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S-\  `&Times New RomanS     ;1HHP X`h!$;  6 4heading 2   ;1HHP X`h!$; ?,%2A`Arial?   S-\  `&Times New RomanS   ;1HHP X`h!$;  6 4heading 3   ;1HHP X`h!$; ?,%2A`Arial?   S-\  `&Times New RomanS   ;1HHP X`h!$;  6{ n4heading 4   ;1HHP X`h!$;       ;1HHP X`h!$;  <:Default Para,kk*List   ;1HHP X`h!$;  ;1HHP X`h!$;  6kk4Body Text   ;1HHP X`h!$;  ;1HHP X`h!$;  64Hyperlink    (-2$ !USUS.,  'dxd()o&"D&raw Object Text <C HKKKK)Hairline d%2A`Arial\  `&Times New Roman++++7Hairlinedxddd  1"USUS.,  _  @  @  @ @XXXX-    @X@XExpertTestimony:#@XX@#@X@XԀ"Abnormalitiesofimmunefunction,  hypothalamicandpituitaryfunction,neurotransmitter  regulationandcerebralperfusionhavebeenfoundin  patientswith(ME/CFS).Recentresearchhasyielded FF remarkabledata.Thesymptomsof(ME)CFShavelong  beenviewedasaneurologicpattern,asconfirmedby  othernamessuchasmyalgicencephalomyelitis.Alink  isbeingforgedbetweenthesymptomspatternof NN (ME)CFSandobjectiveevidenceofcentralnervous  systemdysfunction.Theviewthat(ME)CFSisaprimary   emotionalillnesshasbeenunderminedbyrecent   research"Dr.DavidSBell:InstructorinPediatrics, VV  HarvardMedicalSchool:ChronicFatigueSyndrome    update:FindingsnowpointtoCNSinvolvement:   PostgraduateMedicine1994:98:6:73#@XX@#@X@X81)Dr.Bellwas   theM.D.dealingwiththeepidemicof_Myalgic_ ^ ^  _Encephalomyelitis_/_ICD_Ԅ#@XX@+#@X@XCFSin_Lyndonville_,NewYork   involvingbothchildrenandadults.    @ #@XX@L##XXX@Xa#XX@ (-2$ !USUS.,  J&6  http://www.mefmaction.net/documents/me_overview.pdfhttp://www.co-cure.org/neurological.htm http://www.co-cure.org/immuno.pdf6:i+00 http://www.mefmaction.net/documents/me_overview.pdf(O$    0AA.Normal  5+ ` hp x 55+ ` hp x 5  3|x\  `&Times New RomanU<AA:Definition T  5+ ` hp x 55+ ` hp x 5  <AA:Definition L , 5+ ` hp x 5  5+ ` hp x 5  1"USUS.,  _ @  @ IXXXX-    IXIX"Ihavetreatedmorethan  2,000#IXXI#IXIXAIDSandCFSpatientsin  mycareer.And#IXXI#IXIXtheCFSpatients  areMOREsickandMORE FF disabledeverysingledaythanmy  AIDSpatientsare,exceptforthe  lasttwomonthsoflife!"Dr.Marc  Lovelesswhotestifiedunder NN oath#IXXI#IXIXintestimonybeforeCongress  in1995    @ #IXXI##XXXIXS#XXI\  `&Times New Roman86Definition(hh&H1  5+ ` hp x 5      5+ ` hp x 5  (]]&H2  5+ ` hp x 5  5+ ` hp x 5  (]]&H3  5+ ` hp x 5  5+ ` hp x 5  (]]&H4  5+ ` hp x 5 XXX 5+ ` hp x 5  (]]&H5  5+ ` hp x 5  5+ ` hp x 5  (]]&H6  5+ ` hp x 5  5+ ` hp x 5  2DD0Address  5+ ` hp x 55+ ` hp x 5  8MM6Blockquote , , 5+ ` hp x 5   5+ ` hp x 5,*CITE,dl*CODEKe<6X9`(Courier NewKS-\  `&Times New RomanS42Emphasis<:FollowedHype    4go2Keyboard Ke<6X9`(Courier NewKS-\  `&Times New RomanS <:Preformatted  /%  ,Kk %#/Ke<6X9`(Courier NewKS-\  `&Times New RomanS/%  ,Kk %#/  <:zBottom of 7[(X7    5+ ` hp x 5?,%2A`Arial?  S-\  `&Times New RomanS7)(X75+ ` hp x 5  &  d dZ)1dxd<:zTop of For7](X7    5+ ` hp x 5?,%2A`Arial?  S-\  `&Times New RomanS7)(X75+ ` hp x 5  Z)2dxd0KS.SampleKe<6X9`(Courier NewKS-\  `&Times New RomanS0.Strong 8dl6TypewriterKe<6X9`(Courier NewKS-\  `&Times New RomanS42Variable: 8HTML MarkupB      2 0CommentB   35;AGMSY_11.1.1.1.1.1.1.1.<6X9`(Courier Newiiii)!dxdx3#37=CIQYag1.a.i.(1)(a)(i)1)a)gi) dkkkk)!dxdx  dmmmm)!dxdxP Pdoooo)!dxdx dqqqq)!dxdx dmm)! dxdxZZZZ)!dxdxuuuu)!dxdx&P d dwwww)!dxdx&p d Pdyyyy)!dxdx&p Pd d{|{|)!dxdx3+0 d d d3+0 d d d b 1"USUS.,  _ @  @  @  @ XXXX-    XX"Inmyexperience,(ME/CFS)isoneofthe  mostdisablingdiseasesthatIcarefor,far  exceedingHIVdiseaseexceptfortheterminal  stages"#XX#XXԀ#XX#XXDr.DanielL.Peterson:Introduction FF toResearchandClinicalConference,Fort  Lauderdale,Florida,October1994   @ #XX##XXXXl#XX\  `&Times New Roman  X X   1"USUS.,  _ @  @  @  @  @ RRR RXXXX-  XXExpertTestimony#XX#XX:"Itakegreatissuewiththecurrent RR recommendationsthatnoadditionaltestingshouldeverbe  done.Ibelievethereareindicationsformoreadvancedtesting"  Dr.DanielPeterson:[a_Diplomate_ԀoftheAmericanBoardof  InternalMedicinewhofirstidentified_CFIDS_Ԁduringan ZZ outbreakinInclineVillage,Nevada,in1984]_JCFS_Ԁ1995:1:3  #XX"#XX4:123#XX#XX125).AttheSecondWorldCongressonME/CFSand  relateddisorders,heldinBrusselsinSeptember1999,Peterson  saidhewasamazedatthemisconceptionsthatexistedabout bb ME/CFS#XX#XX;hesaidthattenyearsago,hebelievedME/CFS $$  wouldberesolvedbyscience;hehadnowchangedhismind   andbelieveditcouldonlyberesolvedbypolitics#XX #XX)    @ R #XX##XXXXㄟ#XX\  `&Times New Roman $ 1"USUS.,  _ @  @  @  @  @ RRR RXXXX-  XXExpertTestimony#XX#XX:"TheworstcaseshavebothanMS#XX"#XXlikeandan RR AIDS#XX#XXlikeclinicalappearance.Themostdifficultthingtotreatis  theseverepain.Mosthaveabnormalneurologicalexamination.  80%ofcasesareunabletoworkorattendschool.Weadmit  regularlytoahospitalwithaninabilitytocareforself#XX#XX.#XX^#XX"Paul ZZ Cheney,ProfessorofMedicine,CapitalUniversity,USA:  TestimonyBeforetheFDAScientificAdvisoryCommittee,18  February1993   @  @  @  @  @  @  @ R#XX#XX"#XX#XXThe_NK_Ԁ(naturalkiller)cellisaverycriticalcellin(ME)CFS  becauseitisclearlynegativelyimpacted.Themostcompelling vv  findingwasthatthe_NK_Ԁcell_cytotoxicity_Ԁin(ME)CFSwasaslow 88  aswehaveeverseenitinanydisease.Thisisvery,verysignificant   data.(In(ME)CFS)theactualfunctionwasvery,verylow#XXa#XXԀ9%   _cytotoxicity_:themeanforthecontrolswas25,InearlyHIVand ~ ~  evenwellintoARC(AIDSrelatedcomplex,whichoftenprecedes @ @  thefullydevelopedcondition),_NK_Ԁ_cytotoxicity_Ԁmightbearound13    or14percent.(ME)CFSpatientsrepresentthelowest_cytotoxicity_   ofallpopulationswe'vestudied#XX#XX.#XX #XX"#XX( #XXԀ    @  @  @ #XXk #XXNancy_Klimas_,ProfessorofMedicine,UniversityofMiamiSchool HH ofMedicine;DirectorofImmunology;DirectorofAIDSresearch    andDirectoroftheAllergyClinicatMiami.#XX #XX##   @ #Xn@X ##XXXXn@[ #XX\  `&Times New Roman  1"USUS.,  _ @  @  @  @  @ XXXX-    XXDr.LeonardJasonfrom_DePaul_ԀUniversity,Chicago,wrote  thatitisregrettablethatthedisorderisportrayedinsucha  narrowway,andthatflawsinthecasedefinitionsof'CFS'  haveledto#XX#XX inaccurateandbiasedcharacterizationof FF ME/CFSwhichincorrectlyfavorsapsychiatricviewofthe  illness#XX#XX.#XX#XXHecorrectly#XX1#XXpointedout#XX#XX theerroneousinclusionof  peoplewithprimarypsychiatricconditionsinME/CFS  sampleswillhavedetrimentalconsequencesforthe NN interpretationoftreatmentefficacyfindings#XX#XX.#XX#XXԀ#XXG#XX(#XX#XXThishas  happened,withmanyresearchpatientpoolsmistakenly   includingpeoplewhohaveprimarypsychiatricconditions&   donotmeettheinternationally#XX#XXacceptedConsensusCriteria VV  forME/CFS.)     @ #XX##XXXXt#XX%2A`Arial\  `&Times New Roman !USUS.,  _HH  -XXXX& D E1HHP X`h!$XE   E1HHP X`h!$HHXE   - FX-X, \- F    2=sQC   # F, \#, \ FRequestforCongressionalAction   Ԍ H Ќ,Xn@X, \-XXX,Xn@      HHXHHX   -X-X#-?#&  E1HHP X`h!$HHXE  d2&  #XXO#-XXXX-& %X-XBriefpictureofthe_Myalgic_Ԁ_Encephalomyelitis_/ChronicFatigueSyndromesituation:'DH&@݌ l Ќ HH$$   HHXHHX  HH- %-&  H HHH HHHH d #-XX-##XXX-Xㄈ#  -  -XXXX-& %X-X  *H./qa]|1  a p Xxx<<HHHH dd@E a}A  In20yearstime,thetollhasrisentoover1millionvictimsintheUSalone   HH   HH&millionsmoreworldwide.UShealthagencieshavenotaddressedthisdangerto   HH   HHpublichealthnorsoughttofindthecauseorremediesforthesuffering.These X  HH X  HHhealthagencypolicieshaveignoredpastresearchinthisdisease&patientsare x0  HH x0  HHsystematicallydeniedmedicalservices,&USMDsaremisinformedaboutthis P   HH P   HHdisease.ThesepoliciesimpactthehealthofthosedisabledbyME/CFS&continue (   HH (   HHtoplaceeveryoneatrisk.#-XX %-&##XXX-X# -XXXX-& %X-XAprincipalissuemustnotbeoverlooked:Whyhas    HH    HHME/CFSexplodedintoaworldwideepidemic,andwhatistheinordinatefear     HH     HHoftheDHHStorecognizethisanddiscoveritscause #-XX %-& ##XXX-Xm #-XXXX-& %X-X?  l   HHHH#-XX %-&##XXX-Xc#& %XX&   HHHHE1HHP X`h!$HHXE %&  d*}./uea~1 H p Xxx<<HHHH dd@EMy H}A 1t  HHHH&:  #XX#-XXXX-& %X-X  #-XX %-&-#-& %X-XAllAmericanswouldbenefitbyourgovernmenthealthagenciesusing  H   HH  H   HHtheirpublicitycontractseffectivelytodistinguishbetweenidiopathicchronic h   HH h   H$H$fatigueofundeterminedpathologyandtheneurologicaldiseaseMyalgicEncephalomyelitis/#& % %-&#-& % %&CFSdelineated#& % %-&k#-& % %&Ԁ#& % %-&#-& % %&inthe#& % %-&#-& % %&2003 @  ConsensusCriteriaforME/CFS(seeinternationalconsensuscriteriaat:    y$y$H$H$#& % %-&G#43 y<O  5  '  -& % %&http://www.mefmaction.net/documents/me_overview.pdf'e  #& % %-&#6<-  7^![#XX %&~#-XXXX-& %X-X),which   supportshistoricworldwideM.E.definitions.  &:݌  Ќ   HHXHHX  y$y$H$H$-& % %-&  #-XX %-&##XXX-X#-XXXX-& %X-X   ) TheneurologicalcodingforMyalgicEncephalomyelitis  hasbeenintheWHOInternationalClassificationofDiseasessince  1969(firstidentifiedin1934),butitwasignoredbytheCDC l epidemiologistswhenafewnotableoutbreaksofthediseaseoccurred D inthelate1980s,oneoftheoutbreaksamongchildreninLyndonville, d  H$H$y$y$NY.Insteadofmakinguseofahalf#-XX %-&o#-& %X-Xcenturyofresearch&clinicalinformationavailableaboutMyalgic < Encephalomyelitis&itsepidemicnature,theCDC&NIHchosetofocusonthenon#-XX %-&#-& %X-Xmedicalcriteria#-XX %-&#-& %X-X fatigue,#-XX %-&#-& %X-Xleading  tothemistakenimpressionbothwithinandwithouttheagenciesthat#-XX %-&;#-& %X-X CFS#-XX %-&#-& %X-Xwasapsychosomaticorminorillnesswhen  ampleevidencetothecontrarywasavailable(ref:Osler#-XX %-&,#-& %X-XsWeb,byHillaryJohnson).#-XX %-&##XXX-XP# -XXXX-& %X-XԀ #-XX %-&##XXX-Xq#& %XX-& % %& | #-XX %-&##XXX-X#-XXXX-& %X-X  Thecoiningoftheterm#-XX %-&#-& %X-X chronicfatiguesyndrome,#-XX %-& #-& %X-Xwasawayto#-XX %-&v ##XXX-Xㄒ#-XXXX-& %X-Xignoreafullyrecognizedinternational  disease#-XX %-&!##XXX-X #-XXXX-& %X-XԀ&insteadsubstituteaverycommonsymptominmanyseriousdisorders,&asymptomhealthypeoplerecover  fromeasily.AndthereisnowapublicrelationscampaigntakingplaceattheCDCthatignorestheneurologicalcoding l &historicepidemics,&insteadplacesthediseaseintheall#-XX %-&!#-& %X-Xencompassingcategoryof#-XX %-&c##-& %X-X fatiguingillnesses#-XX %-&##-& %X-Xwhich D buriessolidresearchintotheclearlydefineddisease,MyalgicEncephalomyelitis/CFS.Theresearchcasedefinition d forCFS(Fukudaetal.,1994)developedbyCDCencompassesaveryheterogeneouspopulation.Dr.Jasonhas < requestedremovalofthepresentcasedefinition&draftinganewonebasedonactualobservations,ratherthanvague    impressions,whichiswhattheCDCcommitteehasdone.  ! #-XX %-&$##XXX-Xㄺ!#XX-_*./uea~1lv  p Xxx<<HHHH dd@E)"v }A l("| ___ HlHlH$H$#-XX-v&##XXX-Xㄕ&#-XXXX-& %X-X  For20yrs.,CDCandNIHhavenotrespondedto (""  lmlmHlHl (""  HlHllmlmmanyrequests#-XX %-&!(##XXX-X(#-XXXX-& %X-XԀ#-XX %-&O)##XXX-X0)#-XXXX-& %X-XԀbyME/CFSpatients,caregivers, ##  lmlmHlHl ##  HlHllmlmresearchers&cliniciansfortruth#-XX %-&)#-& %X-Xtelling&proper # $  lmlmHlHl # $  HlHllmlmrecognitionofthisseriousneuroimmunedisease.#-XX %-&*#-& %X-XIgnored $h!%  lmlmHlHl $h!%  HlHllmlmbytheveryagenciesthatarechargedwithaddressing %@"&  lmlmHlHl %@"&  HlHllmlmpublichealthissuessuchasthis,weremaindisabled, `&#'  lmlmHlHl `&#'  HlHllmlmmisunderstood,deniedsensibletreatment,&unableto 8'#(  lmlmHlHl 8'#(  HlHllmlmreturntoeconomicproductivity,aburdenonourfamilies ($)  lmlmHlHl ($)  HlHllmlm&societyasawhole.#-XX %-&+#-& %X-XDr.LeonardJasonrecentlyshowed (%*  lmlmHlHl (%*  HlHllmlmtheeconomicimpactofME/CFSinacommunitybased )x&+  lmlmHlHl )x&+  HlHllmlmversustertiarybasedsample,estimatingthatthe#-XX %-&.##XXX-Xㄸ)#-XXXX-& %X-Xdirect *P',  lmlmHlHl *P',  HlHllmlmandindirectcostsofME/CFSintheUSare$22#-XX %-&0#-& %X-X28.6 p+((-  lmlmHlHl p+((- b H,).   H$H$lmlmillionannually.#-XX %-&[1##XXX-Xe0#& %XX-& % %&  -)/ C XHXH   #-XX %-&W2#-X-X#-v2#-&   !  E1HHP X`h!$HHXE -F#-,-F#     X 2d!3  #,Xn@X, 3##XXX,Xn@b3#,Xn@XXX,X,Xn@WhatcanbedonebyCongressinthissituation?!34  J4Ԍ   Ќ,,-,    HHXHHX   #-XX-5#-X-X#-4#-"  E1HHP X`h!$HHXE -9x-,e-9x    "6  #,Xn@X,eJ6##XXX,Xn@6#,Xn@XXX"6s7  [7Ԍ̌,X,Xn@-,    HHXHHX   -& %- 1.  WhattodoaboutCDCmisinformation&mismanagementofresearch: #- %-&8#'X3 * #-7#-#  E1HHP X`h!$HHXE -F#-    T4_*./uea~1l p Xxx<<HHHH dd@ET}AlT@e_ HlHlH$H$#9  #F#-F#9#-F#F#-XX-F#Name&Criteria&_ICD_ԀCoding#9O;  ::Ԍ T Ќ HlHlHlHl-X-X    HHXHHX    HlHlHlHl#-F#-;##F#-F#;#F#&   HlHlHlHlE1HHP X`h!$HHXE  d2&L=  #F#-=#-F#F#-& %-F#CDCneedstorelinquishthe#-F# %-&w>#-& %-F# fatiguingillness#-F# %-&>#-& %-F#construct r  lmlmHlHl r  HlHllmlmforpatientswhomeetthecriteriafor_Myalgic_ J  _ lmlmHlHl J   HlHllmlmEncephalomyelitis_/ChronicFatigueSyndrome(ME/CFS) "   lmlmHlHl "   HlHllmlm&allowthedevelopmentofsolidcriteriabasedonthe    lmlmHlHl    HlHllmlm2003ConsensusCriter#-F# %-&,?##F#-F#X>#-F#F#-& %-F#iaforME/CFS#-F# %-&*B##F#-F# B#-F#F#-& %-F#Ԁsothatclearpatient  z   lmlmHlHl  z   HlHllmlmcohortscanbeidentifiedforresearchpurposes.(Note:  R   lmlmHlHl  R   HlHllmlmThetermsME/CFS#-F# %-&B#-& %-F#and_ICD_Ԅ#-F# %-&D#-& %-F#CFSareusedinternationally  *   lmlmHlHl  *   HlHllmlmtoensurethedistinctionbetweenChronicFatigue Z   lmlmHlHl Z   HlHllmlmSyndrome(CFS)asclassifiedintheWorldHealth 2   lmlmHlHl 2   HlHllmlmOrganization#-F# %-&D#-& %-F#sInternationalClassificationofDiseases     lmlmHlHl     HlHllmlm(Re:severelydebilitatingorganicneurologicaldisorder  _ lmlmHlHl   HlHllmlmMyalgic_Ԁ_Encephalomyelitis_#-F# %-&pF#-& %-F#"_ICD_Ԁ9CM323.9/_ICD_Ԁ10 b  lmlmHlHl b  HlHllmlmCMG93.3)&the#-F# %-&1H#-& %-F#politically&financiallymotivated, :  lmlmHlHl :  HlHllmlmall#-F# %-&>I#-& %-F#encompassing&broadly#-F# %-&J#-& %-F#defined#-F# %-&aJ#-& %-F#fatiguing#-F# %-&J#-& %-F##-F# %-&J#-& %-F#version j  lmlmHlHl j  HlHllmlmof#-F# %-&AK#-& %-F#CFS#-F# %-&K#-& %-F#"R53.82,a#-F# %-&2L#-& %-F#NOScodeorIll#-F# %-&L#-& %-F#DefinedConditions B  lmlmHlHl B  HlHllmlm780.71#-F# %-&L##F#-F#B#-F#F#-& %-F#2entirelydifferentproblems#-F# %-&M##F#-F#M#-F#F#-& %-F#.)&L=>݌  Ќ HlHlHlHl   HHXHHX  HlHlHlHl- %-&  #-F#-yN##F#-F#ZN#-F#F#-& %-F#*./uea~1% *  p Xxx<<HHHH dd@EM{"* }A0j 3"  HlHlHlHlTheCDC#-F# %-&O#-& %-F#scoiningofthephrase#-F# %-&P#-& %-F# chronicfatigue V  lmlmHlHl V  HlHllmlmsyndrome#-F# %-&6Q#-& %-F#wasanattempttoignoreoutbreaksofareal .  lmlmHlHl .  HlHllmlmdisease,_Myalgic_Ԁ_Encephalomyelitis_,aswellasanattempt   lmlmHlHl   H$H$lmlmtodowngradetheconditiontoastress#-F# %-&Q#-& %-F#Ԁbasedpsychologicalcondition.#-F# %-&S##F#-F#O#-F#F#-& %-F#Thismisinformationcontinues&waspartof  arecentpublicawarenesscampaignaboutCFSbytheCDCtotrytodistractwiththeirlatestflawedresearch ^ attemptingtoplacetheblameforthediseaseongeneticinabilitytohandlestress.#-F# %-&nT##F#-F#OT#-F#F#-& %-F#ԀIncontrastgenestudiesintheUK 6 haveshownimmunesystemproblems(Dr.JonathanKerr#-F# %-& V#-& %-F#steamhasidentifiedvirusesthatmayperpetuatethedisease, f whichfitswithsomecurrentthinkingthatitresultsfromapersistentinfection.And,infact,thetwomedicationsshown > tobringaboutimprovementinmostpatientsareboth_antivirals_,thusdemonstratingthattheproblemisviralandnot  psychiatricinorigin.Dr.Kerr#-F# %-&V#-& %-F#sgeneexpressionstudiesarefindingthreemainabnormalitiesinME/CFSpatients:  theseinvolvetheimmunesystem,mitochondrialfunctionandG#-F# %-&X#-& %-F#protein_signalling_.Therearesevengenes_upregulated_ n inME/CFS#-F# %-&Y#-& %-F#Ԁthoseassociatedwith_apoptosis_,pesticides,_mitochdonrial_Ԁfunction,_demyelination_Ԁandviralbindingsites.) 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E1HHP X`h!$HHXE -F#-,-F#    h" !H 2!,  #,,##F#,#,F#Whydoingthismakessense&WhyCongressneedstointervenenow!," ߖԌ h"  Ќ,,-,    HHXHHX   #-#%  E1HHP X`h!$HHXE  2%ј  --& %-1.#- %-&#-& %-  Clearresearchcohortscanbeidentifiedinordertofindthecauseofthedisease,andsothatthesmallamount #T!! ofresearchmoneycanbeusedwiselyandwithoutresortingtopsychiatricexplanationsforabiomedicalcondition.'! %ј݌ $,"" Ќ   HHXHHX - %-&    %  E1HHP X`h!$HHXE--  %ӛ  #--##-#--& %-2.#- %-&#-& %-  EarlydetectioncanbeestablishedratherthanwaitingforsixmonthsoffatigueintheCDCcriteriawhichcan \%## resultinlessdisabilityandlessmoneylostbythecountryinregardtolostproductivity%ӛl݌ 4&#$ Ќ   HHXHHX - %-&    #--4##-ќ#%  E1HHP X`h!$HHXE  %  --& %-3.#- %-&#-& %-  Patientscanbetreatedmoreefficientlyandcorrectly,and_MDs_Ԁcanbepresentedwithclearlydefinedcriteria  '$% sotheyarenotinthepositionofdisbelievingpatientsandbeingconfusedbyCDC#- %-&:#-& %- fatiguingillnesses#- %-&#-& %-constructs.#- %-&ء##-ן#& %-& % %&%݌ '%& Ќ   HHXHHX - %-&  #--M##-l#%  E1HHP X`h!$HHXE  %a  --& %-ԀThe2003ConsensusCriteriacanbeusedtoclearlydiagnosepatientsratherthanthepresentscattershotapproach (d&' oftheCDC,andalsothreeorfourdefinitivetestscanberuntoclearlyidentifypatientsas_Myalgic_ )<'( _Encephalomyelitis_/CFS:brain_neuro_Ԁ_SPECT_ԀorPETscan,_neurocognitive_Ԁtesting,NaturalKillerCellFunctiontest, l*() andthe_Rnase_Ԅ#- %-&8#-& %-Lantiviral_dysregulation_Ԁtesting.#- %-&զ##-#& %-& % %&%a݌ D+(* Ќ   HHXHHX - %-&  #--|##-#-  #-#     P     X      `      h  !  $