One of the main and most prolific symptoms for me, is chronic fatigue, or myalgic encephalomyelitis (ME/CFS). I’ve always – ever since I first heard “chronic fatigue” that it was an incredibly stupid name. To most people, fatigue means you’re tired and chronic means something that continues over a long period of time. In short, when you say “chronic fatigue” to most people, they just assume you’re talking about being tired often.
The amount of times people have suggested I get more sleep, have some more caffeine or just push through is high – and while I know they mean well, these aren’t things that will ever help chronic fatigue (and trust me, I know because I’ve tried them).
My life these days consists of mainly sitting in a recliner chair, on my laptop. And it’s very simply because anything else causes something called PEM (Post-Exertional Malaise). While sitting here on my recliner, my body feels tired. This is just the default feeling now. The best way I can describe this, is after a long week at work that’s been quite busy. You’re tired, your body is tired and it needs to rest.
If I push through this though – let’s say, I need to go to work, clean the house, help someone out, whatever, is where we introduce PEM. Now this gets even more complicated to explain – because you simply don’t know what it’s like until you’ve felt it.
Going on a bit of a tangent here, but the only way I can try to describe it in “normal” terms is with a story. Many years ago (and long before COVID), a friend and I signed up for the Cancer Society Relay for Life. We didn’t really have a team, so we joined the team of an acquaintance. It turned out this team was their whole family, so it was real awkward for my friend and I, and we simply decided that we’d just stay on the track the whole relay.
Anyone who’s ever done Relay for Life will know, it’s 12+ hours long, and it’s generally held somewhere like a sports track. So for 12 hours, we walked. We didn’t stop at any point, we just walked and walked for 12 hours until the relay was over. I’ve never, by any means been an athlete or trained like one, so you can imagine what my body was doing at the end of this. I had been awake for more than 24 hours, I had done 12 hours of walking, punctuated by junk food and considerably too much caffeine. By the time I got home, my body was aching all over, I didn’t feel very well and felt like I could sleep for a week. I could only lie in one position for my body to feel like it was resting. This is a lot what PEM feels like, but can be triggered by the most mild of things, like a 15 minute drive or even making a meal.
Unfortunately, PEM doesn’t stop there. It often comes with migraines, severe nausea and all sorts of associated enjoyable symptoms, like excessive sweating and fever. And then once you come out of PEM – which could be anywhere from a day to a month, you’re just run down, and feel like you have the flu.
This is now my default. My body is always tired and doing literally anything can make me 10x worse.
Is this chronic? Yes. Is it fatigue? Obviously. But is Chronic Fatigue the way we should describe this? Absolutely not.