Die wahren Ursachen von Fibromyalgie | Arzt Rolf Jansen-Rossek | Unter der Lupe | QS24

Are you already on Wikisana, the biggest search engine in all of medical science? Then I recommend you to look it up. Dear viewers, we have created this new broadcast format especially for you, so that you can understand the background of a multitude of chronic diseases. The infectious detective Rolf Janssen-Rossack is a doctor, environmentalist and tropical medicine doctor and has kindly agreed to do these broadcasts for you and us. With more than 50 years of experience with infections, you can expect a challenging program. That is why it has been pointed out that this program shows an important side for those affected, but is especially aimed at the medical staff to encourage further laboratory diagnostics. And now we give the floor to Rolf Janssen-Rossack. Have fun! Welcome back to my format, infectious detective Rolf Janssen-Rossack, diseases under the magnifying glass. I always find exciting topics. Of course, I also remember some of the encounters, because I was once responsible for the self-help groups in Berlin and looked up a self-help group with the question whether they were dealing with the question whether borreliosis could perhaps cause what is the topic today, namely fibromyalgia. And the answer came as quickly as I did not expect and so clearly, that is, a fibromyalgia is a fibromyalgia and has nothing to do with borreliosis. Yes, at first I was, so to speak, very surprised and then I thought to myself, what we find everywhere today, both in the self-help groups, in the therapists, but often also in the patients, is a, to put it very carefully and respectfully, prejudice. If we think about how medicine is organized, everything is partitioned and divided into certain sections. Even on the day of graduation, you can choose, or even before graduation, you can choose which subject you do not want to have, whether it is math or German or French. But as a doctor, you are also allowed to choose the subjects. And what distinguishes the self-help groups, because I also founded a self-help group myself, SICKES means the self-help group for the founding of self-help groups, that is exactly what medicine has basically intended. And this is not depicted differently in the self-help groups. Everyone only looks at one thing. The one fibromyalgia, the next borreliosis, the next chronic fatigue, the other eating disorder, and so on. The problem, the same problem as in medicine, is that there is no networking here. And when I hear the statement I just quoted, then I know, you don't even try to find an explanation maybe in another field, in the other self-help group. Whether one topic is possibly connected to the other in a causal way or synergistically, so strengthening, as far as the symptomatology is concerned, is connected. The question is not asked. But when I see that with us in practice, patients with 2, 3, 5, 6, 8 or 10 infectious diseases who are active, please active, with EGA and with EGM, tested, antibodies, specifically proven, then you have to be a fool if you can't imagine that there are synergistic effects here, in the negative sense, of course, and that one disease, depending on how it affects the immune system, is strengthening and working out. Or, possibly, the symptomatology is transgressive. And that's how it is with borreliosis patients, that's how it is with many patients who suffer from completely different infections. That can be mycoplasmosis, chlamydiosis, coxiella, and many other intracellular pathogens make absolutely identical symptoms. And to claim that fibromyalgia has nothing to do with other infections, in this case specifically with borreliosis, we can no longer confirm that today. Actually, for decades we have been seeing patients with fibromyalgia-like symptoms. I'll come back to the definition of fibromyalgia in a moment. If you look at the guidelines, where the tender points are and so on, then you have to honestly say that there is a mistake here. And the mistake is that the disease is defined, not by its cause, but by the symptomatology, so to speak. And that, of course, limits the search for causes. So when I think of tender points or the other definitions that are very easy to look up on the Internet, what fibromyalgia is, then it is a purely nosological, i.e. limiting diagnosis or description of this disease. This is how it is defined in the corresponding catalogue ICD-10, for example. And that makes it manageable, that makes it predictable, but of course that does not lead to a solution for the patient. And so, over many years, a deviation from the cause has been cultivated, which manifests itself in this system. And if the self-help groups do not understand exactly the same division according to the motto share and rule, as in medicine, in which they only focus on one thing. And that is a prerequisite that they are allowed to found the group and also can and ultimately also get a subsidy from the state for it. There is money for that. These are practically heads of money that you give if someone only speaks of fibromyalgia or only of chronic fatigue or only of eating disorders. This prevents cross-thinking or thinking about the connections that interact synergistically. And that is regrettable. For me it was clear for the first time when I heard this statement that fibromyalgia is fibromyalgia and has nothing to do with borreliosis. And of course you can reject this as completely illogical and also far from reality. What I want to say, and that's why we never take the disease under the magnifying glass, is that we have to think exactly the other way around. Especially when, as we see it every day in practice, the patients have several diseases at the same time. They have hypothyroidism, they have an intolerance, they have a parasitosis in the intestine, they have dysbiosis in the intestine, they still have a coxillosis, they may also have a helicobacter infection, at the same time a bladder inflammation with ureaplasma urealyticum, maybe also a chlamydia infection, trachomatis, for example, which all together result in the disease. And if you look closely at what these diseases I just mentioned cause for symptoms in patients, especially if they have not been recognized for a very, very long time and have not been adequately treated for a very, very long time, then you can see that there are exactly many of the symptoms that are supposedly used as fibromyalgia or as fibromyalgia and the real description of fibromyalgia. We find them again in these infectious diseases. That's why fibromyalgia is always a challenge for me. To really take a close look at it, and that's what you should do, to determine what may be the cause. And if you then see that there are changes in the immune system, if you see that pro-inflammatory cytokines are detectable, different antibodies, of the diseases I mentioned, are detectable and are also detectable in the EGA and in the EGM fragment, then you know that there is something here, there is something here, then you know that there is a chronic immune stimulation that leads to fibromyalgia symptoms. Why hasn't that been noticed until now? In turn, this has to do with the fact that it is believed that with each test, with each test procedure in particular, for example ELISA, such infections as I have described here can detect intracellular bacterial infections. Unfortunately, this is not the case. I have worked for a long time and have made such tests myself, so to speak from the peak to the protein chemistry, which I then brought to the ELISA plate, for example, to construct certain tests and make them available, especially when I was still working in research at the Environmental Institute in Düsseldorf. You just had to find out that under certain aspects the ELISA, which concerns bacterial infections and sometimes also protozoan infections, is a black box that is subject to all possible influences. Standardization, in particular sensitivity and specificity are not so easy to achieve here. In direct comparison, the IFT, the monofluorescence test, always beats ELISA. This is not so much the case for viruses, since ELISA is a safe standard. Of course, this is also an advantage because you can automate ELISA, which is unfortunately only partially possible with monofluorescence. The test is much more personnel-intensive. Unfortunately, this often leads to the fact that in the test, in fibromyalgia, antibodies from certain pathogens that can infect chronically fail to prove. And then you conclude that nothing has been proven here. And that means, of course, that I don't get the idea that there is a connection or that it is seen, which may also lead to another therapeutic consequence. The same is true for ME-CFS, which I will go into in detail here. Interestingly, it has been found that 70% of the causes are pathogens. That is already proven, you don't need to doubt that. But 30% is not proven, you don't know the cause at all. ME-CFS also plays a bit into this, because many of the ME-CFS patients also have fibromyalgia. Interestingly, these 30% are completely unclear. I'll just say it and I can't prove it yet, but we see it again and again in our practice in individual cases, empirically, that exactly the 30% are the 30% where the wrong test was used, where you didn't have a test result, for example with ELISA, and couldn't even determine what kind of infection was going on. So you would have had to use the IFT to prove that there are antibodies, that there is an active infection. According to my experience, with over 30 years of experience and chronic fatigue, the gap could be closed here if you use the appropriate evidence-based methods. Again, the magnifying glass is useful here. If you take a closer look at the publications, you will find that too. At this point, I can say in connection with fibromyalgia and also with fibromyalgia patients with chronic fatigue that Professor de Meyerleyer, one of the leading researchers in Europe, in Brussels, for example, researched chronic fatigue and ME-CFS for 30 years and said at the beginning of his research that his patients had nothing to do with infectious diseases. That gave me a smile on my face and 30 years later I finally heard from him what I wanted to hear. Infections with an infector that is called the cat scratch disease. So we see how wrong he was at first and many of the listeners may not have heard anything about it and should take a closer look at it again. So we see fibromyalgia, if you investigate it correctly, if you try to clarify the causes with the right test procedures, you get completely different insights. Here at this point in another episode, ME-CFS falls under the same category. So we just used the wrong procedures to find out the cause and then maybe do small studies or even larger investigations, which unfortunately did not work at all, to find out exactly. So take these things seriously, if you become an infectious disease detective, through the training I do, you can find things that you did not expect or that may not be in the textbooks or that are not taught at the university. So we are much further ahead than the research results that lag behind. Do we use this for the benefit of our patients? Because as therapists we have a responsibility to teach the patient, to use the magnifying glass very sharply to give the patient a perspective for his life. Because if he walks around with such chronic infections, if he has such fibromyalgia-like symptoms without the right test procedures being used, then of course that means for him that he can only deal with this disease. Personally, I don't think that's necessary. The more we look at all these processes, the more we take a look to find out which chronic infections can be the cause of fibromyalgia, the better it is and the better perspectives we have. So that is of crucial importance. Write me your comments about it, also tell me about fibromyalgia patients that you may have been able to observe and tell us in the comments if fibromyalgia has ever been thought of as being related to infections. Are such test procedures, such as the immunofluorescence test, in view of mycoplasma, chlamydia, borrelia, bartonella and other pathogens of intracellular nature, have been carried out? That would be of great interest to me. Please let me know. That's all for today. I look forward to seeing you again when the Infection Detective Rolf Janssen-Rossack is looking into diseases. Thank you very much for your attention. All the best until then. Thank you very much. Thank you.