What is Chronic Fatique Syndrome?
We are Pleased to announce the opening of a NEW Manhattan Fatigue Center at 860 Fifth Avenue, New York (cross street 67th Street) 212.794.2000 fax 212.327.2125
Chronic fatigue syndrome, or CFS, is a debilitating and complex disorder characterized by profound fatigue that is not improved by bed rest and that may be worsened by physical or mental activity. Persons with CFS most often function at a substantially lower level of activity than they were capable of before the onset of illness. In addition to these key defining characteristics, patients report various nonspecific symptoms, including weakness, muscle pain, impaired memory and/or mental concentration, insomnia, and post-exertional fatigue lasting more than 24 hours. In some cases, CFS can persist for years. The cause or causes of CFS have not been identified and no specific diagnostic tests are available. Moreover, since many illnesses have incapacitating fatigue as a symptom, care must be taken to exclude other known and often treatable conditions before a diagnosis of CFS is made.
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What Is Fibromyalgia?
Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and multiple tender points. "Tender points" refers to tenderness that occurs in precise, localized areas, particularly in the neck, spine, shoulders, and hips. People with this syndrome may also experience sleep disturbances, morning stiffness, irritable bowel syndrome, anxiety, and other symptoms.

Previously, the condition was known by other names such as fibrositis, chronic muscle pain syndrome, psychogenic rheumatism and tension myalgias.
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LYME Disease

Lyme Disease is caused by a spirochete bacteria Borelia burgdorfei. In its acute form, 39% of patients develop a rash at the site of the tick bite. In a chronic form of the disease fatigue and pain can be persistent. It is claimed by certain physicians that it is easily treated withthe antibiotics, doxycyclin and rocephin. In essence, certain cases are resistant and symptoms persist. We believe that in face of a weakened immune system the Borelia enter a tissue phase and may become more difficult to eradicate. Immune adjuvant may assist antibiotic therapy.New developments we have involve an electrolyte mixture called LECTROLYTE which is equivalent to RECUP which acts on the blood andinterstitial fluid. It is claimed that added vigor is given to the muscles. A number of patients have found it useful.

We are testing Cardiac Output (CO) and Ventricular stroke volume (SV) on our ME/CFS patients with a new machine, The Impedance Cardiograph(ICG). We determine the change in cardiac output in lying, sitting, and standing, a more instructive "tilt table" approach. This procedure is especially helpful in showing abnormality in disability cases.

Expert Witness

Dr. Enlander has successfully appeared in court against insurance and disability companies on behalf of patients who suffer from ME/CFS and/or Fibromyalgia. He has countered certain doctors who denied proper treatment. While Dr. Enlander does not enjoy this endeavor he will act as an advocate for his patients. 212.794.2000 fax 212.327.2125