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CHRONIC FATIGUE SYNDROME (CFS)
Otherwise
known as Myalgic Encephalomyelitis (M.E.)
Post Viral Fatigue Syndrome (P.V.F.S.)
American
Terminology - Chronic Immune Deficiency Fatigue Syndrome (C.I.F.D.S)
Also
incorporating Fibrositis Fibromyalgia Syndrome (F.F.S.)
The 5th October 1996, found the Royal College of
Physicians officially recognising the presence of Chronic Fatigue Syndrome
and in January of 2002 the Chief Medical Officer of Great Britain stated
that the medical profession also recognised this illness. Disliking the
terminology M.E. they stated that the illness was not physical, not
perpetuated by a virus, not psychological (although recognising that
complicating psychological problems were relevant), not stating what they
believed it might be but more what it was not. This however, is how I have
been perceiving the illness for the last seven years, and I will tell you
that the illness lies as a biochemical dysfunction of the central nervous
system affecting all neuronal tissue and sustained by an immunological
dysfunction of heightened immune activity, loss of central regulatory
mechanisms and intellectual processing. Despite popular understanding to the
contrary this illness is not only treatable but potentially curable.
Within these pages and fields of this website you will find the description
of how these various named disorders came about, definitions of C.F.S. and
some of its major subsets. Understanding the generation of the symptoms
experienced by sufferers and the philosophy of what is going wrong in this
illness complex. More importantly however, you will find details of how to
develop the three major stages to recovery. Firstly, the development of a
modified activity programme for both physical and mental activity, secondly
the use of sedative tricyclic antidepressants to restore and normalise and
regulate sleep pattern and thirdly the introduction of antidepressants in
the day to try and help the reduction of fatigue and anxiety to help
sufferers move forward. Since the 10th of June 1994 I have been using a
combination of Prozac (Fluoxetine Hydrochloride) in the day for its
anti-fatigue effect and for its increment in cognitive function and also the
use of Seroxat for similar reasons but also for its anxiolytic effect. These
are medications that are used during the day and at night various
combinations of tricyclic antidepressants to help normalise and restore
sleep pattern. Since that time the success rate in treating C.F.S. and more
specifically the subset that appears to have been precipitated by an acute
virus onset has risen to 95%.
The files that I present are still being worked upon and there may be some
errors for the next few months. These will be corrected in time as we
improve our website information. Please, therefore, bear with me while I
work towards providing a total service for the treatment and cure of this
ubiquitous disorder. I hope you find the following pages enlightening but
also please remember that I cannot enter into specific answers with patients
that I have not seen.
David Smith
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