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" ...What is the virus that the pathologists found? HHV-6? Mycoplasma?

An enterovirus? Cytomegalovirus? EBV? Something completely new? Why

is there no money for researchers studying these very questions?... "

( Schweitzer, Ph.D.)

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Date: Wed, 14 Sep 2005 00:33:16 -0400

From: " Schweitzer, Ph.D. <marymsch@...> via Co-Cure

Moderators " <co-cure-mod@...>

Subject: ACT: Testimony about Casey to CFSAC

This testimony was given to the CFSAC (The Chronic Fatigue Syndrome

Advisory Committee of the U.S. Department of Health and Human

Services) on Monday, September 12, 2005. Feel free to pass this

along (uncut).

Schweitzer.

mailto:marymsch@...

--------------------

On July 4, 2005, sometime between 2:30 am when his mother kissed him

good night, and 6:30 am when his father came downstairs, Casey Fero

died in his sleep. His heart simply stopped.

Casey Fero was 23.

Casey was a charming, friendly kid with blue-green eyes. He was

first diagnosed with CFS at the age of 9, then again at 15. He was

plagued by headaches, cognitive difficulties, muscle weakness, and

exhaustion. In addition to the symptoms of a serious illness, he had

to endure doctors who did not " believe " he was " really " sick, and

teachers who saw in him only a shirker. By the end of his short

life, however, he was happy. He had just completed two years of

community college and was looking forward to beginning courses at the

University of Wisconsin. He had acquired a summer job. He had many

friends, who came to his home for days after he slipped away to mourn

the loss together. The family and Wisconsin CFS Association will

honor Casey with a blood and tissue bank for CFS/M.E. victims. We

will pass the flyer around at the end of this talk. [The flyer was

posted to Co-Cure yesterday, and can be found at

http://www.co-cure.org/flyer_WI.pdf . To contribute to the Casey

Fero ME/CFS Tissue and Blood Bank go to <www.wicfs-me.org>]

In his mother's words, " Casey had bull dog determination. In his

mind, he had overcome all illness and if he just worked harder he

could do anything.... Interesting, how he died so well, with so much

enthusiasm to live. "

Most people in this room are acquainted with Casey's mother, Pat

Fero, President of the Wisconsin CFS Association; Pat testified

before this Committee about a year and a half ago. You may also have

met his father, Bruce, and his older sister, Mikol , when the

Wisconsin group hosted the October meetings of the American

Association for Chronic Fatigue Syndrome.

Pat has had CFS since before Casey was born. She and Bruce sought

diagnosis and treatment for Casey, but as he passed into adulthood,

he no longer had a doctor of his own. Even at the University of

Wisconsin, there were no doctors who " believed in " the disease or,

for that matter, really believed Casey was sick. Casey carved his

own therapy out of over-the-counter and mail-order supplements such

as powdered whey protein and Co-Q-10.

Seeing the supplements, the coroner originally told Pat that this

would be their first " steroid " death. Even in death, the first

response was that it could not be CFS, because CFS is not a serious

disease.

Last Thursday, September 8, Pat received the coroner's report. The

University of Wisconsin forensic pathologist found that:

**Casey died of myocarditis that is, his heart was infected with

disease. There was inflammation, and the tissue was full of viral

infection. Casey also had old fibrosis, indicating that the viral

infection was not of a new onset.**

The pathologist was " shocked " at this finding.

Casey Fero died of Chronic Fatigue Syndrome.

Why?

Specialists on NMH said they knew of no cases where someone died from

that condition nor had there been reason to suspect carditis was

involved in NMH.

Using an ultra-sensitive type of electrocardiogram, Dr. A.

Lerner of Wayne State University has found evidence that EBV and

cytomegaloviruses in CFS patients has caused heart damage. I do not

know whether this research has been replicated, but under the

circumstances, it takes on a new importance.

There is evidence that HHV-6 can infect the heart. Other possible

culprits include Lyme Disease, mycoplasma, and Chlamydia.

In 2003, Arnold Peckerman, Natelson and others published

their research finding that most CFS patients suffer from cardiac

abnormalities [ " Abnormal Impedance Cardiography Predicts Symptom

Severity in Chronic Fatigue Syndrome, " in The American Journal of the

Medical Sciences 326:2 (2003): 55-60].

The cause was left to further studies, but Dr. Cheney has

suggested viral infection. Clearly this research could lead to an

answer to Casey's death, but it has no federal funding.

The harsh reality is that research on CFS, viruses, and cardiac

abnormalities is under-funded, ignored, and at times outright

dismissed by those charged with informing the public of the dangers

of diseases.

However, if you turn to the Myalgic Encephalomyelitis (M.E.)

literature in Great Britain, there is evidence of deaths in both

adults and teenagers from sudden heart stoppage. Ramsay wrote about

such cases, and in correspondence with Dr. Malcolm Hooper I was

informed that he, too, was aware of premature deaths from heart

failure. Dr. Hooper has long been studying

the hypothesis that M.E. is caused by an enterovirus (such as polio

and coxsackie). There is no comparable research on enteroviruses in

the United States (unless you count the sparse literature on post-

polio syndrome).

Is this the price we have paid because in 1988 we rejected, instead

of embracing, the robust research programs and existing literature in

the M.E. community?

Had we built on these studies, instead of squandering our time on

measures of " fatigue " and a plethora of studies of CFS as

a " somaticizing " disorder, where might we be today? For the past

twenty years, had we been looking at this as a disease rather than a

psychological disorder, would we now know enough to have prevented

Casey's death?

And if we hadn't hidden what we already know from the public, would

Casey have had a doctor of his own, perhaps even one that would have

looked into the condition of his heart?

Pat Fero came down with CFS before her son Casey was born. His

entire life was lived under the shadow of this disease a shadow of

widespread ignorance.

Why?

The pathologist was shocked to find heart damage.

Why?

What is the virus that the pathologists found? HHV-6? Mycoplasma?

An enterovirus? Cytomegalovirus? EBV? Something completely new?

Why is there no money for researchers studying these very questions?

We need the public to be told NOW that there is a serious disease

out there, and that nearly a million people in the United States have

it. They need to be told of the uncertainty about cause, prognosis,

and cure. They need to be told what they should be tested for to

rule out other diseases. And they need to know that patients die.

Two months after Casey's tragic, untimely death, most primary care

physicians know little more about the disease than they did on the

day Casey was born. That is criminal.

One year after this committee sent a list of suggestions (as is its

task), to the Secretary of the DHHS, there has been no [effective]

response. That is also criminal.

What does it take to impart a sense of urgency to this task?

Does it take the tragedy of a young man's senseless death?

Hold Casey's memory high, like a banner. Take him to Congress, to

the press, to the appropriate medical specialties. Let this be a

turning point.

Casey Fero died too young. Do not let his death be in vain.

-------------------------

To contribute to the Casey Fero ME/CFS Tissue and Blood Bank go to

<www.wicfs-me.org>

or you may also send a check to:

The Wisconsin CFS Association

747 Lois Drive

Sun Prairie, WI 53590

Be sure to specify " CASEY'S FUND " on the check.

--------------------------

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Date: Mon, 12 Sep 2005 13:24:50 -0400

From: " Pat Fero <bp.fero@...>

via Co-Cure Moderators " <co-cure-mod@...>

Subject: NOT,ACT: Casey Fero ME/CFS Tissue and Blood Bank

[Moderator's Note: The first part of this message comes from a flyer

created by the Wisconsin CFS Association. ly, this plain text

rendition doesn't do it justice. Please see the actual flyer at

http://www.co-cure.org/flyer_WI.pdf .[AOL: <a href= " http://www.co-

cure.org/flyer_WI.pdf " >Here</a & gt;]

___________________________________________________________

Casey Fero

ME/CFS Tissue and Blood Bank

by Pat Fero <bp.fero@...>

On July 4, 2005, at the age of 23, Casey Fero died in his sleep. He

died of unknown causes far too young. As a lasting tribute to Casey,

the Fero family, the Wisconsin Chronic Fatigue Syndrome Association,

Inc., and Mothers against Myalgic Encephalomyelitis, Inc. (MAME) will

create the first universal access blood and tissue bank for ME-CFS

patients.

Casey was diagnosed with CFS at age 9 and again at age 15. It caused

him to feel weak, unable to think, and exhausted. He was plagued with

headaches, and had major sleep disorder among a list of daily

symptoms. Casey persevered and did not want people to know his

condition. Early on, he knew that medical help was unavailable and

furthermore, he was met with disbelief in the school and in the

doctor's office.

Sound medical research is the key to understanding the cause of these

disorders and to developing treatments that can help patients manage

daily living. Many recognized illnesses, such as Alzheimer's, were

poorly understood before the creation of tissue and blood banks.

Precious gifts of tissue and blood benefit all individuals and

families living with illness.

A universal access specimen bank means that any scientist can ask for

samples provided that their study meets careful guidelines. The

Institute for Viral Pathogenesis, a Medical Diagnostic Laboratory in

Milwaukee, will house the freezer for specimens.

<www.ivpresearch.org> Government regulated procedures are already in

place to care for donated tissue and blood.

Right now, we are fund raising to buy an additional freezer for

storage at the facility. The cost is about $10,000. Will you help

us? Your contribution is tax deductible through the Wisconsin CFS

Association, Federal ID number 39 -1614649. You can send a check to

the association at the address listed below. Please specify CASEY'S

FUND.

Wisconsin CFS Association

747 Lois Drive

Sun Prairie, WI 53590

You can also donate online at <www.wicfs-me.org.> These

contributions are dedicated to Casey and will not be used for any

other purpose.

_________________________________________________

Please let it be known that as of September 8th, 2005 the Fero's have

confirmation of the following:

The University of Wisconsin forensic pathologist found that our son

Casey died of myocarditis, that is, he had heart damage, inflammation

and the tissue was full of viral infection. Casey also had old

fibrosis, indicating that the viral infection was not of a new onset.

The pathologist was " shocked " at this finding. I am not shocked

considering Casey's long standing CFS and the research in this area.

My inability to do anything to have helped my son is almost

intolerable. BUT... we loved him, taught him to love and to learn

and to question. Casey had bull dog determination. In his mind, he

had overcome all illness and if he just worked harder he could do

anything. Interesting, how he died so well, with so much enthusiasm

to live.

PAT FERO

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