lindsaywaterman

6 ms·

1.
by lindsaywaterman 2y ago
High point of my life was getting a new stove and toilet into my Honda fit while a guy parked next to me had no way to lift his new potted plant into his pickup flatbed.
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by lindsaywaterman 3y ago
I'm just so sad his memoirs were burned
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by lindsaywaterman 3y ago
Exactly - mental, physical, and emotional work. IMO real pacing is extremely difficult, requiring a real transformation in life approach over the course of 3-5 years. And without certainty that making the sacrifices will pay off, most peopl
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by lindsaywaterman 3y ago
Reasonable question! I ask myself the same. Always good to open to other points of view!
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by lindsaywaterman 3y ago
I would say most of the 100s of patients I have seen w cfs or fibro haven’t given pacing a good try - either they do t have the common sense you mention, or they do, but are unable to make the changes required to actually pace. Ie making bo
6.
by lindsaywaterman 3y ago
Thanks for your response - I see cfs as the result of almost “wear and tear” on the system. I think the “push-through” approach to life that many cfsers had prior to developing the disorder is very adaptive. I often meet v cfsers who had be
7.
by lindsaywaterman 3y ago
Good question - one of the soft clinical signs of a person with css I’ve noticed: they come to clinic w a thick fantasy novel in hand. So imo every activity can facilitate dissociation to a different degree depending on the activity and ind
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by lindsaywaterman 3y ago
Nice response thanks for that. I’m also a cfser but can’t really point to any viral thing personally. I appreciate your skeptical eye.
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by lindsaywaterman 3y ago
Yes that’s pretty typical. Some people go in stepwise, some go in all at once. I think you got lucky with your complete recovery, although that is common after about a year for long Covid in particular.
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by lindsaywaterman 3y ago
Well - I myself had cfs and found that pacing and mindfulness really helped! I think these approaches have been empowering for both myself and hundreds of my patients. And there is some clinical research there to back my opinions up. howeve
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by lindsaywaterman 3y ago
Love to see this response, thanks.
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by lindsaywaterman 3y ago
I just want to clarify that I absolutely agree that there are a multitude of pathophysiologoc changes in cfsers, including mitochondrial dysfunction, hrv changes, ongoing viral reactivations, deranged cytokines etc. I think the difference i
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by lindsaywaterman 3y ago
Yes everyone is stuck in mind/body duality. From a neuroscience perspective all psychology is instantiated through the nervous and endocrine systems. So it’s reasonable to me that a habit of mind such as chronic dissociation - could ha
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by lindsaywaterman 3y ago
You’re totally right that worse somatic symptoms create a viscipus cycle of avoidance and worsening symptoms. I do think that a chronic pattern of avoidance is what causes somatizing in the first place tho. Peace.
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by lindsaywaterman 3y ago
I'm really sorry you're suffering so much with this. As a 33 year old a ME/CFS diagnosis represents such a loss. I should know as I got CFS as 32! Now after recovering myself and working with 100s of pts, ... well I have my o
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by lindsaywaterman 3y ago
Thanks for these - don't have an opinion on either but will look into. Broadly, I think immune dysfunction is a feature of most cfs so there is often a positive EBV test, or HSV test. I suspect this is more "downstream" than
17.
by lindsaywaterman 3y ago
Yes so - I have noticed my patients will often get surprising benefit from some random medication, dietary change, etc. But usually, unless they deal with the underlying emotional dynamic of avoidance/push-through, etc, the improvement
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by lindsaywaterman 3y ago
Hello - I'm not sure I totally understand your question however I am sorry you have suffered so much with this. In my experience there is often an overlap between central sensitization and other chronic illness. So for instance, 30% of
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by lindsaywaterman 3y ago
Yes, there's a lot of terminology out there to describe this constellation of symptoms/the process of CSS. The sarno stuff is getting a lot more attention these days as "psychopysiologic" therapy. Things are moving in a
20.
by lindsaywaterman 3y ago
MD here - I'd disagree. Although I've heard the same take from many other phsyicisans! Anyone who has worked with the condition (I've had 100s of CFSers by now) knows it's a pretty distinct syndrome. The CFS push-crash c
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by lindsaywaterman 3y ago
Interesting - yes my take on this is that gaming is a dissociative activity, so typically the symptoms will resolve during the activity, but afterwards will make CSS/CSS worse.
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by lindsaywaterman 3y ago
Yes it's tough, this area of medicine is historically neglected. That's starting to change though. Here are some interesting sources: 1. Neuroscience of dissociation: Bramson, B., Meijer, S., van Nuland, A., Toni, I., & Roelof
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by lindsaywaterman 3y ago
Yes Temporomandibular disorders are included in the group of Central Sensitivity disorders.
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by lindsaywaterman 3y ago
I think the psychological/physiological duality is false. Think of blushing for instance: embarrassment causes vasodilation. I suspect CFS is at its core some type of autonomic dysfunction. This is why many medications do work: some of
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by lindsaywaterman 3y ago
Ouch, you're coming at me red hot there! To be clear, I think post-viral syndromes are a common "proximal" cause of CFS. If a patient doesn't have an underlying dynamic of chronic dissociation, and doesn't already h
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by lindsaywaterman 3y ago
Physician here. Imo CFS is best understood as the endpoint of an evolution within the nervous system that is increasingly called "central sensitization syndrome." (CSS) This syndrome is caused by a chronic dissociative or avoidan
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by lindsaywaterman 4y ago
I think of starship works well permanent LEO habitation is next. Once space access is cheap enough…space hotels are an obvious first move to commercialization.
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by lindsaywaterman 5y ago
Konrad Lorenz discusses this in Solomon's Ring. He says that it's fine to cage animals that have limited territory in nature. Thankfully, many reef fish, like clown fish, have limited ranges in nature, so thrive in tanks.
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by lindsaywaterman 5y ago
Such a meta project. Autists are splitters. Empaths are lumpers.
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by lindsaywaterman 5y ago
1. Pharmaceutical studies are extremely expensive so usually done through private sector. In this case compass has a patent for a certain way to synthesize psilocybin, but not a patent on psilocybin itself. However, the results of the study

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