Lyme Disease Misinformation Has Physicians Searching For Guidance Part 3

January 26, 2023

https://www.change.org/p/the-us-senate-calling-for-a-congressional-investigation-of-the-cdc-idsa-and-aldf/u/31256356

Lyme disease misinformation has physicians searching for guidance (Part 3)

Carl Tuttle

Hudson, NH, United States

JAN 25, 2023 — 

This petition update is a continuation of the attempts to alert Dr. Arnold Chen, Senior Researcher at Mathematica that the CDC (Grace Marx, MD, MPH) is deliberately misrepresenting Lyme disease which will lead to inappropriate guidance for the medical community.

———- Original Message ———-
From: CARL TUTTLE <runagain@comcast.net>
To: “achen@mathematica-mpr.com” <achen@mathematica-mpr.com>, “info@mathematica-mpr.com” <info@mathematica-mpr.com>, “pdecker@mathematica-mpr.com” <pdecker@mathematica-mpr.com>
Cc: “lwx1@cdc.gov” <lwx1@cdc.gov>, “frederick.chen@ama-assn.org” <frederick.chen@ama-assn.org>, “gmarx@cdc.gov” <gmarx@cdc.gov>, “acoyne@mathematica-mpr.com” <acoyne@mathematica-mpr.com>, “jconstantine@mathematica-mpr.com” <jconstantine@mathematica-mpr.com>, “ctrenholm@mathematica-mpr.com” <ctrenholm@mathematica-mpr.com>, “tbarnes@mathematica-mpr.com” <tbarnes@mathematica-mpr.com>, “sboudreau@mathematica-mpr.com” <sboudreau@mathematica-mpr.com>, “jdevallance@mathematica-mpr.com” <jdevallance@mathematica-mpr.com>, “sara.berg@ama-assn.org” <sara.berg@ama-assn.org>
Date: 01/24/2023 8:29 AM
Subject: Fwd: Lyme Disease Updates and New Educational Tools for Clinicians -Grace Marx, MD, MPH

Mathematica
Princeton, NJ
Attn: Arnold Chen, Senior Researcher
Dear Dr. Chen,

Please see the email below dated one day before Dr. Marx presented her Clinician Outreach and Communication Activity (COCA) Webinar on May 20, 2021.

There are 9 important facts about Lyme disease missing from Dr. Marx’s presentation and I assume these facts will also be missing from the upcoming guidance created by Mathematica
Carl Tuttle
Hudson, NH

Email to Grace Marx, MD, MPH:

———- Original Message ———-
From: CARL TUTTLE <runagain@comcast.net>
To: “lwx1@cdc.gov” <lwx1@cdc.gov>, “coca@cdc.gov” <coca@cdc.gov>
Cc: Lynn Durand <ldurand@crhc.org>, Tricia Aiston <tricia@aiston.net>, “Dr. Frank Hubbell” <bearhubbell@aol.com>, Mary Mayville <mj4ok@aol.com>, “Dr. Rex Carr” <rcarrmd@comcast.net>, “benjamin.chan@dhhs.nh.gov” <benjamin.chan@dhhs.nh.gov>, “apara.dave@nhms.org Apara” <ApDave@ehr.org>, Charles McMahon <cmcmahon55@gmail.com>, William Marsh <wmarshmd@gmail.com>, Kathie Fife <kathie@kathiefife.com>, Christina Dyer <Christina.Dyer@leg.state.nh.us>, Jeb Bradley <Jeb.Bradley@leg.state.nh.us>, Mary Freitas <Mary.Freitas@leg.state.nh.us>, Tom Sherman <Tom.Sherman@leg.state.nh.us>, Jeb Bradley <jebebrad@metrocast.net>, Michelle Wagner <mwagner@naminh.org>, “yzhang@jhsph.edu” <yzhang@jhsph.edu>, “jc.salloway@unh.edu” <jc.salloway@unh.edu>, “barbarabuchman@ilads.org” <barbarabuchman@ilads.org>, “dandmhamp38@gmail.com” <dandmhamp38@gmail.com>, “killinger888@comcast.net” <killinger888@comcast.net>, “drhegnauer@h2health.org” <drhegnauer@h2health.org>, “Gary.Woods@leg.state.nh.us” <Gary.Woods@leg.state.nh.us>, “chris.smith@mail.house.gov” <chris.smith@mail.house.gov>, “Sununu.Press@nh.gov” <Sununu.Press@nh.gov>, “alexa011@mc.duke.edu” <alexa011@mc.duke.edu>, “governorsununu@nh.gov” <governorsununu@nh.gov>
Date: 05/19/2021 1:20 PM
Subject: Lyme Disease Updates and New Educational Tools for Clinicians

Lyme Disease Updates and New Educational Tools for Clinicians
https://emergency.cdc.gov/coca/calls/2021/callinfo_052021.asp

During this COCA Call, presenters will review updates in Lyme disease epidemiology, diagnosis, treatment, and prevention and share new educational tools for both healthcare providers and their patients.

“Planners have reviewed content to ensure there is no bias.”

May 19, 2021

Grace Marx, MD, MPH
LCDR, U.S. Public Health Service
Medical Epidemiologist, Bacterial Diseases Branch
Division of Vector-Borne Diseases
Centers for Disease Control and Prevention

Dear Dr. Marx,

As a member of the New Hampshire Lyme Disease Study Commission appointed by Governor Chris Sununu, I have some concerns/questions regarding your upcoming presentation.

If there is to be no “bias” in your presentation does that mean that the CDC will finally recognize persistent infection after extensive antibiotic treatment? Please take a moment to read my letter to the editor published in the BMJ as I have identified seven documented cases of treatment failure; there are actually hundreds.

Letter to the editor of the BMJ

Lyme borreliosis: diagnosis and management
https://www.bmj.com/content/369/bmj.m1041/rr-1

Dr. Marx… will you be sharing the following facts/references with the intended audience?

  1. It takes 4-6 weeks for humans to fully develop both IgM and IgG antibodies to Lyme disease in order to produce a positive Western blot test result. [1]
  2. Treatment delay of over thirty days often leads to Chronic Lyme Disease. [2]
  3. Bulls-eye rash has been recorded in less than 50% as reported by the State of Maine Department of Health. [3]
  4. Seronegative disease has been identified [4] (no antibody production to infection producing a false negative lab result)
  5. You can become horribly disabled or die [5] from Lyme disease and routinely denied Social Security Disability Compensation.
  6. 35% of acute Lyme disease patients (21out of 63) who were treated with the IDSA’s short course of antibiotics were found to meet the case definition of “Post Lyme Disease Syndrome” at six months. (Johns Hopkins) [6]
  7. Single dose Doxycycline after tick bite as prophylaxis against Lyme disease failed 80% of the time in the mouse model so why would this be recommended in humans? [7]
  8. There are hundreds of references to failed treatment of the one-size-fits-all IDSA Lyme treatment guideline. [8]
  9. Congenital transmission of Lyme disease has been identified dating back to 1985 [9]

I want to make this perfectly clear Dr. Marx; The current dogma propagated for the last thirty years has misguided an entire medical community and misclassified Lyme as a simple nuisance disease; “hard to catch and easily treated.” [10] Take a moment and read the public comments from the Tick-Borne Disease Working Group website and you’ll see that we have a public health crisis on our hands with hundreds of thousands (if not millions worldwide) left in a debilitated state. The deliberate bias against persistent infection after extensive antibiotic treatment is 100% responsible for this unimaginable pain and suffering.

Will your presentation continue on this path of deception and omit the facts/references I have provided?
A response to this inquiry is requested. Please hit reply-all.

Respectfully Submitted,

Carl Tuttle
Hudson, NH

Cc: All members of the NH Lyme Study Commission
Governor Chris Sununu

When “evidence-based medicine” has been spun to fit bias agendas and the patient voice has been intentionally ignored who investigates the dishonest science? -Carl Tuttle

References: Please read them!

1. Notice to Readers Recommendations for Test Performance and Interpretation from the Second National Conference on Serologic Diagnosis of Lyme Disease https://www.cdc.gov/mmwr/preview/mmwrhtml/00038469.htm

2. Treatment Delays Increase Risk of Persistent Illness in Lyme Disease
https://www.hopkinslyme.org/news/treatment-delays-increase-risk-of-persistent-illness-in-lyme-disease/

3. State of Maine Department of Health has been tracking incidence of rash and found an average of under 50% for the four years listed below:

2011 42%
http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/lyme/documents/2011-lyme-legislature.pdf

2012 49%
http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/lyme/documents/2012-lyme-legislature.pdf

2013 51%
http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/lyme/documents/2013-lyme-legislature.pdf

2014 57%
http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/lyme/documents/2014-lyme-legislature.pdf

4. Seronegativity in Lyme borreliosis and Other Spirochetal Infections 16 September 2003
https://www.dropbox.com/s/3d6m45jzlhhwalu/Seronegativity.pdf?dl=0

5. Deaths From Lyme Disease Compiled by: John D. Scott, Research Scientist 17 April 2018
https://www.dropbox.com/s/eo794dx7zspc1ln/Ld%20deaths.doc?dl=0

6. Post-treatment Lyme disease syndrome symptomatology and the impact on life functioning: is there something here?http://www.lymemd.org/pdf/aucott_et_al_qol_research.pdf

7. A sustained-release formulation of doxycycline hyclate (Atridox) prevents simultaneous infection of Anaplasma phagocytophilum and Borrelia burgdorferi transmitted by tick bite
https://www.dropbox.com/s/jc0h9g9arjhc8l1/Zeidner%202008.pdf?dl=0

8. 700 articles LYME Evidence of Persistence-V2
https://www.dropbox.com/s/n09sk90eo6xz7ua/700%20articles%20LYME%20EvidenceofPersistence-V2.pdf?dl=0

9. Congenital Transmission of Lyme
https://www.dropbox.com/s/xlju8w25phkypy0/Congenital%20Transmission%20of%20Lyme.pdf?dl=0

10. 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

___________________________________________________________________________

Announcement of Dr. Marx’s Presentation:

                Notice from the CDC

Lyme Disease Updates and New Educational Tools for Clinicians
Date: Thursday, May 20, 2021

Time: 2:00 pm – 3:00 pm (ET)

From: Centers for Disease Control and Prevention < no-reply@emailupdates.cdc.gov>
Sent: Monday, May 17, 2021 11:15 AM
Subject: Reminder: CDC COCA Call—Thursday, May 20: Lyme Disease Updates and New Educational Tools for Clinicians

Go here for Part 1

Go here for Part 2

Category:

Activism, Lyme, Uncategorized

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The Many Presentations of the Lyme Disease rash

https://danielcameronmd.com/many-presentations-lyme-disease-rash/

THE MANY PRESENTATIONS OF THE LYME DISEASE RASH

lyme-disease-rash

The general public, as well as practicing clinicians often believe that the rash indicative of Lyme disease always presents in a bull’s-eye pattern. This is not correct. In this study, investigators sought to characterize various presentations of the rash in Lyme disease patients, in an effort to assist clinicians in recognizing the broad spectrum of EM lesions.

By 

In the study “The Spectrum of Erythema Migrans in Early Lyme Disease: Can We Improve Its Recognition?,” investigators examined images of lesions from 69 participants, including 43 men and 26 women, suspected to have early Lyme disease.  The majority of participants (83%) presented with a single lesion.¹

The images were retrospectively evaluated by a dermatologist and a family practitioner with expertise in early Lyme disease.

The authors found that 35 lesions (51%) were erythema migrans (EM); 23 lesions (30%) were considered to be possible early EM or tick bite reactions, and 11 (16%) were thought not to be EM, but rather other diagnoses, including ringworm, allergic contact dermatitis, and mosquito bites.

“Only two lesions (6%) were observed with a classic bull’s eye or ring-within-a-ring pattern.”

EM rashes were reported most frequently to appear on the abdomen, thigh, back and hip.

Participants with an EM rash reported the following symptoms: chills, fever, night sweats, headache, fatigue, body aches, nausea and neuralgia.

Most EM lesions appeared:

  • Uniform (51%)
  • Pink (74%)
  • With an oval shape (63%)
  • Well-defined borders (92%)

What did early EM or tick bite reactions look like? They “were typically <5 cm in size (74%), red (52%), round lesions (61%), with a punctum present (100%),” according to the authors.

Lesions that were not EM rashes appeared: pink or red (64%), round (55%), or uniform (45%) lesions, but also had raised (25%) or irregular borders (33%).

“EM commonly occurs in forms that are not the classic bull’s eye.”

“Only 14 (20%) participants overall had positive laboratory evidence for LD; these included 13 (37%) of the participants with EM-classified lesions,” the authors wrote.

VIEW PHOTOS OF EM RASHES

The authors suggest that “education should deemphasize the bull’s eye form and stress the wide variability in EM instead and the fact that many of them present as a uniform, homogeneous lesion.”

The authors conclude:

  • “Patients often present with lesions that may represent the very early stage of EM or tick bite reactions, and most patients will test negative on currently available laboratory tests…”
  • “Clinicians may not be aware of all existing variations, such that some LD patients with EM may not be immediately recognized and promptly diagnosed and treated. Hence, further improvements in terms of clinician awareness and recognition of EM are needed.”
Related Articles:

What does a Lyme disease rash look like?

Lyme disease rash puzzles doctors, leads to misdiagnoses

Erythema migrans rash doesn’t always have Bull’s eye appearance

References:
  1. Schotthoefer A M, Green C B, Dempsey G, et al. (October 25, 2022) The Spectrum of Erythema Migrans in Early Lyme Disease: Can We Improve Its Recognition? Cureus 14(10): e30673. doi:10.7759/cureus.30673

________________

For more:

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Lyme, research

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German Health Minister Warns of Incurable Immune Deficiency From COVID But Ignores Elephant in the Room: COVID Injections

January 25, 2023

https://philipmcmillan.substack.com/p/warning-from-german-health-minister

Warning from German Health Minister!! – Immunodeficiency after COVID infection

Or more appropriately, after injection?
Dr Philip McMillan
Approx. 11 Min
 “It’s sad that at this stage we still have to be speaking in code.  But we do.  And it’s important for people to read between the lines and recognize that at the end of the day science is what we have to follow. We have to become determined that no matter what we are looking at, we mustn’t be afraid to face it. That seems to be the challenge that we have today.”
“Sadly at the moment, it seems that politics and finance seems to be leading most of the charge.  ~Dr. Philip McMillan

Headline NTV/Politics – 21st January 2023:

Read full article here (Translate German to English) >

It is important to note that the unmentioned elephant in the room is covid “vaccines.”

The mechanism of immunodeficiency through vaccination is four fold:

  • SARS-COV2 infection causes transient T and B cell immune depletion. That is a normal part of the immune changes. However, natural immunity prevents recurrent infection.
  • Covid “vaccines” impact on the immune response to cause a mainly spike furin epitope antibody response which is not effective against Omicron.
  • Recurrent Omicron infection leads to interferon suppression and immune dysregulation in those that are vulnerable (vaccinated and interferon autoantibodies)
  • Covid “vaccines” also increase the risk for interferon autoantibodies which exacerbates the risk of recurrent infection.

For more:

Category:

Activism, vaccines, Viruses

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New mRNA “Vaccine” Factory Made From Shipping Containers Headed to Africa While FDA is Poised to Rubberstamp Booster

https://www.freethink.com/health/mrna-vaccine-factory

New mRNA vaccine factory is made from shipping containers

Each “BioNTainer” can produce 50 million COVID-19 vaccine doses per year.
By Kristin Houser
Image
(See link for article)
Important excerpt:
Although this administration claims to follow the science, they instead follow the Bourla. Their policies have been dictated to them by Pfizer, and work to keep Pfizer shareholders rich. I fear that many of the key players here— Marks, Jha, Walensky and Califf— will go to work for Pfizer at the end of their term; just as Scott Gottlieb former FDA commish has.
_________________

https://popularrationalism.substack.com/p/fda-has-no-bar-to-lower-on-bivalent

FDA Has No Bar to Lower on Bivalent Boosters: YOUR ACTION is Needed to Hold them to Standard

FDA cannot go any lower than to ignore the absence of legally required data from Pfizer on myocarditis

James Lyons-Weiler
Excerpts:

FDA has thrown out, once again, even any pretense of being serious about paying attention to data on vaccine safety and efficacy and appears ready to rubber stamp Pfizer’s bivalent booster.

Due to FDA’s reckless actions, Americans will now only be pressured/ cajoled/ manipulated/ coerced into accepting an annual unproven vaccine. Children and older Americans will be coerced into accepting two doses of bivalent shot, with the idea that perpetual boosters at unspecified time intervals will follow.

URGENT CALL TO ACTION – What You Can Do To Help: Contact your Congressional representatives and Senators and send them this article and demand censure of the FDA by the US House of Representatives an incorruptible civilian oversight board over HHS on vaccine safety (The Research Intelligence Network). With thousands of emails and phone calls, we’ll bring the lack of sufficient oversight by the FDA to the forefront of the ongoing issues and force them to do their jobs.

Find Your Representative

Contact Your Senator

Share on Social Media and Tag an Elected Representative

(See link for article)

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You Are Not Ready for This: Up to 70% of COVID Deaths Due to Ventilators

**UPDATE May, 2023**

Now a study proves that most COVID patients who died in hospitals were actually killed by the ventilators.  

https://popularrationalism.substack.com/p/you-are-not-ready-for-this-did-protocolists?

You are Not Ready for This: Did Protocolists Euthanize COVID-19 Patients with Ventilators and Sedatives “To Save Other Patients”, >50% kill rate? Up to 70% of COVID-19 Deaths Due to Ventilators

Now that the vaccinated are dominating those hospitalized, “Guidelines are just guidelines”. Please share this article and tag an AG for maximum impact. They cannot ever be allowed to do this again

James Lyons-Weiler

TRIGGER ALERT: If you lost a loved one to COVID-19 and the doctors tried to ventilate your loved one early, please do not read any further. Have someone close to you read this, read the full article, and describe the article to you in a calm, quiet setting. You will need a friend to help you through this.

If you are a doctor who has been persecuted for doing the right thing, perhaps you lost your license or it is being threatened, send this Wall Street Journal to your lawyers – and thank you for not acquiescing to the demands that you kill patients on ventilators and with strong sedatives.

Either way, I encourage PR readers to read the WSJ article yourself and see if you agree or disagree. Leave a comment on your take. Am I wrong?

WSJ Article: McCullough, Kory, Lyons-Weiler, and Others Were Right.

In a jaw-dropping article published by the Wall Street Journal, (Hospitals Retreat From Early Covid Treatment and Return to Basics) physicians admit to ventilating patients who did not need it as a step in their protocol – get this – not as a treatment that was likely to benefit the patient, but rather as a fruitless and callous way of attempting to stop the spread of COVID-19.

“Last spring, with less known about the disease, doctors often pre-emptively put patients on ventilators or gave powerful sedatives largely abandoned in recent years. The aim was to save the seriously ill and protect hospital staff from Covid-19.

Now hospital treatment for the most critically ill looks more like it did before the pandemic. Doctors hold off longer before placing patients on ventilators. Patients get less powerful sedatives, with doctors checking more frequently to see if they can halt the drugs entirely and dialing back how much air ventilators push into patients’ lungs with each breath.”

“We were intubating sick patients very early. Not for the patients’ benefit, but to control the epidemic and to save other patients,” Dr. Iwashyna said “That felt awful.”

Yes, euthanizing humans is illegal. Especially for the benefit of other patients. It should feel awful.

“Last spring, doctors put patients on ventilators partly to limit contagion at a time when it was less clear how the virus spread when protective masks and gowns were in short supply. Doctors could have employed other kinds of breathing support devices that don’t require risky sedation, but early reports suggested patients using them could spray dangerous amounts of virus into the air, said Theodore Iwashyna, a critical-care physician at University of Michigan and Department of Veterans Affairs hospitals in Ann Arbor, Mich.”

“Subsequent research found the alternative devices to ventilators, such as delivering oxygen through nasal tubes, weren’t as risky to caretakers as believed. Doctors also gained experience with Covid-19 patients, learning to spot signs of who might suddenly turn seriously ill, some said.”

The WSJ article describes a study conducted that now allows doctors to predict who needs a ventilator and who does not:

“It found more doctors now follow the pre-pandemic protocols, which have reduced the number of deaths and shortened the time patients spend on ventilators, HCA’s chief medical officer said.”

“Before the pandemic, between about 30% to more than 40% of ventilator patients died, according to research. Numbers were sharply higher in the pandemic’s early hot spot in Wuhan, China. As the pandemic grew, hospitals in the U.S. reported death rates in some cases of about 50% for ventilated Covid-19 patients.”

(25.6 – 7.6)/25.6 = 70% of COVID-19 Deaths Due to Ventilators? Up to 50% Who Died in Hospital Did Not Have COVID-19?

“One study of three New York City hospitals found the death rate for all Covid-19 patients dropped to 7.6% from 25.6% between March and August after accounting for younger, healthier patients in the summer. Hospitals in New York were less crowded in August than during the April surge, which could increase mortality, the study’s authors wrote in October in the Journal of Hospital Medicine. The study also suggests patients may have benefited from new medications and improved treatment, they said.”

Add to the fact that up to 50 percent of COVID-19 “cases” were just “PCR positive” false positives. This means under protocolists’ “care”, perhaps as many as 50% of people who died with a PCR positive test result died because of a false positive PCR test. They either never had COVID-19, or they became infected in the hospital after going home for ten days with a respiratory ailment other than COVID-19 that, if tended to properly with outpatient care, would never have led to hospitalization.

Perverse Incentives to Ventilate Patients.

In a remarkable rarity of “fact-checking” gone right during the heyday of COVID-19 disinformation, USA Today actually verified Dr. Scott Jensen’s reports that hospitals were receiving financial incentives that he considered “gaming the system”, citing numerous independent so-called fact-checker opinion websites.

“We rate the claim that hospitals get paid more if patients are listed as COVID-19 and on ventilators as TRUE”, they reported in April, 2020.

“Hospitals and doctors do get paid more for Medicare patients diagnosed with COVID-19 or if it’s considered presumed (sic) they have COVID-19 absent a laboratory-confirmed test, and three times more if the patients are placed on a ventilator to cover the cost of care and loss of business resulting from a shift in focus to treat COVID-19 cases.”

It’s REAL Early Treatment, Stupid

We were right. So many of us were right. Protocolists should have listened.

Who Are the World’s Leading Authorities in COVID-19 Treatment?

Immeasurably Callous: Now That the Vaccinated Are Being Hospitalized Far More,“Guidelines are just guidelines”

From the WSJ article: “Researchers and doctors continue to study Covid-19 patients who require ventilators, and some experts have called for flexibility from pre-pandemic standards for doctors to decide how to calibrate ventilators. ‘It’s personalization, that’s the key word,’ said John Marini, a professor of medicine at the University of Minnesota. ‘Guidelines are just guidelines.’”

Anyone paying attention to the Public Health takeover of allopathy understands the reality that guidelines are only guidelines until someone in HHS or the White House decides to shut you down on personalized medicine.

We need harsh, hard investigations with consequences – and activists need to write bills tying the hands of protocolists to prevent them from ever again killing one patient to hypothetically save another – under threat of a murder charge.

We need legislation for “on-demand” scripts for off-label medicines that patients want for potentially deadly infections – regardless of “FDA Approval” (FDA does not, by definition, have to “approve” off-label scripts.

Also: there are helmet-based ventilator options – that are far less invasive, patients do not feel they are being attacked or strangled – and they come with free training.

Please let others know that hospitalists and protocolists have confessed to murder. Tag an attorney general in your post

________________

**Comment**

The WSJ article was written in Dec. 2020, and unfortunately, the supposed retreat and “return to basics” isn’t happening – at least where I live.  Mainstream doctors are still choosing lucrative protocols over individualized care, still utilizing toxic remdesivir, and still denying life-saving, cheap drugs like HCQ and ivermectin.  Politics and money are still leading science as evidenced by the continued push for the clot-shots despite not preventing transmission as well as all the evidence they are killing and maiming people. 

A new RCT; however, shows that ivermectin (200 microgram/kg) on day 1, followed by 100 micrograms/kg daily from days 2-28 in completely unvaccinated people reduces transmission by 72%.  The clot shots failed.  Ivermectin works at every stage of COVID, (and some 20 other viruses) but the band plays on.

Category:

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