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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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1992<br />

178<br />

Potaznick and Kozol evaluated 25 ocular symptoms <strong>in</strong> 190 <strong>ME</strong>/CFS patients and concluded that the ocular<br />

symptoms are genu<strong>in</strong>e and that for all but one symptom (teary eyes), the patients’ responses were found to<br />

be statistically significant. The authors concluded: “Statistical analysis shows that the <strong>in</strong>creased rate at which<br />

patients with (<strong>ME</strong>/CFS) CFIDS report ocular symptoms is not expla<strong>in</strong>ed by chance alone…Many patients experience<br />

very troubl<strong>in</strong>g and disabl<strong>in</strong>g symptoms” (Optometry and Vision Science 1992:69:10:811‐814).<br />

1994<br />

Potaznick and Kozol reported ocular symptomatology <strong>in</strong> relation to the visual, functional, perceptual and<br />

pathological aspects of the visual system and repeated their message that the symptoms are genu<strong>in</strong>e (Cl<strong>in</strong><br />

Inf Dis 1994:18 (Suppl 1):S87).<br />

1994<br />

Caffery et al showed that <strong>ME</strong>/CFS affects the ocular system <strong>in</strong> many ways. The authors stated: “It appears<br />

that the ocular system may be very much affected by this systemic disease. The objective f<strong>in</strong>d<strong>in</strong>gs of the anterior<br />

segment suggests an organic aetiology…The ocular neurological symptoms that presented <strong>in</strong> such a large number of<br />

<strong>ME</strong>/CFS patients suggests a possible neurological basis for this disease” (Journal of the American Optometric<br />

Association 1994:65:187‐191).<br />

1997<br />

Vedelago reported that the visual symptoms commonly encountered <strong>in</strong> <strong>ME</strong>/CFS patients <strong>in</strong>clude blurred<br />

vision, difficulty focus<strong>in</strong>g, difficulty track<strong>in</strong>g l<strong>in</strong>es of pr<strong>in</strong>t, diplopia or ghost<strong>in</strong>g of images, problems with<br />

peripheral vision, misjudg<strong>in</strong>g distances, <strong>in</strong>ability to tolerate look<strong>in</strong>g at mov<strong>in</strong>g objects, floaters and halos,<br />

<strong>in</strong>tolerance to glare, gritt<strong>in</strong>ess, burn<strong>in</strong>g, dryness or itch<strong>in</strong>ess and photophobia. Objective ocular f<strong>in</strong>d<strong>in</strong>gs<br />

<strong>in</strong>cluded poor oculomotor control, exophoria (the tendency for one eye to diverge when the other eye is<br />

covered), remote near‐po<strong>in</strong>t of convergence, poor convergence, constricted peripheral fields, <strong>in</strong>complete<br />

bl<strong>in</strong>k<strong>in</strong>g, small pupils, visual midl<strong>in</strong>e shift, and low grade chronic allergic conjunctivitis (The CFS Research<br />

Review 2000: 4‐9).<br />

Documented <strong>in</strong>volvement of viruses <strong>in</strong> <strong>ME</strong>/CFS<br />

1954<br />

Describ<strong>in</strong>g an outbreak of <strong>in</strong>fection of the central nervous system complicated by <strong>in</strong>tense myalgia <strong>in</strong> late<br />

summer 1952 affect<strong>in</strong>g nurses at the Middlesex Hospital, London, the author (ED Acheson, who later<br />

became UK Chief Medical Officer) reported the cl<strong>in</strong>ical features to be severe muscular pa<strong>in</strong> affect<strong>in</strong>g the<br />

back, limbs, abdomen and chest, with evidence of mild <strong>in</strong>volvement of the central nervous system,<br />

diarrhoea, vomit<strong>in</strong>g, respiratory distress, paresis and bra<strong>in</strong> stem <strong>in</strong>volvement that <strong>in</strong>cluded nystagmus,<br />

double vision and difficulty <strong>in</strong> swallow<strong>in</strong>g; additionally, bladder symptoms occurred <strong>in</strong> more than half the<br />

patients. Acheson highlighted this small outbreak because of the similarity to atypical poliomyelitis (ED<br />

Acheson. Lancet: Nov 20 th 1954:1044‐1048). The label of “atypical poliomyelitis” was orig<strong>in</strong>ally given to <strong>ME</strong><br />

(The Disease of a Thousand Names. David S Bell. Pollard Publications, Lyndonville, New York, 1991).<br />

Many patients today experience exactly the symptoms described by Acheson, but such symptoms are<br />

dismissed by the Wessely School as somatisation and as hypervigilance to normal bodily sensations.

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