💙 It's May 12th, International ME/CFS Awareness Day 💙

My ME/CFS onset was in Jan 1990

🚨 Many recent ME/CFS cases have been triggered by COVID 🚨

In this thread I plan to post about 3 main things:

1. My ME/CFS story (briefly)

2. Helpful resources for patients and clinicians

3. Advocacy options for patients & allies (friends/family) - mostly US based

1/n

@mecfs @longcovid

#MEcfs #LongCovid #PostCovid #Disability #DisabilitySOS #CovidIsNotOver #MillionsMissing #MEAwareness #WorldMEDay

My story, in brief:

I caught an unknown virus in Dec 1989. I thought I'd recovered but then started getting new symptoms in Jan 1990. In March I went on medical leave.

Over the next 5 years I went to dozens of doctors but got no diagnosis until 1995. I tried to keep working but finally got too sick to work in 2000.

Pushing myself all those years led to a permanent worsening of my condition.

Not a good idea! 😔

2/n

@mecfs @longcovid

#MEcfs #PwME #MillionsMissing #MEAwareness #WorldMEDay

If you learn nothing else from my thread today, please remember this:

Exercise is NOT recommended for people with ME/CFS!

Exercise is not good for anyone who has post-exertional malaise (PEM), sometimes called post-exertional symptom exacerbation (PESE), and that includes a significant portion of people with Long Covid.

This video has more info:

https://www.youtube.com/watch?v=wxSwYUennBA

3/n

@mecfs @longcovid

#MEcfs #PwME #PEM #PESE #LongCovid #MillionsMissing #MEAwareness #WorldMEDay

Exercise Actually Makes Chronic Fatigue Syndrome Worse

YouTube

While most ME/CFS patients do have abnormal results from one or more tests, there's no single test (yet) which can reliably diagnose this illness.

Two links on ME/CFS diagnosis -

1. Concise Review for Clinicians from Mayo Proceedings:

https://www.mayoclinicproceedings.org/article/S0025-6196(23)00402-0/fulltext

2. "ME/CFS Basics" from the CDC:

https://www.cdc.gov/me-cfs/about/index.html

4/n

@mecfs @longcovid

#MEcfs #MedEd #MillionsMissing #MEAwareness #MEAwarenessDay #WorldMEDay

What does #MillionsMissing mean?

Even mild cases of ME/CFS cause significant loss. People with ME are missing from jobs (part time work), social activities, and exercise.

Moderate cases cause more loss so they may rarely leave the house.

People with severe ME are stuck in bed. Some use eye shades & ear plugs to reduce sensory input.

As ME/CFS gets worse a patient's world shrinks.

Attached comic is by Kornelia Paulsen.

5/n

@mecfs @longcovid

#MEcfs #SevereME #MEAwareness #WorldMEDay

Okay, taking a break for a while!

I'm resting to avoid PEM (post-exertional malaise) also called PESE (post-exertional symptom exacerbation)

Speaking of resting here's a link to the #StopRestPace page by #MEAction which was created a few years back to explain the importance of pacing and resting to new Long Covid patients:

https://www.meaction.net/stoprestpace/

It has links to a few different pacing and management guides.

6/n

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing
#MEAwareness #WorldMEDay

Stop. Rest. Pace.

If you are new to Long COVID or ME/CFS, it is important to learn how to #StopRestPace.

#MEAction Network

I'm back! 😁

Next I'll share resources for people who have ME/CFS.

Because of an overlap in symptoms these resources may also help folks who have Long Covid, or who have some kind of orthostatic intolerance like POTS (Postural Orthostatic Tachycardia Syndrome) or NMH (Neurally Mediated Hypotension) - or both!

An umbrella term often used is IACC, Infection Associated Chronic Conditions.

7/n

@mecfs @longcovid

#MEcfs #LongCovid #POTS #MillionsMissing #Dysautonomia #MEAwareness #WorldMEDay

Some ME/CFS resources (groups, documents, videos) in no particular order:

I mentioned the #MEAction group earlier in this thread (see #StopRestPace post)

Their website has lots of good info!

https://www.meaction.net/

Their events calendar includes support groups, advocacy meetings, and support for artists and writers:

https://www.meactions.org/event-list

Recent youtube posts:

https://www.youtube.com/@MEActNet/shorts

8/n

@mecfs @longcovid

#MEcfs #PwME #LongCovid #MillionsMissing #WorldMEDay #MEAwarenessDay

Home

We’re Igniting a Global Revolution in ME Care Our movement fights for recognition, research and clinical education so that, one day, all people with myalgic encephalomyelitis/Chronic Fatigue Syndrome (ME, or ME/CFS), and Long COVID will have access to compassionate and effective care. We are advocating for our communities at every government table and protesting on … Home Read More »

#MEAction Network

Taking another break, but I'll be back!

This is not the end of the thread 😁

9/n

@mecfs @longcovid

Another ME/CFS research & advocacy group is Solve M.E.

https://solvecfs.org/

They hold Advocacy Week yearly where volunteers meet with Congress

Advocacy Week 2025 is June 23 to 27

🚨Today, May 12, is the last day to sign up!

All activities are online this year, no experience is necessary, there'll be training sessions.

I signed up yesterday - wanna join me?

https://solvecfs.org/advocacy/advocacy-week/advocacyweek2025/

10/n

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing #Advocacy #Activism #SaveOurScience #SolveME

Home - Solve ME/CFS Initiative

Solve M.E. is a non-profit org focused on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), Long Covid and other post-infection diseases.

Solve ME/CFS Initiative

Next organization on my list is the Bateman Horne Center

https://batemanhornecenter.org/

They recently posted a Clinical Care Guide for ME/CFS & Long Covid

https://batemanhornecenter.org/wp-content/uploads/2025/05/Clinical-Care-Guide-First-Edition-2025-1.pdf

They also post helpful videos, like these 2 on Orthostatic Intolerance - I share them a lot!

What is Orthostatic Intolerance? Part 1: Diagnostic Workup

https://www.youtube.com/watch?v=X3Ym8rnYk_4

Part 2: Management

https://www.youtube.com/watch?v=GIkS4w3tIg8

11/n

@mecfs @longcovid

#MEcfs #PwME #LongCovid #POTS #Dysautonomia #MillionsMissing #BatemanHorne

Bateman Horne Center

Improving the lives impacted by myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), fibromyalgia (FM), post-viral syndromes, and related comorbidities.

Bateman Horne Center

Next up is Open Medicine Foundation, a group that does research to

"diagnose, treat, and prevent chronic, complex diseases such as Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS), Post-COVID Syndrome, Post-Treatment Lyme Disease Syndrome (PTLDS), and Fibromyalgia"

Main website:

https://www.omf.ngo/

Here's their resources page:

https://www.omf.ngo/resource-center/

12/n

@mecfs @longcovid

#MEcfs #PwME #LongCovid #MillionsMissing #WorldMEDay #MEAwarenessDay #OMF

OMF Home - Open Medicine Foundation

ME/CFS & Long COVID are life-altering illnesses. Together, we can move research further, faster.

Open Medicine Foundation

Want to discuss the science of ME/CFS with patients, doctors, researchers, or anyone else who's interested?

There's a moderated forum called Science for ME:

https://www.s4me.info/

Full disclosure, I'm a forum member and volunteer (but not a moderator - too hard for me!)

In addition to the more serious parts of the forum there are also subforums where patients can chat about stilly stuff 🤪

13/n

@mecfs @longcovid

#MEcfs #PwME #LongCovid #MillionsMissing #MEAwarenessDay #Science4ME

Science for ME

A forum where Science and the ME/CFS Community Meet

Science for ME

I'm about to end this long thread with calls to action (all US based)

Many go far beyond helping ME/CFS and Long Covid patients. Disabled folks have to stick together!

#MEAction has a page on saving Medicaid. Tasks are listed by energy (low to high) with sample scripts for email / phone calls to your congress member. There are tips on how to schedule an in-person visit

https://www.meactions.org/medicaid

14/n

@mecfs @longcovid

#USPol #Advocacy #Medicaid #SaveMedicaid #MEAwarenessDay #MillionsMissing

Medicaid | Take Action

Protect people with disabled and chronically ill people and ensure Medicaid is not cut!

Me Actions

I thought I had a longer list of actions!

The only other one I can find now is this, a call by #MEAction to sign their open letter to the NIH demanding they fund ME/CFS Resesarch Roadmap:

https://airtable.com/appEwdLZCdtR0xwuv/pagMvv9RZYLxZiDFe/form

15/n

@mecfs @longcovid

#USpol #MEcfs #LongCovid #MillionsMissing #NIH #Research #FundMERoadmap

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Okay, I think that's it! If you've made it all the way to the end of my thread, thanks so much for reading! 😁

I may be done posting but I'll continue to look for and boost other posts about World ME Day / ME Awareness Day / Millions Missing.

I'll end with a story by The Sick Times about the #MEAction Millions Missing protest at the capitol:

https://thesicktimes.org/2025/05/12/millions-missing-protest-at-the-capitol-demands-myalgic-encephalomyelitis-funding-social-support/

16/16

@mecfs @longcovid
@disability

#MEcfs #LongCovid #MillionsMissing #DisabilitySOS #MEAwarenessDay #WorldMEDay

“Millions Missing” protest at the Capitol demands myalgic encephalomyelitis funding, social support - The Sick Times

Myalgic encephalomyelitis (ME), Long COVID, and other chronic disease advocates demonstrated outside the Capitol Building in Washington, D.C., this afternoon. Organized by the advocacy group #MEAction, demonstrators demanded that the federal government fund ME research and preserve vital social support systems like Medicaid and telemedicine.

The Sick Times - Chronicling the Long Covid crisis

PS. If you want to make a donation to an ME/CFS group (only if you can afford it!) then here are some links:

#MEAction
https://www.meactions.org/millionsmissing-2025-sos-fundraiser

Solve M.E.
https://solvecfs.org/donate

Bateman Horne Center
https://batemanhornecenter.org/donate/

Open Medicine Foundation
https://www.omf.ngo/

#MEcfs #MillionsMissing #WorldMEDay #MEAwarenessDay #Charity

#MillionsMissing 2025: SOS Fundraiser

Disabled people across the world are sending out an SOS. #MillionsMissing 2025 provides our community with concrete actions.

Me Actions
@ahimsa_pdx Wow - so many good resources. Thank you for putting it all together and for sharing your story. I don't have any of these conditions, but I have so much compassion for anyone who does.
@ahimsa_pdx Shout out to the Bateman Horne Center for their support groups. I’ve attended a few of their virtual sessions and they were excellent.

@ImmedicableME
That's good to hear! I've never attended myself.

They have a support group scheduled for tomorrow, Tuesday, May 13.Topic: Tapping Into the Collective Wisdom of the Group.

See link for details:

https://batemanhornecenter.org/event/online-support-group-94/

Looks like they'll be sharing photos, videos, drawings, poems, etc. that were submitted previously.

#MEcfs #LongCovid #Fibromyalgia #Support #BatemanHorne

@ahimsa_pdx @mecfs @longcovid
Wife is 10+ years mod/severe ME. It’s hell for her, as her sole full time caregiver it’s heartbreaking for me.
ME can hit anyone, it doesn’t need a virus, stress or trauma will do, just get the nervous system looping in a danger response and exhaust ATP production.
Thanks for pointing out PESE, it seems more accurate than PEM.

Sorry to hear about your wife 😢

I'm too sick to work, but can leave the house as long as I'm careful to pace myself, take my meds, avoid standing (orthostatic intolerance), etc.

PEM/PESE can be very hard to describe, even for those of us who have lived with it for years! But it's definitely different from normal post exercise aches. (I used to lift weights, run, etc)

You're right that ME can have different causes other than infection but that's a very common trigger.

@ArrowbearMoore

@ahimsa_pdx 💔 Have you watched any of Dianna's (aka Physics Girl) videos on YT? Here's one, if not: https://youtube.com/shorts/xALv93I6xLo

@mecfs @longcovid

DO NOT exercise with long COVID

YouTube