NIH National Advisory Neurological Disorders and Stroke Council (NANDSC) ME/CFS Research Roadmap Working Group - letter re finalized roadmap Advocacy 

Michael Harrop

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https://www.ninds.nih.gov/about-ninds/who-we-are/advisory-council/nandsc-mecfs-research-roadmap-working-group

The roadmap was informed by a new working group, which will include ME/CFS basic and clinical experts from the research community, leaders of ME/CFS non-profit advocacy and research organizations, as well as people with lived experience (i.e., individuals with ME/CFS, those with a family history of ME/CFS, caregivers/care partners, and/or patient advocates). The working group met regularly in 2023 and 2024 to discuss and develop a Research Roadmap for ME/CFS.

I just reviewed it and sent them an email:

Unfortunately, it appears that it's too late now, but I should be a member of this working group. Hopefully, someone can still review this information and act on it.

I've been on disability for CFS for most of my life. In that time, I've been learning & experimenting, trying to get my health back. When I learned about the gut microbiome, it seemed like the obvious "missing piece of the puzzle".

This 10-minute video covers some of my history, motivations, goals, the microbiome, FMT, etc.: https://www.youtube.com/watch?v=6wi52tLjCps

I created https://humanmicrobiome.info/ as an educational resource to attempt to combat the widespread ignorance and misinformation on this subject.

There is additional information on the forum, such as this list of research on the microbiome, FMT, and COVID: https://forum.humanmicrobiome.info/threads/the-gut-microbiome-covid-19-and-long-covid-collection-of-studies.348/

My history of advocacy is documented here: https://forum.humanmicrobiome.info/forums/fecal-microbiota-transplant-fmt/?prefix_id=71

After failing to make any progress by reaching out to the patient community, researchers, etc., I took things into my own hands with https://www.humanmicrobes.org.

Most people (including the patient community, researchers, and advocacy groups) seem extremely poorly informed on the microbiome and FMT (fecal microbiota transplants). The working group's report reflects this ignorance. There is only one small subsection on the microbiome, under the "immune system" section, and only a single mention of FMT, unrelated to its value as an existing treatment.

The "research priorities" section is "more of the same", and thus very unpromising. I would go as far as to say I find it appalling. A stunning display of ignorance. If all the members of this working group are so ignorant on something this major, which I'm well-informed on, I expect they are similarly ignorant on a wide variety of other topics that I'm not as well-informed on. It is ignorant, misguided, and unethical to focus so much on mechanisms and diagnostics instead of an existing treatment.

Every single thing listed in that document is regulated by the gut microbiome. You're wasting your time (and our lives) trying to figure out why thousands of streams are poisoned by individually studying each stream instead of following them upstream to the source.

I gave the following example to some other CFS researchers who announced their intent to do this as well. An appropriate analogy is spending decades trying to figure out the mechanisms of anesthesia rather than testing its safety and efficacy in order to make it widely available. Anesthesia is one of the many things we use without knowing the mechanism.

Here is a summary of the FMT situation: https://forum.humanmicrobiome.info/threads/the-fda-and-fmt-regulation-part-2-jul-2024-humanmicrobes-org-i-met-wit.520/#post-1370. Every single person on the working group should be familiar with this, and should be helping me. As should the entire patient and research community for every chronic disease.

"Appalling and dystopian" that I've been left to do this alone fails to describe the severity of the situation.

• There's a cure for numerous diseases.
• I should be able to access this cure.
• I should not be responsible for making this cure available.
• I will never be able to access it unless someone in the federal government does something.

I've been living in my car in DC since November, trying to get someone in Congress to solve the issue. Will you continue to ignore it and leave me to do everything on my own?


Best regards,
Michael Harrop

You could say this is far too confrontational, but as I've noted on my blog, anything else seems to just get ignored. My attitude is the result of spending 10+ years trying to reach out to the patient and research communities. Here are a couple of examples that were completely ignored:

Edit:
I can't find the link again, but there was a self-nomination process to join the working group. Possible reasons I missed applying:
  • I left most CFS communities because the majority of what they do is whine about their situation while refusing to learn about & participate in solutions.
  • I was banned from two CFS communities for calling them out on this behavior, and a 3rd one basically told me to f**k off. So I did.
  • But even if I was still following them, they rarely post/upvote things like this, so I likely wouldn't have seen it anyway.
  • I have still been following a few CFS news sources, I didn't notice them post about the ability to apply to this working group, even though both of them are members of it.
 
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