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Why an Hour of Conversation Can Leave Me Unable to Think
There is a moment I know well. I am mid-conversation — talking, listening, engaged — and then, with very little warning, everything stops working at once. Not just the words. The movement. The thinking. All of it collapses into what I can only describe as a super slow heap. It is not tiredness in any…
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Words Without Meaning
I came downstairs this afternoon. My partner was talking to me. I couldn’t understand a word. Not the sentences, not the context — just the occasional word floating through, disconnected from everything around it. She was talking and I was watching, and none of it was arriving. There was frustration on both sides. Talking to…
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The Scoot
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Measuring Fatigue — Why It’s Harder Than It Sounds
If you live with a chronic condition, someone has probably handed you a questionnaire about fatigue at some point. There are several recognised scales in clinical use, and they’re not all the same thing. Fatigue Severity Scale (FSS) — nine statements, each scored 1 to 7. Developed in 1989 for MS and lupus research. Designed…
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When the Scale Goes to Eleven — Living with Extreme Fatigue
Today I did a fatigue assessment. The Fatigue Severity Scale — nine statements, each scored 1 to 7, where 7 means strongly agree. The clinical threshold for significant fatigue is a mean score of 4. I scored 7.0. Every question, 7. The scale was designed in 1989, primarily for MS and lupus research. Its job…
