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

Also called World M.E. Day!

🧵 This thread talks about 4 things:

1. My ME/CFS story (brief)

2. Facts about ME/CFS and Long Covid

3. Helpful resources for patients (and friends/family)

4. Actions you can take to help folks with ME/CFS & Long Covid!

Some will be easy things anyone can do! 👍

Other actions (re: #Medicaid) are for US residents only.

1/n

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing #MEAwarenessDay #WorldMEDay

I'll start by explaining that ME/CFS (name used by most groups in the USA) stands for "myalgic encephalomyelitis / chronic fatigue syndrome"

Here are two links with an overview of ME/CFS

1) "What is ME?" from #MEAction

https://www.meaction.net/what-is-me

2) "Introduction to ME/CFS" from the Science for ME forum

https://www.s4me.info/threads/science-for-me-fact-sheets.43310/#post-596527

Many folks w/ Long Covid have similar symptoms, some meet the ME/CFS diagnostic criteria

2/n

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing #MEAwarenessDay

My story:

I caught an unknown virus in Dec 1989. I thought I'd recovered then new symptoms started in Jan. Got worse & took my first medical leave in March 1990.

Went to dozens of doctors. Finally got a diagnosis in 1995. I kept working, taking medical leaves as needed, but finally got too sick to work at all in 2000.

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

Not a good idea! 😔

3/n

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing #MEAwarenessDay

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

🚨 Exercise is NOT recommended for people with ME/CFS!

Any exertion, mental or physical, is not good for people who have post-exertional malaise (PEM), sometimes called post-exertional symptom exacerbation (PESE)

This includes a significant portion of people with Long Covid.

Video with more info:

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

4/n

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing #MEAwarenessDay #WorldMEDay #PEM #PESE

Exercise Actually Makes Chronic Fatigue Syndrome Worse

YouTube

Symptom severity ranges from mild to very severe. But even so-called "mild" ME/CFS has an enormous impact what a person can do.

With severe ME/CFS the person is mostly housebound or completely bedbound.

Anil van der Zee, a former professional dancer who now has severe ME, made this video:

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

Read the YouTube summary for more details

5/n

@mecfs @longcovid

#MEcfs #PwME #SevereME #MEAwarenessDay #WorldMEDay #MyalgicEncephalomyelitis

Buried Alive with M.E. (with subtitles)

YouTube

Another ME/CFS fact: It can be triggered by COVID infection. Not all Long Covid cases meet ME/CFS diagnosis but many do. For more info see this Bateman Horne Center blog post:

COVID-19 Triggers ME/CFS

https://batemanhornecenter.org/covid-19-triggers-me-cfs/

"… among participants infected with SARS-CoV-2, the incidence of ME/CFS—defined using the Institute of Medicine (IOM) diagnostic criteria—was 15 times *higher* than pre-pandemic rates."

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@mecfs @longcovid

#MEcfs #LongCovid #COVID-19 #CovidIsNotOver #MillionsMissing

COVID-19 Triggers ME/CFS

The emergence of SARS-CoV-2, the virus responsible for COVID-19, swept across the globe with an unparalleled speed and severity. As a researcher dedicated to understanding how viral infections lead to…

Bateman Horne Center

Another fact: ME/CFS research has been badly underfunded for years!

In a recent study that looked at research funding with respect to disease burden, ME/CFS was "the most underfunded disease, receiving less than 1% of its expected funding"

Article from Solve ME:

https://solvecfs.org/solve-science-spotlight-systematic-underfunding-of-long-covid-me-cfs-and-other-debilitating-diseases-that-disproportionately-affect-women/

"… the NIH must do a better job at funding severely debilitating diseases that disproportionately affect women more than men"

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@mecfs @longcovid

#MEcfs #LongCovid #MedMastodon #Research #Women

What does #MillionsMissing mean?

Even mild cases of ME/CFS cause significant loss. So people with ME/CFS are "missing" from work, socializing, exercise, etc.

Moderate cases cause more loss so that people can rarely leave the house.

People with severe cases are in bed, rarely able to intereact with anyone.

As ME/CFS gets worse a person's life shrinks more and more.

The attached comic is by Kornelia Paulsen.

8/n

@mecfs @longcovid

#MEcfs #LongCovid #SevereME #MEAwarenessDay #WorldMEDay

OK, I'm gonna take a rest break!

I'm trying to avoid PEM (post-exertional malaise), aka PESE (post-exertional symptom exacerbation)

Pacing is hard! It often fails due to some unplanned exertion which can't be avoided. And sometimes adrenaline takes over when I should be resting.

In short, it's easy to do too much and crash. Fact sheet about PEM:

https://www.s4me.info/threads/science-for-me-fact-sheets.43310/#post-606969

I'll be back later today! 😁

9/n

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing #MEAwarenessDay #WorldMEDay

I'm back! 😁

Next I'll share some resources.

I'll start by talking about Orthostatic Intolerance (OI). This is when folks get symptoms when in an upright posture, most often from standing, but also when sitting upright. This condition is common in both ME/CFS and Long Covid.

Sadly, many doctors don't know about OI even though it's an optional diagnostic criteria for ME/CFS.

https://www.cdc.gov/me-cfs/pdfs/toolkit/What-are-MECFS-Symptoms_508.pdf

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@mecfs @longcovid

#MEcfs #LongCovid #OrthostaticIntolerance #POTS #Dysautonomia

This 2-part video series from the Bateman Horne Center about Orthostatic Intolerance in ME/CFS is very helpful:

"What is Orthostatic Intolerance in ME/CFS?"

Part 1 - Diagnostic Workup

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

Part 2 - Management

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

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@mecfs @longcovid

#MEcfs #LongCovid #OrthostaticIntolerance #POTS #Dysautonomia #BatemanHorne

What is Orthostatic Intolerance? Part 1- Diagnostic Workup

YouTube

Next I'll list some of the ME/CFS groups which have resources for patients and clinicians.

I'll start with the Bateman Horne Center since I just mentioned them. They have online support group meetings twice a month.

They also have regular "Coffee" with a Clinician sessions where they talk about different ME/CFS issues.

Event calendar:

https://batemanhornecenter.org/events/

Home page:

https://batemanhornecenter.org/

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@mecfs @longcovid

#MEcfs #LongCovid #MEAwarenessDay #WorldMEDay

Archives: Events

Bateman Horne Center

Another ME/CFS group is #MEAction. They've done great advocacy work over the years, including this protest in 2023. They put 300 cots on the lawn at the Washington Monument.

People with ME/CFS or Long Covid sent in pillowcases with personalized messages - you can see some of the pillows in this video.

Video from the event:

https://www.youtube.com/watch?v=FULqhB--k7k

Website:

https://storyofmillionsmissing.org/dc-protest/

This event got good press coverage.

13/n

@mecfs @longcovid

#MEcfs #LongCovid #MEAwarenessDay #WorldMEDay

#MillionsMissing 2023

YouTube

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

https://solvecfs.org/

They hold Advocacy Week every year, meeting with government representatives to lobby for legislation that will help ME/CFS and Long Covid (research funding and other asks).

They also run the Ramsay Research Grant Program - since 2016, 37 studies have been supported by Ramsay Grants.

https://solvecfs.org/research/ramsay-research-grants/

14/n

@mecfs @longcovid

#MEcfs #LongCovid #MEAwarenessDay #WorldMEDay #MedMastodon #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

Want to discuss the science of ME/CFS & Long Covid with patients, doctors, researchers, other interested folks?

There's a moderated forum called Science for ME:

https://www.s4me.info/whats-new/

Full disclosure, I'm a forum member and one of the volunteers who do the "News in Brief" summary. It's posted weekly on Mastodon and Bluesky.

The forum also has subforums where patients can chat or share funny/silly stuff. Come join us! 😁

15/n

@mecfs @longcovid

#MEcfs #LongCovid #MEAwarenessDay #WorldMEDay

What's new

Science for ME

I'm taking another break while I gather up and organize the final section of this thread, actions you can take to help folks with ME/CFS & Long Covid.

Stay tuned - I will be back a bit later to finish the thread!

16/n

@mecfs @longcovid

#MEcfs #LongCovid #MEAwarenessDay #WorldMEDay

I'm back to list ways you can help folks with ME/CFS & Long Covid.

USA resident? You can add your signature to #MEAction's letter to the HHS secretary!

Congress has mandated that Medicaid recipients must work 80 hours a month unless they can prove they're “medically frail." This letter urges HHS to recognize people with ME/CFS & Long COVID as “medically frail" to protect their Medicaid access.

https://www.meaction.net/savemedicaid

17/n

@mecfs @longcovid

#MEcfs #LongCovid #Medicaid #HHS #FrailAndFurious

If you're a US resident you can add your story to #MEAction’s story bank.

They want stories from patients, caregivers, friends & family, healthcare providers, disability advocates - anyone who wants to contribute!

They particularly need stories from folks who rely on Medicaid.

You can remain anonymous if you like. Your story can include photos or video (optional)

Details:

https://airtable.com/app4hQ0Pkj285JqK1/pag3Ar4l6GfUGtxP1/form

18/n

@mecfs @longcovid

#MEcfs #LongCovid #Medicaid #MillionsMissing #Community

Another way to help is to donate to the "Sequence ME & Long Covid" research project:

https://www.actionforme.org.uk/research-campaigns/our-research-work/sequenceme-long-covid/donate-sequence-me/

Action for M.E. just announced yesterday that this project got more funding! Read more about the project here:

https://www.actionforme.org.uk/major-funding-secured-for-sequence-me-long-covid-a-decodeme-project/

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@mecfs @longcovid

#MEcfs #LongCovid #MedMastodon #SequenceME #Research #ActionForME

Donate to Sequence ME & Long Covid

Donate to the Sequence ME and Long Covid study which hopes to accelerate the development of a diagnostic test and treatments for ME.

Action for ME

More details about the Sequence ME and Long Covid research are in this government press release:

"Thousands of ME/CFS patients to benefit from first genomics study"

https://www.gov.uk/government/news/thousands-of-mecfs-patients-to-benefit-from-first-genomics-study

"…the study will enable the SequenceME programme to sequence the genomes of up to 6,000 ME/CFS patients, generating a world-first high-resolution genetic map of the illness."

20/n

@mecfs @longcovid

#MEcfs #LongCovid #SequenceME #DecodeME #Genomics #MedMastodon

How about a tea party? Blue Sunday is May 17!

https://the-slow-lane.com/blue-sunday-2026/

This event can be as simple as asking your family and friends to text you a photo of their daily cup of tea. Or you can dress in blue, take photos, and post them online. Attached image has more ideas.

The fundraiser part is donating the cost of a cafe visit to an ME/CFS charity, here are some suggested charities:

https://the-slow-lane.com/donation-pages/

21/n

@mecfs @longcovid

#MEcfs #Fundraiser #BlueSunday #BlueSunday2026

There's an online Blue Sunday event (via Zoom) that's hosted by #MEAction NC (North Carolina)

Sunday, May 17, 2026
1:00 pm – 2:30 pm EDT

Everyone's invited no matter where you live!

More details, including a registration link, can be found here:

https://www.meaction.net/event-details/blue-sunday-tea-party

It's too late to order a box of baked goods but not too late to register!

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@mecfs @longcovid

#MEcfs #Fundraiser #BlueSunday #BlueSunday2026 #TeaPartyForME2026

Blue Sunday Tea Party | #MEAction

#MEAction NC is having a tea party and you’re invited! Click for details.

#MEAction

Okay, that's all for today! If you made it all the way here, thanks so for reading! ❤️

Please share this information with others! Boost this thread, share links with friends & family, etc.

I'll end with a quote from Naomi Whittingham:

"No matter how isolated you might be, you are inextricably connected to the rest of humanity in ways you can’t fully imagine."

Source = https://alifehidden.com/2026/05/10/not-forgotten/

23/23

@mecfs @longcovid

#MEcfs #LongCovid #MillionsMissing #MEAwarenessDay #WorldMEDay

You Are Not Forgotten: The Gift of Being Remembered

You are not forgotten.  How powerful four words can be.   They tell us that we are still part of the world; that our lives matter; that we are held in the hearts of those who know us, eve…

A Life Hidden

@ahimsa_pdx @mecfs @longcovid

I already sent a sample for DecodeME

I hope others join in.

@tiggy
Thank you! ❤️

I believe Sequence ME research study is still in the funding stage. The link I posted is for monetary donations.

@ahimsa_pdx

The initial DecodeME study finished but the dataset will be available for researchers and they proposed some future work.
Hopefully the new study will benefit from their DNA dataset.

https://institute-genetics-cancer.ed.ac.uk/decodeme

DecodeME : The world's largest ME/CFS study | Institute of Genetics and Cancer

DecodeME aimed to find genetic causes of why people become ill with Myalgic Encephalomyelitis (ME) / Chronic Fatigue Syndrome (CFS). The study will help us understand the disease and ultimately find treatments.

Institute of Genetics and Cancer

@tiggy Yes, it looks promising! For some reason I was confused about your "join in" comment.

Anyway, for anyone who wants to read more about what's planned for Sequence ME here's a link to a discussion thread on the Science for ME forum:

https://www.s4me.info/threads/sequenceme-genetic-study-from-oxford-nanopore-technologies-the-university-of-edinburgh-and-action-for-me.41663/page-8#post-692373

SequenceME genetic study - from Oxford Nanopore Technologies, the University of Edinburgh and Action for ME

Some posts have been moved to: Sequence ME & Long Covid now open for fundraising

Science for ME