MEDICAL MATTERS
- Medical Matters features questions asked by Members of the ME Association on health-related topics.
- Dr Charles Shepherd and the ME Association's other advisers answer these questions by sharing their expert knowledge.
- Medical Matters is based on the popular ‘Ask the Doctor’ series in ME Essential magazine.
- It is a free resource that supplements the detailed information contained in the full range of literature that can be found in the website shop.
Search all questions
Choose a letter to see our categories
- Show all
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Y
- 5
- ME Connect
- ME/CFS
- ME/CFS Biobank
- MMR
- MNA
- MRI
- MS
- MUST
- Macrocytosis
- Magnesium
- Magnetic Resonance Imaging
- Mainstream Media
- Malnutrition
- Malnutrition Universal Screening Tool
- Management
- Manchester Brain Bank
- Mast Cell Disease
- Mast Cells
- Media
- Medical Condition
- Medical Consent
- Medical Disclosure
- Medical Records
- Medical Research
- Medical assessment
- Medications
- Melatonin
- Memory
- Memory Problems
- Menieres’s Disease
- Meningitis
- Menopause
- Menstruation
- Mental Function Assessment
- Mental Health
- Mental Health Act 1983
- Mepivacaine
- Mestinon
- Metabolism
- Metabolites
- Metabolomics
- Methylprednisolone
- Metoclopramide
- Micro Clots
- Microbiome
- Microbiota
- Migraine
- Minerals
- Mini Nutritional Assessment
- Mirtazapine
- Mitochondria
- Mobility
- Modafinil
- Molnupiravir
- Mononeuropathy
- Motor Neuropathy
- Mouth Ulcers
- Multidisciplinary
- Multiple Sclerosis
- Muscle
- Muscle Cramps
- Muscle Pain
- Muscle Relaxants
- Muscle Spasm
- Muscle Wasting
- Muscle Weakness
- Myalgic Encephalomyelitis
- Myalgic Encephalopathy
- Myasthenia Gravis
- Myelin Sheath
- Myoclonic jerks
- Myoclonus
- Myopathy
- Myositis
Questions in the Category: Mental Function Assessment
Functional Capacity Assessments and Evaluations
I have been receiving regular payments over several years from an insurance-based Income Protection Policy. This comes as part of my employment package.
I also receive PIP benefit from the DWP – who accept that I have significant problems with both mobility and care. So I would have thought that this would be adequate on-going evidence of my disability.
The insurance company now want to send me for a functional capacity test to assess whether I am capable of working again. What will this involve?
Is this test a valid way of assessing capability for work if you have ME/CFS? And can I refuse to do so if I am not happy with the way I am going to be assessed?
Symptoms: Cognitive Dysfunction
I know that cognitive dysfunction/’brain fog’ is one of the key symptoms of ME/CFS and that it can vary in severity – just like most other ME/CFS symptoms. But I’m concerned about what seems to be a slow and progressive worsening in the problems I have with memory, concentration, mixing up words and the ability to process information. I’ve also noticed that my memory for events in the past is now being affected. Otherwise, most of my other ME/CFS symptoms are fairly stable. But the frustration with not being able to properly function mentally is starting to make me feel depressed.
I went to see my GP a few months ago, and he felt that my cognitive problems were probably ‘just another part of having ME/CFS’. So is this sort of progressive decline in mental functioning something that other people with ME/CFS report and just have to live with?
Dr Charles Shepherd
Dr Shepherd has been Trustee and Hon. Medical Adviser to the ME Association for more than 40 years. He is integral to the charity's activities and provides information and support based on his professional knowledge, personal experience as a doctor with ME/CFS, and the understanding gained from helping many thousands of people with the condition. He was a member of the comittee responsible for the 2021 NICE Clinical Guideline and is a recognised expert on ME/CFS in the UK. His knowledge extends to Post-Viral Fatigue Syndromes (PVFS), Myalgic Encephalopathy/Encephalomyelitis (ME), Chronic Fatigue Syndrome (CFS), and Post-Acute Sequelae of SARS-CoV-2 infection (PASC) or Long Covid.
If you have questions about ME/CFS or Long Covid, you can:
- Review the free information in the What is ME/CFS? section of the website, and the free Covid-19 and Long Covid information in the website shop.
- Review the largest range of literature covering all aspects of living with ME/CFS. Download detailed information about symptoms, diagnosis, management, co-mordities, employment, education, related health conditions, The 2021 NICE Clinical Guideline, welfare benefits etc.
- Join the ME Association as a member and you'll receive the highly-rated ME Essential magazine, and you can ask questions of the charity’s expert advisers including Dr Shepherd.
- Contact us via the ME Connect Telephone Helpline (open 365 days a year) and speak to one of the national team of fully-trained volunteers who waiting to provide information and support.
- Contact us via email or social media: Facebook, Instagram, Twitter, LinkedIn.
Medical Matters is based on the popular ‘Ask the Doctor‘ series featured in the highly-regarded member’s magazine, ME Essential, and in the healthcare professional magazine, ME Medical. Both are produced by the ME Association and published as hard-copy magazines every 3 months and sent to members and healthcare professionals by post to home or business addresses.
If you are an HCP you can sign-up here to receive ME Medical magazine (people with ME/CFS can also nominate their HCP by completing the sign-up form).
