Dr. Aimee (Amy) Nefcy

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802 appearances 1 recordings 1 series first heard Dec 2025 last heard 20 Dec

Dr. Aimee (Amy) Nefcy’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Dec 2025 with 1.

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And a couple of times I was like, am I coming down with something?

How is that possible?

We mask religiously when we're outside.

We're doing social distancing.

You know, that that tapered off as the pandemic slowed down.

But, you know, I didn't feel like I was having risk factors for getting viral infections.

So then I started thinking, is this what they mean when they talk about post-exertional malaise?

And PEM, as we call it, is the hallmark of ME-CFS.

That is the thing that drives the illness.

It is the thing that makes us worse.

It is the thing that prevents us from exercising because exercise makes

makes things worse.

And the theory is that, you know, there's a limited amount of energy that we have.

We don't have the ability to do what we we can do things, but we pay for them later.

And so the mainstay of treatment is pacing, as we call it.

You have to pace yourself and you have to be monitoring your your energy expenditure as you're doing every task throughout the day.

And that doesn't just apply to physical exertion.

It applies to mental exertion as well.

I fortunately have not had a lot of that.

There are people that have to sit in a dark room with noise-canceling headphones and no sensory input and nothing.

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