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Winter 2000

Readers’ Forum

More stories of recovery, please

I have been struggling with chronic fatigue and immune dysfunction syndrome (CFIDS) for two and a half years. I am making slow but steady progress. Why don't you feature articles about people who have recovered? In my very small orbit of acquaintances I have spoken to approximately 20 people who have recovered. Talking to these people is wonderful medicine and gives me much hope. Whenever I receive your publication I always hesitate to read it. It usually depresses me because it is filled with such negativity. I realize the CFIDS population includes people who are very sick and remain very sick. But there are people out there who are doing well and I would like to read more hopeful articles about people who have gotten better. Hope is very important with this uncertain disease.
Jane Alleger, Westmont, N.J.
(Editor's Note: Much of the information and personal accounts in the Chronicle are for and about those individuals who remain very sick, since they still comprise the majority of our readership. However, we often include inspirational stories of recovery and triumph over CFIDS, two recent examples being Thomas Oates' account of finding peace and improvement by living within his energy envelope (Sept./Oct. '99) and Kebbie Cannon's story about winning horseback competitions despite her illness (Nov./Dec. '99). We hope that as research and treatment efforts advance, we will be able to feature even more positive stories in the future.)

Don't overlook pediatric patients
I commend The CFIDS Association of America for raising with the Centers for Disease Control and Prevention the urgent need for research in a range of crucial areas. One area I hope will be studied carefully is that of pediatric CFIDS. Children with subtle problems of any kind are less likely to receive help (medical or educational), due to the emphasis on severe cases. Medical recognition of milder presentations is sometimes delayed by decades, possibly causing extremely handicapping secondary emotional and behavioral problems.

Also, children in families where multiple family members have CFIDS may be overlooked because they do not seem "as ill" as the adults, or medical practitioners are concerned about upsetting the child about the possibility that they might experience a similar long-term outcome. A family with one person with classical CFIDS is already heavily burdened. Researchers and clinicians must take great care not to add to this burden late and/or erroneous diagnoses and inadequate support.

Some clinicians think that children are merely imitating the illness behavior of another family member, usually the mother. While all possible effects of CFIDS in a family must be studied objectively, great caution is called for before placing "blame" on the parents or child. When it comes to family interactions, appearances can be very misleading, and false accusations can cause a great deal of stress.
Kate Andersen, M.Ed., Delta, British Columbia

Learning to live with CFIDS
The letter about realistic self-help for persons with CFIDS in the November/December 1999 issue really struck a chord. I found out I had CFIDS in May of 1993, even though I was sick for two years prior. I was in a high pressure sales job, in a very bad marriage and living a fast-paced life in New York City. I refused to stop working and continued to get sicker until I finally "broke down" in the office and had to be taken out. My then-husband and my family couldn't understand what was going on and kept putting more pressure on me to keep up with my "housewife" duties. I guess you could say that I was paddling to keep my head above water and just kept drowning. Something had to give.

Finally, I made the lifestyle changes that have helped me get better. I went on disability, moved to the country, got out of my destructive marriage and distanced myself from the individuals who felt they could not support me. I now surround myself with positive, caring people. I'm still very sick, but so much better than seven years ago. I agree with the letter's author that "it is useful to distinguish between those things we can control and those things we can't."

I wanted to share with Chronicle readers that in my case, I couldn't change the fact that I have this horrible disease with a funny name, make my family support me or make my ex-husband understand. All I could change is myself.
Bonnie Dillenbeck, Cape Vincent, N.Y.