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Chronic Fatigue Expert
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Professor Campbell Murdoch
Professor Campbell Murdoch holds the Chair of Rural and Remote Medicine in the University of Western Australia and is based in Bunbury at the Rural Clinical School of Western Australia. He is originally from Scotland and qualified in medicine at the University of Glasgow in 1966. He has two additional research doctorates, an MD from Glasgow on the endocrinology of Down Syndrome, and a PhD on the immunology of the elderly from the University of Dundee. He is a Fellow of the Royal College of General Practitioners and the Australian College of Rural and Remote Medicine. He has held University Chairs in General Practice/Family Medicine/ Rural Medicine in New Zealand (Otago,) the United Arab Emirates, the United Kingdom and Malaysia (ASMC Sheffield,) and Australia (UWA and Notre Dame.)A Little More About Chronic Fatigue Syndrome
Chronic fatigue syndrome (CFS) is a specific clinical condition that is characterized by unexplained disabling fatigue and a combination of non-specific accompanying symptoms for at least 6 months, in the absence of a medical diagnosis that would otherwise explain the clinical presentation. Other common symptoms include headaches, myalgia, arthralgia, and post-exertional malaise; cognitive difficulties, with impaired memory and concentration; unrefreshing sleep; and mood changes. Similar disorders have been described for at least two centuries and have been differently named neurasthenia, post-viral fatigue, myalgic encephalomyelitis and chronic mononucleosis. Recent longitudinal studies suggest that some people affected by chronic fatigue syndrome improve with time but that most remain functionally impaired for several years. The estimated worldwide prevalence of CFS is 0.4-1% and it affects over 800,000 people in the United States and approximately 240,000 patients in the UK. No physical examination signs are specific to CFS and no diagnostic tests identify this syndrome. The pathophysiological mechanism of CFS is unclear. The main hypotheses include altered central nervous system functioning resulting from an abnormal immune response against a common antigen; a neuroendocrine disturbance; cognitive impairment caused by response to infection or other stimuli in sentient people. The current concept is that CFS pathogenesis is a multifactorial condition.The most important issue is a definitive diagnosis which can be made on the agreed international criteria. Many people go for years before receiving such a diagnosis , and may be treated for other disorders. Since the illness can be complex and confusing, it is essential that a suitably experienced doctor makes this diagnosis. Currently there are only two treatment options which have been demonstrated to improve the symptoms. These are cognitive behavioural therapy (CBT) and graduated exercise therapy, both of which need to be undertaken by therapists with experience of CFS.
There are two questions (only two!) asked by persons with this problem:
- What is my diagnosis? and;
- How can I get relief from these symptoms?
The answer to the first is easy and to the second is extremely complex. Hopefully the team at Mediloss will answer the first and do our best with the second.
Team
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