Saturday, August 10, 2024

The dearth of healthcare for people with ME - and how an inquest verdict will change this

 This last week or so, while most of the U.K. has been following the unrest and riots, or glued to coverage of the Paris Olympics, in a small corner of Devon a very important inquest has been conducted. That of Maeve Boothby O’Neil who died at age 27  “from malnutrition caused by severe ME” (The words of the Coroner). It is beyond shocking.


I have refrained from commenting too much, because the death of a young person with ME is just devastating. One cannot imagine the heartbreak for that family, and on a personal note, it can be quite triggering, sending one back to those very dark days post diagnosis when one discovers that nobody in the healthcare system actually knows much about ME, and that appallingly in the 21st century, there is no treatment or cure. 


It is only recently that diagnostic criteria for ME have become more focused. ME is now officially recognised as a neurological condition.

In 2021 the NICE Guidelines were re-issued, removing the harmful Graded Exercise Therapy (GET) in favour of a more patient focused approach to treating the symptoms of this little understood condition.

The guidelines also included a symptom severity and disability rating scale, ranging from very mild to very severe.

https://www.nice.org.uk/guidance/ng206/resources/myalgic-encephalomyelitis-or-encephalopathychronic-fatigue-syndrome-diagnosis-and-management-pdf-66143718094021#page7pages 7-9.


I consider myself very fortunate to only be moderately affected.

“Fortunate”???  “Only”???  I hear you ask ……..

But as I have mentioned in previous blog posts, it’s horrible, it’s disabling, but some are far less fortunate and are severely affected by ME.

They are usually confined to bed, intolerant of light and noise, have little social interaction, and rely heavily upon family to care for them, because they are often incapable of doing so themselves.

But it’s tragic to think that ME can be implicated in the death of someone with severe ME.


The week of the 5th to 11th August happens to be Severe ME week, where the plight of such severe cases is highlighted (by others not so severe) in order to raise awareness.

We have to raise awareness because, as I have said before, ME gets very little press and attention in the world. And the medical community world wide, not just here in the U.K. doesn’t know how to treat people with ME, because they don’t understand it, there’s only symptom management and no magic bullet.

Unlike other more well known illnesses such as Parkinson’s, MS, Cancer, and Diabetes, which are just as disabling and life changing, ME has not received the research funding and general health education of professionals, and care within all healthcare settings. 

I’m sorry to say ME has been neglected and ignored.

(Even I didn’t believe my own diagnosis, which for a Nurse of some 43 years standing was strikingly revealing - I’d never been taught about ME).


So Maeve’s inquest has come at a very pertinent time.

Things have to change. And the ME community, charities, and healthcare professionals who do understand and care for people with ME, all very much hope that the inquest findings will galvanise those concerned into action.


Andrew Gwynne, Minister for Public Health, said at the inquest that Maeve had “fallen through the cracks in the system”. Her father stated that she had fallen into a “deep gaping hole”.

However you look at it, this cannot happen again, ever.


I conclude with Andrew Gwynne’s statement 

“Every patient deserves to have their condition understood and treated to the highest standard “.


My thanks to those who have spoken up for people living with ME, at this inquest and in its wider reporting. We’ve got to keep sharing our stories, because someone will listen.


Sue Hardy 10/08/2024

Thursday, August 8, 2024

A very English Heatwave

I wrote this at the end of last week, and then completely forgot to upload it! I blame the sleep deprivation!! 

We have just experienced a week or so of exceptionally high temperatures here in my part of the world.

When the daily average is in the upper 20’s degrees Celsius. And it doesn’t cool down at night.


It affects everyone and everything, I understand that. Having ME just makes life somewhat more difficult. 


One of the unfathomable aspects of how ME affects me (and many others) is my ability to regulate my own temperature.

I always used to be a “cold” person, Andy would hate it if I warmed my cold feet on him, and patients would ask me to warm my hands up after experiencing my chilly mitts on them when giving a bedpan!!


So to have the table turned has taken some coping with. Obviously being a woman of a certain age didn’t help, but when HRT helped the flushes but NOT this awful feeling of being so overheated I had to take my ME into account. And it turns out to be one of the myriad of unexplained symptoms. Great!!


So when a heatwave hits I have to really think carefully about my day, how I pace myself and take extra steps to ensure that I can stay cool and hydrated.

We don’t have air conditioning, but the car does so that can be helpful.

There are fans all over the house, strategically positioned for maximum comfort wherever I happen to be. Including 2 in the bedroom which you may think is excessive but it’s also about having a quiet appliance that can stay on all night and not disturb my already disturbed sleep.

The flasks that keep drinks cold are amazing, and 2 years ago when I had my knee replacement in the middle of one such heatwave, icing my knee was fantastic!


As I have said before, pacing is about energy management, so in very hot weather the body is working harder to maintain a normal temperature and dispel the heat. Normal people feel more tired in hot weather, so add to that ME and very limited energy supply and recovery, it soon becomes apparent that other activities have to be curtailed in order to use the precious limited energy on what’s important.


Then gradually as the weather cools down again to a normal British Summer, a more normal baseline of activity can be resumed.

So, what happens to all the jobs and chores etc that didn’t get done because I was conserving energy? Well, to be honest they often just get left and added on to the bottom of the list. I can’t play catch up because that would mean using energy that I don’t have to complete the tasks, which would put me into relapse, meaning more jobs and activities don’t get done.


Life with ME is a daily balancing act. Working out what is necessary, but also trying to do some things that are nice for me, and not just household chores or cooking the dinner. I’m good at delegating, and my family are 100% brilliant at taking more of their share and helping me.


So this is why I share this blog.

To illustrate tiny snippets of my life living with ME, a condition for which there is no treatment, and which currently is largely ignored by the NHS and the Department of Health. I hope for change, and if by reading and sharing my blog I can go some way towards improving things then I will have done my bit.


So heatwave? Yes, but not something that everyone can enjoy. Thanks for reading.

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