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stevewalton12343 karma

ME/CFS is only sort of kind of thought to be a thing (many/most feel it's a cop out/garbage bin "diagnosis" like fibromyalgia is), so there isn't exactly a standard treatment. Which is why people tend to throw everything but the kitchen sink at it.

That said, it makes no sense to be on naltrexone and valtrex. At least the charlatans at the "chronic Lymes [sic] clinics have the decency to use the correct treatments for the diseases their patients don't have [e.g. treating for imaginary babesiosis/borrelia/anaplasmosis with the treatments that do cure true infections with these organisms].

stevewalton12343 karma

The problem is that chronic (late disseminated) Lyme disease is a real thing with diagnostic criteria, but there are many many people walking around without it who have been convinced they have it, either by the internet, their friends, or one of the many quacks out there who have opened "chronic lyme clinics" to overmedicate people.

Shit, last year I had a patient referred to me for "chronic Lymes" (incidentally, saying "Lymes" instead of "Lymes" seems to have a nearly 100% positive correlation with quackery). Turns out they had systemic lymphoma, but had been treated with doxycycline, mefloquine, and some other entirely unhelpful medications for several years by a "chronic Lymes doctor."

stevewalton1234-6 karma

It's a shame you're being downvoted, but you're right. CFS/ME is really an extension of "fibromyalgia", which is essentially physical manifestations of clinical depression.