Sunday, June 21, 2015

Topic: TIME FOR A MORE RATIONAL CANNABIS POLICY

TIME FOR A MORE RATIONAL CANNABIS POLICY



Individuals who suffer from severe chronic pain are caught in a double bind. Opioids contribute to the enormous societal harms of unintentional overdose, diversion and addiction, and data on their long-term effectiveness are conflicting and inadequate (Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health pathways to prevention workshop. Ann Intern Med. Published online Jan. 13, 2015 doi:10.7326/M14-2559). But for patients who are helped by opioids, policies and regulations to address societal harms are, in some cases, impeding access to treatment, making it difficult even to find a knowledgeable physician. The need for safer and more effective analgesics has never been greater.



Answers do not lie in pitting one serious disease (i.e., chronic pain) against another (i.e., addiction) but in seeking scientific breakthroughs that lead to serious analgesic benefits without addictive properties or risk for respiratory depression. Rigorous research of cannabinoids has the potential to unlock a medicinal benefit on a societal scale. But committing to the necessary research requires rethinking how we classify cannabinoids as a controlled substance.



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Topic: DEA INFLICTS HARM ON CHRONIC PAIN PATIENTS

DEA INFLICTS HARM ON CHRONIC PAIN PATIENTS



In an effort to curb opioid drug abuse and addiction, the Drug Enforcement Administration (DEA) has issued new rules that limit the accessibility of hydrocodone, putting chronic pain sufferers who rely on the drug in an impossible situation.

The DEA’s new restrictions come after the decision to relabel hydrocodone as a Schedule II drug, making it difficult for users with chronic pain to receive the medicine they need. The recent changes include the elimination of phone-in refills and a mandatory check-in with a doctor every 90 days for a refill.  

Hydrocodone is one of the most widely used drugs to fight chronic pain in the United States, serving a consumer base of about 100 million people. Many who rely on hydrocodone suffer from debilitating chronic pain, which greatly disrupts and decreases their quality of life.



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Topic: Majority Of Chronic Pain Sufferers Feel Treated Like ‘Drug Addicts’ By Pharmacists

Poll: Majority Of Chronic Pain Sufferers Feel Treated Like ‘Drug Addicts’ By Pharmacists



GOLDEN, Colo. (CBS4) – The majority of people who suffer from chronic pain feel they are treated like drug addicts during their pharmacy visits, and nearly one-third of pain sufferers showed concern they are being embarrassed by their healthcare provider.

The National Pain Foundation, a Golden, Colo.-based non-profit that aims to “transform the way pain is fundamentally understood, assessed and treated,” conducted a survey of over 300 people afflicted with chronic pain to assess treatment they receive from healthcare providers.

More than half (52 percent) stated that they “are concerned that they will be treated like a drug addict by their pharmacist”. And an additional 29 percent said that they “are concerned that they will be embarrassed by their pharmacist”.

The survey found that nearly 1 in 5 (17 percent) reported they were “treated poorly or very poorly” by their pharmacist, and many respondents said they had been degraded, humiliated and even been accused of being a drug addict taking “enough meds to kill an elephant,” one comment alleged.



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Monday, June 15, 2015

Topic: Facts About Reflexology

Facts About Reflexology


 What is Reflexology?

Reflexology is a science which deals with the principle that there are reflex areas in the feet and hands which correspond to all of the glands, organs and parts of the body. Stimulating these reflexes properly can help many health problems in a natural way, a type of preventative maintenance. Reflexology is a serious advance in the health field and should not be confused with massage.

Is Reflexology New?

The idea behind Reflexology is not new - in fact, it was practiced as early as 2330 B.C. by the Egyptian culture. Reflexology as we know it today was first researched and developed by Eunice Ingham, the pioneer of this field. Her first book on the subject was published in 1938. And since 1942, Reflexology workshops have been conducted year round.



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Wednesday, June 3, 2015

Washington, D.C. Medical Marijuana Laws

Washington, District of Columbia — On November 3, 1998, 69% of D.C. voters approved Initiative 59. Congress blocked the implementation of the law until December 2009. The D.C. Council then put the law on hold temporarily and enacted amendments to it, B18-622. The revised law went into effect in late July 2010, and regulations were issued on April 15, 2011. A few modifications were made in 2011. In 2014, the council approved temporary and emergency legislation (which does not require Congressional review) to expand the law. The law is codified at District of Columbia Official Code § 7-1671.13 et seq.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and physician's recommendation that medical marijuana is necessary for the patient's treatment. The physician must be licensed in D.C., have a bona fide relationship with the patient, and have responsibility for ongoing treatment of the patient. 



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Washington Medical Marijuana Laws

Washington — Measure 692, a ballot initiative, passed with 59% of the vote in 1998. It was modified by SB 6032 in 2007, SB 5798 in 2010, and SB 5073 in 2011. It is codified at Wash. Rev. Code § 69.51A.010 et seq. An administrative rule is available at WAC 246-75-010.

Qualifying under the Law: Washington is the only medical marijuana state without a registry identification card program. In 2011, Gov. Christine Gregoire vetoed the sections of a bill, SB 5073, which included a patient and caregiver registry and dispensary regulation and licensing. To qualify for protection under Washington’s law, a patient must have a signed statement on tamper-resistant paper from a Washington-licensed physician, physician assistant, naturopath, or advanced registered nurse practitioner who advised the patient of marijuana’s risks and benefits and advised the patient that he or she “may benefit from the medical use of marijuana.” 



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Vermont Medical Marijuana Laws

Vermont — S. 76 was passed by the Vermont legislature in 2004. The law was expanded by S. 7 in 2007, S. 17 in 2011, and S. 247 in 2014. The law’s citation is Vt. Stat. Ann. tit. 18 § 4472 et seq.

Qualifying for the Program: Vermont is one of two states where the department issuing ID cards is the department of public safety. (The other state, Hawaii, will move its program to the health department by 2015.) To qualify for an ID card, a patient must have a statement from a Vermont, Massachusetts, New York, or New Hampshire-licensed physician, naturopath, advance practice nurse, or physician’s assistant who has treated the patient for at least six months that the patient has had a qualifying medical condition. 



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Rhode Island Medical Marijuana Laws

Rhode Island — S. 710 was passed by the Rhode Island legislature in 2006 and amended several times, including by S. 791 in 2007, H. 5359 in 2009, S 2834 in 2010, and H 7888 in 2012. The law is codified at R.I. Gen. Laws Chapter 21-28.6. Regulations are at R21-28.6-MMP(5923).

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and a statement from a prescriber who is licensed in Rhode Island or a physician licensed in Massachusetts or Connecticut that the patient has a bona fide relationship with that physician and that the “potential benefits of the medical use of marijuana would likely outweigh the health risks" for the patient. A minor patient only qualifies with parental consent and if the adult controls the dosage, frequency of use, and acquisition of marijuana.



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Oregon Medical Marijuana Laws

Oregon — Measure 67, a ballot initiative, passed with 55% of the vote in 1998, and was modified throughout the years. Most notably, in 2013, the state legislature approved and Gov. John Kitzhaber signed HB 3640, which allows regulated dispensaries. The law is codified at Or. Rev. Stat. § 475.300. Temporary rules for the dispensary program are available at OAR 333-0081000 et seq.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and a statement from a physician who has primary responsibility for treating the patient that marijuana may mitigate their symptoms. A minor patient only qualifies with the consent of his or her parent or guardian and if the adult controls the dosage, acquisition, and frequency of use of the marijuana. 



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New York Medical Marijuana Laws

New York — Gov. Andrew Cuomo signed twin bills A.6357-E and S.7923, known as the Compassionate Care Act, into law on July 5, 2014. This law is codified at N.Y. Public Health Law Art. 33, Title 5-A.

Qualifying for the Program: To qualify, a patient must have a written certification from his or her physician. Physicians must first register with the health department and take a two-to-four hour course. A certification must specify that the patient is in the physician’s continuing care for the condition, that the patient is likely to receive therapeutic or palliative benefits from marijuana, and that he or she has a qualifying condition. 



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New Mexico Medical Marijuana Laws

New Mexico — S.B. 523 was passed by the New Mexico legislature in 2007. Its citation is N.M. Stat. Ann. § 26-2B-1 et seq. Rules are available at 7.34.2-7.34.4 NMAC.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and a statement from a person licensed to prescribe drugs in New Mexico that "the practitioner believes that the potential health benefits of the medical use of cannabis would likely outweigh the health risks for the patient." 



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New Jersey Medical Marijuana Laws

New Jersey — Gov. Jon Corzine signed S.B. 119 into law in early 2010. Its effective date was delayed by S. 2105, which was also enacted in 2010. The law is codified at N.J. Stat. Ann. C.24:6I et seq. Regulations are available at N.J.A.C 8:64.

Qualifying for the Program: To qualify for an ID card, a patient will be required to have a qualifying condition and a physician's certification authorizing the patient to apply to use medical marijuana. The physician must be licensed in New Jersey and must be the patient's primary care or hospice physician, or the physician responsible for treatment for the patient's debilitating medical condition. 



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New Hampshire Medical Marijuana Laws

New Hampshire: Gov. Maggie Hassan signed HB 573 into law on July 23, 2013, after it was approved by the legislature. The new law went into effect immediately, but the health department was given a year to craft rules for the patient registry and 18 months for alternative treatment center rules.

Qualifying for the Program: To qualify for an ID card, a patient must obtain a written certification from a physician or an advanced practice registered nurse and send it in to the Department of Health and Human Services (DHHS).



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Nevada Medical Marijuana Laws

Nevada — Question 9, a constitutional amendment ballot initiative, passed first in 1998 and then with 65% of the vote in 2000. It was implemented by AB 453 in 2001, which was revised by AB 130 in 2003, AB 519 in 2005, and AB 538 in 2009. In 2013, the legislature enacted S.B. 374, which added a dispensary program. Question 9 is codified at Article 4, section 38 of the Nevada Constitution. The statutory provisions are codified at Nev. Rev. Stat. 453A. Rules are at NAC 453A.

Qualifying for the Program: To qualify for an ID card in Nevada, a patient must have a qualifying condition and a statement from a Nevada physician who has responsibility for caring for or treating the patient that marijuana "may mitigate the symptoms or effects" of their condition



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Montana Medical Marijuana Laws

Montana — I-148, a ballot initiative, passed with 62% of the vote in 2004. It was amended by

SB 325 in 2009, and it was replaced with a much more restrictive law, SB 423, in 2011. Some of SB 423 went into effect on July 1, 2011 and some was enjoined in court. As of July 25, 2014, litigation is still ongoing. The law is codified at MCA § 50-46-301 et seq. The original law was codified at MCA § 50-46-101 et seq.

Qualifying for the Program: To qualify for an ID card under the revised law, a patient must submit an extensive written certification form, completed by the patient’s physician that, among other things, states that the patient has a qualifying condition. 



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Minnesota Medical Marijuana Laws

Minnesota — Gov. Mark Dayton signed SF 2470 on May 29, 2014. The bill is codified at Chapter 152, Section 152.22 to 152.37 of the Minnesota Statutes.

Qualifying for the Program: To enroll in the program, a patient must have a qualifying condition and submit a certification to the health department from their treating practitioner. The practitioner — who may be a physician, a nurse practitioner, or a physician’s assistant — must agree to enroll in the program as well and will be required to submit data on the patient’s health records.



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Michigan Medical Marijuana Laws

Michigan — Proposition 1, a ballot initiative, passed with 63% of the vote in 2008. In late 2012, the Michigan Legislature made some additions and modifications to the act. Michigan’s medical marijuana act is codified at MCL § 333.26421 et seq. Rules are at Rule 333.101 et seq.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and a statement from a physician that the patient has a bona fide relationship with that physician and that the patient is "likely to receive therapeutic or palliative benefit" from the medical use of marijuana.



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Massachusetts Medical Marijuana Laws

Massachusetts — Question 3, a ballot initiative, passed with 63% of the vote in 2012. The citation for the law is Mass. Gen. Laws ch. 94C § 1-2 to 1-17. Rules are available at 105 CMR 725.000.

Qualifying for the Program: To qualify for protection from arrest, a patient generally must have a registry identification card issued by the health department. To obtain a card, a patient must have a qualifying condition and a statement from a physician with whom the patient has a bona fide relationship.



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Maryland Medical Marijuana Laws

Maryland — Twin bills HB 881 and SB 923 were passed by the General Assembly and signed by Gov. Martin O’Malley in April 2014. The law is codified in the Annotated Code of Maryland at Section 13-3301 et seq. The 2014 law expands and renders effective a medical marijuana program first established in 2013, which relied upon academic medical centers to implement the law and distribute the medical marijuana.

Qualifying for the Program: In Maryland, physicians must apply to the Natalie M. LaPrade Medical Marijuana Commission before certifying patients. 



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Maine Medical Marijuana Laws

Maine — Question 2, a ballot initiative, passed with 61% of the vote in 1999. It was modified in 2002 by S.B. 611 and in 2009 by Question 5, an initiative that passed with 59% of the vote. Several modifications have been made since then. The law’s citation is Me. Rev. Stat. Ann. tit 22 § 2421 et seq. Rules are available at 10-144 C.M.R, Chapter 122.

Qualifying for the Program: Registry identification cards are voluntary for patients and for caregivers who are members of their patients’ families or households. They are mandatory for other caregivers.



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Tuesday, June 2, 2015

Topic: Fibromyalgia Blood Test Gets Insurance Coverage

Fibromyalgia Blood Test Gets Insurance Coverage


The founder of a bioresearch company that offers a controversial blood test for fibromyalgia says the test is now covered by Medicare and some private insurers. But questions remain about the viability of the test.

“Insurance has really been the big issue for us. That was the hump we really needed to get over,” said Bruce Gillis, MD, the founder and CEO of EpicGenetics in Santa Monica, CA. “We are a Medicare approved laboratory. It covers 100% of the test. We are getting private insurance companies that are reimbursing for the test. And we have gotten most Blue Cross Blue Shield agencies to pay for the test.”

EpicGenetics introduced the FM/a test in 2013, calling it the first definitive blood test for fibromyalgia, a poorly understood disorder that is characterized by deep tissue pain, fatigue, depression and insomnia. The test costs $775 and results are usually available in about a week.



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Illinois Medical Marijuana

Illinois: Gov. Patrick Quinn signed HB 1 into law on August 1, 2013, after it was approved by the General Assembly. The new law went into effect on January 1, 2014. In 2014, the law was expanded by SB 2636 to include seizure conditions and to allow minors to qualify. Medical cannabis rules were approved in July 2014.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying medical condition and a statement from an Illinois-licensed MD or DO who is caring for the patient's condition.



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Hawaii Medical Marijuana Laws

Hawaii — S.B. 862 was passed by the Hawaii Legislature in 2000. It was the first medical marijuana bill to be passed legislatively. Its citation is Haw. Rev. Stat. § 329-121 et seq. The rules are at HAR Chapter 23-202.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and a statement from a Hawaii physician that the "potential benefits of the medical use of marijuana would likely outweigh the health risks for the qualifying patient."



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Topic: Why Doctors Are Slow to Embrace Medical Marijuana

Why Doctors Are Slow to Embrace Medical Marijuana?


Public attitudes toward marijuana have changed considerably in recent years. Voters and legislators in 23 states and the District of Columbia have legalized medical marijuana, and nationwide polls show that most Americans now support legalization.

But the nation’s medical organizations – while intrigued about the potential for marijuana to treat conditions like chronic pain – have been slow to embrace cannabis. And most doctors still refuse to prescribe it, even in states where marijuana is legal.

Those conflicting attitudes were on display last week at the annual meeting of the American Pain Society (APS) in Palm Springs, California – a conference focused on pain research. Although the APS has no stated policy on marijuana, the organization chose as its keynote speaker one of the most prominent medical marijuana researchers in the world, Dr. Mark Ware.

“I’ve done presentations and sessions, and it always surprises people how much interest there is,” said Ware, who is a family physician and associate professor in Family Medicine and Anesthesia at McGill University in Montreal.

 “Cannabis gives people a window to come and learn, and while they’re learning about medical cannabis they can be learning about pain management and other things. It’s a very useful magnet to get people interested in a topic that’s obviously of enormous public importance.”



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Delaware Medical Marijuana Laws

Delaware — Gov. Jack Markell signed SB 17 on May 13, 2011. The bill is codified at Title 16, Chapter 49A of the Delaware Code. Following a February 2012 letter from the U.S. attorney for Delaware, Gov. Markell placed the dispensary portion of the bill on hold. Gov. Markell announced on August 15, 2013 that he would restart the program, but he did so in a much more restrictive manner than provided for in the law. The state will allow a single pilot dispensary, which could possess only up to 150 plants and have up to 1,500 ounces of marijuana.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and a physician’s statement that the patient is “likely to receive therapeutic or palliative benefit” from the medical use of marijuana. 



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Connecticut Medical Marijuana Laws

Connecticut — The Connecticut Legislature passed and Gov. Dannel Malloy signed HB 5389 in 2012. The law is available at Conn. Gen. Stat. § 21a-408 to 21a-408o. The effective date for part of the law — including for patients’ temporary registry ID cards — was October 1, 2012. The Department of Consumer Protection regulations are available at Sec. 21a-408-1 to 21a-408-70 of the Regulations of Connecticut State Agencies.

Qualifying for the Program: To qualify for an ID card, a patient is required to have a qualifying condition and a physician's written certification stating that the potential benefits of the palliative use of marijuana would likely outweigh the health risks. 



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Colorado Medical Marijuana Laws

Colorado — Amendment 20, a constitutional amendment ballot initiative, passed with 54% of the vote in 2000. In 2010, two bills were enacted to amend the medical marijuana law, H.B. 1284 and S.B. 109. More minor revisions have been subsequently approved by the legislature. The citations of the statutes are Colo. Rev. Stat. § 12-43.3-101, 18-18-406.3, and 25-1.5-106 et seq. The constitutional amendment is Article XVIII, Section 14. Department of Health Rules on medical marijuana are available at 5 CCR 1006-2. The Medical Marijuana Enforcement Group rules are available online. The rule on residency is available at 1 CCR 212-1.

Qualifying for the Program: To qualify for an ID card, a patient must reside in Colorado and submit a fee and written documentation from a physician in good standing in Colorado certifying that the patient "might benefit from the medical use of marijuana" in connection with a specified qualifying medical condition.



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California Medical Marijuana Laws

California — Proposition 215, a ballot initiative, passed with 56% of the vote in 1996, and the legislature added protections by passing SB 420 in 2003. Some relatively minor changes have been made since then, such as a 2010 measure to add a buffer zone between dispensaries and schools. In California, the legislature cannot amend a voter-initiative, so SB 420 and other statutes enacted by the legislature are only supplementary. The laws are codified at Cal. Health and Safety Code §11362.5 and 11362.7 et seq.

Qualifying for the Program: California’s law is the only one to allow doctors to recommend medical marijuana for any condition. Medical marijuana can be recommended for “cancer, anorexia, AIDS, chronic pain, spasticity, glaucoma, arthritis, migraine, or any other illness for which marijuana provides relief.” Patients may get a registry identification card from their county health departments, but cards are not mandatory and the vast majority of patients rely on a written recommendation from a physician.



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Alaska Medical Marijuana Laws

Alaska — Measure 8, a ballot initiative, passed with 58% of the vote in 1998, and was modified by S.B. 94 in 1999. The law’s citation is Alaska Stat. § 17.37.010 et seq.

Qualifying for the Program: To qualify for an ID card, a patient must have a qualifying condition and a statement from an Alaska-licensed physician who has personally examined the patient stating that “the physician has considered other approved … treatments that might provide relief … and that the physician has concluded that the patient might benefit from the medical use of marijuana.” A minor patient only qualifies with the consent of his or her parent or guardian and if the adult controls the dosage, acquisition, and frequency of use of the marijuana.



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Arizona Medical Marijuana Laws

Arizona — Proposition 203, a ballot initiative, passed with 50.1% of the vote on November 2, 2010. It went into effect when the election results were certified on December 14, 2010. The law is codified at Ariz. Rev. Stat. Chapter 36-28.1. The Department of Health Services issued rules on March 28, 2011. In 2011, the legislature passed two laws to undermine Prop. 203 — H.B. 2585, which adds the medical marijuana registry to the prescription drug monitoring registry, and H.B. 2541, which relates to employment law. In 2012, the legislature passed another law to undermine Prop. 203 — HB 2349 — which prohibited medical marijuana on college campuses. The next year, in 2013, the legislature passed SB 1443 to clarify that federally approved medical marijuana research could still be conducted at universities.



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The Twenty-Three States and One Federal District With Effective Medical Marijuana Laws

Twenty-three U.S. states and the District of Columbia have enacted laws that remove criminal sanctions for the medical use of marijuana, define eligibility for such use, and allow some means of access — either through dispensaries, home cultivation, or both. In addition, several states have laws that recognize the medical benefits of medical marijuana — or at least certain strains — but that do not actually provide access to medical marijuana due to federal law or policies. 

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Monday, June 1, 2015

Topic: 10 Important Lifestyle Changes for Fibromyalgia or Chronic Fatigue Syndrome

10 Important Lifestyle Changes for Fibromyalgia or Chronic Fatigue Syndrome

When you have fibromyalgia (FMS) or chronic fatigue syndrome (CFS or ME/CFS), you hear a lot about the need for lifestyle changes.That's a pretty broad term, and the very thought can be overwhelming. What do you need to change? How much do you need to change? Where should you start?


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Topic: Brain Fog/Fibro Fog in Fibromyalgia & Chronic Fatigue Syndrome What Causes It & What to Do About It

Brain Fog/Fibro Fog in Fibromyalgia & Chronic Fatigue Syndrome What Causes It & What to Do About It


Brain fog (also called fibro fog or cognitive dysfunction) is one of the most common complaints of people with fibromyalgia (FMS) and chronic fatigue syndrome (CFS or ME/CFS). For many, it can be severe and can have just as big an impact on their lives as pain or fatigue. In fact, some people say brain fog is more of a disability than their physical symptoms.

What Causes Brain Fog?



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Topic: Pacing 101: Knowing Your Body To be successful at pacing, you have to pay attention to your body and know your limits

Pacing 101: Knowing Your Body


To be successful at pacing, you have to pay attention to your body and know your limits



It can help to keep a journal or symptom log. Your goal is to answer these questions:

How much physical activity can I handle in a day or at a time?

How much mental exertion can I handle in a day or at a time?

What activities impact me most?

At what time of day do I have the most energy?

What symptoms are "early warning signs" that I've neared my limit?

Once you know these answers, you're ready to apply pacing techniques to your life.



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Topic: Pacing Yourself with Fibromyalgia & Chronic Fatigue Syndrome

Pacing Yourself with Fibromyalgia & Chronic Fatigue Syndrome


When living with fibromyalgia and chronic fatigue syndrome, pacing is key to managing your symptoms. That's easier said than done with the busy lives most of us lead, but with some effort, you can learn to pace yourself.

Why is Pacing Important with Fibromyalgia & Chronic Fatigue Syndrome?

Fibromyalgia (FMS) and chronic fatigue syndrome (CFS or ME/CFS) can really sap your energy. When your energy is low, each activity takes a greater percentage of the whole. As you've probably learned the hard way, when you overdo it, you pay a steep price.

I used to really push myself on good days, trying to catch up on everything. In one day, I'd try to do multiple loads of laundry, clean the kitchen, weed the garden and go to the grocery store. When my symptoms would start, I'd push myself harder, feeling like I had to get everything done before I felt so bad I couldn't do anything.

It wasn't long before I realized that only caused setbacks: one productive day would lead to three on the couch. Then I asked, How can I get everything done without making myself crash?

The answer is pacing. It takes practice, but after awhile, it gets to be second nature.



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Topic: Reflex Sympathetic Dystrophy Syndrome

Reflex Sympathetic Dystrophy Syndrome


Important

It is possible that the main title of the report Reflex Sympathetic Dystrophy Syndrome is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report. 

Synonyms

Algodystrophy

Algoneurodystrophy

Causalgia Syndrome (Major)

Reflex Neurovascular Dystrophy

RSDS

Sudeck's Atrophy

Complex Regional Pain Syndrome

Disorder Subdivisions

None



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