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Post-Exertional Malaise: Diagnosis and Treatment

Donate to BHC. https://bit.ly/3P8URWa In this week's episode, Haylie Pomroy is joined by Dr. Melanie Hoppers, a physician and medical practitioner at the Bateman Horne Center of Excellence. Together, they discuss the challenges surrounding post-exertional malaise (PEM), often misunderstood as mere fatigue. Dr. Hoppers, specializing in post-infectious diseases, shares her insights and personal journey, explaining the significant impact of PEM on patients with conditions like myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and post-COVID syndrome (or long COVID). Haylie and Dr. Hoppers also offer useful advice and support for dealing with PEM, bringing hope and help to people with chronic illnesses. Key points: 00:00 Introduction 03:20 Dr. Hoppers' journey with ME/CFS. 05:09 The struggle to find accurate diagnosis and care. 06:03 Understanding post-exertional malaise. 08:33 PEM and chronic illness: common myths. 10:00 Types of exertion that can worsen PEM. 12:29 Environmental and emotional factors’ impact on PEM. 14:06 Delayed onset of PEM symptoms. 15:07 PEM: diagnosis, management, and prevention. 19:00 How to monitor resting heart rate. 22:10 Strategies for pacing and resting. 26:42 Normal fatigue vs. PEM: The differences. 28:26 PEM and energy production: Studies. 30:20 How viruses trigger ME/CFS and long COVID. 32:32 The importance of information sharing and patient support. Dr. Melanie Hoppers is a practicing physician at the Bateman Horne Center of Excellence, specializing in internal medicine and pediatrics. She earned her Bachelor of Science degree in Biology from Union University in Jackson, TN, and her medical degree from the University of Tennessee College of Medicine. Dr. Hoppers completed a dual residency in Pediatrics and Internal Medicine, equipping her with extensive expertise in managing complex medical conditions, including ME/CFS and fibromyalgia. At the Bateman Horne Center, she contributes to both clinical care and research aimed at improving patient outcomes​. LinkedIn:   / melanie-hoppers-939a00279   Facebook:   / melanie.hoppers   PEM Resources: https://batemanhornecenter.org/provid... BHC Newsletter: https://batemanhornecenter.org/outrea... ------------------------------------------------------------------------------------------------- Enjoy our show? Please leave us a 5-star review on the following platforms so we can bring hope and help to others. Apple Podcasts: https://podcasts.apple.com/us/podcast... Spotify: https://open.spotify.com/show/154isuc... Donate to the Institute here. https://www.nova.edu/give/index.html Sign up today for our newsletter. https://nova.us4.list-manage.com/subs... This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here. Website: https://www.nova.edu/nim/ Facebook:   / instituteforneuroimmunemedicine   Instagram:   / nsu_inim   Twitter:   / nsu_inim   TikTok:   / nsu_inim   #postexertionalmalaise #PEM #MECFS #myalgicencephalomyelitis #chronicfatiguesyndrome #chronicfatigue #chronicillness #longCOVID