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Ashley Hultman

@ashleyhultman

#TeachMETreatME #hEDS #MyalgicEncephalomyelitis #MESpine #CCI #POTS #longCovid #AuDHD #endo • Capitol Hill, AFL-CIO, and AFT alum • She/her

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Latest posts by Ashley Hultman @ashleyhultman

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3rd dose at 2 pm. (Day 1) 4 more days to go.

I, as a very Severe ME patient, can not do this without your help.
Please alert everyone, send this to your friends and share, and if possible, please consider d0nating. gofundme.com/f/save-nevra

#SevereME #pwme #pain #food

28.02.2026 09:26 👍 9 🔁 8 💬 1 📌 2
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Nationale Dekade gegen Postinfektiöse Erkrankungen: Insgesamt eine halbe Milliarde Euro für weitergehende Forschung - BMFTR Nationale Dekade gegen Postinfektiöse Erkrankungen: 500 Millionen Euro für Forschung

‼️Germany allocates 500 million Euros to research on #MECFS #LongCovid #PAIS from 2026-2036‼️

“We are opening a new chapter in researching these diseases.”

"The National Decade Against Post-Infectious Diseases is coming."

- German Federal Research Minister Dorothee Bär
@dorobaer.bsky.social

14.11.2025 01:31 👍 11 🔁 2 💬 0 📌 0
Germany has committed to a landmark National Decade for Post-Infectious Disease, investing €500 million over ten years to accelerate ME/CFS and Long Covid research.

Germany has committed to a landmark National Decade for Post-Infectious Disease, investing €500 million over ten years to accelerate ME/CFS and Long Covid research.

🪩 Excellent news from Germany.
€50 million a yr available from 2026-36.

14.11.2025 12:52 👍 45 🔁 14 💬 2 📌 1
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Chronic Fatigue Syndrome: Bundesregierung will Erforschung von ME/CFS stärker fördern Die Zahl der Long-Covid- und ME/CFS-Erkrankungen hat seit der Pandemie stark zugenommen. Bis 2036 sollen deswegen 500 Millionen Euro in die Forschung investiert werden.

Germany pledges €500 million for research through the “National Decade Against Post-Infectious Diseases” (2026-2036), including #MECFS and #LongCOVID.

Addressing what they call “one of the greatest public health challenges of the 21st century.”

www.zeit.de/politik/deut...

14.11.2025 06:50 👍 60 🔁 22 💬 0 📌 2
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Callers to Social Security wait for hours to get help. Hear their ordeals. Millions of seniors and disabled people call Social Security’s 1-800 number every month. What they experience is often maddening.

Donald Trump and Elon Musk pushed out thousands of experienced, dedicated Social Security staff.

Now, the Social Security Administration is in crisis — and Americans can't access their hard earned benefits.

28.10.2025 20:16 👍 105 🔁 46 💬 3 📌 5
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This 4-year-old's heart is failing. A federal grant that might help him was canceled A Cornell University researcher has been developing an artificial heart for children for more than 20 years. Now, his research is on hold and his lab is shut down.

A Cornell University researcher has been developing an artificial heart for children for more than 20 years. Now, his research is on hold and his lab is shut down.

12.10.2025 21:59 👍 2290 🔁 1468 💬 97 📌 97
Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown 
When certain legislative payment provisions (“extenders”) are scheduled to expire, CMS directs all Medicare Administrative Contractors (MACs) to implement a temporary claims hold. This standard practice is typically up to 10 business days and ensures that Medicare payments are accurate and consistent with statutory requirements. The hold prevents the need for reprocessing large volumes of claims should Congress act after the statutory expiration date and should have a minimal impact on providers due to the 14-day payment floor. Providers may continue to submit claims during this period, but payment will not be released until the hold is lifted. 
Absent Congressional action, beginning October 1, 2025, many of the statutory limitations that were in place for Medicare telehealth services prior to the COVID-19 Public Health Emergency will take effect again for services that are not behavioral and mental health services. These include prohibition of many services provided to beneficiaries in their homes and outside of rural areas and hospice recertifications that require a face-to-face encounter. In some cases, these restrictions can impact requirements for meeting continued eligibility for other Medicare benefits. In the absence of Congressional action, practitioners who choose to perform telehealth services that are not payable by Medicare on or after October 1, 2025, may want to evaluate providing beneficiaries with an Advance Beneficiary Notice of Noncoverage. Practitioners should monitor Congressional action and may choose to hold claims associated with telehealth services that are not payable by Medicare in the absence of Congressional action. Additionally, Medicare would not be able to pay some kinds of practitioners for telehealth services. 

For further information: https://www.cms.gov/medicare/coverage/telehealth.

Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown When certain legislative payment provisions (“extenders”) are scheduled to expire, CMS directs all Medicare Administrative Contractors (MACs) to implement a temporary claims hold. This standard practice is typically up to 10 business days and ensures that Medicare payments are accurate and consistent with statutory requirements. The hold prevents the need for reprocessing large volumes of claims should Congress act after the statutory expiration date and should have a minimal impact on providers due to the 14-day payment floor. Providers may continue to submit claims during this period, but payment will not be released until the hold is lifted. Absent Congressional action, beginning October 1, 2025, many of the statutory limitations that were in place for Medicare telehealth services prior to the COVID-19 Public Health Emergency will take effect again for services that are not behavioral and mental health services. These include prohibition of many services provided to beneficiaries in their homes and outside of rural areas and hospice recertifications that require a face-to-face encounter. In some cases, these restrictions can impact requirements for meeting continued eligibility for other Medicare benefits. In the absence of Congressional action, practitioners who choose to perform telehealth services that are not payable by Medicare on or after October 1, 2025, may want to evaluate providing beneficiaries with an Advance Beneficiary Notice of Noncoverage. Practitioners should monitor Congressional action and may choose to hold claims associated with telehealth services that are not payable by Medicare in the absence of Congressional action. Additionally, Medicare would not be able to pay some kinds of practitioners for telehealth services. For further information: https://www.cms.gov/medicare/coverage/telehealth.

🔥🔥CMS UPDATE ON TELEHEALTH FOR MEDICARE DURING SHUTDOWN🔥🔥

BEGINNING: 10/1/2025, MANY of the statutory limitations that were in place for Medicare TELEHEALTH services prior to the COVID-19 Public Health Emergency will take effect AGAIN for services that are NOT behavioral and mental health services.

02.10.2025 16:52 👍 84 🔁 65 💬 5 📌 6
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Long COVID associated with SARS-CoV-2 reinfection among children and adolescents in the omicron era (RECOVER-EHR): a retrospective cohort study Children and adolescents face a significantly higher risk of various PASC outcomes after reinfection with SARS-CoV-2. These findings add to previous evidence linking paediatric long COVID to multisyst...

New Lancet Study: 2x Risk of Long COVID After Reinfection

Risks of other serious outcomes also rise sharply.

This is not a “mild” illness when it rewrites a child’s future. We need research, medical care, and school protections that match the scale of the problem.

#LongCOVID

01.10.2025 13:43 👍 69 🔁 39 💬 3 📌 1

Ebola has a sixty-something percent mortality rate and costs a great deal to treat just one patient.

With vaccination this low and treatment this expensive, this is a human rights disaster in the making.

This is a problem only money can solve right now.

26.09.2025 21:02 👍 30 🔁 5 💬 0 📌 0

This is extremely bad. In the past, the Congo would have leaned heavily on USAID. That's no longer possible.

"...Just 1,740 people in three health zones of Kasai province have been vaccinated as of Sept. 21. The Bulape zone alone has a population of more than 212,000."

26.09.2025 21:02 👍 103 🔁 47 💬 4 📌 5
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20 Years of the Roberts Court: The Chief Justice’s Legacy and the Coming Term Please join the Center for American Progress for a virtual event that will dive into 20 years of the Roberts court and the upcoming Supreme Court term.

If you're getting ready for SCOTUS season, you need to add this webinar to your calendar! 9/30 discussion with experts about the Roberts Court www.americanprogress.org/events/twent...

26.09.2025 15:26 👍 1 🔁 1 💬 0 📌 0
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From Nevra's Instagram drafts:

Young heart for love
Not heartache
Dark hair for catching the wind
Not to veil the sight of a cold world
Please keep sharing!
We are looking at VERY Severe #pwME now going back to #DV or homelessness

💙gofundme.com/f/save-nevra

#VerySevereME

24.09.2025 19:16 👍 3 🔁 5 💬 1 📌 1

FACT: When the 1st Trump administration cut the budget for ACA Open Enrollment information by 90%, Jimmy Kimmel used his platform to make sure that everyone on the marketplace in America knew that you needed to sign up or change your marketplace plan. That speaks for itself. Miss you, Jimmy Kimmel.🙏

20.09.2025 20:10 👍 1125 🔁 316 💬 8 📌 2

I’m not an epidemiologist, but a cognitive scientist & biomedical researcher (PhD, Education) with expertise in digital health, health literacy, and behavior change. Not a credential drop—just context to establish perspective & credibility.

16.09.2025 00:13 👍 32 🔁 2 💬 3 📌 0
100% 

You got 20 out of 20 questions correct (weighted score: 26.6/26.6).

*mask face emoji* EPIDEMIOLOGIST'S NIGHTMARE
Perfect score! You're so well-informed, conspiracy theorists actively avoid you at parties.

100% You got 20 out of 20 questions correct (weighted score: 26.6/26.6). *mask face emoji* EPIDEMIOLOGIST'S NIGHTMARE Perfect score! You're so well-informed, conspiracy theorists actively avoid you at parties.

Try taking the COVID competency exam yourself, and share it around! Great way to bust myths (and the person who wrote it is an epidemiologist, and well-informed, so it really does).

seanmullen.com/covidcompete...

15.09.2025 20:37 👍 328 🔁 145 💬 43 📌 41

96% - thanks for the reminder to brush up on our knowledge!

16.09.2025 12:56 👍 2 🔁 0 💬 1 📌 0
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Ayrshire Post and Troon Herald, Scotland, 12th September 1986. Thirty-nine years ago today.

"Exercise should never be undertaken where M.E. is suspected as this worsens all symptoms". #myalgicencephalomyelitis

12.09.2025 19:25 👍 17 🔁 5 💬 0 📌 2
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A Perspective on the Role of Metformin in Treating Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Long COVID Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Long COVID (LC) are increasingly recognized as debilitating postinfectious conditions that impact both individuals and society. Recent r...

Review September 11, 2025
A Perspective on the Role of Metformin in Treating Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Long COVID
David FinebergAlain MoreauElena K. Schneider-Futschik*Christopher W. Armstrong
#ME/CFS #Metformin

13.09.2025 12:30 👍 19 🔁 3 💬 0 📌 0
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Medical profession 'more ableist' than wider society Interim results from a BMA survey, of more than 800 disabled and neurodivergent doctors and medical students, shows that a lack of support has driven 53% of respondents...

Turns out that "Ableism is greater in the medical profession than in wider society," as "a lack of disability and neurodiversity awareness, coupled with discrimination & stigma, can significantly impact disabled doctors' lives and careers." New research:

www.healthcare-management.uk/medical-prof...

12.09.2025 23:11 👍 78 🔁 28 💬 1 📌 6
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Long COVID has impact on Latino communities - UW Medicine | Newsroom

UW Medicine: 'Long COVID has impact on Latino communities'

'Researchers found nearly half of Latino patients surveyed reported chronic symptoms, with women and middle-age people most affected'

'“We need more research. Clearly, we need better treatment'

newsroom.uw.edu/video-librar...

08.09.2025 21:13 👍 28 🔁 12 💬 1 📌 0
The Role of Neuroinflammation in Post-Exertional Malaise Among Chronic Multisymptom Illness — Ninneman
"PET imaging consisted of a 70 minute dynamic scan with a third generation translocator protein radiotracer – 11C-ER176." "Neuroinflammation was significantly higher in CMI" "No specific brain regions were differentially impacted by exercise in either CMI nor CON"

The Role of Neuroinflammation in Post-Exertional Malaise Among Chronic Multisymptom Illness — Ninneman "PET imaging consisted of a 70 minute dynamic scan with a third generation translocator protein radiotracer – 11C-ER176." "Neuroinflammation was significantly higher in CMI" "No specific brain regions were differentially impacted by exercise in either CMI nor CON"

From the US:

The Role of Neuroinflammation in Post-Exertional Malaise Among Chronic Multisymptom Illness

asset.library.wisc.edu/1711.dl/MPB4...

Screenshot from latest Science for ME weekly update

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #LongCovid

09.09.2025 00:54 👍 28 🔁 4 💬 0 📌 1

After the Royal Free outbreak in 1955, medicine should have changed greatly, learning what complex chronic illness can do to people following viruses but it never learned its lesson.

@rfh1955.bsky.social

07.09.2025 21:54 👍 8 🔁 3 💬 0 📌 0

These numbers are horrifying. And this makes me wonder how bad it has to get before we do something about this.

“Outside the US, a systematic review of long COVID’s impact on the National Health System out of the UK found that 18% of healthcare workers were out of work due to the condition. “

07.09.2025 15:08 👍 16 🔁 8 💬 0 📌 2

Like so many of RFK Jr's claims, this is so breathtakingly, provably false that your brain short-circuits trying to counter.

Fields with enormous progress in the past 40 years:

The Human Genome Project
AIDS/HIV treatments
mRNA vaccines
MRI & other imaging tech
Minimally-invasive surgeries

07.09.2025 17:55 👍 65 🔁 22 💬 2 📌 0

Alt text in comments. #CDC

07.09.2025 13:17 👍 9 🔁 2 💬 0 📌 0

WelcoME to my PEMTalk where I try to walk you through the basics of #PEM, first and foremost, that it is not equal to fatigue.

#ME/CFS #PEM #pwME #PEM≠fatigue

07.09.2025 04:15 👍 12 🔁 4 💬 0 📌 0
Harvard LIFT (OMF Life Improvement Trial) showing pyridostigmine with and without LDN groups, along with placebo

Harvard LIFT (OMF Life Improvement Trial) showing pyridostigmine with and without LDN groups, along with placebo

LIFT Trial - here's the preprint for the trial www.researchsquare.com/article/rs-5...

05.09.2025 18:55 👍 7 🔁 1 💬 1 📌 0
Circulatory Dysfunction in ME/CFS and Long COVID

Invasive CPET
Preload failure
Impaired systemic O2 extraction 
LIFT

Circulatory Dysfunction in ME/CFS and Long COVID Invasive CPET Preload failure Impaired systemic O2 extraction LIFT

Systrom is now up:

"Everything we have found in ME we have found in Long COVID, so we may slip up and use them interchangeably."

05.09.2025 18:38 👍 50 🔁 15 💬 4 📌 2
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Frontiers | Pyridostigmine improves hand grip strength in patients with myalgic encephalomyelitis/chronic fatigue syndrome BackgroundMyalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a multisystemic disease characterized by exertional intolerance and fatigue which is...

⚠️The authors also used a test for muscle weakness (Besinger score). It turned out that ME/CFS had such poor scores that the test wasn't useful in differentiating ME/CFS from myasthenia gravis.

Pyridostigmine improves hand grip strength in patients with #ME/CFS www.frontiersin.org/journals/neu...

05.09.2025 19:34 👍 29 🔁 11 💬 0 📌 0
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ME/CFS Resources for Medical Students CDC provides ME/CFS resources for the next generation of healthcare professionals in training.

If a lot of this was unfamiliar, I don't blame you!

@erinmarilee.bsky.social and I created an Anki flashcard deck for med students on IACCs that covers a many of these diseases, including ME/CFS, Long COVID, hEDS, MCAS, SFN, POTS/dysautonomia, and so on. Last link here:

www.cdc.gov/me-cfs/hcp/t...

05.09.2025 18:35 👍 39 🔁 11 💬 4 📌 0