Symptom management and referral

 

 

Caring for patients with ME/CFS

Summary: Low Dose Naltrexone (LDN) in ME/CFS (2019)
Summary: Assessing Post Exertional Malaise in ME/CFS (2019)
Summary: Abnormal cardiac changes in ME/CFS not due to deconditioning (2018)
Summary: Dysfunctional ANS in ME/CFS (2018)

 

Harm of exercise in ME/CFS

Workwell Foundation's letter to healthcare providers: Opposition to Graded Exercise Therapy (GET) and Cognitive Behavioural Therapy (CBT) for ME/CFS


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

Pacing management

Pacing and Management Guide for ME/CFS
Pacing Tutorial (aimed for patients, but quick, help intro for clinicians to support patients)

 

 

Provincial referral support* 

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

Dr. Hyams Clinic (ME/CFS and FM referral-based practice, Port Moody, BC)

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

 

Consider specialist referrals for co-morbities

POTS/Orthostatic Intolerance  

Mast Cell Activation Syndrome (MCAS)

Gastrointestinal symptoms, IBS

 

Consider referrals for in-home visits for supportive care

OT home assessment/support

In-home lab services

Mailing Address

PO BOX 46879 STN D

Vancouver, BC   V6J 5M4

Call

T: 604-878-7707 or
BC Toll-free: 1-888-353-6322

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