Archive for the ‘Lyme’ Category

Beating the Winter Blues

https://globallymealliance.org/beating-the-winter-blues/

By Jennifer Crystal

In the best of times, late winter can drag for people. Cabin fever and a longing for sunshine and warmth make us feel like we’re in the movie Groundhog Day, repeating the same scene over and over and over. The pandemic has only made the usual winter blues worse. We’ve already been repeating the same isolated days, with many people working or learning from home, for a year.

Now the dismal weather makes it seem like this period will never end.

This is a feeling that tick-borne illness patients understood long before the pandemic.

For many patients, especially those with late-stage Lyme disease, days, months, and even years blend together into a bedridden monotony. As I explained in my post “Groundhog Day: Casting a Shadow on Lyme Disease”, for several years my own life revolved around sleeping, taking medications, and going to the pharmacy or doctor’s appointments. Every day was the same, with symptoms sometimes improving and sometimes getting worse. I didn’t know if it was Monday or Wednesday. There was no differentiation between weekdays and weekends. Battling Herxheimer reactions, brain fog, burning extremities, systemic hives, headaches, and aching muscles and joints, I wondered if the suffering would ever end.

At times, the monotony was worse than the symptoms themselves. Staring at the same walls, interacting with the same people (or experiencing total isolation if you live alone), not being able to do your usual activities, can make a person want to scream. Sometimes, I did scream. Sometimes I still do.

But surviving tick-borne illness has taught me some important lessons for getting through the pandemic, as I outline in my posts “What Lyme Patients Can Teach Us About the New Normal” and “Lessons From Lyme: Lockdown Isn’t Forever”. My illness journey also gave me some tools for getting through long, isolating winters. Below are some ideas for beating the winter blues during a pandemic:

Change your scenery: This may seem easier said than done when you’re stuck at home. Sometimes, though, we make ourselves more stuck than we need to be. I mostly convalesced in my bedroom. Even moving to the couch could be a welcome change of scenery. Try working in a different room in the house, taking a walk in a different direction each day, or even eating at a different seat at the kitchen table. A small shift in scenery can make a big shift in perspective.

Redecorate: Whether you order a new comforter, knit a new blanket, or paint a wall a new color, a change in scenery, rather than just a change of scenery, can be refreshing. If you are a caretaker for a Lyme patient, think about ways you can do some redecorating for them (with their permission, of course).

Keep some routine: Part of the difficulty of the pandemic is many people feel their days are unstructured. When I was sick, the day dragged most when there was nothing to do but just lie in bed. Once I started to get a bit better, I appreciated having a set routine of physical therapy twice a week, neurofeedback twice a week, talk therapy once a week, etc. Now, Zoom meetings and remote or hybrid schooling give at-home workers or students some semblance of a schedule, but it’s not always enough. Having set meal times, stretch breaks, or reading hours can lend more structure to an otherwise open-ended day. Think about fun routines that can give you something to look forward to as well: weekly Zoom game nights with friends, pizza nights with the family, or home manicures.

…and also add some variety to that routine: Variety is the spice of life, even when you’re stuck in bed or at home. If you’re able, try a new type of exercise once or twice a week. Watch a new show. Try a new recipe (or, if you’re took sick to cook, have a caretaker make one for you). Paint your nails a wild color. Novelty breaks up monotony and helps you feel like you’re controlling some aspect of an otherwise uncontrollable situation.

Get outside: I know it’s cold. I know it’s dreary. I know you might not feel well enough to exercise (and you shouldn’t, if you’re sick with tick-borne illness and aren’t ready). If you are able, think about trying a new winter sport like snowshoeing. Build a snow fort, no matter how old you are. If you feel awful, perhaps just sit on a front stoop or back porch for five minutes in a mask. Or open the window for five minutes.

Be cozy: Hibernation doesn’t have to mean huddling inside miserable. Make yourself as comfortable as possible. Try a weighted blanket. Put on fuzzy socks and slippers. Make some hot tea. Pampering yourself is part of self-care, and self-care is a critical part of healing and survival.

Sunbathe: You don’t have to be on a beach, or even outside, to soak up some rays. Think like a cat: find a sunny patch of couch or floor in your house, and curl up there, pointing your face to the light. You might even set up a beach chair inside and soak your feet in a bucket of water to pretend you’re at the beach. When I was sick, I took these “staycations” indoors. Now, I have scoped out a sunny, isolated spot in my neighborhood where I sit at lunch time. Vitamin D is healing!

Listen to sounds or watch images of nature: If you’re too sick to get outside, or you live in a city where you can’t do so in a socially distanced manner, you can still reap the benefits of nature virtually. Nature sounds calm the nervous system. Just listening to a soundtrack of a waterfall or birds chirping, or looking at images of mountains, can help elicit the feelings you would have while actually experiencing nature.

Talk to someone outside your pod: No matter how much you love the people you live with, being home with them all the time can be stifling. It’s hard to make time for phone calls when you’re managing a family, working from home, or feeling too sick to talk for long. But even carving out ten minutes per week to talk to an old friend can be revitalizing.

And finally, the most important lesson I learned from my journey with Lyme is that spring always does come, no matter how long the winter lasts.

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jennifer crystal_2

Opinions expressed by contributors are their own.

Jennifer Crystal is a writer and educator in Boston. Her memoir about her medical journey is forthcoming. Contact her at lymewarriorjennifercrystal@gmail.com.

Study Finds Half of Sampled Birds Have Competence for Lyme

https://onlinelibrary.wiley.com/doi/10.1111/geb.13256

RESEARCH PAPER

The macroecology and evolution of avian competence for Borrelia burgdorferi

First published: 21 January 2021

When Lyme is Mistaken for Child Abuse

https://www.lymedisease.org/lyme-misinterpreted-child-abuse/

TOUCHED BY LYME: When Lyme disease is mistaken for child abuse

March 3, 2021

Post-Treatment Lyme Disease as a Model for Persistent Symptoms in Lyme Disease

https://www.frontiersin.org/articles/10.3389/fmed.2020.00057/full

REVIEW ARTICLE
Front. Med., 25 February 2020 | https://doi.org/10.3389/fmed.2020.00057

Post-treatment Lyme Disease as a Model for Persistent Symptoms in Lyme Disease

  • Lyme Disease Research Center, Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States

It has long been observed in clinical practice that a subset of patients with Lyme disease report a constellation of symptoms such as fatigue, cognitive difficulties, and musculoskeletal pain, which may last for a significant period of time. These symptoms, which can range from mild to severe, have been reported throughout the literature in both prospective and population-based studies in Lyme disease endemic regions. The etiology of these symptoms is unknown, however several illness-causing mechanisms have been hypothesized, including microbial persistence, host immune dysregulation through inflammatory or secondary autoimmune pathways, or altered neural networks, as in central sensitization. Evaluation and characterization of persistent symptoms in Lyme disease is complicated by potential independent, repeat exposures to B. burgdorferi, as well as the potential for co-morbid diseases with overlapping symptom profiles. Antibody testing for B. burgdorferi is an insensitive measure after treatment, and no other FDA-approved tests currently exist. As such, diagnosis presents a complex challenge for physicians, while the lived experience for patients is one marked by uncertainty and often illness invalidation. Currently, there are no FDA-approved pharmaceutical therapies, and the safety and efficacy of off-label and/or complementary therapies have not been well studied and are not agreed-upon within the medical community. Post-treatment Lyme disease represents a narrow, defined, mechanistically-neutral subset of this larger, more heterogeneous group of patients, and is a useful definition in research settings as an initial subgroup of study. The aim of this paper is to review the current literature on the diagnosis, etiology, risk factors, and treatment of patients with persistent symptoms in the context of Lyme disease. The meaning and relevance of existing patient subgroups will be discussed, as will future research priorities, including the need to develop illness biomarkers, elucidate the biologic mechanisms of disease, and drive improvements in therapeutic options.  (See link for article)

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**Comment**

When you read the entire thing you realize Aucott and Rebman elucidate the many groups of patients that have Lyme disease. While I appreciate the separation of groups for research purposes, it is this very slicing, dicing, and narrowly categorizing that has kept the sickest patients from ever being researched, diagnosed, and treated.  If you don’t test positive on a serology test that is inaccurate 70% of the time, or are in the highly variable group of 25-80% who have the EM rash, you simply don’t make the cut.  Sorry – “go home and be well.”  

And while these study authors clearly understand the complexity of PTLD (some might be chronically infected while others are dealing with an immune response, or both at once) trust me when I say other researchers don’t.  

In this day and age where it’s become abundantly clear the importance of touting the accepted narrative or else, hopefully we can all see that “chronic Lyme” is the ugly duckling nobody wants to touch with a 10-foot pole (unless you are an independent researcher with no purse-strings attached to the NIH).  

For more:

Yolanda Hadid on Her Battle With Lyme Disease: ‘Being in Remission Is an Everyday Blessing’

https://people.com/health/yolanda-hadid-talks-lyme-disease-battle-being-in-remission-blessing/

“I’m better than I’ve been in a long time,” Yolanda Hadid tells PEOPLE
By Charlotte Triggs and Maria Pasquini

March 02, 2021 10:00 AM

“But as I’ve learned, there is no cure for chronic Lyme disease,” Hadid, 57, adds of the tick-borne infection, which her children Bella and Anwar have as wellBeing in remission is an everyday blessing, and I pinch myself every morning.”

As Hadid moves into her “next chapter,” she’s putting an emphasis on her emotional wellbeing, which has a big impact on her health.  (See link for article)

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For more:  

For some reason “cycling” is a well-kept secret – but shouldn’t be.  Since Lyme is a relapsing illness in nature, it only makes sense logically that people are going to have relapses after going off treatment.  While alarming when it happens, remind yourself that is pretty normal based on the organism and decades of patient experience.  If you haven’t seen Dr. Burrascano’s video on this, please do, it will calm your fears and show you there’s actually a treatment methodology utilizing this fact called “cycling”:  https://madisonarealymesupportgroup.com/2018/12/28/the-history-of-lyme-disease-dr-burrascano/

Within this link I highlight the video and point out other important issues/topics to understand why research on this hasn’t budged in over 40 years:  https://madisonarealymesupportgroup.com/2019/02/22/why-mainstream-lyme-msids-research-remains-in-the-dark-ages/