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Complex Chronic Diseases

Health professionals clinical resources

The Complex Chronic Diseases Program is a leader in providing inter-professional care to patients with complex and chronic diseases. This includes being a provincial resource for providers seeking information on best practice and evidence-informed care.

Complex Chronic Diseases (CCD)

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

Recommended Initial Patient Work-up Diagnostic
Criteria for ME/CFS
Treatment Protocol for ME/CFS
Medication and Treatment Handouts
This Change My Practice: CFS Upgraded to a Disease: UBC Physician Education
Beyond ME/CFS: Redefining an Illness: Institute of Medicine (IOM) Report on Systemic Exertion Intolerance Disease (SEID)
ME/CFS: Blame it on Mitochondria not Hypochondria: 6 minute video
Central Sensitivity Syndromes: Dr. Arseneau's St. Paul's Hospital Grand Rounds presentation Sept 2015
CFS & Exercise: Slides
Patient Resources

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Fibromyalgia (FM)

Recommended Initial Patient Work-up
Diagnostic Criteria for FM
Treatment Protocol for FM (and related chronic pain disorders)
Medication and Treatment Handouts
Review Article
Centrally (Brain) Mediated Pain & Fibromyalgia: 4 min video
Central Sensitivity Syndromes: Dr. Arseneau's St. Paul's Hospital Grand Rounds presentation Sept 2015
Patient Resources

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Symptoms Attributed to "Chronic Lyme Disease" (CLD)

Medication and Treatment Handouts
This Changed My Practice: Symptoms Attributed to CLD: UBC Physician Education
Lyme Disease – Controversies and Misconceptions: Dr. Arseneau's St. Paul's Hospital Grand Rounds presentation April 2016
Patient Resources

Journal Articles

Opioid Taper and Discontinuation

Opioid Taper and Discontinuation Protocol
This Changed My Practice: UBC Physician Education
Brainman Stops His Opioids: 2-minute video
Printable Patient Information Handout
Patient Resources

Symptoms & Associated Conditions

Central Sensitivity Syndrome

One Sheet Summary: Explained in laymen's terms
Review Article
This Change My Practice: UBC Physician Education
Central Sensitivity Syndromes: Dr. Arseneau's St. Paul's Hospital Grand Rounds presentation Sept 2015
Patient Resources

Irritable Bowel Syndrome (IBS)

Treatment Protocol for IBS

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Migraines

Treatment Protocol for Migraines

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Sleep

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Multiple Chemical Sensitivities (MCS)

Diagnostic Criteria

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Interstitial Cystitis (IC)

Treatment Protocol for IC

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Postural Orthostatic Tachycardia Syndrome (POTS)

Treatment Protocol for POTS

Medication and Treatment Handouts
Review Article
Salt for POTS: Patient treatment handout
Patient Resources

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Medical Resources

Community Support Services

Community Support Services for people living with a complex chronic disease

Long COVID

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