Archive for the ‘Uncategorized’ Category

Petition: Stop FCC Rule Allowing 5G & Satellite Antennas on Homes

https://childrenshealthdefense.org/advocacy-center/sign-to-join-chds-submission-to-stop-fcc-rule-allowing-5g-satellites-antennas-on-homes/?

APRIL 17, 2020

Sign to Join CHD’s Submission to Stop FCC Rule Allowing 5G & Satellites Antennas on Homes

What is OTARD and Why We Must Take Action

The FCC is about to expand its ‘Over The Air Reception Devices’ (OTARD) rule (WT 19-71), to allow wireless companies to install 5G and other cell towers and transmitting devices (not only receiving devices as the name suggests) on homes. The wireless companies will be allowed to enter into a contract with your neighbor to install a cell tower on their home, without the need for a permit, without asking for neighbors’ input or permission and without any considerations to a neighbor’s disability, property values or other needs.

The OTARD rule expansion will allow a “Wireless Wild West” for 5G infrastructure and antenna deployment which will include the 1,000,000 antennas to provide the ground infrastructure for the satellites. The expansion of the OTARD rule will violate the Constitution and upend long-standing common law personal and property rights. The FCC  does not have the authority to override people’s rights to bodily autonomy and their property-based rights to “exclude” the wireless radiation emitted by third parties from their home.

CHD’s Action – Ex-Parte Submission to the FCC

To stop the FCC’s OTARD rule change and make it clear that We Do Not Consent to this rule and do not consent to be radiated in our homes, on April 16, 2020, the Children’s Health Defense submitted an “Ex-Parte” objection to the FCC. The Ex-Parte submission attacks the legality of the OTARD rule change and explains the legal ramifications should the FCC adopt the rule. It is time to put a stop to the FCC’s taking of our basic civil and human rights.

Press HERE to read CHD’s Ex-Parte Submission to the FCC.

Take Action – Join CHD’s Action By Simply Signing Your Name

We want to maximize both the impact of CHD’s Ex-Parte submission and the chance that the FCC will decide not to move forward with the OTARD rule change without further legal action on our part. Therefore, we need YOU and others to join this submission and tell the FCC “I Do Not Consent”. For too long we have allowed the FCC and the Telecom companies to take our rights and harm us. No more. We want the FCC to realize that its actions and abuse of power will meet strong and effective resistance and that we are going to be proactive in protecting and enforcing our civil and human rights. By signing the declaration below, you will be preserving your right to sue the FCC for its action or to join a legal action by CHD.

Help Us Stop The FCC’s OTARD Rule And The Wireless Wild West!

Declaration of NO Consent to be Exposed to Wireless radiation in Your Home on General Grounds and/or by reason of being injured from Wireless Radiation

I, the undersigned, do not consent to be exposed to wireless radiation and join the 4/16/2020 Ex-Parte submission of the Children’s Health Defense in WT 19-71. I declare as follows:

Objection on general grounds – I do not consent to radiation crossing my property boundaries and entering my home. I am asserting my Constitutional rights to privacy and bodily autonomy and my property- based right to exclude others. I consider RF emissions to be a noxious nuisance. I will consider non-consensual exposure in my home to be a battery. I assert all my rights under law, and demand that the Commission not amend its rules to allow people to place antennas on their property and extend emissions onto my property and into my body. If the Commission does so, I reserve my right to take legal action against the service provider, the Commission and each individual Commissioner.

And / Or,

Objection by reason of being injured – I do not consent to radiation crossing my property boundaries and entering my home as I and/or my child have been injured from wireless radiation and/or exposure to this radiation is aggravating my and/or my child’s medical condition. My and/or my child’s sickness is impairing my and/or my child’s ability to function and I and/or my child are therefore entitled to accommodations under the Americans with Disabilities Act and/or under the Fair Housing Act. Anyone who irradiates my home and my body and/or my child’s body against our will is violating my and/or my child’s rights under the Constitution, the ADA and the FHA.

I do not consent to exposure, and affirmatively object to exposure. I try to avoid being exposed but that is increasingly difficult in public spaces. My home is my and/or my child’s last refuge. I do not consent to radiation crossing my property boundary and entering my home. I am asserting my and/or my child’s Constitutional rights to privacy and bodily autonomy and my property-based right to exclude others. I consider RF emissions to be a noxious nuisance. I will consider non-consensual exposure in my home to be a battery. I assert all my rights under law, and demand that the Commission not amend its rules to allow people to place antennas on their property and extend emissions onto my property and into my body. If the Commission does so, I reserve my right to take legal action against the service provider, the Commission and each individual Commissioner.

Sign HERE if You Agree to the Declaration and Want to join CHD’s Ex-Parte submission

If you sign to join CHD’s submission to the FCC, your name and address must be and will be included in the submission. We can allow your name to be “Anonymous” only on our website page.

Go to link at beginning of article to sign petition.

_______________

**Comment**

RF radiation and COVID-19 cause similar disease:  https://madisonarealymesupportgroup.com/2020/04/25/coronavirus-science-policy-politics-5g/

  • headaches
  • dizziness
  • nausea
  • digestive problems
  • muscle pain
  • tachycardia
  • hypotension
  • cardiac arrhythmias
  • strokes
  • seizures 

Authorities are fast-tracking 5G under the pretext of fighting coronavirus: https://madisonarealymesupportgroup.com/2020/03/31/how-surveillance-5g-are-being-fast-tracked-under-the-pretext-of-fighting-coronavirus-study-showing-risks-to-health/

https://madisonarealymesupportgroup.com/2019/03/13/despite-lack-of-studies-safety-standards-relaxed-ahead-of-5g-emf-health-effects-survey-shows-health-harm-rat-study-shows-microwaves-cause-brain-permeability/

 

 

 

 

Lyme/MSIDS patients are often sensitive to EMF.

Top 5 Herbs to Fight Free Radicals and Boost Your Immunity

https://vitalplan.com/blog/top-5-herbs-to-fight-free-radicals-and-boost-your-immunity?

Top 5 Herbs to Fight Free Radicals and Boost Your Immunity

By Dr. Bill Rawls Posted 04-24-2020

A strong immune system has always been essential for good health, and it’s even more vital in these uncertain times. Not only do we need solid internal defenses to fight viruses and other illnesses, they also help keep us healthy while we manage the increasing amounts of psychological stress we’re all dealing with — from a bleak news cycle, worry about our loved ones or ourselves, disrupted routines, close quarters, and a number of other things out of our control.

While there are many ways to bolster your immune system, one approach is through controlling or balancing free radicals. You probably have a general sense of what free radicals are — as well as their “opposite,” antioxidants. At least, perhaps, you understand that free radicals are usually “bad” and antioxidants are “good.”

But the story is much more nuanced, and it’s worth understanding the details in order to take a strategic approach to improving immunity.

Free Radicals: The Good, The Bad, The Ugly

Here, five must-know facts about free radicals:

1. Your Body Needs Free Radicals to Live.

The human body uses oxygen to make a specialized type of free radical called reactive oxygen species. These act as a sort of catalyst, plucking electrons off carbohydrate and fat molecules to destabilize them, which allows your body to more easily convert those nutrients into usable fuel for energy. Without them, you’d die.

2. Free Radicals Indiscriminately Break Down Molecules.

The problem is that mitochondria — the power plants of cells — and every other part of the body are made of similarly high-energy organic molecules like fats and carbohydrates. And so they’re equally susceptible to being destabilized by free radicals.

In other words, the free radicals the body produces to help it more easily generate energy can destabilize whatever other molecules are in the vicinity. That means they also end up breaking down mitochondria and affecting DNA — it’s the price of generating energy.

3. The Immune System Employs Free Radicals for Its “Cleanup Crew.”

Free radicals are deployed by your immune system to break down old cells and other cellular “debris.” That makes it easier for your body to clear them from your system.

Similarly, the immune system uses free radicals to help attack, destabilize, and dispose of harmful microbes in your system. In short, we have to put up with a certain amount of free radical damage in order to both produce energy and keep our bodies from becoming a sludge pile of cellular waste and harmful microbes.

That residual damage is essentially what ages us over time or contributes to illness. It’s why older adults are often more vulnerable when they get sick: More of their mitochondria and DNA have burned out from free radical damage, and more cells have died.

As for the cells that remain, they don’t produce as much energy, and DNA doesn’t reproduce as healthy of cells — including cells of our immune system. So, in older folks, immune systems don’t hum along at quite the same pace as they do in younger people.

4. Antioxidants Help Maintain Balance.

Antioxidants that the body produces and that you get from plants like fruit, vegetables, and herbs help control free radicals by neutralizing their activity; they donate an electron so that the free radical can’t pluck it off a cell. They essentially help police the free radicals so that there’s enough activity to do their job of breaking down fuel and debris while minimizing the damage to healthy tissue, mitochondria, and DNA.

5. Damaging Free Radicals Are All Around Us.

Along with the free radicals your body naturally produces, there are a number of other sources and types we’re exposed to. For example, the refined fats in many processed foods are very brittle and break apart easily, and those pieces then turn into damaging free radicals.

city view hidden my smog

Other aspects of processed foods, as well as pollutants and toxins in the air and pesticides in food, likewise act as free radicals in our system. Psychological stress can also set off a chain of events that trigger excess free radicals and damage.

The Free Radical-Inflammation Cycle

When cells are under stress from free radicals, they must work harder and produce more energy to try to keep up. But the harder cells have to work and the more energy they produce, the more free radicals they produce. That then also leads to more waste byproducts.

What’s more, because it’s the job of the immune system to clear up that waste — which it uses free radicals to do — more free radicals flood your system, creating a vicious cycle. All together, it puts an enormous amount of strain and pressure on your body’s systems, and particularly your immune system.

What starts happening: The immune system can’t keep up with the buildup of cellular debris and other waste. And, it’s so preoccupied, it can’t manage the waste and byproducts generated by your body’s microbes, either. All of that waste builds up around cells, creating what we think of as harmful inflammation — it’s as if your body’s sewer system gets clogged and starts backing up.

Conversely, under more normal circumstances, the healthy action of free radicals leads to some inflammation. When it’s kept in check, it’s a controlled burn. Think of how forest rangers might set small fires under safe conditions to help maintain the health of a forest and reduce the risk of larger fires down the road. The same is true in your body: A normal inflammatory response is not only good, it’s necessary for life.

fire growing in dark image

But just as with forest fires, problems occur when the flames rage uncontrolled. When free radicals overwhelm your antioxidant defenses and waste builds up, it triggers chronic or uncontrolled inflammation.

And that can ravage your system over time, contributing to a whole host of problems. For example, it can increase your risk of heart disease, stroke, chronic illness, and more, as well as accelerating the breakdown of cells — including immune cells.

Maintaining Balance is Key.

The goal, then, is to limit external sources of free radicals and maintain a careful balance of internal sources of free radicals. You can’t stop those produced from cells as they generate energy, and you need those produced by the immune system to clean up our body’s waste byproducts.

But you can reduce the influx of free radicals from external sources, and you can take other actions to protect your cells from becoming stressed and keep your microbiome in balance, which curbs runaway inflammation. Here’s how:

Freshen Up Your Diet

Minimize your intake of processed and high-carb foods, which increase free radical activity and inflammation. Instead, load up on more fresh, antioxidant-rich fruits, vegetables, and other plant foods.

Iridescent food. Creative composition made of fruits and vegetables in rainbow colors on white background, flat lay

Brightly colored fruits and veggies, especially, like berries and leafy greens, as well as certain spices and herbs are loaded with antioxidants shown to fight free radical stress and inflammation. One review in the American Journal of Clinical Nutrition specifically found that higher intakes of fruits and veggies both reduce harmful inflammation and enhance immune cells.

Avoid Toxins.

Try to spend as little time as possible in highly polluted areas, which are known to trigger inflammation and cell death. In addition, use gentle, naturally sourced cleaning products, and eat organic foods whenever possible to minimize toxin intake.

Stay Active.

Moderate exercise helps reduce inflammation, as well as helps control inflammation-stoking stress. One study, for example, found that even just 20 minutes of activity could reduce inflammation and strengthen your immune system.

Mind Your Microbes.

An impressive 70% of your immune system is housed in your gut. The more you can feed your good gut bacteria foods that are fresh, fiber-rich, and plant-based, the better. The microbes will be less stressed, and better able to help send and receive messages, enabling your immune system to more effectively respond to threats and control unnecessary inflammation.

Taking herbs known to balance the good microbes in your gut and support your immune system is also a great strategy. Three of my favorite herbs for balancing the microbiome are andrographis, cat’s claw, and berberine.

The Power of Herbs

In addition to consuming antioxidant-rich produce, nuts, and other plant foods, herbs offer an excellent line of defense against free radicals and extra support for your immune system. Here’s why.

Over the centuries, all plants developed antioxidant defenses to protect themselves from various environmental stressors. And that’s especially true of herbs, many of which are still cultivated in the wild, where they’ve been able to retain naturally high levels of antioxidants and other beneficial compounds. Or, they’ve been specifically cultivated for potency, not for taste.

Herbs with alternative medicine herbal supplements and pills

So, which herbs are best for fighting free radicals? All of them do, to some extent, but there are two smart strategies you can use when picking herbs to optimize your benefits.

First, combine synergistic herbs that come from different environments. If the environment in which an herb evolved and the stress factors it deals with informs its defenses system, it makes sense to consume herbs that come from both high and low altitudes, warm and cool climates, for example. That will give you the broadest action and support possible.

Second, consider herbs’ other properties beyond being effective antioxidants. For example, look for herbs that also help balance hormones or your microbes, or that shore up communication between parts of the immune system. That way, you not only address the damage done by free radicals, but you get the additional supportive benefits as well.

5 Antioxidant, Immune-Supporting Herbs

While many different herbs could be on this list, these five provide potent and broad benefits, not only in terms of their antioxidant power, but in their overall ability to support your immune system, health, and longevity.

1. Rhodiola

Rhodiola rosea blossom by springtime at solar day.Beautiful green background

An adaptogen that grows primarily in harsh, Northern climates including Siberia, rhodiola helps the body manage and become more resistant to stress — both physical and emotional. It also supports and protects immune function and cells, helps balance hormones, and may enhance energy and stamina. One review, for example, noted that the herbal extract has been found to have both anti-inflammatory and immune-stimulating properties.

2. Reishi Mushroom

reishi mushrooms growing on wood

Although a fungi, reishi is often referred to as an herb because of its range of benefits. As a fungi, though, it naturally confronts excess stress from microbes, which gives it specialized powers to help rev up our own immune system against pathogenic microbes. That helps keep our microbiome — and, by extension, our immune system — balanced and healthy.

Research also suggests reishi may help increase the activity of immune cells and boost production of cytokines, cells in the immune system that act as messengers or effectors of other cells. Other studies have found reishi extract bolsters the activity of two of our body’s natural antioxidant enzymes — superoxide dismutase and catalase — which help fight damaging reactive oxygen species.

3. Turmeric

Turmeric powder in white cup.

This spice, which gives curry its bright yellow color, is loaded with antioxidants called polyphenols. While these antioxidants are effective at controlling free radicals, researchshows what traditional medicine practitioners have known for centuries: That turmeric is also a potent anti-inflammatory. That means, while it controls inflammation through its effect on free radicals, it’s also helping to regulate the messaging systems of the immune system and your body’s inflammatory response.

Over-the-counter anti-inflammatories like ibuprofen, for example, do this by blocking an enzyme called COX-2, which “turns on” inflammation. But these drugs don’t do anything to stop the source of the inflammation, and they also block COX-1, a beneficial enzyme that helps protect our stomach.

Turmeric, on the other hand, decreases the formation of COX-2 in the long term, while its antioxidants help address the cause of inflammation. It also doesn’t impact COX-1. So, in the long run, turmeric helps better regulate and normalize the body’s inflammatory response.

4. Shilajit

black shilajit powder pile in front of mountain view

Another example of an “herb-adjacent” compound — meaning not technically a herb but often discussed with other herbs or referred to as one — shilajit is actually a herbomineral substance. Found in the Himalayan, Ural, and Caucasus Mountains, it seeps out from between rocks as a gummy substance (before it’s processed and purified into a useable form), the result of plant materials being compressed into the earth and decomposing.

Because of that, shilajit is concentrated with antioxidants from a variety of different plant sources. Much of its antioxidant properties comes from fulvic acid, which is produced from organisms in the soil.

In addition to its antioxidant powers, the acid may help regulate immune function and improve gastrointestinal function, according to research. It’s also known to help improve resistance to stress and guard against inflammatory conditions.

5. Gotu Kola

green Got Kola leaves

Unlike many of the other herbs and substances mentioned here, gotu kola grows primarily in tropical and subtropical locations, including the South Pacific, Southeast Asia, and India. The herb itself is a member of the carrot family, although it’s closely related to and resembles parsley. In India, it’s even eaten as a leafy green, and it’s known for its content of antioxidant nutrients, including vitamin C and carotenoids.

However gotu kola contains other powerful antioxidant phytochemicals, too, including triterpenes. It’s also a natural mood stabilizer that may help balance and manage the stress response by revitalizing the central nervous system and promoting production of GABA, a neurotransmitter linked to calm and relaxation, suggests a paper the journal Evidence-Based Complementary and Alternative Medicine. For those and other reasons, it’s traditionally been used as a general longevity and brain tonic.

While there are a lot about these times we can’t control, one thing you can do is take care of your immune system. Support it, so that it can better support you and keep you healthy now and for the long-term.

References
1. Srivastava, Kaushal K. and Kumar, Ratan. “Stress, Oxidative Injury and Disease.” Indian J Clin Biochem. 2015 Jan; 30(1): 3–10.
2. Pahwa, Roma et al. “Chronic Inflammation.” StatPearls. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK493173/
3. Serafini, Mauro and Peluso, Ilaria. “Functional Foods for Health: The Interrelated Antioxidant and Anti-Inflammatory Role of Fruits, Vegetables, Herbs, Spices and Cocoa in Humans.” . 2016 Dec; 22(44): 6701–6715.
4. Harvard Women’s Health Watch. “Foods that Fight Inflammation.” 2018, November 7. Retrieved from: https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation
5. Hosseini, B. et al. “Effects of fruit and vegetable consumption on inflammatory biomarkers and immune cell populations: a systematic literature review and meta-analysis.” Am J Clin Nutr. 2018 Jul 1;108(1):136-155.
6. Lodovici, Maura and Bigagli, Elisabetta. “Oxidative Stress and Air Pollution Exposure.” J Toxicol. 2011; 2011: 487074.
7. Dimitrov, S. et al. “Inflammation and exercise: Inhibition of monocytic intracellular TNF production by acute exercise via β2-adrenergic activation.” Brain Behav Immun. 2017 Mar;61:60-68.
8. Li, Yonghong et al. “Rhodiola rosea L.: an herb with anti-stress, anti-aging, and immunostimulating properties for cancer chemoprevention.” Curr Pharmacol Rep. 2017 Dec; 3(6): 384–395.
9. Guggenheim, Alena G. et al. “Immune Modulation From Five Major Mushrooms: Application to Integrative Oncology.” Integr Med (Encinitas). 2014 Feb; 13(1): 32–44.
10. Cor, Darija et al. “Antitumour, Antimicrobial, Antioxidant and Antiacetylcholinesterase Effect of Ganoderma Lucidum Terpenoids and Polysaccharides: A Review.” Molecules. 2018 Mar; 23(3): 649.
11. Hewlings, Susan J. and Kalman, Douglas S. “Curcumin: A Review of Its’ Effects on Human Health.” Foods. 2017 Oct; 6(10): 92.
12. Menon, VP and Sudheer, AR. “Antioxidant and anti-inflammatory properties of curcumin.” Adv Exp Med Biol. 2007;595:105-25.
13. Winkler, John and Ghosh, Sanjoy. “Therapeutic Potential of Fulvic Acid in Chronic Inflammatory Diseases and Diabetes.” J Diabetes Res. 2018; 2018: 5391014.
14. Erdogan Orhan, Ilkay. “Centella asiatica (L.) Urban: From Traditional Medicine to Modern Medicine with Neuroprotective Potential.” Evid Based Complement Alternat Med. 2012; 2012: 946259.

More of the Same Focus on Worthless Serology Testing For Borrelia Research

https://www.change.org/p/the-us-senate-calling-for-a-congressional-investigation-of-the-cdc-idsa-and-aldf/u/26304991?

More of the same focus on Serology!

Ticks and Tick-borne Diseases

Identification of immunoreactive linear epitopes of Borrelia miyamotoi
https://www.sciencedirect.com/science/article/pii/S1877959X1930353X

Rafal Tokarz, Teresa Tagliafierro, Adrian Caciula, Nischay Mishra,b, Riddhi Thakkar, Lokendra V. Chauhan, Stephen Sameroff, Shannon Delaney, Gary P. Wormser, Adriana Marques, W. Ian Lipkin,

A B S T R A C T

Borrelia miyamotoi is an emerging tick-borne spirochete transmitted by ixodid ticks. Current serologic assays for B. miyamotoi are impacted by genetic similarities to other Borrelia and limited understanding of optimal antigenic targets. In this study, we employed the TBD-Serochip, a peptide array platform, to identify new linear targets for serologic detection of B. miyamotoi.

__________________

Today’s letter to the corresponding author……

April 9, 2020

Columbia University Mailman School of Public Health
722 West 168th St.
NY, NY 10032
Attn: Rafal Tokarz, PhD, Assistant Professor of Epidemiology

Dear Prof Tokarz,

In reference to the detection of tick-borne disease, please take a moment if you will to review the following list of publications using direct detection methods for identifying ongoing spirochetal infection. I will summarize the purpose of this correspondence at the end of this list:

1. Seronegative Chronic Relapsing Neuroborreliosis.  (Stony Brook Lyme clinic)
https://www.ncbi.nlm.nih.gov/pubmed/7796837

“We report an unusual patient with evidence of Borrelia burgdorferi infection who experienced repeated neurologic relapses despite aggressive antibiotic therapy. Each course of therapy was associated with a Jarisch-Herxheimer-like reaction. Although the patient never had detectable free antibodies to B. burgdorferi in serum or spinal fluid, the CSF was positive on multiple occasions for complexed anti-B. burgdorferi antibodies, B. burgdorferi nucleic acids and free antigen.”

2. Cardiac Tropism of Borrelia burgdorferi: An Autopsy Study of Sudden Cardiac Death Associated with Lyme Carditis.(March 2016)
http://ajp.amjpathol.org/article/S0002-9440(16)00099-7/abstrac

“Fatal Lyme carditis caused by the spirochete Borrelia burgdorferi rarely is identified. Here, we describe the pathologic, immunohistochemical, and molecular findings of five case patients.”

3. CDC Case Study #2: A case report of a 17-year old male with fatal Lyme carditis
https://www.sciencedirect.com/science/article/abs/pii/S1054880715000253

Borrelia burgdorferi was identified via special stains, immunohistochemistry, and polymerase chain reaction. The findings support B. burgdorferi as the causative agent for his fulminant carditis and that the patient suffered fatal Lyme carditis.

4. Granulomatous hepatitis associated with chronic Borrelia burgdorferi infection: a case report
http://www.labome.org/research/Granulomatous-hepatitis-associated-with-chronic-Borrelia-burgdorferi-infection-a-case-report.html

The patient had active, systemic Borrelia burgdorferi infection and consequent Lyme hepatitis, despite antibiotic therapy. Spirochetes were identified as Borrelia burgdorferi by molecular testing with specific DNA probes.

5. Culture evidence of Lyme disease in antibiotic treated patients living in the Southeast.
http://danielcameronmd.com/culture-evidence-of-lyme-disease-in-antibiotic-treated-patients-living-in-the-southeast/

Rudenko and colleagues reported culture confirmation of chronic Lyme disease in 24 patients in North Carolina, Florida, and Georgia. All had undergone previous antibiotic treatment

6. DNA sequencing diagnosis of off-season spirochetemia with low bacterial density in Borrelia burgdorferi and Borrelia miyamotoi infections.
https://www.ncbi.nlm.nih.gov/pubmed/24968274

Faulty/misleading antibody tests landed a sixteen year old male in a psychiatric ward when his lab results did not meet the CDC’s strict criteria for positive results. His Western blot had only four of the required five IgG bands. Subsequent DNA sequencing identified a spirochetemia in this patient’s blood so his psychiatric issues were a result of neurologic Lyme disease misdiagnosed by antiquated/misleading serology. This patient was previously treated with antibiotics.

7. The Long-Term Persistence of Borrelia burgdorferiAntigens and DNA in the Tissues of a Patient with Lyme Disease
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963883/

Autopsy tissue sections of the brain, heart, kidney, and liver were analyzed by histological and immunohistochemical methods (IHC), confocal microscopy, fluorescent in situ hybridization (FISH), polymerase chain reaction (PCR), and whole-genome sequencing (WGS)/metagenomics. We found significant pathological changes, including borrelial spirochetal clusters, in all of the organs using IHC combined with confocal microscopy.

8. Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease
http://www.mdpi.com/2227-9032/6/2/33

“This pilot study recently identified chronic Lyme disease in twelve patients from Canada. All of these patients were culture positive for infection (genital secretions, skin and blood) even after multiple years on antibiotics so there was no relief from current antimicrobials. Some of these patients had taken as many as eleven different types of antibiotics.”

________________________

Note: For the sake of time this is just a short list of the hundreds of publications identifying persistent Borrelia infection.

What is the purpose of this email?

Direct detection methods, specifically DNA testing has the ability to identify persistent infection whereas serology cannot be used to gauge treatment failure or success. Not to mention that humans do not produce antibodies against Borrelia for 4-6 weeks after a tick bite. By the time serology tests are positive, the spirochetes have already invaded various deep tissues, like those in syphilis, and are hard to eradicate with antibiotics.

Serology has allowed the 30-year dogma to persevere [1]whereas direct detection methods are exposing the exact opposite.

We are dealing with a life-altering/life-threatening infection with faulty/misleading antibody tests, inadequate treatment, no medical training and absolutely no disease control whatsoever; a public health disaster.

It is time to utilize 21st century technology for the purpose of rapid detection and efficacy of treatment.

If DNA testing is accepted for the 21st century pandemic (COVID-19) [2] ; why not for the 20th century plague (Lyme disease) that has been allowed to proliferate unchecked?

Respectfully Submitted,

Carl Tuttle
Lyme Endemic Hudson, NH

Cc: The tick-Borne Disease Working Group

References

1. Lyme Disease Is Hard to Catch And Easy to Halt, Study Finds
New York Times By GINA KOLATA Published: June 13, 2001

http://www.nytimes.com/2001/06/13/us/lyme-disease-is-hard-to-catch-and-easy-to-halt-study-finds.html

2. The Science Behind the Test for the COVID-19 Virus

https://discoverysedge.mayo.edu/2020/03/27/the-science-behind-the-test-for-the-covid-19-virus/

__________________

https://www.change.org/p/the-us-senate-calling-for-a-congressional-investigation-of-the-cdc-idsa-and-aldf/u/26339210?

Email to the attention of Dr. Paul Mead, Chief of the CDC Bacterial Diseases Branch

Today’s letter to Paul Mead of the CDC regarding the continued use of serology mentioned in the latest study on Borrelia miyamotoi at the top of the page.

Apr 13, 2020

Division of Vector-Borne Diseases
Centers for Disease Control and Prevention
3156 Rampart Rd
Fort Collins, Colorado CO 80521
Attn: Paul Mead, MD, MPH Acting Branch Chief

pfm0@cdc.gov

Dear Dr. Mead,

In October of 2018 you coauthored the following paper in Clinical Infectious Diseases and made the following statement regarding serologic testing for Lyme disease:

Direct Diagnostic Tests for Lyme Disease

Clinical Infectious Diseases, ciy614, https://doi.org/10.1093/cid/ciy614

Published: 11 October 2018

Excerpt:  (Quote from Paul Mead)

“… serologic tests cannot distinguish active infection, past infection, or reinfection. Reliable direct-detection methods for active B. burgdorferi infection have been lacking in the past but are needed and appear achievable.”

Dr. Mead…. So why is the National Institutes of Health funding Dr. Gary Wormser’s study for the serologic detection of B. miyamotoi?

Obviously Dr. Wormser didn’t get your memo or you are just providing lip service to give the illusion that our public health officials have everything under control.

What is the status of Direct Diagnostic Tests for Lyme Disease Dr. Mead? Persistent infection after extensive antibiotic treatment has been identified through the use of direct detection methods in academic centers and autopsy findings [1]yet the average patient cannot obtain these tests to justify how sick they are with their chronic active infection.

Please provide a list of grants issued by the CDC or National Institutes of Health for studies actively involved in developing Direct Diagnostic Tests for Lyme Disease.

I expect a prompt reply to this inquiry.

Respectfully submitted,

Carl Tuttle

Lyme Endemic Hudson, NH

Reference:

[1] More of the same focus on Serology!

https://www.change.org/p/the-us-senate-calling-for-a-congressional-investigation-of-the-cdc-idsa-and-aldf/u/26304991

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For more on the concerted suppression of direct testing for borrelia:  https://madisonarealymesupportgroup.com/2017/12/13/suppression-of-microscopy-for-lyme-diagnostics-professor-laane/

https://madisonarealymesupportgroup.com/2018/04/03/cdc-deliberately-avoids-direct-detection-testing-methods-for-ld/

https://madisonarealymesupportgroup.com/2018/10/13/direct-test-for-ld-carl-tuttle-chews-up-cdc-spits-them-out/

https://madisonarealymesupportgroup.com/2018/01/16/2-tier-lyme-testing-missed-85-7-of-patients-milford-hospital/

https://madisonarealymesupportgroup.com/2020/03/01/study-cdcs-2-tier-lyme-testing-inaccurate-in-more-than-70-of-cases/

https://madisonarealymesupportgroup.com/2018/08/15/milford-pathologist-fires-broadside-at-cdc-motion-to-discuss/

BTW: The CDC is directly behind the COVID-19 testing fiasco.  This article points out that insisting upon their own tests is the MO of the CDC – even when human lives are at stake:  https://madisonarealymesupportgroup.com/2020/03/27/cdcs-deadly-testing-fiasco-centralization-of-public-health-authority-a-threat-to-national-security/ The reason for this is so they control all the parameters for further products that will make them money – everything from test kits to drugs to vaccines.

The CDC has controlled Lyme testing for decades and it rules like the iron curtain even though research clearly shows it is abysmal and misses at least half of all cases – and often times much more.

What’s A Lyme Patient To Do When Fear Hits?

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Fear is something that can strangle you.  I know – It nearly strangled me.

By Alicia Cashman MS, Lyme patient and Advocate

April 17, 2020

Rewind about 10 years.

It’s a long, long tale, but the shortened version is that after helplessly watching my husband’s health spiral down a dark vortex which seemed bottomless, I was faced with a decision: either figure it out or sit idly by and watch the carnage. Being a (nice) bull-dog by nature, I chose the former and studied everything from chronic fatigue to stress to diet, hoping to pinpoint his unexplainable change in health.

Every single person facing fear has a similar choice – crumple or fight.

Things didn’t turn a corner until frankly I was complaining to my kids’ rifle coach about my husband’s lack of drive. The guy slept most of the day or sat on the couch playing Candy Crush in his robe.  I mean – what gives?

After listening patiently, she looked directly in my eyes and said,

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

BINGO!  Immediately, I sensed I needed to look further into this. Everything she said made absolute sense.

I must depart from the narrative for a brief moment to tell you that THIS, right here, is how most people figure out they are infected – through other patients. As one patient wrote, “This is a do-it-yourself disease.”  Truer words were never spoken. Mainstream medicine is still following a narrative that tick-borne illness is a harmless disease solved with a couple of weeks of antibiotics.

So I read, and I read, and I read some more. I actually contacted a local support group, which is unlike me, and boy am I glad I did. They quickly educated me on the continuing polarization within the medical community on tick-borne illness and how I would have to go out-side the box to get help. These people probably shaved 10 years of pain off of our lives simply by educating us so we could bypass fruitless ventures that would have cost us money, time, and self respect. You see, often medical professionals abuse Lyme patients. I could tell you stories….but I digress….

We found what I call a “Lyme friendly” doctor. This is a doctor who isn’t as knowledgable or educated on tick-borne illness as they need to be but at least they don’t abuse you. They listen, they believe, and they treat you the best they can – which is a far cry better than what’s happening to most patients.  I got the first hope in years seeing my husband respond quickly to treatment. Unfortunately, he plateaued after about 10 weeks (this is common for those chronically infected and as it turns out research shows we typically are infected with numerous pathogens all requiring different medications).  Also, as I started learning and talking with others – I started sending people to our doctor. She actually asked me to stop sending people to her.  She was afraid.  Two other Wisconsin doctors had come under fire for treating Lyme patients.

Well, this wasn’t going to work.  We couldn’t continue seeing a doctor who was afraid to treat – plus there was that nasty plateau issue as well.

So like so many other patients, we had to find another doctor willing to treat us.

The challenge of finding reliable medical help for a disease that causes unbelievable suffering that the majority of doctors don’t even believe, causes untold FEAR. And, I must add, many patients go through this repeatedly when their doctors are held under the magnifying glass of state medical boards for treating outside the CDC’s unscientific treatment guidelines, which research has proven again and again and again do not work. Working inside the tick-borne illness world is like living in a pressure cooker all the time.

Confession: We called a number of offices and the one we chose was due to the kindness of the office staff!  Ha!  As I look back, I marvel at how inexperienced and emotional we were in our decision making.  We were so desperate!  Despite our inexperience and illogic, we treated with that doctor for over 5 years and still consider him our primary physician. He knows his stuff and we are blessed to work with him.

We had fear throughout this – but minimally yet because we still didn’t know much.

Fast forward a year or two while we were in treatment.

After reading yet more and finding out that many patients go on to struggle with life-long symptoms, the FEAR hit like a tidal wave.  Plus, I started developing symptoms that became undeniable.

I was infected too!

What?  Our lives might be forever derailed due to an arachnid the size of a singular piece of oatmeal?  You have to be freaking kidding me. My mind began to race in 1,000 different directions simultaneously.

  • are we ever going to be free from pain?
  • we both need treatment – how can we afford this?
  • some of the drugs have nasty side effects – what if they cause irreparable damage?
  • how are we going to continue to homeschool 3 teenagers when I can’t focus or deal with any stress?
  • how is my husband going to continue his at-home business if he sleeps all day?
  • how am I going to cope when my family and friends are clueless and even antagonistic to me (you look fine to me!)?
  • the depression caused by well meaning Christians that tell me I don’t have “faith” because I take antibiotics
  • my husband and I are outside our minds and fight over trivial matters.  How can our marriage survive this?
  • we both have horrible insomnia which means we are zombies all day long. How can our family function in this new paradigm?
  • it becomes obvious past trauma needs to be dealt with. Childhood memories flash before our eyes. How were we going to navigate uncharted waters to hopefully salvage our emotional and mental health but not kill each other in the process?
I could literally go on and on to infinity.  The worries are endless and often have no immediate answers. This journey requires you to suspend reality and accept walking in the dark as the new norm.

I haven’t even mentioned treatment – which is an epic saga in and of itself. Briefly, it’s unlike anything you’ve ever gone through in your life. The pain is indescribable. Symptoms wax and wane making you question your own sanity. What works for one doesn’t work for another. It’s expensive and out of pocket for most since the CDC has continued to promote unscientific and unhelpful guidelines which most doctors follow like the Ten Commandments, despite a plethora of research showing many patients continue to have symptoms. Those chronically infected quickly discover new symptoms emerge – indicating other pathogen involvement which requires an entirely different tactic and medication. You are required to learn on the fly so you can partner with your practitioner for the best possible outcome. Many have to do this while raising families and working. To say this process is stressful and riddled with anxiety & fear is the understatement of the year.

On top of fear, my husband developed unexplained anxiety and rage. It would come and go like the wind – making it completely unpredictable and surprising. We later learned that Bartonella as well as Lyme can cause psychiatric issues and thankfully after treating Bartonella, these symptoms completely vanished. Psychological symptoms & mental health issues can be part and parcel with Lyme/MSIDS despite the complete ignorance of mainstream medicine on this important topic. Because this isn’t widely known – the first time it happens to you, you once again question your own sanity and if you are somehow inherently flawed. It’s only by talking with other patients you discover that psych stuff is actually quite common in the journey.

Being aware and developing coping mechanisms will make all the difference in the world.

For my husband, whenever the anxiety appeared he might have to just cancel appointments – it was that bad. It stopped life. He had to explain it to a few people when he was obviously visibly shaking before their eyes. If it occurred in public and I sensed it I would lean up against him, put my arm around him and physically support his body. I noticed his body quivering and much like a dog that gets frightened by thunder, I tried to emulate an “anxiety vest” by supporting him as much as I could physically. As soon as we were able, we exited stage right and beat it out of there. In a matter of minutes to an hour the anxiety would disappear for no explainable reason.  POOF!  Gone.

We are not alone with these fears and psychological issues.  Thousands of patients navigate this jungle every single day.

Here’s what we learned:

  • take it day by day. Don’t worry about tomorrow – it has enough worries of its own.
  • learn as much as as possible to make intelligent decisions.  This means studying and talking to other patients, doctors, and researchers.
  • don’t get overwhelmed with the information. If it becomes too overwhelming, table it for  day or two – get a better perspective and then come back to the subject at hand. Remind yourself that this is a marathon not a sprint.
  • delegate more – ask for help. Time to admit you aren’t immortal or have a big “S” on your shirt.
  • attempt to be patient with family and friends – educating them when possible on what this really is.  I remind myself that I  had negative, uninformed thoughts about my husband’s behavior before I understood how fatigue can render you useless. People are often just uninformed and ignorant of what this does. Walk away from negative relationships – or at least table them until you can handle them.  (Best decision ever)
  • work extra hard on your marriage.  Talk a lot. Open up and allow each other to have fears, doubts, and struggles. Be best-friends. (I have to tell you that our marriage is stronger than its ever been and I believe this is due to what we’ve weathered together)
  • don’t get depressed about being depressed. This was actually advice from a recovered Lyme patient which saved my hide many a day. When I felt depressed, I admitted it and told myself it was OK and that tomorrow would be better.
  • embrace insomnia.  It is your friend. Get up, quit whining and learn or be productive. I read and read and read.  Much of what you read about treatment options and many other topics on this website are a direct result of sleepless nights.  You have to find the silver linings. For you it might not be researching and reading – but whatever you choose it should encourage you and enlighten you – or completely bore you so you go back to sleep!
  • have conversations – often with each other, with the kids, with those important to you.  Talk to them. Let them talk to you.  It should be a safe place where everyone can voice what they are feeling.  These were tough, tough times and both my husband and I were not the best parents or spouses. Due to a brain infection we lashed out, couldn’t handle stress, said things we never should have, & did things we regretted. We apologized a lot! We asked the kids to pray for us and tried to be humble and open.  (I have to tell you – this paid off hugely. We are a very close family to this day)
  • work on past trauma.  This is hard, hard work – and harder for some than others depending your back-story. There’s something about having a brain infection with loads of inflammation that makes dealing with past trauma even more important when you have tick-borne illness. I’m not saying this isn’t true for everyone, but from my experience, TBI patients can really struggle emotionally and need to address mental health issues. Seek professional help if needed but asked around and get a good referral.  Unfortunately many patients are labeled and abused by ignorant yet well-meaning health professionals – and this includes psychiatry.
  • detox.  This may seem like a strange addition to this list but I found a direct link between how I felt physically and how I felt mentally. Since TBI patients suffer with herxheimer reactions, they have what doctors call a cytokine cascade which essentially means prolific, systemic inflammation. This inflammation can be everywhere and anywhere including the brain. If the brain is inflamed, it does crazy things and can cause crazy behavior. Dealing with inflammation can help mental issues immensely. For ideas on that, just type inflammation and detox into the search bar on this website.  Make sure to discuss everything with your doctor.  Chances are they have many ideas as well.

These are just some of the things we’ve struggled with and found help from.  I’m sure I’m leaving plenty out.

I once heard an acronym for fear:

F-alse

E-xpectations

A-ppearing

R-eal

Regarding the current emotional environment surrounding a virus called COVID-19, it is important to understand that many decisions are being based upon fear, not science and logic.

Fear of course isn’t always a bad thing. Fear keeps you from running out into the middle of traffic. Fear keeps you from touching a hot stove.  On the other hand, fear can also paralyze you and keep you from making logical and educated decisions.  A healthy fear of COVID-19 for Lyme/MSIDS patients has merit because we have compromised immune systems and are typically more susceptible than healthy people to infections.  But, are you doomed? Are you certain you will contract it? Do you know for a fact you will become severely sick? No. None of us can know this with any certainty. This is where unchecked external forces can impress false expectations upon you and make you believe you will become severely ill. This belief will then affect your thought process and your decision making. It’s a fact.

Mainstream media appears to be reading from the same accepted narrative that this is the most deadly virus in the world and will kill and maim everyone it comes in contact with.

In this vein, I recently went through another life-changing experience. Due to continued symptoms we decided to try the new drug being used on Lyme patients called disulfiram.  It’s an old drug used for alcoholism but shows promise both in vitro and in case studies in killing borrelia, the causative agent of Lyme disease.  I was one of the lucky ones who went into full psychosis due to what they believe is a genetic issue with dopamine. I ended up in the hospital with the worst toxic reaction to the drug on record.  I went completely and utterly mad.  The doctors didn’t educate my husband at all and he worried he’d never get his wife back.  Talk about FEAR! I made sure to contact others and explain my reaction but it would be wrong of me to prohibit others from taking disulfiram due to my experience and even that of some others. That would be a decision based upon fear and would deprive others of potential cure or at least improvement in their plight.

Another example would be prohibiting people from going into the woods due to the fear of obtaining a tick bite. Research shows clearly that ticks are a huge problem and they love tall grass and wooded areas. Should we let fear keep people from enjoying nature due to the fact some will inevitably get bitten by ticks and may become infected?

And so it goes with COVID-19. Due to the fear of the experience of some, decisions are being made for the masses based upon the fear of severe infection for everyone. Both research and experience shows the majority of cases are relatively mild, and that we confer immunity when we move about freely and are exposed to the virus – often life-long immunity. It’s also known that wild viruses often become weaker with time.

Here’s what helps me when I’m gripped by fear:
  1. If you are afraid – admit it.  Being honest with yourself is a great 1st step.
  2. Begin to learn all you can so you can be educated to make wise choices. This always means reading and studying around an issue. Read pros and cons. Read from those in the box and those outside the box. There’s nuggets of truth everywhere. In the end you will have to make the best decision you can based upon the totality of what you’ve learned. I’ve often found that when it comes to health, paradoxically, mainstream medicine is hopelessly in the dark. This is due to the well-known fact there’s an unholy alliance between Big Pharma and the Medical profession. Things get tainted when money is being exchanged. Once you learn doctors are getting kick-backs to advocate and do certain things and researchers fall pray to following an accepted narrative to obtain grant money, among other many other ugly things, you realize we are no longer in Kansas and things are often not what they seem.
  3. Talk to others:  patients, doctors, and health professionals about it and get their take. I’ve learned the most through the years by listening to others and studying on my own.
  4. Study the human body and how it functions. When you do this, you learn that the body is marvelously designed and has its own innate way of fighting disease. There are those only push nature and there are those who only push man-made.  My opinion is both are needed at different times for different reasons. Don’t be afraid to embrace both and don’t be so theoretically minded that you aren’t practical and vice versa.  Again, nuggets of truth everywhere…..if you look and are open-minded.
  5. Study diet, nutrition, herbs, exercise, supplements – everything that can help you strengthen your body to do what it was designed to do. This is an endless pursuit and one you will never know in its entirety but if you learn something new, by the end of the year you will have learned 365 new things!  Again, don’t allow yourself to get overwhelmed. Make this habit just another part of your life. This endeavor should not be a “have to,” but a “want to.”  You are after all – the captain of your own ship and the more you know the easier it will be to navigate.
  6. Put what you learn into practice – knowing and doing are two different things and it takes both to turn your health around. Surround yourself with others that want to better themselves and encourage you.  “As iron sharpens iron, so one man sharpens another.”
  7. You are what you think.  The mind is a powerful tool that can help or harm you depending upon your thoughts and beliefs. I’m certainly no expert but I’ve found that learning all I can about the mind and how it can help me is much more productive than developing a helpless mentality dependent upon “experts” who may or may not have my best interest in mind.
  8. Give yourself and others life giving words. I remember my kids’ martial arts coach tell me one day, “Alicia, you have an indomitable spirit. Lyme doesn’t have anything on you.” You have to understand that I felt absolutely miserable at the time.  My life and emotions dangled by a mere thread. But, I found myself meditating on what he said.  The result was I began to smile. A load was beginning to lift off my back. My experience hadn’t changed but his words did what no medicine could achieve.  He gave me HOPE!  There’s a verse that states: “Thoughtless words can wound as deeply as any sword, but wisely spoken words can heal.”  All I can tell you is that the words he spoke were like medicine to my soul and I desperately needed to hear them.  I still chuckle when I think of it. They still put a spring in my step – years later.

And that is what this post is intended to do.  I want to give you HOPE.  You are not doomed – you are not helpless – you are not a victim with no power.  Much of your future is in your hands.  Some of it isn’t, but much of it is. You can’t always change external factors that get spear-chucked into your life but you can completely change how you think about and handle those things. You can continue to grow, develop, and become wiser, so that perhaps one day soon it will be your turn to utter life-saving words to another.

“You have an indomitable spirit.  Lyme, COVID-19, cancer, you name it – doesn’t have a thing on you!”

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The future is going to require level heads as I don’t believe COVID-19 or viruses in general will disappear. As a friend stated, “This virus may look back and wave at us,” meaning not disappear but remain in the environment as viruses tend to do (just look at chicken pox, EBV, herpes, and all the rest). I encourage you to learn all you can now for the future so you won’t fall prey to fear-based decisions because it’s a matter of civil liberties. Just as it would be wrong for me to prohibit others from using a potentially game-changing drug due to my experiences, so would it be wrong to prohibit the rest of the world from making a living and paying their bills due to fear of a virus.  It’s really that simple.

For more:  https://www.psychologytoday.com/us/blog/fearless-you/201311/fear-busting-formula-you-can-remember

https://www.psychologytoday.com/us/blog/inviting-monkey-tea/201812/fear-false-evidence-appearing-real

https://www.awaken.com/2013/01/overcoming-f-e-a-r-false-evidence-appearing-real/

https://pathwaytohappiness.com/blog/definition-fear/

https://releasewellbeingcenter.com/blog/fear-false-expectations-appearing-real/

http://www.debilevine.com/?p=1134

 

 

Cost Analysis of Vaccination in Tick-Mouse Transmission of Lyme Disease

https://www.ncbi.nlm.nih.gov/pubmed/32169319

2020 Mar 10;494:110245. doi: 10.1016/j.jtbi.2020.110245. [Epub ahead of print]

Cost analysis of vaccination in tick-mouse transmission of Lyme disease.

Abstract

Lyme disease is one of the most prevalent and fastest growing vector-borne bacterial illnesses in the United States, with over 25,000 new confirmed cases every year. Humans contract the bacterium Borrelia burgdorferi through the bite of the tick Ixodes scapularis. The tick can receive the bacterium from a variety of small mammal and bird species, but the white-footed mouse Peromyscus leucopus is the primary reservoir in the northeastern United States, especially near human settlement. The tick’s life cycle and behavior depend greatly on the season, with different stages of tick biting at different times. Reducing the infection in the tick-mouse cycle may greatly lower human Lyme incidence in some areas. However, research on the effects of various mouse-targeted interventions is limited. One particularly promising method involves administering vaccine pellets to white-footed mice through special bait boxes. In this study, we develop and analyze a mathematical model consisting of a system of nonlinear difference equations to understand the complex transmission dynamics and vector demographics in both tick and mice populations. We evaluate to what extent vaccination of white-footed mice can affect Lyme incidence in I. scapularis, and under which conditions this method saves money in preventing Lyme disease. We find that, in areas with high human risk, vaccination can eliminate mouse-tick transmission of B. burgdorferi while saving money.

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For more:  https://madisonarealymesupportgroup.com/2019/09/11/bad-roommates-study-tracks-mice-to-nests-finds-ticks-aplenty/

While authorities have really pushed the mouse issue, please remember ticks love many things including reptiles, birds, and other mammals. They aren’t picky!

https://madisonarealymesupportgroup.com/2020/03/18/study-shows-100-of-robins-infected-with-lyme-songbirds-are-spreading-lyme-into-new-areas/

https://madisonarealymesupportgroup.com/2017/08/17/of-birds-and-ticks/

https://madisonarealymesupportgroup.com/2016/10/02/the-role-of-birds-in-tickborne-illness/

https://madisonarealymesupportgroup.com/2019/01/25/bb-in-s-italian-ectoparasites-reptiles/

https://madisonarealymesupportgroup.com/2019/01/14/python-covered-with-more-than-500-ticks-rescued-in-australia/  It’s not often I feel sorry for a snake….

Tick prevention: https://madisonarealymesupportgroup.com/2019/04/12/tick-prevention-2019/

https://madisonarealymesupportgroup.com/2019/12/27/integrated-tick-management-reduces-ticks-by-93-study-finds/

https://madisonarealymesupportgroup.com/2019/07/18/frequent-prescribed-fires-can-reduce-risk-of-tick-borne-diseases/