“If you have moderate or severe ME, it will take considerable effort and thorough preparation just to get out of your house to go see your doctor. This time, however, it was not just getting out of my house in northern Ibaraki, but I had to travel all the way to Tokyo to take the Eiken Grade 1 or the uppermost level of the English proficiency test in Japan”

Source: How I Prepared for an English Proficiency Test in Tokyo as an ME patient