Severe ME – Hear Their Voice

Photo credit: Lea Aring and German Association for ME/CFS

Invisible Lives, Visible Care

Severe ME (Myalgic Encephalomyelitis) is a devastating, multi-system illness that leaves thousands of Australians isolated in dark rooms, too unwell to speak, eat, or move without pain. On August 8, we honour the immense strength and suffering of people living with Severe ME and call for urgent action.

Many are bedbound for years, unable to access basic medical care due to extreme sensory sensitivities, post-exertional symptom crashes, and a healthcare system that does not yet understand their needs. Their worlds become small, their voices nearly silenced.

This day is for them.

Through lived experience stories, advocacy, and calls for systemic change, Severe ME Awareness Day shines a light on the invisible and demands visibility, equity, and compassion. We are calling for home-based medical care, informed health professionals, and research funding to bring hope to those who have been left behind.

Join us in recognising their reality.

Share. Advocate. Act.

Nicola

Severe ME was a part of my life for about 18 months from Dec 22 – June 24 (I am now
moderate). This is how I would describe my experience:

  • living with a sore throat every single day, and being unable to speak more than a few minutes without severe pain and flare ups lasting weeks or months thereafter.
  • living with constant flu symptoms (swollen lymph nodes, fevers, chills, sore throats and headaches) which get worse the moment you do anything at all (and even when the weather changes)
  • spending all day and night in your bed with nothing to entertain yourself other than your own thoughts
  • waking up with nothing to look forward to other than sleep, and then being unable to sleep for more than a few hours due to severe insomnia
  • going hungry because you don’t have the energy to open a packet of popcorn which your husband left on your pillow
  • losing complete control of your temperature every night, to the point where your body feels like it’s on fire and your extremities are icy cold
  • needing your husband to hold you up on the toilet because the fatigue is just too much
  • having spontaneous tachicardia and POTS episodes where you feel like you can’t breathe and you are dizzy, nauseous, confused and unable to use your limbs or place your words
  • being so sound sensitive, that you can hear someone walking downstairs barefoot, even with earplugs and noise cancelling headphones over the top. Also, a car driving past your window has the same impact as if you’ve just watched a villain jump out in a horror film (jumpy and super high alert, distressed and upset)
  • shaking, sweating, tingling when people interact with you
  • “electric shocks” when trying to sleep and this bizarre rollercoaster feeling (breathless, thumping chest, dizzy, full body tingling, twitching hands and feet)

Having a GP come to the home would be amazing. It would reduce the flare ups and stress involved in having to go to a doctor’s office, reduce any anxiety about catching another infection in the clinic and also help those of us who struggle to look at screens or use technology for telehealth appointments (which was a big issue for me as well). As for affordability and bulk billing, this would change my life a lot.

I am fortunate to have the financial support of my husband and parents who paid for all of my appointments, medications and treatments which were extremely expensive. Without them, I would not have been able to afford regular care and to trial different
medication options for my POTS and insomnia (my husband did speak with my GP quite a bit in the early days trying to figure out if any medications, supplements or specialists could help me).

Tracey

Severe ME – a life lived in pyjamas and darkness
I often reflect on how difficult it is for others to understand the life-changing limitations severe ME places on us. The best analogy I can think of is that living with severe ME is like living in permanent COVID 19 hotel quarantine, while suffering from permanent COVID 19 symptoms, and having extremely limited access to social contact and entertainment.

It is a life lived in pyjamas and darkness, where having a shower counts as strenuous exercise and takes days to recover from. Where reading must be restricted, having a conversation is exhausting, using any screen is painful, and the joy of listening to music is forbidden. Moments of light, connection, and meaning are so rare that they are truly treasured.

If a knowledgeable GP had been available when I first asked if I might have ME I would probably never have deteriorated to the severe level. So it is critical that our GPs are educated in the diagnosis and treatment of ME, and especially to be aware of the harm that graded exercise therapy can cause in this disease. Competent GPs would PREVENT so much pain and suffering for patients and their carers, as well as significantly reduce the financial cost of disability for both individuals and our society.

Now that I have severe ME, a bulk billing GP who came to my home would make an enormous difference to my health and my quality of life. It would ensure I could receive timely treatment for both my ME and non-ME related health issues and screenings. It would also mean I wouldn’t have to reduce my already extremely limited daily activities to prepare for, and recover from, trips to the doctor’s surgery. And if this GP had a thorough understanding of current treatments for ME, I would have hope for small, gradual improvements in my capacity and quality of life.

Kit

For context, I have been mostly housebound to bedbound since April 2023, but over the past nine months my ME has deteriorated very quickly and Very drastically. I’d say I’m currently cusping very severe and It is literal torture. I haven’t been able to have a shower since January, and even that I shouldn’t have done but I was so desperate to feel clean I pushed through.

 I rely on baby wipes once a month since I don’t have the energy to wipe myself clean more often than that. I haven’t had natural light in my bedroom since February, and the artificial light I have has to be very low red or orange light, most colours beyond these are too bright even on the lowest settings (1% brightness).

I’m now entirely horizontal in bed for 23.5 hours per day except for the 4-5x that I get up to the toilet and that alone uses the majority of my days energy and when I lift my head to help me swallow. I’m currently on a mostly liquid/puree diet since chewing is too exertional, and over the past 9 months I’ve developed dysphagia due to the exertion of swallowing. Which in my worst crashes results in me aspirating on anything I try to swallow including water and even my saliva.

I’ve started to experience episodes of paralysis after overexerting, usually after I try to feed myself or get to the toilet. I spend the majority of my day resting with my eyes closed, an eye mask on and earplugs in with noise cancelling headphones over the top, ideally resting is still as headphones over the top, ideally resting is still as possible. but sometimes I find it just too boring and Cave on listening to an audiobook, which has to be listened to on 0.75x speed since any faster can cause PEM.

If I do listen to an audiobook I still need to have earplugs in since the sound can be too much for me and cause severe pain in my ears. I’ve insufficiently supported since December and so have had my doctors suggest a hospital admission every other month since. But because no hospitals understand severe ME, I’d simply rather risk dying in the comfort of my own home, instead of at the hands of medical professionals who know nothing about my conditions and who are more willing to medically gaslight me than acknowledge the harm that they cause.

No specialist knows what to do with me, they just keep palming me off onto one another and notdoing anything to help, except to suggest I pace myself. My life is already so restricted, I cannot pace myself better without having daily support for numerous hours per day, which I cannot afford without ndis funding. The only medication Ive found to help my very severe sensory overload which is so overwhelmingly painful and distressing to experience that it makes me suicidal multiple days per week, is a restricted medication (Valium). And yet no Doctor will prescribe it to me (After I’ve had to ration the 15 I was recently prescribed), even though they also don’t have any alternative options for me other than to suffer so severely that I want to die.

I can no longer wear most clothing for more than a few hours each day, due to how painful it feels on my skin, and I only really wear them when I’m too cold too warm myself. I’ve managed to see six friends this year, most of whom only stopped in for a short period of time to help provide me some care like administering medications or heating up meals for me. I’m rarely well enough to have a conversation with other people, and it’s left me incredibly isolated and lonely.

 It’s very grief filled to watch everyone you know and love continue their lives as if yours hasn’t completely stopped, disappeared from my life as if I never existed. I also feel like I have very little in common with most people now because of how severely affected I am. I struggle to relate to even people with mild to moderate ME, because there’s so little chance of me being able to get back to that Point now that I am so unwell and still struggling Point now that I am so unwell and still struggling without support. Some days it feels like I’m going to die in this bed, in this dark room. And I know many much stronger pw severe and very severe ME who have been sicker for much longer than I have and have continued to survive, and I think knowing that is some comfort, but it’s also heartbreaking to know that there are so many people in the exact same situation I am around the world.

 I wouldn’t wish this quality of life on the most vile evil person alive, no one should have to suffer this way. We shouldn’t be forced to limit our lives because our government isn’t willing to appropriately fund research, or even acknowledge an ongoing pandemic that is mass disabling many more people with this illness.

It’s hard to have hope when most MPs are pushing for NDIS funding cuts at the detriment to disabled lives, the way they don’t care whether we live or die in the exact same way that many medical professionals would rather think they’re superior than actually treat pwME like human beings who deserve dignity and care.

It would be amazing if I could even see a GP. I have not been able to do so for nearly 2 years now because my local GP doesn’t do house visits. Which just means that my medical care is neglected. I need to have a number of tests done including endoscopies but I’m too unwell to even get to a hospital let alone have a procedure. I think things would not have gotten to this point if I had a knowledgeable gp willing to visit me at home.

My GP is great and has gone out of her way to learn about ME and long Covid, prior to that she frequently recommended graded exercise therapy because that is just what the guidelines, despite me trying to advocate for myself and trying to educate her about the risks of harm, it’s taken us a couple of years to get to this point now. I’ve also been recommended to access IV fluids to assist with my ME and dysautonomia, but it’s simply inaccessible via the public system while I’m bedbound, and inaccessible privately on DSP.

I also imagine that I would have been able to access the supports that would allow me to stay home and to have stayed moderate to severe instead of now severe to very severe, I have NDIS for a different disability (I was rejected for ME/CFS) but my funding is insufficient to be able to meet my high support needs. The only other option that has been floated outside of a hospital admission, is a care home, which as a 30 year-old, is not where I want to be, I think if I was able to get medical care early on in my illness, a lot of these options wouldn’t need to be considered. And I wouldn’t have to risk getting worse just to survive.

So I think at this point it would be the difference between me using up hospital resources, it would be the difference of me being more comfortable, it would be the difference of me getting more Support, it would be the difference of me having a chance of recovering some of my capacity and having a better quality of life in general.

Jayne

Every day is a struggle with ME. I need constant rest and cannot stand for long, walk far or even sit too long. My pain is constant and if I over do anything mire than my limits I will pay for days or weeks.

Having a knowledgeable health care practitioner would mean finally being seen and potentially being updated on any new treatments.

Stacey

I have had Severe ME for 1.5 years now, having ME for a total of 5.5 years being mild and moderate before Covid infections.

I’m mostly bedbound now and use a wheelchair when I am out of bed. I’m not able to live independently anymore and moved in with my Mum and Step-Dad to get the support I need. Reading books, podcasts and tv are all too much stimulation for me but I can usually tolerate my phone.

I am able to get to the bathroom and grab easy to eat, pre-prepared food to eat in bed. At baseline I can usually shower if someone is home and I’m on the floor, but I’m not able to wash my hair.

I am rarely able to go into the garden but do enjoy the sunset or fresh air through the window when my symptoms and weather allow.

Leaving the house is incredibly difficult and usually limited to medical appointments. Socializing is minimal but I do have my dog Koda who is never far away.

When I was healthy I was never still – I was always talking, moving and dreaming up my next big plans. I’m still that extroverted dreamer in my heart, but my world is very different now. I’m trying to learn to connect with those parts of me in a way that keeps my body safe and heart full.

Medical appointments and medical admin take up a significant portion of my life because my energy is so limited. Simply getting ready is exerting so I am beyond my capacity before I’ve even left the house. Then there’s the physical, mental and emotional exertion of the travel, appointment itself, and outcome.

I’m fortunate to have access to telehealth for many of my appointments but not everything can be covered this way. To have a consistent, knowledgeable and affordable/bulk billed GP come to my home would make such a difference to my life!

I’m lucky my current medical team are aware of my condition and willing to learn, however, I have had to spend a lot of my journey explaining my condition to doctors who have never heard of it. This uses up a lot of energy and adds to the stress of getting medical support, especially after years of being dismissed before I was diagnosed.

Coming to my home would allow me to access care while staying within my baseline. It would help to stay on top of things more easily rather than wonder ‘is this worth the impact on my body if I go out’.

Currently going to the doctor makes me more unwell, and this would reduce that. So much of my time is spent saving energy for of recovering from appointments that I don’t get to use it to live. This would also help save energy for life.

Linda

My daughter Aysha (permission given to share her story) was diagnosed with ME/CFS when she was 14yo following at least 12 months of unexplained but worsening symptoms. Her symptoms have continued to worsen.

Currently on a good day she can play a computer game or have a conversation for about 1hr. She is in electric bed all day except toilet and brief walk to our kitchen/ living room on a good day. She can only stand/ walk up to 2-5mins. She has wheelchair for community access and shower chair. She has a shower every 2-3 weeks but requires assistance washing her hair.

On A bad day she will lay horizontally, in a dark room, cannot tolerate conversation or screen time, has significant pain and nausea and can only have liquid foods. She has not left the house for over 6 months due to severe worsening of symptoms post appointments. She has not seen any of her friends for almost 12 months.

We are currently not eligible for Medicare funding with her GP for Telehealth consults as she has not been able to attend a in person appointment since February last year. She has severe digestive problems with episodic inability to eat solid food or have adequate fluid. She has not been able to access medical tests to investigate the cause of her worsening symptoms including difficulty eating and drinking. She cannot go to emergency department for medical care due to her severe sensitivities and inability to sit.

We are also concerned emergency doctors will dismiss our concerns and discharge her. Private hospital concerns and discharge her. ri ate hospital refused to accept her referral. She is also overdue for a spinal scan regarding severe scoliosis and related spinal concerns. GP now at a loss of what to do. I pay privately for Aysha to have psychological and medical navigation assistance from a mental health nurse fortnightly. I also pay for her to see a dietitian monthly. She has previously seen many specialist and allied health professionals. I have had to stop working to provide care for her.

My family have to be very quiet in the house especially when she is sleeping due to her extreme sound sensitivity and sleeping difficulties. She has chronic pain over her whole body and headaches. She also has POTS. She takes 10 different medications daily. She cannot eat gluten, dairy or eggs and has ongoing food, medication and other chemical sensitivities. She cannot get her eyes checked or go to the dentist.

Her world has become extremely small and focused on trying not to get worse as a result of doing basic activities of daily living ( brushing teeth, eating etc).  

A home visiting GP who was knowledgeable could be life changing. It could assist with medical care coordination with specialists and allow GP to sight her on a bad day. A specialist me/cfs multi medical/ allied health clinic to support GPs would be something I would also be advocate for.

Petrea

I developed ME about 6 months ago following major surgery to remove an abdominal tumour (fortunately benign) then picking up a virus during recovery. Getting a diagnosis and follow up assessment for any comorbidities has been extremely difficult due to living in a rural area and I suspect I only got the initial diagnosis because I am a veterinarian who did my own research and my GP believed me.

Unfortunately my GP left and I have since not been able to find a doctor who has contemporary knowledge about this condition or is willing to find out. My last two appointments were disappointing and frustrating, using up my limited energy reserves and causing my symptoms to go from mild/moderate to severe. I have gone from being able to work in a job I loved and gave me a sense of purpose to being predominantly bed bound and struggling to walk to the toilet without assistance.

One appointment, where I asked my new doctor for a case review, I was out of the surgery in under 5 minutes with only a repeat prescription. At the second, I travelled a 4 hour round trip to see a doctor apparently with training in ME, who admitted I knew more than she did, could offer me only a recommendation to an exercise physiologist, and suggested no additional diagnostics even after I requested them. I was just told to eat better as I had lost several kilos in weight!

I have gone from someone who never sat still, and was proud of my good health, fitness and vitality to becoming a helpless, depressed shadow, grieving the life I have lost and terrified that I won’t recover and could still get worse.

It would give me hope of some improvement with a plan to manage my illness effectively and at least be unlikely to make me worse by attending another fruitless appointment.

Tristian

I have experienced being bedbound, having to crawl to the toilet due to severe orthostatic intolerance and balance issues, and going without food because I’m either too unwell to cook for myself or can’t even sit up, chew, or stay awake to eat. I have gone extended periods without being able to shower.

I’m frequently unable to stay awake for more than a few hours at a time, or have a reversed sleep cycle which makes it impossible to access help since I am not awake during business hours. Sometimes my brain fog is so bad I become confused about my environment.

When not bedbound, I am frequently housebound due to post-exertional symptoms, such as fainting, severe diarrhea, and nausea/vertigo/sensory sensitivity that prevent me from travelling in vehicles. All of this could be avoided – these symptoms are directly related to having to perform ADLs without support, and interfere with my ability to leave the house for medical care that could improve my condition.

Yet the NDIA determined me “not disabled enough” to receive NDIS because of their discriminatory criteria around ME, which treats it as a psychosomatic illness and thus not permanent. I have friends who are even sicker than me and also not receiving the level of care they need.

Many of us experience housing instability since we can’t work, and have had to spend time or consider residing in aged care or hospital to get the care we need. It’s inhumane and disgraceful.

I would be able to get medical care whenever I need it and not have to go without or wait for long periods due to financial constraints, being bedbound/housebound, or not being able to afford a doctor who actually understands severe ME and post exertional malaise.

This would mean I might be able to get treatment for everyday issues sooner and thus avoid further exacerbation of my ME, as well as afford to take more risks trying new treatments for my ME. If the same GP visited each time I would be able tov develop a relationship with that GP where I actually felt supported and could rely on them for helping me access support services as well.

Many services require your referring doctor to have an ongoing relationship of 6 months or more, and ME-literate doctors are usually too expensive for that to be feasible.

Nova

I was first diagnosed with CFS ME 2 years after an extremely stressful pregnancy and difficult migration to Australia, where I had no support. At the time I was 23, a mother of 2 children under 2 and a half, struggling to adapt to a completely different and unfamiliar cultural environment. Within the year, my function was so poor that I was in bed day and night, in (what I have been told) a vegetative state, unable to get out of bed or do even the simplest task such as washing my own hair.

At the height of this crisis, we relied on an external care provider to prepare the kids in the morning and drive them to child care, collect them in the afternoon and prepare them for bed.

I was too weak to drive and found even holding the steering wheel for short distance too difficult to hold.
As far as normal social interactions I was unable to stay upright for very long due to severe muscular pain and running out of oxygen when walking uphill.

To this day, 33 years on, I am still bothered by symptoms that flare up without warning. Long COVID has been a blessing as it forced public discussions and new research opportunities for ME.

The impact of this condition on my life has been severe. Some examples:

  • It impacted my ability to parent consistently and be available to my children when they needed me most.
  • It destroyed my marriage as the condition was poorly understood by my husband’s parents who thought I was lazy, ridiculed me constantly and encouraged him to abandon me (which he did).
  • It meant having to cancel catching up with friends or family at the very last minute.
  • It meant having to settle for menial work as my body was “crashing’; forcing me to take prolonged time off work (usually 24-48 hours).

All in all my ability to live life comfortably and enjoy precious moments with loved ones has been severely compromised. I have learnt that letting go of expectations is the only real option available to me, as it significantly reduces the emotional distress which accompanies my life. If I had but the one piece of advice to the newly diagnosed, it would be that you have no choice but to live in the moment, and take each day as it comes.

Getting out of bed and into the surgery is a brilliant idea for when my function is too poor. During crisis I have invited the After Hours GP ie someone who doesn’t know me.

Lynne

*SILENCE*
Are there tears if not witnessed?
Are there cries if unheard?
Does a lone soul need held
If they’re not part of the world?
As a tree falls in silence
If the forest’s not seen,
So the crash of a life
Simply cuts short a dream;
We hold on to its fragments
As we open our eyes,
Though the sun’s setting somewhere,
Elsewhere it must rise;
Your day starts in rush hour,
Hours pass by in trance,
Who has sunlight today
Begs no thought nor a glance;
If my name’s said less frequent,
Now just thoughts gapped in time,
Will my tears transfer to you?
Will my cries come to mind?
As the birds welcome daylight,
Falling leaves descend slow,
In the mist of the morning
Theres a gap now exposed;
Maybe nature holds silence
Because days are so loud,
Our human lives fleeting
Lost in weeds and in crowds;
The tree shows its roots now
Its life force once known,
Though the fall was not witnessed,
Still it fell, all alone.

More security, support, being seen and checked on/monitored instead of left severely limited and trying to manage a gruesome condition alone.

Jane

I don’t think people understand – people with severe/very severe ME/CFS like me literally have to live in their darkened bedroom doing Nothing, I mean Nothing, every day, every week, every year, for years on end.
Nothing means no talking with anyone including family
Nothing means no TV no audio books.
Nothing means nothing.
The impact of the disease on the brain for some severe people , let alone the body, is beyond people’s understanding and comprehension. I can speak but only a few sentences a day. I can still eat, but the nausea is relentless.
It’s like having a head injury with a 24/7 migraine on top. And then there’s the rest of the body.

This is not just for a week, a month, a year, or three years. This goes on and on and on.

One doctor said to me ‘it’s incomprehensible’.
We wouldn’t let our pets suffer this way, we’d expect there to be the right care, medications and treatment.

We desperately need people to comprehend, desperately.

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