Thanks for speaking up so clearly and painfully @johnthejack.bsky.social.
I wish Charles Shepherd would stop brushing ME deaths under the @meassociation.org.uk carpet. #PEMKills medical mistreatment of #MEKills
In very severe #ME this issue is not the dysphagia Speech and Language Therapists usually see (inability to swallow following a stroke). It is the inability to complete a liquid meal in full. This is a real time effect of #PEM - not the delayed version seen in mild/moderate/severe ME.
#PEMKills
The section on nutritional support is v high risk for PEM.
#PEMKills
The author is remarkably incapable of learning what #PEM is, given his direct involvement with #MaeveInquest (not to forget his position with @actionforme.bsky.social)
