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Symptom management & referral
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Bateman Horne Centre


Medical considerations when treating urgently ill patients with underlying myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)



Dysfunctional ANS in ME/CFS (2018)



Assessing Post Exertional Malaise in ME/CFS (2019)


Abnormal cardiac changes in ME/CFS not due to deconditioning (2018)

ME/CFS Crash Survival Guidebook: The Art of Living with ME/CFS 


The guidebook can be viewed online, downloaded, or printed – in color or black and white.


This guidebook is designed for patients, for those allies supporting patients and for medical providers. This guidebook aims to help the individual prepare in advance for a crash/PEM episode, ensuring their critical needs are met. It offers guidance in carrying out everyday living activities that support energy conservation with ME/CFS. The tools provided are divided into chapters, to be used individually or the guidebook as a whole. 

Harm of exercise in ME/CFS


Studies and surveys implicate potential iatrogenic harm of CBT and GET for ME/CFS patients


Provincial referral support* 

Complex Chronic Disease Program (BC Women’s and Children’s Hospital, Vancouver)

*Please consider waitlists are lengthy for patients to be seen. Physician to physician consultations may be available to support family physicians.

The CCDP also publishes a Community and Financial Resources in BC Guide (updated June 2022).

Pacing management

Other considerations

Specialist referrals for co-morbities


  • POTS/Orthostatic Intolerance  

  • Mast Cell Activation Syndrome (MCAS)

  • Gastrointestinal symptoms, IBS

Referrals for in-home visits


  • OT home assessment/support

  • In-home lab services

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Education opportunities

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