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David Bell
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===Open Medicine Foundation=== *Aug 1, 2016, ''[https://www.omf.ngo/2016/08/01/prognosis-of-mecfs/ Prognosis of ME/CFS]''<ref>{{Cite web | url = https://www.omf.ngo/2016/08/01/prognosis-of-mecfs/ | title = Prognosis of ME / CFS β by David S. Bell, MD | date = 2016-08-01 | website = Open Medicine Foundation|language=en-US|access-date=2020-05-08}}</ref> *2016, ME/CFS in Children - By David S. Bell, MD<ref name=":6">{{Cite news |url =https://www.omf.ngo/2016/06/25/mecfs-in-children-by-dr-david-s-bell-2/ | title = ME/CFS in Children - by David S. Bell, MD {{!}} Open Medicine Foundation | date = 2016-06-25|work=Open Medicine Foundation|access-date=2018-08-11|language=en-US}}</ref> :Dr. Bell has noted that in children and adolescents, noting that symptoms can be different and that the ME/CFS hallmark symptom of [[post-exertional malaise]] may not be described by them and instead [[exertion]], such as taking a school bus, can cause a relapse needing prolonged periods in bed. If an adolescent spent three months in bed due to ME/CFS they will still be ill at age 35 even if their symptoms were mild in their adult years. Becoming increasing ill with activity and symptom severity is expected 15-20 years later.<ref name=":62">{{Cite news |url =https://www.omf.ngo/2016/06/25/mecfs-in-children-by-dr-david-s-bell-2/ | title = ME/CFS in Children - by David S. Bell, MD {{!}} Open Medicine Foundation | date = 2016-06-25|work=Open Medicine Foundation|access-date=2018-08-11|language=en-US}}</ref><blockquote>One study of young adults followed for fifteen years demonstrated clear improvement in activity, but not illness resolution. The same group of patients continued to do relatively well for a further five to ten years and then became worse in both activity limitation and symptom severity. It is rare for an adolescent to become completely free of the disease.<ref name=":62" /></blockquote>
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