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Doody's Review ServiceReviewer: Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description: This new book, written by a practitioner in the field, is a review of the author's take on the literature of chronic fatigue syndrome (CFS) and fibromyalgia (FMS). The author emphasizes the "biochemical neural network dysfunction" in relation to these ailments.
Purpose: The purpose of this book is essentially to explain Dr. Goldstein's theory of the pathogenesis and treatment of CFS and FMS to the reader and to justify the various treatments he uses.
Audience: The intended audience, although not specifically stated, is physicians who deal with chronic fatigue and fibromyalgia patients.
Features: The book includes an introduction from the author, his treatment protocol, a review of FMS, a review of CFS, a review of cerebellar and basal ganglia functions in relation to these disorders, sleep and arousal systems, a review of irritable bowel syndrome, receptor desensitization and drug tolerance, treatments, a conclusion section, references, and an index section. The chapters usually include case studies.
Assessment: I had problems with this book. The author seems quite knowledgeable and has the ability to synthesize a vast array of literature, but the book is filled with, I believe, idiosyncratic ideas and idiosyncratic treatment recommendations. Case reports have the lowest of scientific validity; they just present the numerator without the denominator. It behooves Dr. Goldstein to either find the funding to do the double-blind controlled studies or fund it himself.