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- Finding fulfilment while living with fatigue
Finding fulfilment while living with fatigue
How are patients speeding up research?
Happy Wednesday! We hope you’re having a restful week.
🌼 Embrace some mid-week self-care and join our free event today at 6:30PM BST with Pippa Stacey, on the theme of finding fulfilment when living with fatigue. Pippa is an award-winning writer, speaker, and communications consultant from Yorkshire, England, and has lived with ME/CFS for 10+ years. For the past three years she has been named in the prestigious Disability Power 100 as one of the most influential disabled people in the UK.
📅 Sign up for Pippa’s talk here.
🌟 Member Spotlight
👩 Read our first member interview with Sabina, who spoke candidly about her experiences with severe ME/CFS.
It took 9 years for me to finally get a diagnosis because doctors would not listen to me. Because of this, my health ended up deteriorating a lot as I was always trying to push myself and keep up with others as I didn’t know my body needed rest. If I could go back in time, I’d stand up for myself a lot more and be more insistent on getting proper care.
What has your experience been with getting a diagnosis, and how have you found advocating for yourself in healthcare settings? Get in touch by replying to this email.
Thank you for being a NURA Community member ❤️
NURA’s aim is to make the lives of people with Long COVID and ME/CFS a little brighter. We do this by bringing members useful, reliable and informative content, hosting supportive check-ins and interesting events and, most importantly, giving people a dedicated space to build meaningful connections with others who understand. 🤝
Although NURA Community started out just a few months ago, it’s been buzzing with activity so far. If you jump straight in and start reading some of our posts and conversations, you’ll soon find your way around.
💬 To get you started, here are a few recent conversations on pacing:
My Feed in the left sidebar shows you all posts and conversations from spaces (these are the individual community groups listed in the left sidebar) you’ve joined. As the community is still growing, we auto-enrol members into all spaces, but you can easily leave a space by clicking on the three vertical dots next to the name of the space, and selecting “leave space”.
🎈 If you’ve just joined NURA Community and are still finding your way around, our welcome video should help.
There are lots of things you can do in NURA Community…
🔍 Search. Type key words or phrases into the search bar of “My Feed”, or of any space, to find content on specific topics i.e. "research", "brain fog", "mental health", or anything else you want to search for.
📊 Do a poll or ask a question. Just click on "+" in the app or "create” in your web browser, then select the "poll" option. This is a great way to engage with other members.
📍 Find members near you. Just click on "members" in the left sidebar, then select "members near you" to see who's local.
📌 Save posts you want to keep track of, or bookmark for later. Just click on the three dots at the top right of a post, and click "save post."
💬 Contribute. Check out daily opportunities to engage, or simply click the "+" or “create” button to share your thoughts, questions, photos or resources.
🏅 Earn badges for engagement. Badges you can earn include Supportive Star
, Top Poster
, Resource Hero
, Poll Pro
…and many more.
📰 Article Spotlight
👨⚕️ With no cure yet for Long COVID, people with the illness are trying to change how research and clinical trials are done. “We’re driven by desperation, out of improving our own quality of life.”
Lisa McCorkell co-founded PLCR, a patient-led non-profit group, to advise on research into Long COVID. Photo credit: Marissa Leshnov for Nature
The article highlights the pivotal role that Long COVID patients have played in driving forward research into their condition.
Patient-led initiatives, such as Patient-Led Research Collaborative (PLRC), is one example. Through their advocacy and collaborative efforts, patients like Lisa McCorkell have made significant strides in documenting and comprehensively addressing the myriad symptoms experienced by people with Long COVID.
The PLRC’s survey of Long COVID symptoms was the first major research study of the condition and is considered a seminal work in Long COVID research, amassing over 1000 citations. “The achievement is especially notable considering that the study was conducted by unpaid volunteers, most of whom identify as disabled, and it received no financial support. By contrast, many Long COVID research initiatives have tended to focus on a subset of symptoms, which comes with the risk of missing the bigger picture, says McCorkell.”
Another example is Martha Eckey's TREAT ME survey, which has empowered people with Long COVID and ME/CFS to actively contribute to research. The survey asked patients about their experiences, including whether they had tried any of a list of 150 medicines and supplements.
Despite the unavoidable biases of surveys, by harnessing the collective experiences of the community, TREAT ME has attracted the attention of scientists and research foundations, who realised the potential of this information; one was the Open Medicine Foundation (OMF), a non-profit organisation in California that studies infection-associated chronic illnesses like Long COVID and ME/CFS.
The OMF’s first double-blind, randomised, placebo-controlled clinical trial will explore low-dose naltrexone (LDN) and another drug, pyridostigmine (mestinon). Linda Tannenbaum, the OMF’s founder, credits TREAT ME for helping to shape which symptoms will be assessed during the trial. “The reason we are doing LDN as our first trial is that patients asked for it.”
Clinical trials are essential to demonstrate the safety and effectiveness of medicines, and give patients access to them. Both LDN and pyridostigmine have been used off-label to treat Long COVID, but doctors are often reluctant to prescribe them because of a lack of formal, randomised, controlled trials showing their effectiveness. Many patients report that insurance companies also won’t pay for these medications for people with ME/CFS and Long COVID without strong evidence to support their use.
📊 Research Spotlight
🔍 The UK's largest Long COVID study, led by Imperial College London, followed up 650 hospital patients with severe COVID.
Six months later, 426 said they still had at least one Long COVID symptom. These 426 people showed evidence of a continuing and active pattern of inflammatory proteins in their blood.
The researchers said the presence of these chemicals in the blood, which are usually a sign of the body fighting off infection, was unusual when the initial infection occurred so long before.
SELF-CARE TIP OF THE WEEK
“Coffee on the garden patio. I realised last year I just wasn't getting outside enough. Appreciate that not everyone with our illnesses can go outside but even just stepping onto my patio for 5 minutes makes such a difference to mental health.”
- NURA member
🛠️ Some helpful things
From us:
Check out our events, including our fortnightly Zoom support sessions. These are relaxed spaces in which to chat, meet others, or just listen in. | Browse our new member stories collection, where NURA members share their experiences of and insights into living with long COVID or ME/CFS. |
What brought you some joy this week? Share with the community, and cheer on others’ good moments in our Little Wins space.
From others:
🌍 AI-powered mental health and gentle routine-building app with a focus on self-care. “This app has been a godsend to help remind me of those things but also take the pressure off of myself for once. I open the app a couple of times in the morning to look at my morning routine to see if there's anything I forgot. Same at night, etc. It's helped me stick to my goals and remove some anxiety.” The beta version for Android is currently free. | 📊 Are you in the US? Solve ME’s patient-centred platform and symptom tracker makes data accessible to researchers; it also connects US researchers with US patients looking to take part in clinical trials. It’s free to use, has pacing notifications and downloadable reports, and connects to your wearables. |
Quoted
[on coping]
“I also find any small creative activity tends to help because it’s actually going through the process of ‘making’ and hence achievement.”
That’s it for now! Until next time.
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