Archive for the ‘Lyme’ Category

‘The Proof is in the Pudding” My Letter to the TBDWG

tickbornedisease@hhs.gov

They say, The proof is in the pudding.

My husband and I, and thousands of others have regained our health due to extended antibiotic treatment.

My name is Alicia Cashman and I run the Madison Lyme Support Group in Wisconsin.

Our dog became infected first, then my husband, then me. While our dog was put on a month’s worth of antibiotics (which is more than the CDC recommends for people) my husband and I languished, undiagnosed and untreated for years. Formerly an avid runner, my husband was reduced to playing Candy Crush on the couch in his robe. He wouldn’t admit there was a problem until he fell down the stairs. Meanwhile, I ignored my gynecological symptoms until they metastasized systemically, as he appeared far worse.  

Trying to find answers to our spiraling health, I explained our multiple migrating & relapsing symptoms to my kids’ coach, who said,

“This sounds like a page out of my book. I was just diagnosed with Lyme disease.”

This new information sent me on a quest that has never ended.

In my experience, this is how people finally get answers to their perplexing health deterioration: from other experienced patients. Due to the ignorance of mainstream medicine which follows antiquated and biased science which relies heavily on abysmal testing that misses over 70% of cases, and in this case 86%, where patients rarely test positive, and if they do manage to ‘win the lotto’ with a positive, they are told it’s a false positive.  A local woman called me yesterday with this exact scenario testing positive THREE times, but was told it was a false positive and was sent packing.

It’s a damned if you do, damned if you don’t situation where patients continue to lose.

The ugly history behind testing is something from a science fiction novel, only it’s very real.  There’s been a concerted effort to suppress direct diagnostic tests, and questions go unheeded.  There’s currently a $58.1 million lawsuit against the CDC for using its regulatory power to block application of a highly reliable direct DNA test and for channeling public funds to promote their own patented tests.

We are forced to seek help where we can find it due to this unscientific dogma which borders on the absurd.

Even though the history of tick-borne illness dates back to the 1800’s, working knowledge remains infantile, and having just read Polly Murray’s work, The Widening Circle, very little has changed in over 40 years. The issue of persistent infection continues on unabated, yet continues to be experienced by patients worldwide.

Due to our lives and health dissolving in front of our very eyes, we in Lyme-land learn quickly if we want to get our health back we need to go outside mainstream medicine which continues in this endless juggernaut due to the severe conflicts of interest of our public ‘authorities’, whom have rigged the diagnostic test for their own patent purposes and continue to control a narrative keeping people from proper diagnosis and treatment – which includes what is being taught in medical schools.

These are simple verifiable facts.  

We also suffer due to mainstream medicine’s simplistic germ theory that doesn’t match our symptom picture at all; mainly that we are typically infected with far more than just borrelia, the causative agent of Lyme disease.  Garg et al. not only show the polymicrobial (multiple pathogens) nature of the disease(s) but the fact borrelia is pleomorphic (shape-shifts); facts the chronic Lyme deniers continue to ignore.

These two issues are at the crux of understanding of Lyme/MSIDS – or multi systemic infectious disease syndrome. 

Further, mythology abounds:

  • We are are told nearly 80% get the “classic” bullseye rash, when it is highly variable and not “classic” at all.  This is problematic not only from a diagnostic stand point but because having the EM rash is often entrance criteria into research studies. By utilizing this criteria, as well as only accepting positive 2-tiered serology, studies are omitting a huge subset of patients – probably the sickest ones.
  • We are told that only 10-20% go onto develop symptoms after treatment, when it’s more like 40-60% when you count those that were diagnosed and treated late (nearly everyone I deal with).
  • We are continually told things are “rare,” only to have information quietly updated later.
  • We are continually told Lyme/MSIDS can’t be in certain locations only to be told later it exists after denying thousands treatment.
  • Southern patients have been fighting for decades to be properly diagnosed and treated but have been ruled by Andrew Speilman’s Iron Curtain.
  • Researchers continue to use the popular “climate change” moniker in their work, eating up precious research dollars, when independent research has proven tick proliferation to be caused by migrating birds and photo-period.  Ticks laugh at the weather. Rather than answering the very real question of the bioweaponization of ticks being dropped from airplanes, public ‘authorities’ continue a slight of hand by pushing the climate agenda.
  • We continue to be told Lyme/MSIDS can’t be spread sexually when research and experience indicates it can be. We were told it didn’t occur congenitally, yet much research and experience shows otherwise.

Wisconsin has a long history of tick-borne illness with many experienced doctors. Dr. Waisbren, an IDSA founder and Wisconsin physician, disagreed with his colleagues and successfully used high dose IV antibiotics for those with chronic Lyme disease.

“I have to come to the conclusion that there is an epidemic of chronic Lyme disease occurring in the United States that warrants more attention than it is getting from the government and the academic medical establishment. It is hard for me to believe that 51 cases of what I call the chronic Lyme disease syndrome represent a figment of my imagination….I suggest that those who doubt that the Lyme disease syndrome exists and that it can be treated turn to the over 200 peer-reviewed references included in summary articles written by two giants in the Lyme disease field: Dr. B.A. Fallon and Dr. Steven Phillips.”  Dr. Waisbren

If Waisbren thought chronic Lyme disease was an epidemic in 2011, what would he think now?

And what about those peer reviewed references showing chronic infection? Why are they continually ignored?  Here’s over 700.

And some newer ones.

The reason chronic Lyme/MSIDS is the crucial issue to be addressed is because there are thousands upon thousands that continue with severe symptoms after the outdated and unscientific CDC mono-therapy.

Biased, poorly done research on this issue states that further treatment doesn’t help yet my husband, myself, and countless others prove that axiom to be completely wrong.

Thankfully, ILADS trained doctors despite being persecuted, listen to patients, defy the accepted narrative, and are willing to treat longer and with numerous antimicrobials to address the often present coinfections. After-all, relapses have occurred in nearly every single antibiotic study ever done.

Treatment for this complex illness takes a savvy nuanced approach. My husband and I are living proof that a judicious use of antibiotics is not only effective but safe if done correctly.  Antibiotics are only part of a multi-pronged approach in treating this beast.  I suggest you listen to the thousands of ILADS trained doctors and other professionals rather than vilifying them.

I often shutter when I consider what would have happened had we remained under a doctor adhering the CDC guidelines which mainstream medicine follows as a literal mandate. We very well might be dead as we both had heart involvement.

Research for Lyme/MSIDS has only progressed by being independently done.

Lastly, I would like to include some quotes:

“The presence of live spirochetes in a genital lesion strongly suggests that sexual transmission of Lyme disease occurs,” said Middelveen. “We need to do more research to determine the risk of sexual transmission of this syphilis-like organism.”  Marianne Middelveen, PhD

“I AM CONVINCED THAT LYME DISEASE IS TRANSMITTABLE FROM PERSON TO PERSON.”  Lida Mattman PhD

“We never had in the last five years a single MS patient, a single ALS patient, a single parkinson’s patient, who did not test positive for Borrelia burgdorferi.  Not a single one.  Dr. Dietrich Klinghardt

“The CDC is responsible for the current Lyme disease crisis where patients cannot obtain a timely diagnosis through accurate early detection.” Lyme patient and advocate Carl Tuttle

“The people who test positive are ironically the ones who really aren’t sick other than a bad knee (Lyme arthritis). This is how after the Dearborne conference, where the case definition was fraudulently changed to a very narrow set of criteria that lyme came to be associated with arthritis, namely an arthritic knee, when in reality that is the very least of the symptoms most lyme patients encounter.

I liken the two tiered testing for lyme to giving a blind person a vision test then telling them they can see – it’s madness!”  Malia McClean

The ongoing and prolific conflicts of interest impede our public ‘authorities’ from making wise public health decisions.  The fact that only ONE patient representative is on the TBDWG succinctly proves my point.

Prove me wrong.

URGENT: Submit Comments to TBDWG on Chronic Lyme TODAY By 11:59 p.m. ET

GLA_1C_Logo_CMYK

According to HHS staff, the Tick-Borne Disease Working Group (TBDWG) is scheduled to discuss and vote on a chronic designation for the 2020 report to the HHS Secretary and Congress at the upcoming meeting on November 17, 2020.

 It is critical that we, as advocates in support of a chronic designation, provide written comments to the TBDWG as it prepares to vote on this critical matter. Your written comments will not only provide scientific evidence of the chronic impact of Lyme disease, but also allow for you to share your personal story.  

Make Your Voice Count

 It is important that your comments reflect the need for a chronic designation by the TBDWG. Listed below are a few key talking points that can be included in your written comments that advocate for a vote in favor of the designation:

  • People are sick. And, they deserve better. The stigma, doctor ignorance and public shaming that surrounds this disease needs to be rectified.
  • A chronic-Lyme designation would ensure that countless Americans are provided proper diagnosis and treatment of this disease. 
  • We are seeking access to accurate testing, insurance coverage for this disease, employers recognizing that this is real. 
  • We ask the TBDWG recognize and recommend a chronic designation of Lyme disease. 

Comments can be submitted via this link or by directly sending to tickbornedisease@hhs.gov. It is important that your comments reflect the need for a chronic designation by the TBDWG. 

Guidelines to submit either a written or public comment as required by the  HHS below:

1. To submit a written public comment:

  • Submit an email to tickbornedisease@hhs.gov
  • Use the email subject line: Written Public Comment – November 17
  • Deadline: All written comments must be received by 11:59 p.m., ET, Friday, November 6
  • Provide your preferred identification: Tell us how you prefer to be identified with your comment. We cannot post your comment without this information. You may choose one or more of the following options:
    • Use your name
    • Be listed as anonymous
    • Include your city and/or state
    • Provide comments on behalf of an organization (please include the organization’s full name)

2. Writing your public comment:

  • Format: Comments must be in the body of your email or in an attached Word document.
  • Page Limit: Comments must not exceed four (4) pages in Calibri or Times New Roman, 11 point font (text that exceeds four pages will be deleted).
  • Graphics: Do not include graphics, images, text boxes, or tables. If included, they will not be retained.
  • Links: Hyperlinks will only be added for “.gov” sites (local, state, or federal). For all other reference sites, please insert the full URL (e.g., http://learn.genetics.utah.edu/content/epigenetics).
  • Attachments: Do not include any attachments. We are also unable to include attachments as supporting documentation to written comments.

Next steps: Your written comment will be posted to the HHS TBDWG website  before the meeting. If you have any questions or concerns about submitting your comment, contact tickbornedisease@hhs.gov. 

Global Lyme Alliance thanks you in advance for your willingness to submit a written comment to the TBDWG in support of this important initiative. 

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For more:

https://madisonarealymesupportgroup.com/2020/09/25/why-should-we-care-about-lyme-disease-a-colorful-tale-of-government-conflicts-of-interest-probable-bioweaponization-and-pathogen-complexity/

https://madisonarealymesupportgroup.com/2020/09/21/patients-speak-up-at-tbdwg-meeting-you-must-address-persistent-infection-and-chronic-lyme-disease-doctors-are-clueless/

 

 

Imaging of Lyme Neuroborreliosis: A Pictorial Review

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7566400/

. 2020 Oct; 7(10): ofaa370.
Published online 2020 Aug 19. doi: 10.1093/ofid/ofaa370
PMCID: PMC7566400
PMID: 33094114

Imaging of Lyme Neuroborreliosis: A Pictorial Review

Abstract

Lyme neuroborreliosis is a common feature of Borrelia burgdorferi infection (as a neurological manifestation occurring in 10%–15% of all Lyme disease cases) and may involve any part of the nervous system, and its coverings, but usually manifests as lymphocytic meningitis, cranial neuritis, and/or radiculoneuritis. This review describes the imaging findings in Lyme neuroborreliosis: the focal point is on the manifestations of involvement visible on brain and spine imaging.

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**Comment**

Clarification: Far more than 10-15% have neurological manifestations.  They also show “typical” EM rashes when many rashes are atypical:  https://madisonarealymesupportgroup.com/2020/07/18/misdiagnosis-of-lyme-caused-rash-can-have-potentially-fatal-consequences/

https://madisonarealymesupportgroup.com/2016/11/02/lyme-disease-a-bioethical-morass/

https://madisonarealymesupportgroup.com/2019/02/21/lyme-disease-dont-wait-for-blood-tests-where-patients-have-bullseye-rash/

The findings report the appearance of nonspecific lesions with inflammation as well as lymphocytic pleocytosis in cerebrospinal fluid (CSF).

Key quote:

It is possible that LNB may also mimic atypical dementia and normal pressure hydrocephalus.

Your Lyme Disease Test Results Are Negative, But Your Symptoms Say Otherwise

https://igenex.com/tick-talk/your-lyme-disease-test-results-are-negative-but-your-symptoms-say-otherwise/

Your Lyme Disease Test Results Are Negative, But Your Symptoms Say Otherwise 

What happens when everything adds up to a likely diagnosis of Lyme disease except the lab test results? It’s a question doctors face more often than many people realize.

Even if a patient has potentially been exposed to ticks and demonstrates symptoms that could be caused by Lyme disease, many doctors will still rely on laboratory tests to definitively determine whether a patient does or does not have the disease. And that can have serious, even deadly consequences for patients who have Lyme disease yet don’t start treatment because of negative lab test results.

So why would an infected patient test negative for Lyme disease? It turns out there are a number of reasons that could trigger false negative test results. The following article highlights some of the issues that may be at fault.

Be sure to share these potential concerns and considerations with your doctor when discussing diagnostic testing options for Lyme disease.

Why Your Lyme Disease Test Results May Be Negative Despite Persistent Symptoms
1. The test isn’t designed to detect the exact disease-causing bacteria you have.

A number of Lyme disease lab tests are designed to identify only a few species of the Borrelia bacteria that can cause Lyme disease. In the United States, for example, many tests are only designed to detect Borrelia burgdorferi, leaving out many other species that are less common yet still known to cause the disease in humans, including the recently discovered B. mayonii.

In fact, a recent internal study showed exactly how easily tests can miss infections from species other than B. burgdorferi. IGeneX researchers tested 43 samples – all positive on IGeneX Lyme ImmunoBlot tests – using the more limited Western blots prepared from the following species of Borrelia:

  • burgdorferi B31
  • burgdorferi B297
  • mayonii
  • californiensis
  • afzelii
  • garinii
  • spielmanii
  • valensiana

When only a B. burgdorferi B31 Western Blot was performed, only 14 of the 43 Lyme ImmunoBlot-positive samples were Western-Blot-positive. In other words, the B. burgdoferi Western Blot missed 29 of the 43 infections. However, when all eight Western Blots were performed, the remaining twenty-nine samples were detected.

This inability of many lab tests to cast a wide enough net of detection could result in false negative results for patients infected with different strains of disease-causing Borrelia.

2. Your test was not sensitive enough.

Many doctors and labs adhere diligently to the two-step tests – for Lyme disease that are approved by the FDA and recommended by the CDC, which involves an initial enzyme-linked immunosorbent assay (ELISA) followed by a Western blot test. Both tests are designed to detect antibodies in the patient’s blood to the B. burgdorferi bacteria and, according the CDC, both must be positive for a patient to be diagnosed with Lyme disease.

However, recent studies have raised concerns about the accuracy of these tests, particularly the ELISA, which has been found to have a poor sensitivity rate, or ability to detect antibodies in the blood. Recent studies, in fact, report that the ELISA and Western blot can miss up to 60 percent of well-defined Lyme disease cases.

3. Indirect testing can be more limited than direct testing.

Both tests used in the CDC recommended two-step process are indirect methods of diagnosis—meaning they do not detect the actual Lyme disease bacteria itself but, instead, measure the body’s immune-system response to the presence of disease-causing bacteria. However, a number of factors can prevent the body from producing antibodies, including the following:

  • Timing: If conducted in the early stages of Lyme disease, a patient’s body may not have developed a sufficient enough number of antibodies to detect. This issue can be compounded by the lack of sensitivity of the ELISA test.
  • Immunity Suppression: The saliva of infected ticks contains specific immune-suppressing components that can delay or prevent the activation of a person’s immune response. These components are designed to prevent the body from effectively “fighting off” the Lyme disease-causing bacteria so it has a chance to take hold.
  • Antibiotics: If patients are taking antibiotics at the time of the Lyme disease test, they may not produce enough antibodies to be detected by the test.
  • Modified Form of Borrelia: In some patients, the Borreliabacteria will transform into a cyst, which will prevent the body’s immune system from producing antibodies.
  • Weakened Immune System: False negatives can also result in patients in whom the immune system is weakened or compromised due to coinfection with another illness.
  • Seronegative patients: These patients do not produce antibodies.

Direct testing methods can eliminate some of these variables because they don’t rely on the body’s response to a pathogen but rather look for the presence of the disease-causing bacteria directly. Polymerase chain reaction (PCR) assays, for example, are used to identify Lyme bacteria in the patient’s blood or urine.

4. Different labs can produce different results.

When it comes to testing for Lyme disease, the quality of the lab conducting the test can also affect the reliability of the results. That’s because different labs use different protocols and techniques to perform each test. Those with more advanced procedures and capabilities provide higher levels of accuracy and precision across various types of tests.

By improving diagnostic precision, clinicians are not only able to more accurately detect Lyme infection but, in some cases, the specific stage of a patient’s Lyme disease infection.

5. Co-infections cause complexities.

Common Lyme disease co-infections include Babesiosis, Powassan, Bartonellosis, Ehrlichiosis, Anaplasmosis, and Rickettsiosis.

In some cases, they may not have Lyme disease at all, but one of these other illnesses instead. Depending on a patient’s symptoms, doctors should consider the potential of a co-infection as a factor when all symptoms point to Lyme disease but test results are negative.

6. TBRF can cause a negative result.

The disease Tick-Borne Relapsing Fever is caused by a similar but totally separate species of Borrelia to the bacterium that causes Lyme disease, and also causes Lyme-like symptoms. However, if a patient with TBRF takes a Lyme disease test, the TBRF will not show up, causing the Lyme test to be negative even though the patient is still sick with an infection.

An early and accurate diagnosis is key

For patients and doctors, being aware of the many factors that can influence Lyme disease lab tests can better inform your perspective and reliance on the results. Doctors should consider multiple types of tests, a panel approach, to increase the chances of detecting the disease.

Additionally, they should always consider the patient’s  Lyme disease test results in conjunction with their current or previously reported symptoms. Remember, Lyme disease causes symptoms such as fever, chills, headache, fatigue, muscle and joint aches, and swollen lymph nodes. (An erythema migrans or “EM” rash may also appear, but note – at least 20% of patients don’t experience this rash at all.)

Finally, doctors should also consider risk factors that heighten someone’s probability of exposure to ticks or regions where Lyme disease and other tick-borne diseases are prevalent.

For more information on getting the proper diagnosis and treatment for your tick-borne disease, read the IGeneX blogs The Importance of Getting the Right Diagnosis and How to Find Doctors Who Can Help with Your Tick-Borne Disease.


Additional Resources

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**Comment**

More great information here on why serology testing doesn’t work:  https://madisonarealymesupportgroup.com/2020/12/15/lyme-disease-is-a-small-vessel-disease-dr-klemann/

The problems of Lyme/MSIDS testing have been the bane of patients for over 40 years and other studies have shown an even poorer outcome of current testing than what was mentioned in this article:  https://madisonarealymesupportgroup.com/2020/03/01/study-cdcs-2-tier-lyme-testing-inaccurate-in-more-than-70-of-cases/

There is also a law-suit on current testing listed in the comment section of this article:  https://madisonarealymesupportgroup.com/2020/05/27/letter-to-cdc-dr-beard-why-isnt-direct-detection-of-lyme-disease-a-priority/

There has been wide-spread suppression of direct testing for Lyme disease putting patients in a juggernaut of unbelievable proportions.

For more:  https://madisonarealymesupportgroup.com/2020/05/06/more-cdc-lip-service-on-lyme-testing/

https://madisonarealymesupportgroup.com/2019/03/07/yet-another-worthless-study-showing-2-tiered-lyme-testing-can-not-rule-infection-out/

Lyme Disease Awareness Survey

https://s.surveyplanet.com/vpzrV4DuE  Go here for survey

Lexy Zazvrskey, college student and public policy intern, has created a survey to receive anonymous feedback about Lyme disease awareness for a college course. For the most beneficial results, please take the survey without looking up any information to answer the questions and use your prior knowledge, if any, to answer.

All responses are anonymous.

Thank you in advance!