No Lyme Disease in Montana?

Posted March 11, 2013.  Great article which explains all the controversy surrounding Lyme disease and the existence of long term Lyme disease.  There are two camps, the IDSA (Infectious Diseases Society of America) and ILADS (International Lyme and Associated Diseases Society).  The latter camp believes that Lyme disease is real and can be long term, in other words, it needs to be treated for more than just a few weeks to be eradicated.  In fact, Dr. Willy Burgdorfer after whom Borrelia burgdorferi, was named, is in the latter camp.  During an interview in 2007, he said, “I am a believer in persistent infections because people suffering with Lyme disease, 10 or 15 or 20 years later, get sick again. Because it appears that this organism has the ability to be sequestered in tissues, and it is possible that it could reappear, bringing back the clinical manifestations it caused in the first place.”  (This is true if Lyme disease is not treated properly and throughly!  If treatment is stopped prematurely there is more of a likelihood of reappearance later. Don’t quit your meds too soon!)  But the CDC and the IDSA deny that long term Lyme disease infection exists.  This leaves many patients to suffer and be diagnosed falsely with all kinds of other illness such as multiple sclerosis, Alzheimer’s, Parkinson’s,  Lou Gehrig’s disease, etc.

S0 it wasn’t until 2006 that Montana confirmed that there was a case of Lyme disease in its state.  Prior to that time, the state said people were contracting it elsewhere.  Hmm, I guess mice, deer, etc. respect state boundaries.

Compounding the issue  is that the IDSA and the CDC both recommend a two-tiered blood test for Lyme disease.  The first test for Lyme disease looks for antibodies the body produces to fight the infection. If that test returns positive, then a second test is performed called the Western blot test, which detects proteins on the bacteria’s surface.

The problem is that in the first weeks after infection, sometimes antibody tests are unreliable because the auto-immune system has not yet produced enough antibodies to be detectable. And, if the patient had been taking any antibiotics prior to the time of testing, that may interfere with the accuracy of the testing. Several studies have found that antibody tests for Lyme disease are correctly positive only about 65 percent of the time, and, without a positive antibody test, many doctors are reluctant to order the Western blot test, which, though more accurate, is expensive. There are up and coming tests however, read my other blog posts on the subject https://lymesymptoms.com/great-informative-comprehensive-article-about-lyme-and-lyme-symptoms/

So patients are left to suffer.  For years.

It’s good that Montana finally realizes there is Lyme disease in Montana!  Hopefully with this relatively new awareness and acknowledgment by the CDC, patients won’t be left to suffer.  Tell your friends in Montana to be careful!  Ticks are now crossing state lines!

Montana Lyme disease Lyme symptoms

Montana has Lyme disease and Lyme symptoms!

Lyme disease divides experts: Great Falls family’s journey with disease highlights struggle with controversial illness

 

 

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Skiier Comeback and Lyme Disease

Posted March 7, 2013.

Bellingham freestyle skier on possible Olympic track after

Lyme Disease

Encouraging story!  Angeli Vanlaanen  from Bellingham, Washington, had misdiagnosed Lyme symptoms and Lyme disease since she was 10 years old.  But she was the top U.S. finisher last weekend in the Women’s Halfpipe at the World Ski Championships in Norway. She  finished 6th overall!

The snowboarding halfpipe has been around for the last two Olympics, but the 2014 Games in Sochi, Russia will be the first to feature halfpipe skiing. I would love to snowboard half pipes! (Yes I’m an adrenaline junky, ha ha!  When you’ve spent a lot of time sick with Lyme disease and in bed, you just want to go for it when you are well again!)

So she’s had Lyme disease and Lyme symptoms for 14 years, she’s 24 now.  What an amazing come back!  She was treated for 2 1/2 years intensively.

Last weekend’s finish in Norway is a big step in that comeback, and may add Vanlaanen to the growing list of athletes to represent Washington state at the Olympics.  I know who I’m routing for!  Yeah Angeli!  Thanks for being a wonderful example of courage and strength to all those still fighting Lyme disease and Lyme symptoms!  We’ll be watching you in Russia in 2014.

Remember 100% Recovery.  BeRelentless!

recovery lyme disease

Recovery! Lyme disease and Lyme symptoms

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Physician Protection, Insurance and Lyme Disease

Posted March 5, 2013.  More on the Report Issued by the Special Commissionto Conduct an Investigation and Study of the Incidence and Impacts of Lyme Disease in Massachusetts.  What good fortune for doctors and patients that the commissioners in Massachusetts are taking Lyme disease and Lyme symptoms seriously.  They have recently issued a report, some of which follows below.  Essentially physicians will be protected when treating Lyme disease patients on a clinical basis (i.e. even if lab tests come back negative, as they did in the beginning in my case, until I tested with IGeneX lab in Palo Alto California, which in my opinion is the best Lyme disease lab in the country).  Also they have addressed insurance coverage for Lyme patients and have proposed modeling Massachusetts law after similar legislation in Rhode Island.

 

Lyme disease Massachusetts

Lyme disease in Massachusetts

 

 

 

Insurance and Liability
While some patients who contract Lyme disease in Massachusetts are treated effectively;numerous other patients encounter issues surrounding receiving adequate treatment while othersencounter difficultly accessing their prescribed treatment often due to denials from insurancecompanies and the high costs associated with treatment. In some instances insurance companieshave denied patients coverage and in some cases approved medications only to later repealcoverage and demand re-payment from the patient. This is happening to many of our Massachusetts families, and has been noted by at least two treating physicians and one home-infusion company. Note that at least one health insurer has the following policy posted on its
website: “prior authorization is not a guarantee of coverage.”
 1.
While the Physician Protection Act protects physicians from liability, it is not a guaranteeof treatment. We believe however that the Physician Protection Act was intended notonly to protect physicians from medical board charges, but also to permit informedconsent and to pr
otect the patient’s right to receive treatment. Viewed in this way, it
would seem that restrictive Lyme disease insurance guidelines essentially sabotage theintent of the Physician Protection Act
, and interfere with patients’ rights to receive
treatment. It is for this reason that the Commission recommends that mandatory Lymedisease insurance coverage be enacted in Massachusetts.a.
“Every…insurance policy…shall pro
vide for coverage for diagnostic testing andlong-term antibiotic treatment of chronic Lyme disease when determined to be
medically necessary and ordered by a physician acting in accordance with (RI’s
 physician protection bill) after making a thorough eval
uation of the patient’s
symptoms, diagnostic test results and response to treatment.
Treatmentotherwise eligible for benefits pursuant to this section shall not be deniedsolely because such treatment may be characterized as unproven,experimental, or investigational in nature
…”.
The section in bold above is particularly relevant for Massachusetts, given thatsome of our major health insurers have developed extensive, highly restrictiveguidelines which rely heavily on laboratory testing, and do indeed characterizesuch treatment in those terms. Blue Cross/Blue Shield, for example, hasdeveloped an eight page set of guidelines regarding its coverage of IV antibiotictreatment which relies heavily on results of laboratory testing. Similarly, HarvardPilgrim has developed guidelines both for oral and antibiotic treatment of Lyme,which also rely heavily on lab testing – despite their noting in these guidelines that
Diagnosis of Lyme disease is difficult as currently available serologic
20
testsmay be unreliable
”.
 There is currently no existing means to determine if the infection caused by theLyme disease bacteria is still present or absent in a given individual, or that a particular length of treatment is ideal. There is however ample observationalevidence, published and otherwise, that effective treatments do exist. Until suchtime comes that those treatments are evaluated in controlled trials, physiciansneed to be able to use their best clinical judgment when treating patients with persisting/chronic symptoms. b.
Massachusetts State Representative Theodore C. Speliotis – (D
 –
Danvers) hasfiled a bill that would provide mandatory insurance coverage for Lyme disease inMassachusetts. This bill is closely patterned after the Rhode Island law, but needsto be updated to reflect the passage of the Physician Protection Act inMassachusetts, similar to how this was done in Rhode Island.2.
It is also recommended that a mechanism be devised to oversee potential violations of theinsurance mandate, should it be adopted by the Commonwealth, as well as to investigatereports of potential discrimination against patients with Lyme disease, particularly thosewho may have received a diagnosis based on clinical criteria. The Division of Insuranceand the office of the Attorney General could possibly provide assistance with thisoversigh
(excuse the formatting errors, you can read the full report at Commonweatlh of Masaachusetts Commission on Lyme Disease
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Deer Hunting with Bows and Arrows and Lyme Disease

Posted March 4, 2013.  In Massachusetts they are considering letting hunters use bows and arrows within 150 feet of dwellings to combat the growing tick and Lyme disease problem.  Sounds good to me!  The article referred to below considers the fact that Lyme disease in Massachusetts is still over looked by many doctors and that Lyme symptoms are considered to be of another origin.  There may be as many as 140,000 new Lyme diseases cases a year in the state.  The article discusses how pesticide companies are working on ways to eradicate ticks.  Glad there is a lot of attention being paid to Lyme disease in Massachusetts.  I say yes!  Use the bows and arrows!  Sorry Bambi, but Lyme disease is a real drag!!  To your good health guys.  Just stay away from any masked bow & arrow hunters….

bow and arrow lyme disease

Sorry Bambi, but I don’t want lyme disease!

 

Article:  Panel urges better Lyme disease reporting

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Good Research and Lyme Symtpoms

Posted February 21, 2013.

Dr. Mollie Jewett from the University of Central Florida is working to find better

proof of Borrelia Burgdorferi, the bacteria that cause Lyme disease. The “bait” is a group of magnetic beads coated with Borrelia proteins. Dr. Jewett’s research has discovered  that those beads will attract the antibodies and provide a clearer marker of infection. “The overall goal is new diagnostics and potential new treatments,” she said. “We’re coming at that from a biology standpoint of: If we understand how the bacteria works, we can understand how to stop it.”

The research funding community has noticed her work. Days after Dr. Jewett’s Luminary Series presentation, the National Research Fund for Tick-Borne Diseases (NRFTD) announced that she had received a $60,000 grant to further her research into Borrelia Burgdorferi gene regulation, and how the bacteria functions in any given environment.

In other good news, Dr. Jewett also received an in-house grant from the UCF Office of Research and Commercialization. The $7,500 grant is focused on her research into how Borrelia Burgdorferi seeks out nutrients from its host. Her goal is to cut off that process, so that the bacteria will not be able to survive. Good job Dr. Jewett!  All those with Lyme Disease and Lyme symptoms thank you!!Reserch Lyme Disease Lyme symptoms

Read the full article at Community UCF Today February 22, 2013

 

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