Danielle's Story (03:15)
Danielle Warner was a high school biology teacher when she began experiencing flu-like symptoms at 27. She was bed-ridden for months with chronic fatigue; her husband Tyrone Warner cared for her.
Diagnosing Chronic Fatigue Syndrome (03:42)
Doctors Louis Papa and Derek Enlander would take comprehensive medical histories and test for thyroid, heart, electrolyte and neurologic abnormalities as well as for cancer and mononucleosis. Danielle's results were negative for all tests. Many diseases can cause fatigue.
Understanding Chronic Fatigue Syndrome (04:26)
Many people say Danielle looks healthy and struggle to comprehend her suffering. Enlander explains the Canadian diagnostic criteria; patients also experience insomnia and post-exertion malaise. Decreased natural killer cells can be tested; ME/CFS is an immune system dysfunction.
Myth or Medicine (01:40)
Dr. Ralph Jozefowicz explains that chronic fatigue syndrome is a collection of symptoms with many causes, including depression, infection, and immune, endocrine, or sleep disorders. It is not a psychiatric disorder but depression can contribute to persistent symptoms.
Chronic Fatigue Syndrome Causes (03:13)
Danielle and Tyrone discuss the social stigma of ME/CFS. Enlander suspects it has viral origins; certain viruses may impact the methylation cycle in the immune system.
Treating Chronic Fatigue Syndrome (04:04)
Some physicians have treated ME/CFS with anti-viral medication. Danielle's naturopath is treating secondary symptoms of muscle aches, insomnia, nausea, and cognitive effects; her GP recommends rest. The illness has disabled her physically and mentally.
Second Opinion (01:44)
Enlander says there is hope for Danielle's ME/CFS; treatment protocols exist. The IOM recognizes the condition as a real illness and recommends further research.
Second Opinion 5 (02:12)
Dr. Lisa Harris shares five facts about chronic fatigue syndrome.
Credits: Chronic Fatigue Syndrome—Second Opinion (01:13)
Credits: Chronic Fatigue Syndrome—Second Opinion
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