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ME/CFS Moderate → no benefitIll for 1 yearNeeds ongoing treatment

ME/CFS PEM crash, walker and sick leave; pacing advice, now moderate and off work

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill for
1 year
Last post
Oct 2026
In their words
  • Condition: ME/CFSI have POTS and ME In context ↗
  • At worst: ModerateI’m pretty much just manoeuvring from my bed to my couch and getting up only to use the washroom or prepare snacks/reheat meals In context ↗
  • Now: No benefitI’ve gone from being mild ME to now moderate ME (and off of work 😞), because I’ve pushed myself too hard for almost a year. In context ↗
Read from 14 of their posts and comments; links to the 8 this page draws on

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Summary

Summit 91266 developed ME around 2025 and considered themselves mildly affected, working with home accommodations. A May 2026 trip to visit a dying relative triggered an eight-week PEM crash, the worst yet; they used a walker and went on sick leave. Pacing advice from an ME specialist physiotherapist helped them back to mild, but further overexertion lowered their baseline to moderate and they remained off work.

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What they tried

Their words about each treatment
  • pacing · HelpedI worked with a physiotherapist who specializes in ME management, and her advice was helpful. In context ↗
  • Apple Watch active calorie monitoring and daily 1-5 symptom ratings · HelpedIt was by monitoring my daily active calories and how it correlates with PEM crashes that my physiotherapist was able to determine a recommendation for pacing my activity. In context ↗
  • walker / rollator · HelpedI started using a walker about two weeks ago ... This allows me to STAY active In context ↗
  • rolling stool for the kitchen · Not saidI do have a rolling stool for my kitchen so that I don’t stand when prepping meals and doing dishes. In context ↗
  • therapist specialising in chronic illness · Helpedconnecting with a therapist who also specifically works with a population of people who are managing chronic illness ... has been really helpful In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2025developed ME after neurodivergent burnoutit’s only been a little over a year since I’ve developed ME In context ↗Mild
May 2026eight-week PEM crash after trip to visit dying relative; started using walkerLast time I visited him in May, I had a subsequent 8 week PEM crash and “graduated” to moderate level and started using mobility aids. In context ↗Moderate
August 2026recovered from crash, no longer needed rollatorI’m not needing the rollator now that my PEM is largely resolved, and I’m back to my “mild” status thankfully. In context ↗MildPacing and the energy envelope
September 2026overdid it and baseline stayed loweredbaseline is still lowered relative to before going on 3.5 months. I’ve gone from mild to moderate. In context ↗Moderate
October 2026still moderate and off workVisiting him involves travel out of province and flying, which is entirely beyond my current capacity. In context ↗Moderate

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI induced my worst PEM crash yet In context ↗
  • Brain fogexhaustion, leg and hip pain, nausea, headaches, weakness, brain fog In context ↗
  • POTS & dysautonomiaI also have migraine and POTS In context ↗
  • Headaches & migraine13-22 days a month in severe migraine In context ↗
  • Pain & fibromyalgiaexhaustion, leg and hip pain In context ↗
  • Gut problemsgastrointestinal symptoms, nausea In context ↗
  • Muscle weaknessmy legs feel heavy like lead In context ↗
  • Anxiety & low moodsensory overwhelm and anxiety In context ↗
  • Flu-like symptomsI feel like I’m coming down with the flu In context ↗
  • Breathlessnessa sense of being out and of breath during exertion In context ↗
  • Neuropathy & tinglinga bit of this buzzing sensation through my body In context ↗

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