Saturday, November 5, 2016

It's not the Scandal. It's the Cover-up

The following is an email letter I sent to Dr. Walter Koroshetz, director of the NINDS. I copied Dr. Vicky Wittemore and Dr. Avindra Nath.

The history of NIH and ME/CFS has not been good: dentists on grant review panels, continued excuses to why no effort has been made to make filing ME/CFS grants attractive to researchers (just complaining that not enough researchers are filing good grants and telling patients they need to get the researchers to file grant applications), and having reviewers say physiologically-based studies are not worthy of funding because they believe ME/CFS is not physiological. These actions, over decades, made the patients lose confidence and trust in the NIH's mission being applied fairly in the case of ME/CFS. Contention developed.

Recent activity at the NIH made us (I am a patient) think maybe a real change is happening at the NIH, that better research and more effort is being made. I understand that when a mistake was made in the information of the criteria to be used in the new ME/CFS intramural study, you and Dr. Nath found out quickly that ME/CFS patients especially watchful of government institution activities, especially in research. We've been harmed by the past bias and ignorance having a greater influence over what is studied, whose studies are funded, what theories of the disease are funded, and how the studies are done. This is similar to what happened with the AIDS advocates. The patients had to get involved and even help direct the NIH to get the right kind of research done.

After the mistake of the criteria information, a decision was made to have phone calls informing patients of the NIH activities concerning this disease. The most recent one was last week. I was not able to attend that call. But I have spoken to those who did.  In that call, no one said the NIH was hosting a speaker (Edward Shorter) on the history of the disease, a speaker whose published opinions of the disease are rejected by the research findings of the last 30 years and scientists who have actually studied the patients. His opinions have no basis in evidence and are antiquated (not to mention hurtful to patients).

Yet, just the next day after that "keep the patients informed" call, we find out this individual is a planned speaker at the NIH, somehow considered to offer something of value to understanding the disease that he doesn't believe is a real disease.

So I ask you:
Why was this speaker event (topic of history of ME/CFS) not revealed to the ME/CFS patients in the call?
Did any of the NIH personnel involved in the "keep patients informed" call know of this speaking event?  If not, why not?
If anyone at the NIH involved in the "keep patients informed" call knew of this speaking event, who knew and who decided to hide this information from patients and why?

Having this man speak is either revealing someone at the NIH failing to do due diligence in vetting speakers or having terrible misjudgment of what makes an appropriate disease expert or worse, someone at NIH actually believes such a man's offensive and unfounded opinions can offer anything to a scientific-based understanding of the disease. The patients have a right to know who made this decision and why.

But, there is a greater concern. Not revealing this event in a phone call that is intended to keep patients informed looks like intentionally misleading the patients by pretending to be transparent, while purposefully hiding information from the patients. Sadly, this just brings back mistrust in the NIH as it relates to this disease. The effort in these calls to increase trust and confidence has just failed and instead is another example of ineptitude or NIH research programs for ME/CFS being led by NIH individuals who are dismissive of legitimate patient concerns and right to know and possibly NIH individuals with continued bias instead of true scientists who pursue truth based on evidence in the research findings.

If you want to gain ME/CFS patient trust again, a full explanation, a reckoning, is a must. You must answer the questions I asked above. Transparency brings trust. To make patients have to again file a FOI request to find out this information will not be good for building trust. You must go way overboard to be transparent to repair the damage done because patients were betrayed by listening to a call where they were led to believe the NIH was being open and honest in what it is doing in relation to the disease, but found out just a day later that the call was not open and honest information.

I read the response you gave to the ME/CFS community after Jennie Spotila's letter to you. It was unclear as to whether this speaking event is still scheduled, and it did not address why this was not mentioned in the "keep patients informed" call. You must do more to make this right.

Former US House Representative Tom Petri (RWI6) is quoted as saying: "As so often happens with Washington scandals, it isn't the original scandal that gets the people in the most trouble -- it's the attempted cover-up."

I work in communications/marketing/PR. I recommend you get some good advice from someone in the industry who specializes in crisis communication.

I hope to receive a response from you. I hope you openly respond to patients with the answers to the questions above. I hope we can gain the trusting and respectful relationship wanted by both your agency leaders (hopefully including you) and the patients. We want you to succeed in researching ME/CFS. We want to believe in the NIH. Show us that we can.


  1. Thank you, Tina. This is superb, and I hope we hear that you have received a full accounting and answers to your pertinent questions very soon.

  2. Great job!! I hope you get a response!!

  3. Great job!! I hope you get a response!!