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Nick Benton

@nickbenton

Writer living with myalgic encephalomyelitis (ME) for five years. Substack for all things ME: https://thepersonalme.substack.com/

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19.01.2025
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Latest posts by Nick Benton @nickbenton

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Problems with ME/CFS care #2: my response to 'that' BMJ piece Bespoke, tailored, expert, specialist - easy to say, harder to define

I’ve submitted a (not so) rapid response to a BMJ article from May 2025 promoting physical rehabilitation for ME. I’ve decided to post it on my Substack too. Let me know your thoughts!

tinyurl.com/2ewns4td

04.03.2026 12:13 👍 2 🔁 0 💬 1 📌 0

So sorry you're going through this. I hope it starts to ease off soon.

04.03.2026 07:39 👍 1 🔁 0 💬 0 📌 0

Yeah it only covers the bare minimum and as you say reads identically to articles from years ago. It is sympathetic in tone which is a plus but it would have been helpful to include some of what we do now know rather than acknowledging once again everything we don't.

03.03.2026 09:46 👍 1 🔁 0 💬 1 📌 0
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My maddening battle with chronic fatigue syndrome: ‘On my worst days, it feels almost demonic’ The long read: I suffered with my mystery illness for decades before gaining a diagnosis. Could retraining my brain be the answer?

'a professional’s belief that the truth resided in the numbers on paper, not in the manifestly sick person before their eyes, seemed to me the same kind of literalism that causes people to drive their cars into bodies of water because the satnav told them to.'

www.theguardian.com/society/2026...

03.03.2026 09:40 👍 2 🔁 3 💬 1 📌 0
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Long COVID — Here’s What To Know And The Challenges Ahead Six years after the start of the COVID-19 pandemic, the virus still exists. A public health expert explains what Long COVID is, and the challenges associated with it.

www.forbes.com/sites/omeraw...

03.03.2026 09:10 👍 1 🔁 0 💬 1 📌 0
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Radio 4 - Listen Live - BBC Sounds Listen live to Radio 4 on BBC Sounds

30 min radio segment on ME on BBC Radio 4 now!

www.bbc.co.uk/sounds/play/...

24.02.2026 09:39 👍 1 🔁 1 💬 0 📌 0
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Precision Medicine Required For ME/CFS? A Deep Genome Dive Uncovers Many Possible Causes - Health Rising A deep dive into the genome of ME/CFS patients points to many genetic causes of ME/CFS most of which impact energy production, the metabolism, and blood flows.

www.healthrising.org/blog/2026/02...

21.02.2026 10:36 👍 2 🔁 2 💬 0 📌 0

As one of Tom's constituents, I'm so pleased about this! 😊

He and his staff have always been responsive when I've contacted them about ME. He also quoted my @thereforme.bsky.social piece about having very severe ME in a parliamentary debate in November.

So grateful to him for taking us seriously!

19.02.2026 14:53 👍 7 🔁 2 💬 0 📌 0
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Long Covid is still here. I know – my life came to a stop because of it With more than 200 possible symptoms, long Covid isn’t easy to treat and diagnose. Rolled-back federal funding has led longhaulers to ask: is this all in my head?

www.theguardian.com/society/2026...

19.02.2026 09:04 👍 1 🔁 1 💬 0 📌 0
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The Problem With ME Care #1: Psychiatric Framings Psychiatry looms large in NHS care for ME, especially in very severe cases. Why do so many of us resist it?

My new Substack post is the first in a possible series about the failures in care for people with ME and what we can do about it.

This one's about the shortcomings of framing it as psychiatric.

tinyurl.com/2f4r8sm9

18.02.2026 12:19 👍 4 🔁 1 💬 0 📌 0
What the metaphor of ‘rewiring’ gets wrong about neuroplasticity | Aeon Essays The metaphor of rewiring offers an ideal of engineered precision. But the brain is more like a forest than a circuit board

aeon.co/essays/what-...

'When the metaphor of rewiring is oversold, it can create false expectations. It oversimplifies. And in doing so, it runs the risk of making people feel broken when their transformation isn’t instant or complete.'

16.02.2026 17:59 👍 1 🔁 0 💬 0 📌 0
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My body can take no more, says ME patient starving in hospital Campaigners say the suffering of Savannah Victora-May, 23, highlights NHS inaction over recommendations that it set up specialist services for severe cases

www.thetimes.com/uk/healthcar...

16.02.2026 08:55 👍 4 🔁 3 💬 0 📌 3
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The Personal ME | Nick Benton | Substack Weekly reflections on myalgic encephalomyelitis (ME) for those who live it and those who want to understand more. Click to read The Personal ME, by Nick Benton, a Substack publication with hundreds of...

Hey Tom, I also have a Substack where I write about ME, in case you're interested! thepersonalme.substack.com

14.02.2026 19:56 👍 3 🔁 0 💬 0 📌 0

Like James, they framed everything I did as a choice. I 'chose' not to virtually attend the meetings about my care, was 'unwilling to engage' when the doctor asked me to go downstairs and have dinner with family. All when I could hardly move or speak.

It's the same thing over and over again.

10.02.2026 14:22 👍 8 🔁 2 💬 0 📌 0

Like James, they framed everything I did as a choice. I 'chose' not to virtually attend the meetings about my care, was 'unwilling to engage' when the doctor asked me to go downstairs and have dinner with family. All when I could hardly move or speak.

It's the same thing over and over again.

10.02.2026 14:22 👍 8 🔁 2 💬 0 📌 0

'...in a context where the NHS is not equipped to provide James with any meaningful medical treatment, isn’t covering the costs of the care he needs to avoid further deterioration the very least they could do?'

So sorry to read this but so grateful to Karen for sharing it.

10.02.2026 09:48 👍 12 🔁 6 💬 1 📌 0
Email sent to NHS elearning enquiries on 12 January 2026. 

Subject - Request for information.

Dear NHSE elearning hub,

I am making a freedom of information request (FOIA 2000) for the following data.

In 2024/5, the NHS England elfh e-learning hub introduced 3 new modules on ME/CFS:

1. An introduction to ME/CFS (May 2024).
2. ME/CFS: guidance for community-based healthcare practitioners (January 2025).
3. Managing Severe ME/CFS (September 2025).

Please can you tell me how many people have completed each module to date (from date of introduction), and what the breakdown is for logins by NHS staff (nhs.uk), and those in government (gov.uk), academic (ac.uk), and social care sectors (if available). 

I am happy for your response to be sent to this email address.

Many thanks for your help,

Lucy B

Email sent to NHS elearning enquiries on 12 January 2026. Subject - Request for information. Dear NHSE elearning hub, I am making a freedom of information request (FOIA 2000) for the following data. In 2024/5, the NHS England elfh e-learning hub introduced 3 new modules on ME/CFS: 1. An introduction to ME/CFS (May 2024). 2. ME/CFS: guidance for community-based healthcare practitioners (January 2025). 3. Managing Severe ME/CFS (September 2025). Please can you tell me how many people have completed each module to date (from date of introduction), and what the breakdown is for logins by NHS staff (nhs.uk), and those in government (gov.uk), academic (ac.uk), and social care sectors (if available). I am happy for your response to be sent to this email address. Many thanks for your help, Lucy B

About a month ago, I made a FOIA request to the NHS England Learning Hub about their new learning modules on ME/CFS...

🧵 1/n

09.02.2026 15:57 👍 92 🔁 45 💬 7 📌 7
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Lost at sea: The Big Crash and the GP My last post explained how I became bedbound with ME. Here's what happened next.

Wrote about what happened immediately after I became bedbound with ME.

thepersonalme.substack.com/p/after-the-...

04.02.2026 11:34 👍 2 🔁 1 💬 0 📌 0
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Germany Declares ‘National Decade’ to Solve the Mystery of Long Covid and ME/CFS Germany Declares ‘National Decade’ to Solve the Mystery of Long Covid and ME/CFS

This seems very positive. Hopefully one day we will see something like this in the UK!

rtvonline.com/english/inte...

02.02.2026 09:45 👍 3 🔁 1 💬 0 📌 0
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Long Covid and ME patients 'hopeful' about Rosetta Stone study The £1.1m Rosetta Stone study hopes to make a breakthrough by comparing both conditions.

www.bbc.co.uk/news/article...

02.02.2026 09:37 👍 1 🔁 0 💬 0 📌 0
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Donate to #SevereMErgency:Save Savannah from dying inside NHS hospital, organized by Sam Pearce Very Severe ME patient 23 year-old Savannah Victora-May is at … Sam Pearce needs your support for #SevereMErgency:Save Savannah from dying inside NHS hospital

A new go fund me for Savannah has been set up to cover medical costs and ME-literate nursing support. I have just donated.

www.gofundme.com/f/severemerg...

30.01.2026 18:29 👍 11 🔁 15 💬 1 📌 1

Life with severe ME is not desirable in any way. That’s why the accusations of laziness or malingering never made sense.

30.01.2026 16:58 👍 5 🔁 0 💬 0 📌 0

Constant restlessness. Mind-numbing boredom. Not leaving the house for months or years. Every day feeling like a week. And being very severe is, of course, far harder than that.

30.01.2026 16:58 👍 2 🔁 0 💬 1 📌 0

🧵 Once you’re no longer severely affected by ME, it’s easy to forget how hard it was. My symptoms still seriously affect my quality of life, but they’re nothing in comparison.

30.01.2026 16:58 👍 2 🔁 0 💬 1 📌 0

But no-one's saying they aren't very talented and hard-working, they're just pointing out the fact they had an advantage. It shouldn't be that hard to admit.

27.01.2026 10:52 👍 0 🔁 0 💬 0 📌 0

A simple 'it's a problem and we need to do more about it' is all anyone really wants them to say. Instead, many take any question about class as a personal attack (not helped by the use of the term 'nepo baby' tbf).

27.01.2026 10:52 👍 1 🔁 0 💬 1 📌 0

about it, but it will take more than the occasional article to change it. Quotas are one option.

We also need more people in these industries to openly acknowledge their class privilege. It's almost always the few working class people who made it through who are left to speak up about it.

27.01.2026 10:52 👍 0 🔁 0 💬 1 📌 0
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The UK arts scene will soon be a no-go for all but the moneyed middle classes Many working-class young people attempting a career in the arts are facing harassment or bias, according to a new report

www.thetimes.com/culture/art/...

These articles have appeared intermittently in the British media for decades. But nothing's changed. The arts and media won't 'soon be a no-go' for the working classes, they practically already are.

I'm grateful to those who speak up...

27.01.2026 10:52 👍 1 🔁 0 💬 1 📌 0

But I think it would benefit from more grounded, honest communication around what it can help with and what results patients can expect.

26.01.2026 17:23 👍 0 🔁 0 💬 0 📌 0

This means you can wait years to be seen, only to have a therapist who doesn't get it and can't really help. This can be an invalidating experience.

To be clear, I'm not complaining about the treatment per se - the NHS is very resource-limited and we're lucky to have be able to access any help.

26.01.2026 17:23 👍 0 🔁 0 💬 1 📌 0