Many people experience debilitating results from what for other people are simple actions. Any kind of exertion can leave many people with the experience of nightmares: They are unable to move and they often have crippling pain to boot. It's like being strapped into a bed of nails except sometimes there's no avoiding it.
The people who experience these things are disabled in various ways, but they are all disabled to begin with: Muscular Dystrophy, Post-Polio Syndrome, COVID long haul. For these people and all other disabled people in the same boat, someone unknown has come up with an acronym, PEM, which stands for "post-exertional malaise." The person who thought this one up has to be able-bodied. No disabled person would ever call the experience by this name.
Start with "post-exertional," meaning after exertion. Who does not feel tired after exercise or other exertions? That is most decidedly NOT what "PEM" is supposed to describe, yet there it is.
Continue with "malaise." That sounds like you want to tell someone to snap out of it; if they only come to their senses, it seems, they will leave their 'malaise' behind and be 'normal' again.
This is like the old Civil Rights saw about telling a person to pull herself or himself up by their boot straps: It's a cruel thing to say to someone who has no boots. In the same way, it's a cruel thing to tell a person to "snap out" of a complete lack of energy, to leave malaise behind and inject life into their otherwise dead bodies or at least into their bodies that to them, feel dead.
Whatever ableist named this condition never experienced it. It is up to the disabled to take it back and own it. Call it Bodily Destruction Syndrome or Complete Shutdown Experience. Call it whatever, but call it by its true name: It's not malaise, and it's not fatigue, it's bigger and much, much more destructive than either one of those things.
Call it by its true name. If you name a thing, you own it.
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