Did we make an impact? Isn't hard to know whether the message is spreading outside of our community or if we're just passing the message around inside our own echo chamber. I have to believe that we're making small but steady strides, but it's hard to make a big impact on public awareness when there's so much noise competing for people's attention. And if we do get people's attention, what exactly is our message?
I'll get to that in a second, but first let me back up.
Sometimes I feel like there's more that I could be doing to help our community. Other times I wonder: isn't it enough to just be looking out for myself and my family? After tending to my own health issues, I'm not sure how much more of me is left to give to community issues. I suspect that's a feeling that many of us face. So if we're all struggling to get by, how do we build an impactful movement?
And yet we all see these large, grassroots efforts being undertaken by other patient communities. (Think MS, with its huge charity bike rides, funding drives, etc.) Aren't MS patients in a similar situation, with little leftover energy to give to the community?
I suspect that the major awareness and fundraising efforts put forth by other patients communities are driven, in no small part, by the work of doctors, nurses, family, friends and loved ones who support the patients -- not just the patients themselves. So it begs the question: why not us? Why haven't we organized the same support network that would be essential for larger awareness and fundraising drives?
Part of the reason is that our illness is so poorly understood that many of us can't even get our own families to take it seriously (not counting me). There's this kind of frustrating circularity to our problem here.
ME/CFS is very poorly understood in the medical community--->Why is it poorly understood in the medical community? ---> Because researchers can't agree on the root cause or biomarkers? ---> Why can't researchers agree? ---> Because there's no research funding to chase promising leads ---> Why is there no research funding? ---> Because there are no major funding drives/charities/organizations ---> Why are there no major funding drives/charities/organizations? ---> Because ME/CFS is not viewed as a "serious" illness by most ---> Why is it not viewed as a "serious" illness by most? ---> Because ME/CFS is very poorly understood in the medical community ---> [Back to the beginning.]
So the challenge is to break this cycle. These awareness campaigns are designed to break the cycle at the second to last step above: the "serious illness" step. In theory then, having solved that issue, the remaining problems would gradually solve themselves in the reverse order, working backwords to the beginning of the list.
But the thing to keep in mind is that the awareness campaign is only the first half of that step. Why? Because it's not enough to just make people more aware of something. People are never motivated to act on something merely by being aware that it exists. An awareness campaign basically just primes people's minds to be more receptive to the full message that follows. It makes people curious enough to want to learn more.
Then the question is, what are we doing to follow up on the awareness campaign? What are we doing to educate people once they've become receptive to the message?
So the next challenge is to develop our actual message. Because you have to admit, we don't really have a unified message. We all have different levels of functionality, different theories of etiology, and we all seem to be pursing different treatments. We confuse ourselves with our own cross-talk, so how are we supposed to present a unified, intelligible message to the average, healthy Joe?
That's the next step. That's the challenge that I believe we need to be working on now.
CFIDS is not a deadly disease (except for those who throw the towel in). One of the good things about the disease it one of the bad things, too. We have to compete against people who are facing life and death situations. Frankly, I believe we should be competing against and taking money from defense, but that's a huge fight.
ReplyDeleteNot a deadly disease? Yes, it is. We - people with ME/CFS - have an average life expectancy of either 56 or 58 years (massive migraine and can't recall which). We are prone to having much earlier incidences of strokes, heart failure, and succumbing to opportunistic infections due to our compromised immune systems. We also have a significantly higher incidence of Lymphoma and certain other usually very rare cancers.
DeleteIt is a very serious, life threatening illness. If the illness itself doesn't take us, many will end it themselves to end the pain and suffering that has gone on for decades, and that's no small matter to be disregarded as "throwing in the towel." I have talked two out of ending it in the past year and have them still under my wing and one more I'm watching, too, while trying to keep my own self going.
We don't call this the "living death" for nothing.
It is very serious, indeed.
Hi Ash! Long time no see. Hope you are doing well.
DeleteI took beatrice's comment to mean "not immediately life threatening" in the way that, say, Stage IV cancer. (And I'm at least thankful for that!) The systemic breakdowns that happen with ME/CFS usually play out over many many years. I think she meant that if it were more *immediately* life threatening, it would get taken more seriously by the medical establishment. As it is right now, when someone dies from complications of ME/CFS, the death certificate doesn't reflect ME/CFS as the cause of death, but rather, the secondary condition that resulted from it, i.e. lymphoma, organ failure, etc. That's unfortunate.
Nevertheless, I appreciate your reminder of how serious it is. Well put.
The idea or notion that ME/CFS is not a deadly disease is obviously not agreed upon here and I felt I had to at least add my two cents worth to this comment. I do understand what you mean, but I don't agree. I think Ash from Wolfdreams explains that quite well.
DeleteAlso, I feel that labeling those who ended their lives to get out of pain and fatigue (the latter of which robs some people of their ability to even think, much less do things), as having thrown the towel in, is without compassion.
We must stand up for one another, including those who are no longer with us, and maybe esp., because of those people.
Good post - especially that vicious circle you mention. I have great support close to me - family, extended family and friends who see me from day to day. I have found it harder to communicate with previous work colleagues, who seem to believe that my illness isn't real. (The occupational health doctors took my illness very seriously however so at least in that way I was treated sympathetically.)
ReplyDeleteSo how do we get more folk to be active on our part? My family were great and my daughters have raised about £1300 for the charity Invest in ME by doing a charity run. However I found it very interesting to note who of my circle KNEW of the endeavour but did not support it -even for £5, despite my previous support of their charities. It's a tough one. But these are the people who need to hear that ME is a physically disabling illness - and not just from me. The testimony of the sufferer is so often ignored - so it is the testimony of others that we need.
I think the tide is turning in our favour. There are more and more research projects shedding light on the true nature of our problems. But we also need the media on our side. Here in UK it seems that some of the psychiatric school have too much influence on the media. Just my view, but they seem to be actively working to belittle the seriousness of ME.
To me the most important message should be about the Post Exertional Malaise and how these effects - when allowed to occur - can worsen the condition and damage our chances of full recovery. This way we would get more sympathy for doing so little whilst we "look fine". We need folk who are only slightly informed to be encouraging us to "take it easy", rather than telling us to "push on through" which is the message they all seem to take from the current media message of the psychiatrists.
Thanks for sharing your ideas.
http://sallysewssometing.blogspot.co.uk/
Sally, this is one of those comments that I want to repost as a stand-alone post on my blog. A lot of good thoughts in here, and I agree with almost every single one of them. I do tend to agree that we are making progress every day. It is encouraging for the future, but it also feels like we have a long way to go still.
DeleteJust saw your reply to this comment now. I'm happy for you to use this post. However I should clear up that in the final sweep of "thank yous" for the fundraising efforts we made, I did get contributions from various friends that I previously felt were ignoring my requests for support. So you could perhaps delete this bit: "-even for £5, despite my previous support of their charities" before re posting.
DeleteOur final total actually came to £1532 once all the various small change donations came in from all the runners. I was so proud of them all - Indeed some of the teachers in the school that hadn't run, held a cake sale in school to raise additional funds. So all round the support from my girls's school was amazing. And the fact that one of my daughters spoke in school assembly meant that awareness through out the whole school population was raised... :)
Great post. I hope you don't mind if I reblog it on my site. :)
ReplyDeleteOf course not. Been meaning to check up on you... Headed over there now.
DeleteInteresting post. It is true that we are a disparate community, and there is no real solution to that. ME/CFS is probably not one condition, but a wide range of dysfunctions with varied causes but with similar symptoms.
ReplyDeleteOne thing we can do is continue blogging. It is an effective, if limited, form of raising awareness. I have added you to my blog roll, and look forward to future posts. Please feel free to reciprocate...
http://thedamnchronicsituation.blogspot.ie/
Done and done. Glad to have you aboard. Thanks for adding me to your blog roll too.
DeleteAs always, great post! I completely agree that the most important step is to come up with an unified message, but it's so difficult with all the in-fighting and the name confusion with CFS. Even my own GP doesn't understand the difference between chronic fatigue and chronic fatigue syndrome. How do we come up with a unified message, when we don't even have an unified name? I believe illnesses like AIDS changed names a few times - it use to be called GRID (gay related immune deficiency) or simply, the "gay plague." With names like that, there was no way to garner empathy and support from non-sufferers, given the climate towards GLBT during those times.
ReplyDeleteI have often tried search for THE website - the one website that describes ME/CFS, it's history, symptoms, different levels of symptoms etc. One that isn't combative sounding, one that doesn't make the illness sound less serious than it is, one that isn't too overwhelming to look at, and one that is perfect for both the layman and the doctor/scientist. One that doesn't have too much info, but also, not too little info. One that you can send to your relatives, and it explains everything neatly - giving a shorter and easier to read synopsis for those who just want the jist of it - or they can click on another page for a longer more scientific info. I have not found such THE website. If you know of one, please send it my way. Not sure if I'm making any sense when I speak of THE website or if anyone else has had trouble with that.
Anyway, I do think the ICC has been a good start (though it now seems to be under some scrutiny).
Sandy, great post! I can completely relate to the need to find THE website, and I doubt it exists too. I don't know where to send relatives and friends when they ask for more information.
DeleteThe unified message issue is even more of a problem. I don't even know where to begin. It's almost like we would need one charismatic spokesman - preferably a doctor - who really understood and could get a majority of PWMEs to agree on the same message. *sigh*... When will that be?
This is, indeed, an excellent post, Patrick. Sadly, I do not think a unified message is possible in the community of ME patients and those who care for them. There are so many conflicting messages being promulgated and supported by groups of people, and there are so many organizations with a vested interest in keeping ME patients sick that I do not think it is possible to define a unified message.. When people are going in opposite directions, as here where some patients want to regain their health and other groups of people want to keep them sick, they cannot travel together.
ReplyDeleteWhat I think is a possibility is to define the differences and see where the most support lies. Of course, the groups which want to keep people sick do not say publicly that this is their goal---they give lip service to finding a cause and cure--but their actions indicate that they are, indeed, seeking to keep people sick.
If we can see the situation clearly, without rose-colored glasses showing us the way we would like the situation to be, then we have a chance. Those who truly desire progress toward health for ME patients can then join together and progress is a possibility. As long as people continue to deny that there are groups seeking to keep us sick and masquerading as friends and supporters, we will continue to go around in circles--the way we have been for the past 30 years.
Patricia