August 2008


My guest blogger post is up over at Invisible Illness Week. I chose the topic of ‘Do You Think of Yourself as Sick?’ discussing whether, with a chronic illness, you think of yourself as sick, disabled, or just someone who happens to have health issues. I used the example of my different attitude through years of dealing with migraine, hypermobility syndrome, Irritable Bowel Syndrome and Fibromyalgia Syndrome.

Check it out and maybe consider blogging yourself about Invisible Illness Week 2008 Sept 8-14.

On Monday, I attended the first day of the International Association for the Study of Pain®’s (IASP’s) World Congress on Pain at the Scottish Exhibition & Conference Centre (SECC) in Glasgow, along with Daniel Austen, of the UK FM Clinics, and Jo Fisher, the development officer for the Surrey & Sussex Support Group.

Dan, Jo and I travelled to Glasgow separately over the weekend and attended the conference on the Monday. The conference venue, the SECC, which is huge, was a relevation in itself, as was the information that there were 5,000 delegates attending – pain is obviously big news in the international medical community.

There were a huge numbers of stands on everything from drugs to pain associations and rows and rows of poster displays (363 on Monday). The one of most interest to us was ‘Fibromyalgia: Impaired Top-Down Control during Anticipatory Pain Relief’, describing a study by Canadian researchers showing that, although anticipating pain can lead to greater perceived pain levels, the physical pain response in patients with Fibro is extreme, maintained and unaffected by whether patients think that something will hurt or not – more proof that Fibro is a real condition that causes increased levels of pain physically. The researchers concluded that:

“…[the pain reading in Fibro] cannot be reduced to a psychological epiphenomenon, but rather suggest a true neurological disturbance.”

We got the opportunity to talk with the researcher presenting the poster and we were delighted to find that he had a fantastic in-depth knowledge of Fibro.

Many of the posters weren’t relevant to Fibro, being more concerned with acute pain, opioids and CRPS. But there were 3 other posters directly relevant to Fibro being displayed on Monday.

The highlight of the conference for the Fibro community, and our reason for attending on Monday, was Daniel Clauw MD’s talk on ‘Stress and Chronic Pain: Lessons Learned from Fibromyalgia’. Dr Clauw, a Professor of Medicine at the University of Michigan, USA, is an internationally renowned expert on Fibro.

Hearing Dr Clauw’s talk was amazing. It backed up everything that FibroAction have been saying about Fibro and it was incredible to sit in a 3,000 seat auditorium, listening to an accurate, evidence based lecture about Fibro – what this must have done for the credibility of Fibro in the midns fo the thousands of doctors and researchers present!

After the talk, Dan, Jo and I met with Daniel Clauw, and also with Patrick Wood. It was fascinating to talk to both of them about Fibro and the situation in the UK, where we are years behind the US in terms of awareness. That evening we took also Patrick Wood to dinner, which really make the Congress for me. As the originator of the Dopamine Theory of Fibromyalgia, Dr Wood’s theories and the research that has come from them are responsible for the use of dopamine agonists in Fibro. I take a dopamine agonist and owe my ability to attend such events as the Congress to the improvement I have found whilst on this med. I feel that I personally owe Dr Wood (and Dr Andrew Holman who investigated the use of Pramipexole as a treatment for Fibro) a great deal and it was a real honour to sit across a dinner table from him and have the opportunity to ask and answer questions.

On Sunday, I was honoured to have the opportunity to meet and talk with Dr Jacob Teitelbaum MD, the popular American Chronic Fatigue and Fibro expert.

Jacob Teitelbaum MD is the author of ‘From Fatigued to Fantastic!’ a popular book on managing chronic fatigue, and ‘Pain Free: 1-2-3′, a step-by-step program to help identify the source of pain and understand how to alleviate it.

He frequently speaks on chronic fatigue, Fibro and on the use of supplements to manage these conditions, and has previously appeared on CNN, FOX News and the Oprah and Friends Show with Dr. Oz in the US. On Monday August 18th, he appeared on ITV’s ‘This Morning’ Show.

My interview with Dr Teitelbaum is up on the FibroAction website here. It was hugely interesting to meet with him and discuss Fibro. Although Dr Teitelbaum speaks more often on Chronic Fatigue, which is easier for the media to understand, he is very knowledgeable about Fibro as well.

We discussed everything from the importance of Fibro patients removing major stressors, such as hated jobs, from their lives in order to move forward with treatment, to the importance of finding out actual test results, instead of just whether they fell within normal ranges. He used the analogy of shoes sizes: size 4-11 is the normal shoe size range in adults, yet this does not mean that his size 11 shoes would fit my size 5 feet. A normal test result could still mean that you are low in a hormone compared to the level your body needs, which was something backed up by Dr Patrick Wood who I later met at the World Congress on Pain (more later) who said that if patients showed classic signs of low thyroid, he often treated them even if their test results were in the normal range.

Dr Teitelbaum advocates the use of nutritional supplements for Fibro and CFS and we discussed these. One of the subjects that he feels very strongly about is that supplements need to be of good quality so that you know exactly what you are getting. This is why he recommends using Corvalen – the supplement previously mentioned by Dr Chris Steel on This Morning in April – in place of other forms of D-Ribose, which he has often found to contain very little useful D-Ribose. Dr Teitelbaum agreed wholeheartedly that supplements are not the full answer for Fibro patients and that Corvalen is verymuch not a cure for Fibro, just a possible part of a treatment regime.

I met Dr Teitelbaum along with Dr Tom Gilhooly, from the complementary healthcare clinic Glasgow Solutions. It was interesting to talk to Dr Gilhooly, whose background is in Drug Abuse and latterly MS, but who now sees a number of CFS and Fibro patients.

Dr T, as he is often called, agreed to join the FibroAction Professional Advisory Board (PAB), which I am very pleased about. I hope that we be able to make use of his knowledge, especially as concerns supplements for Fibro, in order to help Fibro patients in the UK. Dr T’s article ‘The Top 10 Supplements for CFS and Fibro’ is available in the FibroAction Patient Section here.

I’ve got a busy few days lined up, but it should be extremely interesting. I’m planning to start blogging a bit about the ups and downs of being a founder and the chair of a new charity – FibroAction  – for Fibromyalgia Syndrme (Fibro) awareness, so look out for some posts on that this week.

I’m off this morning for a lunch meeting with Dr Jacob Teitelbaum and the organisers of his visit to the UK which should be extremely interesting. Dr Teitelbaum is the author of ‘From Fatigued to Fantastic’ and ‘Pain:1-2-3′ and frequently speaks publicly about chronic fatigue, Fibro and the use of supplements to manage these conditions. As well as giving a lecture in Glasgow on Thursday, “Dr T” is doing quite a bit of media during his week long visit – look out for him on ITV’s ‘This Morning’ tomorrow. He is mainly concentrating on chronic fatigue when dealing with the media, but he does a lot of work with Fibro patients too. For more information on Dr T’s visit, see the FibroAction website.

After that, I am hopping on a plane to Glasgow to attend the first day of the World Congress on Pain tomorrow. Fibro expert Daniel Clauw MD is speaking and a number of other Fibro experts and researchers are presenting posters. I’m expecting it to be fascinating… but also exhausting.

Flying home Tuesday after  – hopefully – a productive few days!

Thanks to everyone who comes here to read the random posts I put up. Living With Fibromyalgia has had two of the busiest months in terms of traffic since I started the WordPress blog and it looks like August could be even better as we just had the busiest day ever for the blog.

I’m rather aware that press of Fibro awareness work irl has made me neglect my blog recently, so double thanks for sticking with me. I’m going to get back into posting more, I promise.

Dr Rob over at Musings of a Distractible Mind has got a great post up titled Getting along: Part 2 – Patient Rules. Normally, posts by doctors about rules for patients usually involve patients leaving their brains at the door, but these are great! And they echo a lot of what I wrote for a recent FibroAction article: Becoming an Expert Patient Article 3, Dealing with Doctors.

Patients have got to take responsibility for their actions and for their healthcare. And the doctors have got to let patients take that responsibility…and fulfil their responsibilities.

Grand Rounds Vol 4 #47 is up at the Medical Humanities Blog. Grand Rounds is the pick of the medical blogosphere, chosen each week by a different host. No theme this week, but a bunch of great posts, including…

Nurse Ratched taking a pot shot at Oprah Winfrey.

Healthcare Vox on the impact of the internet on patient-doctor relationships.

Not Totally Rad on whether dependency on evidence based medicine is being taken too far.

Digital Doorway on the importance of listening.

For the rest of this week’s pick, check out the Medical Humanities Blog.

Renowned Chronic Fatigue Syndrome (CFS) and Fibromyalgia Syndrome (Fibro) expert Dr Jacob Teitelbaum will be visiting the UK next week and will appear on national TV and radio, as well as giving a talk in Glasgow.

Dr Teitelbaum is the author of ‘From Fatigued to Fantastic!’ a popular book on managing chronic fatigue. He quite frequently speaks on chronic fatigue, Fibro and on the use of supplements to manage these conditions, and has previously appeared on CNN, FOX News and the Oprah and Friends Show with Dr. Oz in the US.

For more information, see the FibroAction website.

The Spoon Theory is now available in poster form from ButYouDontLookSick.com. If you haven’t yet read Christine Donato’s (nee Miserandino) story of how she explained what it is like to live with a chronic illness, I highly recommend it – it’s available here.