Dr. Aimee Nefcy shares how myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) affected her career as an emergency physician and how validation, pacing, and targeted sleep therapy changed her trajectory. We explore misdiagnosis, harmful advice, and practical steps that may help.
• Post-exertional malaise (PEM) as the defining feature of ME/CFS
• Dysautonomia management with salt, fluids, compression, fludrocortisone
• Why GET and simplistic “just exercise” advice can harm
• Wearables as trend tools alongside formal testing
• Incremental gains with low‑dose trials and supplements
• Validation over dismissal in clinical encounters
• Potential overlaps between Long COVID with POTS, hypermobility, MCAS
• Using IOM 2015 criteria and Bateman Horne clinic resources
• Pacing strategies for physical and cognitive load
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The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.
