Provider Resources

August 2021, Dr. Bateman delivered a didactic to NPs and PAs where she addressed post-acute sequelae of COVID-19 (PASC), Long Haul COVID, ME/CFS (myalgic encephalomyelitis/chronic fatigue syndrome), and orthostatic intolerance/dysautonomia.

In this lecture Dr. Bateman touches on:
-History of post-viral fatigue syndromes (PVFS)
-SARS COV-2
-Diagnostic criteria of ME/CFS
-Understanding common comorbid conditions
-COVID-19 as a post-viral syndrome (impact, prevalence)
-Two case presentations
-Assessment and management guidance
-Patient and provider educational resources

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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.

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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.

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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.

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BHC's Dr. Brayden Yellman teams up with Lisa O'Brien (Founder of the Utah Long Hauler Group) and Dr. Jeannette P. Brown (Medical Director of the UUH Post-COVID Care Clinic) to deliver a presentation for medical providers addressing post-acute sequelae of COVID-19 at the University of Utah Health's Project *ECHO COVID-19 program.

Dr. Brayden Yellman starts @ 14 minutes, 50 seconds.
- Common post-COVID-19 chronic sequelae
- Case review
- ME/CFS
- Common co-morbid conditions (POTS, MCAS)
- Orthostatic Intolerance (OI)/POTS, 10-Minute NASA Lean Test

This presentation reached primary and specialty care providers throughout the Mountain West, including residents and fellows at University of Utah Health.

Project ECHO is a program to connect community medical providers with healthcare education and resources. *Extension for Community Healthcare Outcomes

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This video is not intended to be a substitute for professional advice, diagnosis, treatment or the medical recommendations of your medical team.

We advise viewers to carefully review and understand the ideas presented and seek the advice of medical providers with any questions you may have as it relates to your patient-specific situation.

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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

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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.

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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

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MEDICAL PROVIDER EDUCATION:

On August 25, 2020, Dr. Brayden Yellman addressed a group of adult and pediatric psychiatrist with the primary intention of supplementing their medical knowledge of ME/CFS as it relates to their specific medical practices.

The purpose of the lecture was to acknowledge that many who suffer from ME/CFS are often mistakenly diagnosed with primary psychiatric conditions, often in the complete absence of any recognition of an underlying severe multi-system illness.

The lecture reviews a case presentation of a patient whom, by official psychiatric diagnostic standards put forth by the DSM V, appears to have multiple primary psychiatric illnesses. 

The audience of providers is then challenged to question the utility and weaknesses of the existing diagnostic criteria for these psychiatric illnesses and is given a set of diagnostic tools to assist them in recognizing that the patient in this case presentation is actually suffering from prominent symptoms of ME/CFS.

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