Let’s Look At Formaldehyde And Chronic Fatigue Syndrome

I’ve had an interesting comment on my recent blog post about chronic fatigue that has got me seriously thinking about what is on my bathroom shelf. Here is the comment from Matt.

“I think that a lot of chronic fatigue syndrome (cfs) is caused by exposure to hydrocarbons. In my case minor dizzy spells induced by levels of 4-6ppm formaldehyde produced cfs and sleep disorder symptoms.”

I googled formaldehyde to see if there were potential exposures that would be specific to my teenage daughter.

I found that formaldehyde is used in “cosmetics and personal care products, such as cleansers, fingernail varnishes and hardeners, shampoos and conditioners and toothpastes” as well as dozens of other products.

At a quick count my daughter uses 15 different products. Not sure yet which contain formaldehyde but I am certainly keen to find out.

If you are interested in finding out more about the commercial uses of formaldehyde you will find a worryingly long list at Product Safety Australia.

I also noted with concern that Wikipedia Formaldehyde entry says that “On 10 June 2011, the US National Toxicology Program has described formaldehyde as “known to be a human carcinogen”.”

While healthy people might be able to deal with a toxic chemical load it seems logical that bodies with existing health stress may be overwhelmed by additional challenges and shut down.

That’s what it looks like when chronic fatigue syndrome happens – like a shut down.

So I guess if you or your child suffers from chronic fatigue it might be a useful strategy to lighten the chemical load a bit.

It isn’t going to do any harm and hey it might just help.

I suppose in a general sense the message for all of us is – do your homework, read labels and choose your products with great care.



Chronic Fatigue Not A Virus

For no reason that I understand my daughter gets hit with periods of extreme fatigue. These episodes make it difficult for her to function.

Being unable to get out and about can lead to feelings of isolation and frustration. Where does this fatigue come from?

Fatigue is an issue for people who suffer chronic pain. I’ve noticed that it is common for parents to report that their children have Chronic Fatigue Syndrome as well as pain issues.

If this is you, I thought you might be interested in some new research into chronic fatigue that just cropped up on the ABC News Website.

“Virus theory for chronic fatigue” by Nonee Walsh (ABC News 6/1/12) explains that the theory that Chronic Fatigue Syndrome was caused by a virus has now been abandoned.

While this isn’t exactly a break through or great news at least one avenue of thought has been explored. Looking at it positively we are one step closer to working out what it really is.

Don Staines, from ME/CFS Australia points to some other possiblities on the horizon.

Dr Staines says it is not all bad news for CFS sufferers though, because of a new study from Norway.

“The whole scene has now changed direction markedly, as they are now suggesting this could be an autoimmune disease,” he said.

The Norwegian study used a drug already in use for autoimmune diseases, reporting it was also effective in treating chronic fatigue syndrome.

“It is probably the best evidence that anyone has come up with ever in this,” Dr Staines said.

So maybe 2012 will be the year when those suffering from chronic fatigue see some solutions emerging. Fingers crossed.



A Diagnosis of Hypermobility Disorder and Juvenile Arthritis

I’ve just published a new story on our Parent Story page from Sharon who has a two year old with Hypermobility Disorder and Juvenile Arthritis.

In the story Sharon talks about how she KNEW something wasn’t adding up and kept “pushing and pushing” for answers.

It takes courage to keep advocating for your child when the explanations that are given just don’t feel right.

As a parent it is a very worrying and stressful place to be. You don’t want to put people off side or be dismissed as an over anxious parent – but you need answers.

I’ve met many parents with a similar story. They might attend Emergency Departments or GP clinics, maybe sometimes even see specialists and come away feeling lost and unsure how to proceed.

A correct diagnosis often depends on finding the right specialist person with the right expertise. This can be hit and miss.

The rarer the condition the more unlikely you are to find someone who can diagnose it.

Often it comes down to a resourcing issue – there is a need for more people who can accurately assess pain and point you in the right direction for specialist care.

For this reason I think we need to ask for more funding for a specialist Pain Clinic at PMH.

This clinic might help parents like Sharon work through the options until she finds an explanation for her sons pain.

It would be so much better for parents to feel less alone on this journey.

Thanks to Sharon for sharing her story – I recommend that you read Our Two Year Old Has Hypermobility and Juvenile Arthritis.



My Christmas Wish For A Pain Unit At PMH

I’m putting together a Christmas wish list of things needed for families supporting children who live with chronic pain.

At the top of my list is a dedicated pain unit at Princess Margaret Hospital led by a medical specialist in children and pain.

At the Pain Summit in 2010 a study was presented revealing that 46% of children with terminal cancer receive inadequate pain relief in the last month of life.

Just pause for a moment and think about the unnecessary suffering involved here – both for children dying in pain and for their families standing by them.

High quality pain management is not being delivered even in this extreme circumstance.

For over a decade I have been able to observe the gaps in services for children living with chronic pain in our own hospital here in Perth.

As the parent of a child in pain I have spent a lot of time looking for help and support and just not finding it.

In the end our medical support system consisted of our wonderful Rheumatologist and our local chemist.

As we struggled through times of great difficulty the kindness and expertise of these two overworked men were all we had.

There is an absence of training and support for parents who find themselves managing this distressing and complex situation.

In talking to other parents of children living with pain I keep hearing that they feel alone and they don’t know who to turn to.

We need our own integrated system where families have access to high quality information and support both inside the hospital system and back out in their own homes.

In February next year I am going to speak with the Board of the Health Consumers” Council of WA about the gaps in support for children in chronic pain.

If you have a request please send me a comment or use the contact page on this website.

It really is time to address what is an obvious gap in our health system – I’m going to give it my best shot. I know there are many others working really hard to do the same.

Please join us and help make this years Christmas wish for integrated information and pain support services a 2012 reality.



Don’t Let Pain and Fatigue Limit Study Options

We’ve just found out about a great resource for young people with pain and fatigue issues.

It’s called the Community & Youth Training Services and it delivers TAFE courses for people in Perth WA who may have difficulty attending normal classes at TAFE.

People can attend classes or work from home. Tutors are available by phone or in person to assist people to complete their course work. It is a supportive and encouraging environment.

People can complete their work at their own pace with the ongoing support of their teacher – this is all about flexibility and it is such a refreshing approach.

I can’t begin to describe what a relief it has been to find this organisation right now. It reminds me that there are some fantastic resources out their if you know where to look. Do check them out if you are looking for some options.



What Skills Do You Need To Parent A Child in Chronic Pain?

I want to arrange some training and support for parents who support a child living with chronic pain.

Apparently there is research showing that how we parent can influence our children’s perception of pain.

I am curious about how we track down this type of valuable information and make it accessible and practical for parents.

These days there is a lot more known now about pain and how best to treat it.

How best to manage pain medications and side effects is also practical information that could help parents.

Maybe parents who are better informed will feel more confident to manage flareups at home and so reduce the demand on emergency departments.

There really is information that can help parents care for a child experiencing chronic pain.

I wonder what we can do to make that more accessible? Is this something that interests you?



Here Is A Useful Iphone App For Managing Chronic Pain

It is really difficult to get an accurate picture of your child’s chronic pain.

You have patchy information given by a young person who is sometimes depressed or suffering major fatigue.

Teenagers especially can get angry and moody and reluctant to answer specific questions.

Maybe they think they won’t be believed. Maybe that just don’t want to think about their pain.

It is really difficult to accurately work out what treatments are really helping and remember them next time you hit a flare up.

Memory is also another issue – both the stressed child and the stressed parent may not be able to recall accurate facts about treatments and timeframes.

This means that time with medical specialists is not as valuable as it could be mainly because the information we give is just not accurate enough.

Gianna Gribch has developed a mobile phone application called Chronica to help people with chronic pain accurately record information about their pain and their treatments.

My teenager daughter has asked me to send her a link. I can tell this has sparked some real interest.

If you are interested – here is where you can find out more about Chronica.



Visit The Website For Chronic Pain Australia

I’ve just added a link to the website for Chronic Pain Australia.

This is a wonderful resource for parents helping their children manage chronic pain.

You can find the latest research, contact information for multidisciplinary pain clinics and a forum.

I am really excited to see such a positive and useful initiative and I congratulate everyone involved.



Can Hypnosis Help Young People With Chronic Pain?

My daughter is a bit nervous about hypnosis so we’ve never really investigated it as a method of treating her chronic pain.

I just came across an article on the ABC News website that suggests that it might be worth her reconsidering hypnosis.

A visiting American pain expert says hypnosis can alleviate chronic pain and should be considered a mainstream therapy.

Professor Mark Jensen from the University of Washington says pain management for patients, particularly those with long-term illness, needs a considered and holistic approach.

Pain is considered chronic when it occurs for most days of the week and for longer than three months.

The latest statistics show one in five Australians suffer from chronic pain. Many of them are elderly.

Current approaches to treatment include cognitive behaviour therapy, distraction techniques and keeping active.

Professor Jensen says there is physical evidence that hypnosis works to alleviate chronic pain.

“Imaging studies have shown that hypnotic therapy influences all of the cortical areas and neuro-physiological processes that underline pain,” he said.

“Helping patients manage pain can have a significant psychological impact. What people do to manage pain and what they think about pain, and their social environment, can all influence pain and its negative impact on functioning.”

Professor Jensen says clinical trials have shown hypnosis can reduce daily pain intensity for patients.

“Hypnosis still has a certain stigma to it,” he said. “However we are seeing this treatment option used to manage debilitating physical and psychological conditions including phobias and addiction.

“It may be that physicians are not recommending hypnosis to their patients due to a lack of understanding of the process, or it may be that patients are wary of hypnosis.”

He says any therapy that can help with pain management will lessen the burden for patients and their carers.

Professor Jensen is in Australia to speak at the Australasian Faculty of Rehabilitation Medicine annual scientific meeting in Brisbane.
Source Reporter Sophie Scott
ABC News Online 16 September 2011

So now I’m a bit interested..but then I’m not the person who needs convincing.

I’d be interested to know about your experience with hypnosis and chronic pain – your comments would be very welcome.



Kids, Sport and Ehlers Danlos Syndrome – a Mum’s Perspective

I have two children with EDS and I thought it might be useful to share some of the ideas we have worked out for ourselves.

We’ve come up with a flyer that can be given to the teachers who supervise school sport.

This information is probably just as useful for any child managing an ever-changing joint condition at school.

People with Ehlers Danlos Syndrome may be in your care.

Be flexible in your thinking and consider our S-P-O-R-T guidelines.

People with Ehlers-Danlos Syndrome do experience varying degrees of symptoms that may not be visible to the naked eye.

Here is an easy to understand reference poster that may assist with a greater inclusion in an activity.

Be a S-P-O-R-T
STOP- May start an activity but they may need to stop.
POSTPONE- Pain and swelling can occur at any time.
ORGANISE- Create some way of an inclusive activity. E.g. scoring, whistle.
REST- Need to keep energy in reserve.
TIRED-Fatigue is frequent and real.

People living with Ehlers-Danlos Syndrome have some or all of the following characteristics- joint hyper mobility, fragile skin, bruise easily, poor wound healing, frequent dislocations and sublaxations, cardiovascular and gastrointestinal issues.

For more information on Ehlers Danlos Syndrome visit www.jointpainrelief.com.au

This information poster does not replace a medical practioners advice.

Hope you enjoy working with this information and you get to see more inclusive interactions.

We’d love to hear about your strategies for keeping kids safe and involved at school.