Friday, May 31, 2013

FDA written testimony (selection bias)

As of 2013-07, this has still not been put in the docket, despite a long correspondence (tens of messages) with the FDA. I don't know why.1 Please now also see my opinions on the FDA's motivations.

The FDA is holding a meeting to discuss drug development. I am pleased that it is showing interest in a serious disease. I want to thank everybody who made the plan for the meeting happen.

I have a deep concern that most of the participants at the meeting will not realize that the sufferers who attend the meeting will be relatively well. The range of severity is wide.

Many people have died from the disease. There are many people who are tube-fed, bedridden, and 100% housebound. None of those people will attend.

The selection bias inherent in the meeting will color relative priorities and sense of urgency, and I would like to ask all present at the meeting, and all who evaluate the results of the meeting, to understand how severe the disease gets.

I would like all sufferers at the meeting to understand that the disease can progress.


Here is Emily Collingridge. She died from the disease at age 30.

She progressed from mild.

Please read it and understand that this is the same disease as the disease purported to be discussed.

If possible, I would like this email message to be incorporated into the official record of the meeting.


(permission to repost)

My name is Emily. I developed the neurological condition Myalgic Encephalomyelitis (ME) when I was 6 years old. In April 2011 I turned \30. I still have ME.

ME coloured every aspect of my childhood; it painfully restricted my teens and it completely destroyed my twenties. Now, as I move into the next decade of my life, I am more crippled than ever by this horrific disease.

My doctors tell me that I have been pushed to the greatest extremes of suffering that illness can ever push a person. I have come very close to dying on more than one occasion. If you met me you may well think I was about to die now - it's like that every single day. After all these years I still struggle to understand how it's possible to feel so ill so relentlessly.

My reaction to small exertions and sensory stimulation is extreme. Voices wafting up from downstairs, a brief doctor's visit, a little light, all can leave me with surging pain, on the verge of vomiting, struggling with each breath and feeling I'll go mad with the suffering. Of course it can also be as bad as this for no particular reason - and often is. I cannot be washed, cannot raise my head, cannot have company, cannot be lifted from bed, cannot look out of the window, cannot be touched, cannot watch television or listen to music ­ the list is long. ME has made my body an agonising prison.

My days and nights are filled with restless sleep interspersed with injections, needle changes (for a syringe driver), nappy changes (as well as experiencing transient paralysis and at times being blind and mute, I am doubly incontinent) and medicines/fluid being pumped into my stomach through a tube. My life could be better if I had a Hickman line (line which goes into a major vein and sits in the heart) for IV drugs and fluids, but such a thing would likely kill me. I'm on a huge cocktail of strong medications which help, yet still most days the suffering is incomprehensible. During the worst hours I may go without the extra morphine I need as I feel so ill that the thought of my mother coming near to administer it is intolerable - this despite pain levels so high that I hallucinate.

I live in constant fear of a crisis driving me into hospital; our hospitals have shown such lack of consideration for the special needs of patients like me that time spent in hospital is torture (eased only by the incredible kindness shown by some nurses and doctors) and invariably causes further deterioration.

Many days I feel utter despair.

But, unlike some sufferers, over the long years in which I've had severe ME (the illness began mildly and has taken a progressive course) I have at least had periods of respite from the absolute worst of it. During those periods I was still very ill, but it was possible to enjoy something of life. So in these dark days I know there is a real chance of better times ahead and that keeps me going.

My entire future, and the greatly improved health I so long for, however, currently hinges on luck alone. This is wrong. As I lie here, wishing and hoping and simply trying to survive, I (and the thousands like me - severe ME is not rare) should at least have the comfort of knowing that there are many, many well-funded scientists and doctors who are pulling out all the stops in the quest to find a treatment which may restore my health and that the NHS is doing all possible to care for me as I need to be cared for - but I don't. This wretched, ugly disease is made all the more so through the scandalous lack of research into its most severe form and the lack of necessary, appropriate support for those suffering from it. This is something that must change.

And that is why I tell my story; why I fight my painfully debilitated body to type this out on a smartphone one difficult sentence at a time and to make my appeal to governments, funders, medical experts and others:

Please put an end to the abandonment of people with severe ME and give us all real reason to hope."

By Emily Collingridge 2010-2011


Samuel Wales


The Kafka Pandemic: http://thekafkapandemic.blogspot.com

The disease DOES progress. MANY people have died from it. ANYBODY can get it. There is no hope without action.

Footnotes:

1

To check your testimony go here.

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