Bendy Bodies with Dr. Linda Bluestein

Why Are You So Exhausted? with Dr. Brayden P. Yellman (Ep 140)

16 snips
Apr 10, 2025
Guest
Brayden P. Yellman
Dr. Brayden P. Yellman, Medical Director at the Bateman Horne Center, sheds light on the often-misunderstood ME-CFS, exploring its elusive nature and the toll it takes on daily life. They discuss how fatigue can be a complex physiological state rather than simple tiredness, the hidden dangers of upright posture, and how traditional diagnostics can overlook critical nervous system issues. Yellman also delves into emerging theories about the condition, including brainstem tension and mast cell activation, offering hope for those seeking answers to their unexplained symptoms.
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INSIGHT

ME/CFS Explained

  • ME/CFS is a chronic, multi-system illness triggered by immune system insults, often infections.
  • It's characterized by profound fatigue, post-exertional malaise (PEM), unrefreshing sleep, cognitive problems, and orthostatic intolerance.
INSIGHT

Understanding PEM

  • Post-exertional malaise (PEM) is a core symptom of ME/CFS, worsening fatigue and other symptoms.
  • It's triggered by exceeding one's energy limit, with a delayed onset of 12-48 hours.
ADVICE

Assessing Functional Impairment

  • Assess functional impairment in ME/CFS patients by asking about their upright activity hours.
  • Inquire about their abilities on good and bad days to understand the impact of PEM.
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