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What is interesting about CFS is that as a group they are very immune activated and this immune activation includes the ant-viral pathway RNAse-L. As a group, they typically are resistant to acquiring the flu and I cannot remember a single case of severe morbidity or mortality from influenza in a CFS case in 25 years of practice in CFS. On the other hand, there are numerous examples of vaccine induced relapses of CFS, sometimes lasting for months and occasionally severe. I conclude that the risk benefit analysis shifts more towards not vaccinating than vaccinating. This may shift back however, as the CFS case gets less severe and the patient is working and exposed to crowds or is under 40 or pregnant in the case of N1H1.

Fortunately, there exists a fairly large body of knowledge, primarily in the alternative medical domain, that purports to address an oxidizing and acidic biological terrain common to CFS. This diet is known as an alkalinizing diet and is primarily a vegetarian and largely vegan diet that is mostly raw, mostly organic and always unprocessed. While there can be some degree of tailoring to individual preferences as to the amount of protein and the degree of rawness, there can be no doubt that this type of diet will be the best for the high degree of acidity and oxidation present in the CFS biological terrain.

When deciding when to use the CSF mixtures, hereafter called the Catabolic CSF Mixture (Heart, Brain and Pancreas) and the Anabolic CSF Mixture (Pancreas, Liver and Kidney), it is important to understand or “grok” your own catabolic period and your own anabolic period of the day.

Attached below is an abstract presented at the IACFS meetings in Reno, NV in March 2009. This abstract presents the results of a large (N = 90) study of CFD patients seen at the Cheney Clinic and examines diastolic parameters by echocardiography and compares the results to age and sex matched controls.

In this 4 minute audio-visual presentation, Dr. Cheney discusses his work in the area of stem cell therapy in CFS and why it may be the most powerful next step in a series of steps in the treatment and management of CFS.

In this 6 minute audio-visual presentation, Dr. Cheney discusses the important concept of redox equilibrium which underlies the cells energetic potential and controls every aspect of cell function. Redox sometimes refers to reduction-oxidation reactions that underlie the transfer of electrons but it also represent a chemical state of being suggested by the term redox equilibrium or the redox state. The movement from a reduced chemical form to an oxidized chemical form allows for the generation of useful energy molecules that store energy like a battery. In this sense, redox refers to the generation of useful energy to do the work of the cell. In a deeper meaning, however, the redox equilibrium set point controls cellular energetic potential and can be perturbed in various ways that can cause significant problems in the cell and can control many pathologic forces in the cell and disrupts its function and can even kill the cell and harm the larger organism. Dr. Cheney discuses the redox equilibrium state and how it may be perturbed in CFS to produce both a low energy problem as well as fertile ground for intracellular microbial replication such as viruses.

In this 10 minute presentation, Dr. Cheney discusses the novel concept of oxygen toxicity as it applies to CFS. He describes how this near universal feature of CFS was discovered, how it is detected by echocardiography and what it may mean to our understanding of what is going on in CFS and what might be driving the deepest and core problem of CFS.

In this 17 minute audio-visual presentation. Dr. Cheney introduces CFS. He discusses the key clinical presentation features, formal diagnosis, physical findings, issues of causality, treatment approaches and prognosis.

In this 10 minute audio-visual presentation, Dr. Cheney discusses his use of echocardiography in CFS and moves the listener through his evolving understanding of diastolic dysfunction as it relates to underlying cellular free energy in CFS and the use of echocardiography to create an energy related terrain map or ETM with powerful diagnostic and treatment follow-up potential. Finally, Dr. Cheney discusses the usefulness of echocardiography by probing with various interventions in real time and watching their effects on cellular free energy or the cellular redox state to help create a larger and more integrated view of CFS pathophysiology.

In this 5 minute audio-visual presentation, Dr. Cheney discusses the clinical and operational diagnosis of CFS and in so doing draws from his over 25 years of experience in interviewing, examining and listening to almost ten thousand cases of CFS and a few without CFS. There is very little and perhaps nothing in the field of CFS that he has not seen or heard at least once.