www.nightingale.ca

121 Iona Street, Ottawa, Canada

K1Y 3M1

Nightingale Research Foundation

How I Help

M.E. & CFS

Patients in Canada

The NIH/CDC Addendum to the CFS, 2010 Diagnostic Criteria

A minimum of tests should be performed;

Tests have no known value; and

Tests do not aid in diagnosis or management of the CFS patient.

Royal Free Epidemic, London UK 1955-1957

255 MDs, Nurses & Staff became chronically ill in this epidemic, first to be called Myalgic Encephalomyelitis. All were hospitalized, some for months.

Psychiatrists, Beard & McEvedy, without examining a single patient, called this Mass Hysteria. The press gobbled it up.

Psychiatrists Beard & McEvedy

In a case heard before Justice McPherson on June 26,1989, the Lawyer Mr. Beckman, referring to a patient, asked Psychiatrist Alfred Beard:

Mr. Beckman asked:

“Did you then examine him?”

Dr. Beard answered.“A Psychiatrist does not ordinarily conduct a physical examination.”

Nightingale Research Foundation

It is obvious from these few words, that the NIH/CDC, like Beard and McEvedy,

believe that CFS is a Psychiatric disease.

Apparently, one does not have to examine patients as long as you consider them Psychiatric patients.

The Official Interpretation of CFS

Lets be honest with ourselves… according to:

1. the NIH/CDC;

2. the Insurance Industry; and

3. 90% of the World’s Physicians

CFS is a Psychiatric manifestation.

However, It Can Get Worse

Many Physicians and the public consider CFS to be a joke.

The Patient is then laughed at, or treated with contempt.

No Examinations

Thanks to the NIH/CDC definitions that state CFS patients should not be examined, most CFS patients have never been systematically examined.

Myalgic Encephalomyelitis

There is only ONE IMPORTANT CLUE

in the diagnosis of M.E.

And it is…

M.E. Brain SPECT Image

CFS Patient 1 CFS Patient 2

CFS Patient 3

CFS Patient 4

CFS Patient 5

CFS Patient 6

CFS Patient 7

CFS Patient 8CFS Patient 9

CFS Patient 11

CFS Patient 10

CFS Patient 12CFS Patient 13

CFS Patient 14

CFS Patient 15CFS Patient 16

CFS Patient 17

CFS Patient 18

CFS Patient 19

Non CFS 1

Primary CFS Branch

Coxsackie/ECHO Branch

Primary Paralytic Branch

Polio 3aPolio 3Polio 1

Polio 2

Polio 2

Coxsackie A34

Coxsackie A31

Enterovirus 70

Echo 9

Echo 4

Echo 7

Echo 20Echo 3

Echo 11

Non CFS 5

Non CFS 3

Non CFS 6Non CFS 6

Coxsackie B1

Coxsackie A9Non CFS 2

CFS Patient 20

Coxsackie B4

Coxsackie B5

Coxsackie B4ANon CFS 7

Significant Pathologies

Pain Syndromes Arthritic Syndromes Thyroid Pathology

Significant Pain & Arthritic Pathologies

100 % of 153 consecutive patients with significant pain syndromes had Measurable Arthritic Indicators.

100% of Our Chronic FMS PatientsHave These Associations!

Thyroid Pathology

Employing Mayo Clinic guidelines, more than 50% of M.E. patients seen by Nightingale, had Atrophic Thyroid.

Only 23% of M.E. females had a normal Thyroid volume.

0

10

20

30

40

50

60

46 Male M.E/CFS Patients

Series1 30.4 54.3 15.2

Normal Atrophic Hypertrophic0

10

20

30

40

50

60

70

107 Female M.E/CFS Patient

Series1 23.3 65.4 0.05

Normal Atrophic Hypertrophic

Thyroid Volume of 153 Consecutive M.E/CFS Patients

Some Significant Vascular Pathologies In Our Patients

Dysautonomias; POTS (Postural Orthostatic Hypotension) Raynaud’s Syndrome; Decreased Circulating Blood Volume; Viral Triggered, Ehlers Danlos Syndrome; Partially Expressed Marfan Syndrome; Multiple Arterial & Venous Clotting Defects; and Abnormal Ach Mediated Vasodilator Pathway.

Macroscopic VascularM.E. and CFS Anomalies

Missed Coronary Artery Disease; Missed Cardiomyopathies; Missed Aortic Pathologies; Missed Carotid Artery Disease; Missed CNS Arterial Pathologies; and Drug Induced (NSAIDS) Arteritis.

Thyroid Volume of 153 Consecutive M.E/CFS Patients

Conclusions

The previous short list of Major Pathologies found routinely in CFS and M.E. patients,can only be diagnosed if the Physician investigated the patient.

By dismissing M.E. & CFS patients as the NIH, CDC & many Psychiatrists routinely have done as Psychiatric expressions of disease the treatable pathologies will never be found.

More Conclusions

In 25 Years of Testing M.E. and CFS Patients,I have yet to find a single patient who has been adequately investigated.

All CFS patients are: “Missed Diagnoses” with Multiple Missed Pathologies.

All M.E. and CFS patients have multiple pathologies, some which are treatable if diagnosed.

Missed DiagnosesThis inexpensive book can be purchased individually from www.Lulu.com

For approximately $20 Canadian, but if you purchase it through your organization, in more than 10 copies,  it may be significantly less expensive.