Payback / noun / ˈpeɪbak
A symptom associated with the conditions Myalgic Encephalomyelitis / Chronic Fatigue Syndrome / Systemic Exertion Intolerance Disease
- A colloquial term describing a range of physical and cognitive symptoms that occur after a patient extends themselves, physically or cognitively, or both, beyond what their body or mind, or both, can cope with
- A word that summarises a broad range of symptoms a patient may experience after doing more than their mind, or body, can cope with
- A synonym for the cluster of post-exertional symptoms of post-exertional malaise
- A method of measuring the quantity or duration of pre-exertional levels of activity that a patient can cope with. As in: “If I do X for X long I will have payback, so I can / can’t.”
- Said in an Arnie Schwarzenegger voice or any other voice the sufferer may choose (authors choice)
See also; brain fog, migraine, boom and bust, muscular pain, neurological pain, digestive disturbance, catching infections, Postural Orthostatic Tachycardia Syndrome, immunological dysfunction, exhaustion, insomnia, sleep, fatigue, unrefreshing sleep, emotional exhaustion, emotional lability, hypo-adrenal-pituitary axis, post exertional malaise, baseline of activity, activity cycling, adaptive pacing therapy, cognitive behavioural therapy, graded exercise therapy and pacing.
Treatment: At present there is no pharmaceutical regimen to treat Payback.
NHS Patients are advised to work out a baseline of activity and gradually increase physical or cognitive activity over time.
Payback will indicate a setback in symptoms. Patients are advised that this is temporary and will improve over time.
Cause theorised, research is indicating some trends but cause, like ME itself, is unknown.
© Lindy 2015