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Napier Conference Centre

24-25 August 2019

Chronic Fatigue Syndrome – a Practical Management Plan

Saturday 24 August



Chronic Fatigue Syndrome is an illness which should be managed in a GP setting.  The aim of this workshop will be to give participants the necessary tools for making a reliable diagnosis according to the Canadian Criteria, together with a management plan based on current research. Attention will be paid to stress management, careful exercise/activity, sensible eating, sleep and pain management, medication options and ongoing surveillance.

The illness varies in severity from mild to severe, but even the most severely ill should be managed at home. The illness  affects all age groups, and for children, educational aspects will also be discussed.




MNZM, MB BS (Lond), MRCS LRCP, Dip Clin Hyp, BA (Massey)

I have run a medical practice in Auckland since 1966, and this has become specialised over the past 35 years, with most patients suffering from Chronic Fatigue Syndrome (CFS/ME) and related conditions.  I am involved in diagnosing and managing these patients who mostly come on referral from other doctors.  I run regular seminars for patients, and have produced an education booklet and a number of information sheets. I have published 3 books:  “Diagnosis and management of CFS/ME” (September 2012), and “Managing ME/CFS - a guide for young people”,(Sept 2015), and  “The Essential Guide to ME/CFS” (2017).


I am medical adviser to the ANZMES – the national organisation supporting those with CFS/ME.  I was their president for a number of years.  I have been involved in GP and student education at the University of Auckland and speak to medical groups around NZ.  I have regularly attended international CFS/ME conferences and presented papers. I have visited a number of CFS/ME centres overseas, and maintain contact with many overseas CFS/ME organisations. 


I was a board member and secretary of the International Association for CFS/ME (IACFS/ME) for 6 years until October 2015, and wrote their regular newsletter. 


I reviewed the overseas guidelines for diagnosis and management of CFS/ME for the NZ Guidelines Group, with a view to providing a set of NZ guidelines.  More recently I have been involved in finally producing Guidelines for the local Hospital Board. I am also a co-author of the IACFS/ME physicians’ primer, and I have participated in the international group producing the Canadian and International consensus definitions for CFS/ME. I was also an author with an International group writing management guidelines for paediatric patients with CFS/ME


I have frequently been involved in collaborative research both in NZ and overseas. I was recently appointed an adjunct associate professor in the department of immunology at Griffith University, Australia.


In January 2008, I was awarded Membership of the NZ Order of Merit for services to CFS/ME in the Queen’s New Year’s Honours.


In October 2016, I was awarded the Nelson Gantz Outstanding Clinician Award by the International Association for CFS/ME.


In 2018 I was awarded a Kiwibank Local Hero Medal for my work in CFS/ME, and then was nominated as one of 3 finalists for the Senior NZ of the year (2019) and awarded their Certificate of Achievement.