What is Chronic Fatigue Syndrome?
Chronic fatigue syndrome, or CFS, is a debilitating and complex disorder characterized by profound fatigue that is not improved by bed rest and that may be worsened by physical or mental activity. Persons with CFS most often function at a substantially lower level of activity than they were capable of before the onset of illness. In addition to these key defining characteristics, patients report various nonspecific symptoms, including weakness, muscle pain, impaired memory and/or mental concentration, insomnia, and post-exertional fatigue lasting more than 24 hours. In some cases, CFS can persist for years. The cause or causes of CFS have not been identified and no specific diagnostic tests are available. Moreover, since many illnesses have incapacitating fatigue as a symptom, care must be taken to exclude other known and often treatable conditions before a diagnosis of CFS is made.
What is fibromyalgia?
Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and multiple tender points. "Tender points" refers to tenderness that occurs in precise, localized areas, particularly in the neck, spine, shoulders, and hips. People with this syndrome may also experience sleep disturbances, morning stiffness, irritable bowel syndrome, anxiety, and other symptoms. Previously, the condition was known by other names such as fibrositis, chronic muscle pain syndrome, psychogenic rheumatism and tension myalgias.
What is Lyme Disease?
Lyme Disease is caused by a spirochete bacteria Borelia burgdorfei. In its acute form, 39% of patients develop a rash at the site of the tick bite. In a chronic form of the disease fatigue and pain can be persistent. It is claimed by certain physicians that it is easily treated withthe antibiotics, doxycyclin and rocephin. In essence, certain cases are resistant and symptoms persist. We believe that in face of a weakened immune system the Borelia enter a tissue phase and may become more difficult to eradicate. Immune adjuvant may assist antibiotic therapy.New developments we have involve an electrolyte mixture called LECTROLYTE which is equivalent to RECUP which acts on the blood andinterstitial fluid. It is claimed that added vigor is given to the muscles. A number of patients have found it useful.
We are testing Cardiac Output (CO) and Ventricular stroke volume (SV) on our ME/CFS patients with a new machine, The Impedance Cardiograph(ICG). We determine the change in cardiac output in lying, sitting, and standing, a more instructive "tilt table" approach. This procedure is especially helpful in showing abnormality in disability cases.
We are a free standing medical clinic located on the upper east side of Manhattan. The practice was established in 1983, specializing in the treatment of Chronic Fatigue Syndrome (CFS) and Fibromyalgia. The Enlander Clinic paves the way for other facilities with our active research studies in which patients are invited to participate. Years of research and treatment experience led to the development of a protocol specific to the treatment of CFS and Fibromyalgia. In addition to the practice, Dr. Enlander is attending physician at Mount Sinai Medical Center of New York and on the faculty of the Mount Sinai School of Medicine, where he often collaborates with fellow physicians to present current topics in ME/CFS. The clinic is active in the Mount Sinai ME/CFS Center set up by a kind donation from one of Dr. Enlander's patients.
The goal of the practice is to provide optimal care for our patients. We ensure the highest level of care by providing thorough, onsite testing and follow-up. Our staff is qualified and caring, consisting of a Licensed Practical Nurse with 28 years experience in the practice, a Medical Assistant and Licensed Phlebotomist, an Ultrasound Technician, and a Nerve Conduction Velocity (NCV) technician. Our facility prides itself in providing the most comprehensive physical exams, which are vital in diagnosis and treatment specific to the patient's needs. Our reputation attracts patients from all over the world.
Chronic fatigue syndrome (CFS) affects more than 1 million people in the United States. CFS is a disorder that causes extreme fatigue. This fatigue is not the kind of tired feeling that goes away after you rest. Symptoms affect several body systems and may include weakness, muscle pain, impaired memory and/or mental concentration, and insomnia, which can result in reduced participation in daily activities.
Mount Sinai study for healthy controls recruitment is for our final pilot phase. We are looking for (Caucasian male 43-47, BMI 31-34)
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