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  • 2012
  • June

The Meaning of “M.E.”

June 14, 2012 / Charles W. Lapp, MD / Ask The Doctor

Q:            Michele K asked, “Why do some CFS/ME specialists refer to ME as ‘myalgic encephalopathy’ and other refer to ‘myalgic encephalomyelitis’?   Doesn’t this add to patient and public confusion?” A:            The term “myalgic encephalomyelitis” was coined by the British physician, Dr. Melvin Ramsay, in the 1950’s when he described an outbreak that occurred in London.  […]

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Does CFS/ME Lead To Alzheimer’s?

June 14, 2012 / Charles W. Lapp, MD / Ask The Doctor

Deborah B asked, “Do the concentration and memory deficits in CFS/ME lead to Alzheimer’s?” A:            The short answer is “no.”                 The cognitive deficits in CFS/ME include slow processing, poor recall, reduced attention and distractibility.  These deficits wax and wane over time, and do not appear to be permanent.  As PWCs improve their cognitive issues […]

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Is CFS/ME An Immune Disorder?

June 14, 2012 / Charles W. Lapp, MD / Ask The Doctor

Bobby B wrote:  “I often get conflicting answers to this question.  Is CFS/ME/FM an autoimmune disease?” A:            Bobby, I don’t mean to conflict you further but the answer is “yes, and no.”    Autoimmunity is certainly part of the CFS/ME/FM conundrum, but the disorder also affects the central nervous system, endocrine system, the muscles, and […]

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Muscle Spasms & Tremors

June 14, 2012 / Charles W. Lapp, MD / Ask The Doctor

Christopher M. queried, “Is it common for PWCs to have muscle spasms and tremors?” Spasms, fasciculation (worm-like or “crawling” muscles), cramping, myoclonus (brief jerking movements, especially at night), tremors and other neurological symptoms are actually fairly common in CFS/ME/FM.  Muscular phenomena (spasms, fasciculation, and cramping) are usually due to reflexive muscle problems. That is, CFS/ME […]

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The Story of Hunter-Hopkins

The Hunter-Hopkins name derives from two individuals who were memorialized because of the invaluable lessons they taught to Dr. Lapp.

Linda Hopkins

Linda Hopkins presented to the emergency room complaining that she could not breath when she nodded off to sleep. As a result she had not slept in weeks. Other physicians had discounted her story as impossible, but Linda and her mother convinced Dr. Lapp to look into it further. Linda was hospitalized and monitored overnight. Sure enough, as soon as she nodded off, Linda went into respiratory arrest – a very severe form of sleep apnea now known as “Ondine’s Curse.” Once the problem was identified, Linda was fitted with a respirator to be used while sleeping. Lesson learned: listen to the patient.

Allison Hunter

Allison Hunter was diagnosed with Chronic Fatigue Syndrome, but lived in Australia, where the providers of socialized medicine ‘did not believe’ in the diagnosis. As a result she was misnamed a malingerer, hysterical, or Munchhausen – a term reserved for individuals who purposely pretend to be sick. When Alli developed convulsions they were attributed to this ‘phantom illness’ and went untreated. As a result, she died during a grand mal seizure. Lessons learned: (1) diligently look into all complaints and don’t discount them, and (2) don’t trust socialized medicine.

Allison’s parents went on to found the Allison Hunter Memorial Foundation, which has promoted CFS throughout the Pacific Basin and provides superb seminars for practitioners to learn more about CFS and FM.

So we have admired and memorialized these two young women who taught us much about the importance of diligence and listening to the patient.

Our Mission

We are dedicated to exceeding our patients’ expectations by providing individualized, compassionate, empathetic, and timely care. Our goal is to improve the quality of our patients’ lives by providing the highest quality of advanced evidence-based diagnosis and treatment available.

The patient is our first priority; conquering CFS/ME/FM is our ultimate goal.

The Banyan Tree

We chose the banyan tree to represent our practice because the resilient and long lived banyan offers its shade as a safe and sheltered place for weary travelers and the banyan’s distinctive habit of sprouting new supportive roots from its branches reminds our clients to find and accept support for themselves.

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