Sign in

Michael Alexander

@michaeltikus.bsky.social
893 followers 507 following 13 posts

I like animals 🐙 Views my own. (Database wizard at @crunchME.bsky.social) @LongCovidUK.bsky.social @RenegadeResearch.bsky.social

PostsRepliesMedia
Reposted by Michael Alexander
ME Association @meassociation.org.uk · 28/09/2026
📢 Help shape the future of care for ME/CFS and Long Covid! The HERITAGE study is looking for people with lived experience of ME/CFS and Long Covid to take part in our study! Get involved:  🔗 heritage.leeds.ac.uk/join #MECFS #LongCOVID #Research #PatientVoice #HealthcareResearch
Poster for the HERITAGE Study with the following text:
HERITAGE:
Health Effects from Infection Sequelae: Tailoring serves and Advancing Guidance
Why is HERITAGE needed?
Care for Long COVID and ME/CFS varies across the NHS.
HERITAGE will explore:
What services are provided. 
What people experience. 
What works.
What needs to change.
Your experiences can help inform the future of Long COVID and ME/CFS care.
Join the HERITAGE study
https://heritage.leeds.ac.uk/join/

QR Code: Right
065
Reposted by Michael Alexander
Adam @abrokenbattery.bsky.social · 26/09/2026
Full interview (9 mins): youtu.be/H2rRf_f2hJs George’s recent article www.theguardian.com/commentisfre...
youtu.be
LBC | Natasha Devon interview with George Monbiot
YouTube video by Broken Battery
39328
Reposted by Michael Alexander
Lindsay Skipper @lindsayskipper.bsky.social · 22/09/2026
Results from the ERASE-LC trial now out. This study had the patient voice & needs at the heart of it all. Careful attention was given to prevent reinfection or cause a worsening of PEM throughout. Huge thanks to the team & all the participants. …now we need the RCT! bsky.app/profile/prof...
132
Reposted by Michael Alexander
Chris Ponting @cgatist.bsky.social · 24/07/2026
UK people with Long Covid or ME/CFS: please consider helping the HERITAGE project. They need to recruit 1,000 people who have not accessed an NHS specialist service within the last 3 years. heritage.leeds.ac.uk/join/
Are you someone with Long Covid or ME/CFS lasting at least 2 years? Are you not currently receiving specialist NHS Long Covid or ME/CFS case? Then consider joining the UK HERITAGE study by visiting the University of Leeds website https://heritage.leeds.ac.uk/join/ or call 0113 3924 734.
64633
Reposted by Michael Alexander
Elke Hausmann @drelke.bsky.social · 15/06/2026
Dear psychiatrists #RCPsychIC , Please listen to us #HearOurVoices Yours, #LongCovid @rcpsych.bsky.social 1/6
It is vital that psychiatrists who see patients with Long Covid have an understanding of post-exertional malaise or PEM, which a significant proportion of Long Covid patients experience, or rather suffer.
PEM is more than exercise intolerance.
Cognitive and emotional as well as physical exertion can lead to a patient becoming very unwell, typically with a delay, and in order to avoid that, patients need to learn to limit their activities, or pace.
34017
Reposted by Michael Alexander
Elke Hausmann @drelke.bsky.social · 03/04/2026
Suzanne O‘Sullivan on #LongCovid from about 11 min from the end. My BJGP article is quoted - predictable response from her: ‚oh but Paul Garner‘, and no comeback from the journalist. There is an email address to write to. Link to my article below. www.bbc.com/audio/play/m...
bbc.com
BBC Audio | The Today Podcast | Over-Diagnosis: Are Too Many People Being Given Medical Labels? (Dr Suzanne O’Sullivan)
The doctor who thinks that we are getting diagnosis wrong.
2114
Reposted by Michael Alexander
Nicky Proctor @nickyproctor.bsky.social · 04/03/2026
It is heartening to know that we have an ally in this role who understands the decades of neglect faced by the #ME community. I sincerely hope you can meet with @tessamunt.bsky.social very soon and that we will see a step change in government actions on #ME and Long Covid. #ThereForME
1135
Reposted by Michael Alexander
Elke Hausmann @drelke.bsky.social · 15/02/2026
As Shielding Cournoyer writes: ‚good histories of medicine are always transgressive, illuminating the politics behind treatments later seen as neutral science‘. On Mendenhall’s ‚domesticating narrative‘ in her book ‚Invisible Illness‘: #LongCovid #ME
,Public Health is off the hook if the problem is never one infection'
,Societal investment in clean air never appears alongside Mendenhall's endorsement of meditation'
On CBT and GET - ,both therapies are ultimately vindicated in Mendenhall's telling'
We are left with the impression that some patients would rather tear down the only ME treatment available than give healing a try', She never seems to grasp the stakes for the most vulnerable among the groups she examines'
‚That the sickest patients' survival may hinge on a cure, and that virology may provide it, is beside her point'
Erased are the people for whom pacing means survival, not catharsis'
,It ignores the injustice of letting people die of preventable illness'
0101
Reposted by Michael Alexander
Patient-Led Research Collaborative @patientled.bsky.social · 06/02/2026
PLRC member Dr. Copeland has launched a research study on rest, energy, & #MECFS — open to people with ME/CFS & healthcare providers who are currently practicing or conducting research & have had at least 1 patient or participant with ME/CFS. More info: restandmecfs.com
This is a flyer for the Rest & ME/CFS research study, IRB number 26-6. It says "participate in a survey about rest, energy, and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome". In the upper right corner it says “Questions? Email Study Co-PI Victoria: empwrtc@protonmail.com”. Below the header is interwoven circles, one is black with text that says Fully Virtual, low- energy version included. The circle behind is an image of white silk wrinkled. Next to it text says “To participate you must be: Over the age of 18 AND EITHER Have ME/CFS worked with at research (self or professionally diagnosed) or be A medical/healthcare provider who has least one person with ME/CFS, currently practicing or conducting research”. Below this it says learn more at www.restandmecfs.com There are two icons on the bottom left corner. One says ETC and above it are six icon-stick figure people holding hands in a circle. Next to it is Cal Poly Pomona's logo, a diamond with an orangey yellow background and palm trees and a building inside.
The Cal Poly Pomona Institutional Review Board has reviewed and approved for conduct this research involving human subjects under protocol IRB 26-6.
03323
Reposted by Michael Alexander
Elke Hausmann @drelke.bsky.social · 26/01/2026
Not a comment on the interview with Todd Davenport - but on the first 13 minutes of introduction #LongCovid #ME #26 The truth about exercise & pacing in ME/CFS, Long Covid, POTS, with Todd Davenport pod.link/1767819213/e...
The flip side of 'thresholds theory': 'layering on' different behaviours ('supplements, sunshine') to get the body in the best state to allow it to do its thing which is heal ('improving a base level of health that has then the potential to allow your body to do what it's designed to do'). Big assumptions here.
My experience - the better I pace, eat, rest, sleep, etc, the better I can cope with my symptoms which may be dampened down as opposed to heightened. But if I let any of it slip - increase in symptoms, worse PEM, worse crashes. 'Could do better' - I know, but sometimes life gets in the way.By still being ill, I clearly have never made it to the point where I have done enough to allow my body to 'do its thing' - so this hypothetical theory of 'layering' is introducing the idea that it may be my fault that I'm still ill. And it may lead to others thinking that maybe it's her own fault that she's still ill. 'Has not done enough to get herself better’. Quite apart from whether this theory is plausible or not, by focusing all attention onto a patient's behaviour, it contains the seeds of patient blaming.We do all have agency in how we respond to our illness. It is fine to advise on behaviours that may help individuals to cope better with and to dampen down their symptoms.
But speculating that those behaviours can do any more than that may be doing harm.
It puts pressure onto people: 'must do more’.
There is a downside to encouraging people to hope that with every therapy they try, that it may finally provide the 'tipping point' that flips their body back into 'homeostasis' and lead to a full recovery - the disappointment when it all ends in an inevitable crash again can be devastating.
Long Covid and ME are hard enough to live with. Let's not make it harder.
9186
Reposted by Michael Alexander
Long Covid Advocacy @longcovidadvoc.com · 25/01/2026
👇New Article There has been discussion about Simon Wessely’s interference in an article of Emily Mendenhall’s which impacted her book Invisible Illness Here we put this issue on the record and Mendenhall’s response to community concerns about her book #longcovid #pwME 🗞️🖇️ tinyurl.com/54mc7rks
A graphic with a brown background at the top featuring white text that reads "Wessely, Mendenhall and the Reproduction of Medical Power," followed by the URL "LONGCOVIDADVOCACY.SUBSTACK.COM" and the name "Long Covid Advocacy" in italics. Below the text is a classical, Pre-Raphaelite style painting depicting several figures in ornate, golden, and white robes with halos, surrounding a central figure in a vibrant red cloak who is kneeling in a ceremonial or religious setting.
54713
Reposted by Michael Alexander
Long Covid Advocacy @longcovidadvoc.com · 18/01/2026
“Wessely read a version of the writing & threatened to sue me if it didn’t include the other side.” - Mendenhall This raises serious questions about academic pressure, power, and whose voices shape the narrative around ME and Long Covid.
97327
Reposted by Michael Alexander
Elke Hausmann @drelke.bsky.social · 17/09/2025
‚in June 2025 Elsevier published its 11th edition of Kumar and Clark's "Clinical Medicine". To widespread disbelief, ME was firmly sited in the "General Hospital Psychiatry" section‘ …and they‘re not going to change it. Read this. #ME www.margaretwilliams.me/2025/is-else...
margaretwilliams.me
185
Reposted by Michael Alexander
Katharine Cheston @kacheston.bsky.social · 15/05/2025
I've submitted a rapid response to this BMJ Opinion piece - speaking from my dual experience as both researcher and 'recovered ME/CFS patient' (not a term I'd choose to employ).
Beliefs about ME/CFS can shape lives

Dear Editor,

Last year, I completed a Wellcome-funded PhD exploring women’s experiences of ‘medically unexplained symptoms’ (MUS), a category into which ME/CFS is typically subsumed. During my PhD, I had the privilege of interviewing women living with illnesses including ME/CFS. 

My interest in ME/CFS is both professional and personal. In September 2008, around my fifteenth birthday, I caught a ‘flu-like virus. My health deteriorated sharply and I was diagnosed with ME/CFS in January 2009; my teenage years and early twenties were shaped by different kinds of formative experiences. In February 2016, I caught another ‘flu-like virus. To my intense and enduring surprise, my ME/CFS symptoms disappeared. They have not returned.

While Dr Miller and colleagues argue that ‘[r]eframing beliefs about illness, along with specialist rehabilitation, can help recovery in people with severe ME/CFS’,[1] my recovery did not involve any of these factors. It simply happened. My health has changed drastically, but my beliefs about the illness and its causes have remained steadfast since 2008. 

In 2013, after four years unwell and a return to severe illness, I came to believe that I would not recover. This belief did not harm my mental wellbeing, contra to the claims of Dr Miller and colleagues.[1] What did harm my mental wellbeing - to such a significant extent that I have since needed professional support to move forwards - were the beliefs that others held about me and my illness: that I could get better, if only I reframed my own thoughts, or did more exercise, or exercised in a different way, or stopped focusing on my symptoms. In short, the belief that there was a ‘path’ to recovery (as Dr Miller and colleagues put it),[1] if only I chose to search for it.

The National Institute for Health and Care Excellence (NICE) no longer recommends therapies based on deconditioning and exercise avoidance theories as perpetuating ME/CFS,[2] recognisin…References

1. Miller, A; Symington, F; Garner, P; Pedersen, M. Patients with severe ME/CFS need hope and expert multidisciplinary care. BMJ 2025;389:r977. doi.org/10.1136/bmj.r977

2. National Institute for Health and Care Excellence. Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management. 29 Oct 2021. https://www.nice.org.uk/guidance/ng206

3. Geraghty, K; Hann, M; Kurtev, S. Myalgic encephalomyelitis/chronic fatigue syndrome patients’ reports of symptom changes following cognitive behavioural therapy, graded exercise therapy and pacing treatments: Analysis of a primary survey compared with secondary surveys. J Health Psychol 2019;24:1318-1333. doi:10.1177/1359105317726152

4. Vink, M; Vink-Niese, A. Graded exercise therapy for myalgic encephalomyelitis/chronic fatigue syndrome is not effective and unsafe. Re-analysis of a Cochrane review. Health Psychol Open 2018;5:2055102918805187. doi:10.1177/2055102918805187

5. Kindlon, T. Do graded activity therapies cause harm in chronic fatigue syndrome? J Health Psychol 2017;22:1146-1154. doi:10.1177/1359105317697323

6. Geraghty, K; Esmail, A. Chronic fatigue syndrome: Is the biopsychosocial model responsible for patient dissatisfaction and harm? Br J Gen Pract 2016;66:437-438. doi:10.3399/bjgp16X686473

7. Cheston, K. (Dis)respect and shame in the context of ‘medically unexplained’ illness. J Eval Clin Pract 2022;28:909–916. doi:10.1111/jep.13740

8. Sharpe, M. Cognitive Behaviour Therapy for Functional Somatic Complaints: The Example ofChronic Fatigue Syndrome. Psychosomatics 1997;38:356-362. doi.org/10.1016/S0033-3182(97)71443-9
1312843
Reposted by Michael Alexander
Elke Hausmann @drelke.bsky.social · 05/04/2025
Are there any more GPs with Long Covid out there who would be interested in reading my article in the British Journal of General Practice (BJGPlife) and maybe comment on it? #LongCovid bjgplife.com/suzanne-osul...
43318
Reposted by Michael Alexander
Karen Hargrave @karenlhargrave.bsky.social · 18/11/2024
We are sad to announce that #ThereForME has suspended our collaboration with the ME Association. We feel that concerns from the community must be heard. The door remains open to continue our collaboration once action is taken and concerns addressed. More here 👇
We are very sad to announce that the #ThereForME campaign has suspended our
collaboration with the ME Association.

Like others in the ME community, we have deep concerns about a recent editorial published
by the ME Association and authored by the ME Association’s Chairman (‘Animals need to
move’). We wrote to the ME Association today expressing concerns about the editorial and
asking for an update on the actions that the ME Association would be taking to address
them. We did not feel that the response we received was adequate and so we have taken
the decision to suspend our collaboration with immediate effect.

We are very proud of how we have managed to bring the ME and Long Covid communities
together under a shared advocacy message since launching the campaign four months ago.
We believe our community is strongest when we can work together and so this is not a
decision that we have taken lightly. However, we are also very grateful for the trust we have
built with the ME community. We therefore feel that we cannot in good conscience continue
our collaboration with the ME Association until the very valid concerns from the community
have been sufficiently addressed.

We have made clear to the ME Association the actions we believe are necessary from their
side in order to resume our collaboration. The door remains open to continue working
together once we feel sufficient action has been taken. We very much hope that this will be
the case.

In the meantime, we will be focusing our time and energy on what we feel our campaign
does best: speaking up for people with ME and Long Covid, who will always be at the heart
of our campaign.

Karen, Emma and Oonagh
2218145