Provider Resources

MEDICAL PROVIDER EDUCATION:

In 2015, a committee of the National Academy of Medicine (formerly the Institute of Medicine) reviewed the ME/CFS scientific literature and proposed clinical diagnostic criteria, with the specific goal of empowering more medical professionals to make a diagnosis of ME/CFS. This video provides a basic overview of these clinical diagnostic criteria, which highlight the most common core features of ME/CFS.

Although the content is geared towards healthcare professionals, and only opens the door to everything there is to learn about ME/CFS, this video serves as an simple educational tool to assist family members, employers, teachers, and members of the general public to gain insight and a better understanding of the disease as it impacts those with ME/CFS.

You can learn more about orthostatic intolerance and post-exertional malaise in our subsequent videos.

These videos have been made possible by the Utah Medical Association and other generous donors.

351 22

MEDICAL PROVIDER EDUCATION:

This video is geared toward medical professionals. However, we encourage everyone to watch it and share with loved ones to increase awareness of orthostatic intolerance in ME/CFS.

The National Academy of Medicine has reported there is sufficient evidence to suggest a high prevalence of orthostatic intolerance (OI) exists in those with ME/CFS.

OI is measurable, and the ability to identify and manage OI can greatly improve patient outcomes and daily functioning. Part 1 in this video series will address ways to assess and measure orthostatic intolerance, while Part 2 addresses interventions and management.

*Although this video focuses on the diagnostic criteria of OI in those with ME/CFS, the content within this video applies to all who may experience OI/POTS/neurally mediated hypotension.

These videos have been made possible by the Utah Medical Association and other generous donors.

111 6

MEDICAL PROVIDER EDUCATION:

This video is geared for medical professionals. However, we encourage everyone to watch it and share with loved ones to increase awareness of orthostatic intolerance in ME/CFS.

The National Academy of Medicine has reported there is sufficient evidence to suggest a high prevalence of orthostatic intolerance (OI) exists in those with ME/CFS.

OI is measurable, and the ability to identify and manage OI can greatly improve patient outcomes and daily functioning. Part 1 in this video series will address ways to assess and measure orthostatic intolerance, while Part 2 addresses interventions and management.

*Although this video focuses on the diagnostic criteria of OI in those with ME/CFS, the content within this video applies to all who may experience OI/POTS/neurally mediated hypotension.

These videos have been made possible by the Utah Medical Association and other generous donors.

171 17

Dr. Lucinda Bateman spoke at the 2019 fall conference of the American Academy of Environmental Medicine (AAEM), delivering a didactic on "Upright Activity and Exercise Intolerance: Critical Concepts in the Evaluation of Chronic Fatigue."

Bateman Horne Center is a non-profit clinic and research center, advancing the science, treatment, and education of ME/CFS, fibromyalgia, and related conditions.

If you found this video helpful, learn more and consider sustaining our work here: http://batemanhornecenter.org/voicesofgratitude/

120 24

BHC's April 2019 Education Meeting featured Matthew Nelson, PT, DPT, TPS, "Pain Wars: Understanding the Neuroscience of Pain." In this video, Dr. Nelson explains the neuroscience of pain, and how physical therapy can play a role in treating pain for chronic illnesses such as ME/CFS and FM. He touches on the difference in approach for FM vs. ME/CFS.

Dr. Nelson received received his Doctor of Physical Therapy degree from Regis University in Denver, Colorado in 2006. He spent three years as an assistant instructor of anatomy and musculoskeletal management at Regis. Matt was first introduced to a technique called trigger point dry needling in 2007 and quickly became an assistant instructor with Kinetacore, which he now teaches to other physical therapists across the United States and Canada throughout the year. He tirelessly spent the next 5 years working with the professional licensing board and state legislature of Utah and his professional organization to allow physical therapists to perform trigger point dry needling. It was passed into law in 2014. Because of his efforts, Matt was awarded with the honor of Physical Therapist of the Year in 2014. Dr. Nelson recently obtained his Therapeutic Pain Specialty from the International Spine and Pain Institute in 2018. This specialty recognizes him as expert in the treatment and education for chronic and complex pain conditions.

This video is not intended to be a substitute for professional advice, diagnosis, or treatment or the medical recommendations of physicians, or other healthcare providers. Rather, it is intended to offer information to help the viewer cooperate with physicians, mental health professionals, and health providers in a mutual request for optimum well-being.

We advise viewers to carefully review and understand the ideas presented and seek the advice of medical providers with any questions you may have regarding your condition.

22 6

A Simple Way to Assess Orthostatic Intolerance.

Orthostatic intolerance (OI) is an umbrella term used to describe abnormal autonomic nervous system response to orthostatic challenge. Orthostatic hypotension (OH), neurally mediated hypotension (NMH) [or neurogenic hypotension] and postural orthostatic tachycardia syndrome (PoTS) are terms used to describe variants of this response. The evidence-based IOM clinical criteria for ME/CFS establish that orthostatic intolerance is a common and often overlooked feature of illness that is objectively measurable. OI may contribute to dizziness, fatigue, cognitive dysfunction, chest and abdominal discomfort, and pain manifestations.

The Bateman Horne Center recommends that all ME/CFS and Fibromyalgia patients have a NASA 10-minute Lean Test to assess for orthostatic intolerance. In order to help facilitate the adoption of this test, BHC has put together some simple instructions for healthcare providers in order to educate them on the process and encourage them to utilize it with their patients.

In this education meeting, Pelle Wall, BHC Research Coordinator, reviews the procedure and shares information about the research underway in this area.

29 6

MEDICAL PROVIDER EDUCATION:

The Bateman Horne Center partnered with the University of Utah Health to conduct a three-part education series addressing clinical presentations of chronic pain and fatigue, and ways to assess and manage these conditions.

Part 1:
Dr. Lucinda Bateman, internist and Medical Director at the Bateman Horne Center, teaches about strategies and tools for systematically approaching complex chronic illness presentations.

This presentation contains the following:

• Case presentations
• Tools for measuring and tracking severity of pain and fatigue
• Tools for efficiently measuring and tracking impaired function

22 2

MEDICAL PROVIDER EDUCATION:
In this presentation, Dr. Lucinda Bateman teaches about the effective use of evidence-based clinical diagnostic criteria to improve patient outcomes including:

1. Institute of Medicine/National Academy of Medicine (IOM/NAM) recommendations for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS):
• Impaired function, activity intolerance, post-exertional malaise, disordered and unrefreshing sleep, cognitive impairment, orthostatic intolerance
• Neurocognitive testing, cardiopulmonary exercise testing
• Focus on orthostatic intolerance syndromes and treatment strategies

2. Recognition of generalized pain amplification syndromes may reduce reliance on opioids and improve treatment outcomes:
• Decreasing and assessing triggers for amplified pain

3. Effective symptom management strategies

19 3

MEDICAL PROVIDER EDUCATION:
Dr. Brayden Yellman, rheumatologist at the Bateman Horne Center, discusses risk factors and commonly overlooked comorbidities within multi-system chronic illness presentations that can be useful for establishing diagnosis and targeting treatment interventions.

This presentation covers:

• Case presentations
• Small fiber neuropathy, mast cell activation, hypermobile EDS, dysautonomia, non-epileptic seizure, traumatic brain injury/cranio-cervical instability, and post infectious syndromes, headache syndromes.

17 3