biomedicine, Health, and Behavior, scheduled for release in January of 2013.

Why the reflux?  In 2009, a similar announcement was made by Dr. Derek Enlander, that a new journal titled: Fatigue was about to be launched.  Patient outcry regarding the name prompted Dr. Enlander to post the following blog on Dan Moricoli’s ME/CFS Community site:

http://cfsknowledgecenter.ning.com/profiles/blogs/the-journal-fatigue

You may have to register at Dan’s site to read it, but the commentary is well worth doing so.   Patients, advocates, and Dr. Enlander himself engaged in 5 pages of discussion regarding the idea of bringing a new journal for this illness to the table, and naming it “Fatigue”.  As one contributor put it, “If ever there were a time to draw a line in the sand, this is it”. 

Eventually, the proposed journal seemed to just fizzle out, and we thought we were done with it.  

Yesterday’s announcement by Fred Friedberg, PhD, president of the IACFS/ME, clearly indicates that we were wrong.

http://iacfsme.org/Portals/0/pdf/IACFSMEJournal_Letter_to_Membership_final.pdf

 


Although this does not seem to be the same project that Dr. Endlander was promoting in 2009 (although we can’t be sure, because the members of the editorial board have not been named), the concept seems to be the same.    Even though this journal is sponsored by the IACFS/ME, it is supposedly not ABOUT CFS/ME (or ME, or CFS, or ME/CFS…).  It is a cross-disciplinary study of the common thread, fatigue.   Therefore, we should not be annoyed at the word, “Fatigue”.  We should understand that studying “fatigue” from the perspective of the role it plays in cancer, MS, and other devastating diseases somehow confers an element of respectability to the word.  

Rather than trivialization of fatigue as a clinical entity, our journal intends to elevate the symptom of fatigue to an important research focus and medical concern.

….which would be great, if fatigue were the problem.  But from the beginning, it wasn’t about fatigue.  As an Incline Village cohort survivor pointed out on the above-mentioned Endlander blog,

We didn’t say “it was hard to lift a coffee cup” because we were too “fatigued” to lift it.

It was because you would try to tell your arm to reach out, your fingers to grab, to close… firmly enough to keep the cup from slipping out of your hands, and your neurological commands simply did not translate into physical response.   ~Erik Johnson


What about the idea that this is being promoted as a “biomedical and behavioral journal focused on fatigue”?   Why does the behavioral aspect even need to come into play?   At what point will our OWN ADVOCACY GROUPS begin to push for separation of the biomedical illness we have, and the psychologization of such?  


I can’t support this.  Not even a little bit.

Over and out.

Posted in Advocacy | 39 Comments

CFS–The Mold Tour

Welcome back my friends, to the show that never ends….ELP

For a few years now, I’ve been living a lifestyle based around mold avoidance.  By “based around”, I mean that my daily routines, my living quarters, my life decisions, and even the location that I have chosen as home base – all incorporate the premise that mold is my kryptonite and must be avoided at all cost.  This premise has kept me upright for a good long run.


The Background

In 2007, I was bedridden, and had been for a while.   I was suffering migraines on an almost daily basis.   I was having seizures.  I had full Parkinson-like symptoms.  My gallbladder was on the verge of coming out, I’d had 8 consecutive kidney stones, my teeth were exploding in my mouth, and I had an appointment to get my thyroid irradiated.  My cognitive abilities were probably at the 3rd grade level.  I was definitely not smarter than a 5th grader.  My idea of a vacation was migrating to the couch.

One day, I posted what became a fateful piece on a message board.  I said, “Maybe my house is killing me?”. That statement drew a response that saved my life, from Erik Johnson.  He said, “Now you’re talking my language”.   That kicked off a friendship that has endured through thick and thin, and a subsequent road map out of hell.

Here was a survivor of Incline Village,a Cheney-appointed prototype for the illness cluster there, which infamously earned the attention of the CDC and the name “Chronic Fatigue Syndrome” – a man who was as sick as they come, and who was now out climbing mountains.  I decided that whatever he did to achieve that kind of turn-around was what I would do.  It didn’t matter what it was.  It could have been “stand on your head an hour a day and count backwards in Arabic”, and I would have done that.  As it turned out, it was mold avoidance.

  Over time, I got to know Erik’s story.  He talked of particular areas in Incline Village, around lake Tahoe, in Reno….and the teacher’s lounge at Truckee High School, as all having the toxic effect that he avoids.   He said that the effect is still there.  In the fall of 2011, having reached a high enough level of health to even entertain such an idea, I decided to take a trip out to Reno to see for myself.   After all, this man had put me back on my feet.  I wanted to see “inception”.


The Journey

I left Albuquerque feeling well, excited to be making this trip.  I flew into Reno, with a six hour layover in Phoenix.   By the time I got to Reno, everything I was wearing and all of my luggage was contaminated.  My computer was contaminated.   The Phoenix airport felt awful, and the second hop from Phoenix to Reno had me squirming with pain.   I felt like I was getting superblasted with toxins.   By the time I got to Reno, I could hardly stand myself.   When I met Erik, he couldn’t stand me, either.  I was thoroughly doused with toxins.  The first order of business was a decon shower and a change of clothes.  Everything I brought had to stay outside.   In particular, the green hoodie I wore on the entire trip was lethal.   Day one was all about cleanup.

But, after the decon and the clothes change, my own health took an immediate bounceback.  As hard as I got hit, the idea of keeping my immune system response dampened down with constant avoidance protocols paid off.  I was functional.  Welcome to Reno.


The Sideshow

The next few days were a whirlwind of activity, including multiple exposures to toxic assault.  A walk with Erik through downtown Reno and along the riverwalk was an amazing adventure, simply because we threaded our way through plumes and exposures to people who were cross-contaminated.   We moved as if in unison, in that strange dance that moldies do…simultaneous shifting from one side of the street to the other to avoid a blast of badness coming from a building, backing away from a counter where the clerk was emanating cross contamination, and then…”Did you feel that?  Look at your hands, your veins are popping.  So are mine.”   Wonderful validation.

A trip to the WPI and a tour of the campus was interesting.   At the time, the WPI was still looking good, although unbeknownst to me at the time, my visit was on the same day that Judy was being fired.   The building was beautiful, a real testament to forward-thinking and high hopes.   However, the impression was that of a ghost-town.   I met Annie at the reception desk, and introduced myself as another CFS sufferer who had achieved a large level of health through mold avoidance.  The building itself felt good to me.  However, near the counter there was a lingering cross-contamination, a “gift” that somebody had left behind.  It was enough to make me back away.


The Main Event

One whole day was devoted to a tour of CFS History, which equates to the same thing as “The Mold Tour”.  Before getting into details, I have to tell you that this trip changed my life on two levels. 

On one hand, it was like visiting the scene of a horrible event that changed the history of my “people” forever.   I imagine the feeling was similar to visiting a concentration camp that one’s parents were interred in, or visiting the scene of a violent crime that resulted in the death of a family member.  It hit me to the core, in a way I didn’t expect.  Here was where people suffered greatly, where a town ostracized their own desperately ill citizens, where the CDC came and effectively issued our death sentence.  Here was where a catastrophe got swept under the rug.  Here was where the paradigm of concerted and overt lassitude on the part of the government was framed as policy, and where everything that has broken my life began.  Here was the epicenter of the wormhole, the same wormhole that has generated an inescapable tractor beam that has sucked me into its event horizon, years later and miles away.

On the other hand, it was extreme validation.  It was validation that everything Erik had told me about the level of toxic assault in the area was true.  


Reno itself is no picnic as far as toxic assault goes.  Erik lives there, and I immediately saw what his concept of “extreme avoidance” entails.   It doesn’t mean living in the desert.  It means living right in the middle of a city full of opportunities to get slammed.   It means maintaining a pristine living space, honoring decontamination protocols, and wending your way through “normal” activities on a daily basis, and cleaning up the mess it makes with your extreme protocols. 

Our journey through the history of CFS began just as described in Hillary Johnson’s book, Osler’s Web: Inside The Labyrinth of the Chronic Fatigue Syndrome Epidemic. Setting out by automobile, we retraced the 1985 route of CDC epidemiologists Kaplan and Holmes on their way to investigate the “mystery malady” reported by Drs. Peterson and Cheney.

We drove up from the hot sagebrush-strewn desert floor of Reno, along the narrow winding tree-lined road up toward the summit of Mt. Rose, gradually snaking our way up the boulder strewn twists and turns of the winding path leading up the 8,000 foot mountain of granite bordering Tahoe’s rim, until finally, cresting the peak, we gazed down upon the stunning expanse of America’s second largest alpine lake.
(Yellowstone Lake takes the prize).

12 miles long — 22 miles wide- formerly so pristine that in days of old, a white dinner plate, “Secchi disk”, a test of water’s clarity, could clearly be seen 120 feet below the surface.

Invisible until we pulled off at the scenic overlook to admire the scenery, Incline Village far below hugs the shore.  Its verdant forest setting starkly contrasted against the sparkling blue waters of Lake Tahoe, suddenly emerging to view from our vantage point high above. A sight to remember. But the air was a little foul. Not in smell, but in feel. I could sense swelling at the base of my skull, a souring of brain activity.  It wasn’t a place I wanted to be.

The next stop on the tour was the library in Incline Village.   We got out of the truck and walked into the library.  As we rounded the corner to the reception desk in the middle of the building, I felt some very familiar symptoms, quite rapidly.   Brain compression hit within moments of approaching the area, along with a narrowing of vision, rapid heartbeat, and agitation.   I couldn’t wait to get out of there.   Erik grinned at me.  He knew I’d react that way.  We didn’t stay long.

We visited the building that housed Dr. Cheney and Dr. Peterson in the days of inception.   Erik described to me how he sat in that very office, stunned to the core when Cheney asked him to be prototype for the illness that the CDC was framing as “Chronic Fatigue Syndrome”.   He didn’t want it.   The responsibility was daunting.  The enormity was staggering.  But then he realized that as prototype, researchers would listen, would come and explore the toxicity of the area, would follow the clues that he and others in his cohort could point to.  He had no idea how wrong he was.

He also described to me how that very office, those very  handrails, were  where patients would stagger to and push off from, to propel themselves to the next handhold, as they came out of the office.  The staggering gait, the inability to convert brain-commands to neural action, were all described in Osler’s Web.   These things, over time, have been reframed somehow as “fatigue”.   It was not on any scale of fatigue.

We worked our way through Incline Village and through King’s Beach towards Tahoe Vista.   There were intermittent stops on the way, some that were interesting historically and others that were just downright toxic.   I won’t go into detail, as the main event was yet to come.  The tour is worth taking for any CFS patient.  It was a remarkable journey, both from a “grounding” perspective and from a neurotoxic perspective.

It was time to head toward the piece de resistance, Truckee High School.   Upon our arrival, Erik warned me to follow him, that sometimes one had to be careful about which way one approached the building.   He said that the wind can blow the effect right out of the building and walking into the wind may be a bad idea.  I followed him closely as he remembered his high school days there, and how he had to sit outside at every opportunity.   Our approach was uneventful, but as soon as we opened the door to the high school, I went into neural  shut-down mode.  The inside air pushing its way out was filled with a forceful toxic assault. 

We crept inside, approaching the hallway that contains the infamous teacher’s lounge.  As we got closer and closer, my heart rate jacked up enormously, and my vision closed in.   My peripheral vision was shot, and I could only see through a tunnel.   My head began to spin a bit, and the veins on the backs of my hands popped noticeably.

As we rounded the corner, with the lounge in sight, I turned around and headed back out.  I could not take one more step forward.  It was too much.  Whatever was wrong with that place, whatever it was that contributed to all those teachers’ illnesses, was still there.   Erik walked me out and back to the truck, and we went up into the mountains for some fresh air.  It was only moments before I was back to normal.  We had a pleasant walkabout and a good dinner, and went back to Reno.


The Takeaway

It’s been more than two decades…creeping up on three….since the outbreak of illness in Incline Village.   It is beyond my comprehension that in all this time, not one researcher has gone back and listened to this story.  Other than patients who have come to do the tour, nobody has explored these pockets of toxicity.   There are still survivors.   The story  can still be told.  And, whatever is wrong with that area is still there.   Erik doesn’t offer mold as the cause of CFS.   He has never once said that.   His clues don’t negate viral impact.  There WAS viral impact in that cluster.   But some recovered, while some went on to enjoy a lifetime of CFS.  What was the differential?

At this rate, we’ll never know.

Posted in Advocacy, Environment | 17 Comments

Misopathy Over Disclosure–Proof of VIPdx Test Validity Still Not Forthcoming

A guest blog by Chris Douglas, 30th April 2012

 

In addition to taking part in the WPI’s UK study, I privately had my blood shipped to VIPdx for a HGRV/XMRV antibody test.

The following year, Dr Judy Mikovits was dismissed by the WPI. One of the bones of contention between the two parties seems to have been the scientific validity of VIPdx’s HGRV/XMRV assays and the defensibility of offering a commercial test for sale so early in the research.

These concerns were reinforced by the failure of any assays used in the US NIH’s Blood Working Group study to detect HGRV/XMRV on a fast throughput basis (i.e. outside of a research lab). These assays included those of the WPI on which VIPdx’s tests, allegedly, were based.


At the end of September 2011, UNEVX (the lab that superseded VIPdx) withdrew its HGRV/XMRV antibody test but gave scant rationale for the action. People in Europe, however, were told by their local labs that there were concerns about the test’s reliability.

On 17th October, I emailed Annette Whittemore to request scientific validation of VIPdx’s HGRV/XMRV assays. It took a further four weeks and the intervention of Kellen Jones-Monnick (WPI Office Manager) to receive the following response from VIPdx.

STATEMENT OF VINCENT LOMBARDI, PhD
CLINICAL LAB DIRECTOR, VIP Dx

A number of recent publications and individuals have mischaracterized the nature of certain clinical laboratory results reported by VIP Dx, a CLIA certified clinical laboratory. VIP Dx has met the required CLIA Program standards and is certified to offer and perform only clinically validated laboratory tests. The “XMRV test” offered by VIP Dx is clinically validated and performed under rigorous protocols to ensure the accuracy and reliability of the test results. XMRV testing was offered based upon the existing scientific knowledge at the time. The original assays for XMRV testing were based on the 2009 Science publication. Those assays, as well as all subsequent modifications, were internally validated prior to being used to process patients’ samples. WPI’s Research Director was instrumental in the decision to make such a test available to physicians. The interpretation of the XMRV test results, as with all laboratory tests, is the responsibility of the ordering physician.

Before offering any test to the public, VIP Dx established comprehensive performance specifications including accuracy, precision, analytical sensitivity, specificity, and others required for test performance.


Further email exchanges confirmed that “…XMRV testing is for both the culture and the serology tests…” and that “…ALL of the tests we run are validated and inspected by the State of Nevada,”

I asked to see the “validation data”, requested details about “the State of Nevada” and reiterated my question about why a “clinically validated” test (or tests) was withdrawn.

VIPdx replied that “The State does not “hold” this information. It is a proprietary record of the laboratory. They inspect but do not keep our records. Our validation records and test protocols are proprietary intellectual property of the laboratory.”

Again, I requested “more tangible evidence of the scientific validity of the two XMRV tests” and an explanation of how they “…have been validated, particularly given that there was no previously established benchmark against which to compare them.”

I received no further replies from VIPdx.


Next, I contacted the State of Nevada Health Board Bureau of Health care Quality and Compliance which also handles Clinical Laboratory Improvement Amendments (CLIA).

During the ensuing correspondence, and contrary to VIPdx’s statement to me, it emerged that “Vincent Lombardi is not the laboratory director, nor has he served in that regulatory capacity” and “they took this off their website today, it is incorrect.”

[The regulatory Laboratory Director (i.e. the person who represents the lab for regulatory purposes) was/is Sanford Barsky who, in February 2012, CFS Chronicles found to be accused of scientific fraud.

http://www.cfschronicles.com/1/post/2012/02/vote-of-no-confidence.html ]

It also transpired that “Unevyx [sic] has not been approved nor have they begun to perform XMRV tests” despite offering these for sale from 13th June 2011.

Although the State Health Board identified these two regulatory anomalies, it did not pursue an investigation into VIPdx or the scientific validity of its HGRV/XMRV tests.

Without such scientific validation, it is impossible to establish whether or not:

a) it is appropriate to take medication prescribed as a result of a positive VIPdx HGRV/XMRV test;

b) insurance company and private funds have been spent on tests that may have been invalid;

c) test results support current advocacy strategies for HGRV/XMRV-related diseases.


Given the continued absence of proof of scientific validity, I emailed VIPdx to request a refund for the test. I did this four times between 24th February and 22nd March but, apart from one read receipt, I have not received a reply.

In order to encourage a more forthcoming dialogue on the subject, perhaps others who have paid for a HGRV/XMRV test from VIPdx may wish to request a refund too. They also may wish to make a formal complaint to the State Health Board, particularly in light of the following statement from Dr Mikovits’ lawyer.

“Mikovits also confronted institute officials for allegedly selling blood tests through the institute’s clinic even after the tests had been invalidated, “thereby committing Medi-Care fraud,” Jones said.” Reno Gazette Journal, 23rd April 2012.

http://www.rgj.com/article/20120423/NEWS/304230038/Fired-Whittemore-Peterson-Institute-researcher-claims-justice-system-flawed


VIPdx

Marguerite Ross, Director of Marketing and Client Relations

mross@vipdx.com

State of Nevada Health Board Bureau of Health care Quality

Vickie Estes, Supervisor, Medical Laboratory Services

vestes@health.nv.gov


Editor’s Addendum:

According to the same article cited by Chris, http://www.rgj.com/article/20120423/NEWS/304230038/Fired-Whittemore-Peterson-Institute-researcher-claims-justice-system-flawed,

“The institute had been using federal grant money to pay a lab director, Vincent Lombardi, even though he did not work at the institute full time, Jones said.

“Jones also said Mikovits raised concerns about the alleged misuse of cells allocated for nonprofit research “to harvest supplies for the institute’s for-profit clinic.” Mikovits claimed the institute covered up the alleged misappropriation for two years.

“Mikovits also confronted institute officials for allegedly selling blood tests through the institute’s clinic even after the tests had been invalidated, “thereby committing Medi-Care fraud,” Jones said.”

Taken in combination – the concerns Chris has expressed, the statement above, and the recent article by Cort Johnson (WPI Back On Track? University Gives WPI Strong Show of Support) which documents the “strong approval” of the WPI by the University of Nevada, I have to defer to Samuel Wales’ recent cry for appropriate language to describe our paradigm. (Misopathy).

Perhaps “misapathy” would be another appropriate addition to our lexicon?

Posted in Advocacy, WPI | 14 Comments