https://danielcameronmd.com/can-lyme-disease-trigger-a-cascade-of-costly-unnecessary-tests/

Can Lyme disease trigger a cascade of costly, unnecessary tests?

Lyme disease patient getting a costly tests including an MRI.
In an article published in JAMA Internal Medicine, Dr. Meredith Niess described a case where routine medical tests triggered a cascade of costly, unnecessary care.

Dr. Meredith Niess discussed the case in more detail in an NPR story.[1] A man was scheduled for hernia surgery. A preoperative X-ray was ordered despite the paucity of evidence of whether the X-ray was needed. The X-ray suggested a mass. The patient was worried about cancer.

Cancer was ruled out. “In fact, a follow-up CT scan showed a clean lung but picked up another suspicious “something” in the patient’s adrenal gland,” stated Neiss. The second CT scan was negative.

Niess used the case “as an example of what researchers call a “cascade of care” — a seemingly unstoppable series of medical tests or procedures.”

This cascade effect has been described before. “With regard to medical technology, the term refers to a chain of events initiated by an unnecessary test, an unexpected result, or patient or physician anxiety, which results in ill-advised tests or treatments that may cause avoidable adverse effects and/or morbidity,” wrote Deyo.[2]

Deyo cited an example of a cascade effect in his review from the professionals who coined the term.

Mold & Stein offered the story of a patient admitted to the hospital for elective repair of an inguinal hernia.[3] “He had a history of coronary disease with very mild arterial narrowing on a previous cardiac catheterization. Anxious about his cardiac status, the surgeons requested a preoperative cardiology consultation. Perhaps uncertain about his own clinical judgment, the cardiologist suggested obtaining an exercise tolerance test.

This was delayed for six hours while the patient waited outside the test room, during which time he became anxious, agitated, and angry, and had some mild chest discomfort. Because of the chest discomfort, the test was not done and the patient was transferred to a telemetry unit. There he became more anxious and agitated, was found to have some electrocardiogram changes, and received medications.

He underwent another cardiac catheterization, which actually showed slight improvement since his previous test. At that point, the hernia repair could not be performed because of a full operating room schedule, and the primary physician was left to try to reassure the patient that he was in no danger. The procedure had to be delayed for two weeks.

In this example, the chain of events seemed to be fueled by physician anxiety, and it snowballed with the addition of patient anxiety.”

Cascade of tests for Lyme disease patients

In some cases, Lyme disease may go undiagnosed and with its broad array of symptoms and presentations can trigger a cascade of costly, unnecessary tests.

Misdiagnosis and delayed diagnosis have been described in a large Lyme disease database.

More than half (51%) reported that it took them more than three years to be diagnosed and roughly the same proportion (54%) saw five or more clinicians before diagnosis. These diagnostic delays occurred despite the fact that 45% of participants reported early symptoms of Lyme disease within days to weeks of exposure,” wrote Johnson et al. [4]

Others with recurrent Lyme disease and Lyme encephalopathy have waited an average of 2 years before receiving treatment.[5,6]

These delays can have life-long repercussions. Once the Borrelia burgdorferi (Bb) infection disseminates, symptoms can become more problematic and treatment more difficult.

References:
  1. When routine medical tests trigger a cascade of costly, unnecessary care. https://www.npr.org/sections/health-shots/2022/06/13/1104141886/cascade-of-care
  2. Deyo RA. Cascade effects of medical technology. Annu Rev Public Health. 2002;23:23-44. doi:10.1146/annurev.publhealth.23.092101.134534
  3. Mold JW, Stein HF. The cascade effect in the clinical care of patients. N Engl J Med. Feb 20 1986;314(8):512-4. doi:10.1056/NEJM198602203140809
  4. Johnson L, Shapiro M, Mankoff J. Removing the Mask of Average Treatment Effects in Chronic Lyme Disease Research Using Big Data and Subgroup Analysis. Healthcare (Basel). Oct 12 2018;6(4)doi:10.3390/healthcare6040124
  5. Fallon BA, Keilp JG, Corbera KM, et al. A randomized, placebo-controlled trial of repeated IV antibiotic therapy for Lyme encephalopathy. Neurology. Mar 25 2008;70(13):992-1003. doi:10.1212/01.WNL.0000284604.61160.2d
  6. Cameron DJ. Consequences of treatment delay in Lyme disease. J Eval Clin Pract. Jun 2007;13(3):470-2. doi:10.1111/j.1365-2753.2006.00734.x

Controlling Hurricane Ian?

**UPDATE**

To demonstrate how “climate change” is being used for political purposes, recently Biden claimed Hurricane Ian proves “climate change” despite an expert’s dismissal and a recent study stating otherwise, but truth be damned.  It’s all relative if it forwards the accepted narrative.  An astrophysicist weather expert has also come forward stating the climate has nothing to do with man and that climate “scientists” are on a “gravy train” to secure funds.  Another study demonstrates there’s no climate emergency, while another shows that coal fly ash, utilized in tropspheric aerosol geoengineering is the primary cause of stratospheric ozone depletion, not chlorofluorocarbons.

Is Our Weather Being Manipulated?

The following information is from this short 4 minute report by GeoengineeringWatch.org.

The use of jet aircraft spray to cause cloud seeding to alter a storm is part of a weather modification program known as Project Cirrus, which accomplished the first cloud seeding of a hurricane back in 1947. The list of weather modification patents is in the hundreds and continues to grow.

Weather modification is not new.

Normally using silver iodide, dry ice has also been used for seeding. This first historical seeding caused a reversal of a hurricane’s path, making landfall in Georgia causing local destruction.  Many blamed the seeding and the project was officially canceled, setting seeding research back more than a decade.

In 1962, the US military’s operation STORMFURY picked up where Project Cirrus left off.

During the 1960’s the US military continued to expand its weather warfare effort in Vietnam with project Operation Popeye.

The video shows President Lyndon B. Johnson giving a speech were he states:

“He who controls the weather controls the world.”

National weather service employees are tethered by an illegal, federal gag order so it’s all kept on the down and low.

The scheduled weather forecasting scripts are then passed all the way down to the local meteorologist level.
The official narrative must be controlled.

Is Hurricane Ian in Florida just a random act of nature or is it being manipulated by particulate sprays from jet aircraft and then controlled by radar facilities and microwave transmission towers?

One thing’s for certain, as more and more are waking up, pushing back, and acknowledging a Globalist Agenda which includes the “climate change” agenda, the war in Ukraine, spiraling electricity and gas prices, and food shortages, the globalists are cornered which means an “engineered” disaster is about to strike to manipulate the public by revamping fear to achieve its desired ends.

Don’t fall for it.

For more:

http://  Approx. 1 Min

Sept. 29, 2022

Dr Joseph Fraiman speaks to Mark Steyn after a report is published suggesting the Covid vaccine ‘caused one in 800 adverse events.’

‘Our public officials aren’t speaking about this. It’s their duty to be speaking about the findings in our study.’ ~ Dr. Fraiman
I highly recommend the documentary “Safe and Effective: A Second Opinion.”
____________________

Vaccine Failure Is Not a Reason to Celebrate!

Reporting on a new study, U.S. News & World Report this week published an article, “‘Breakthrough’ Infections After COVID Vaccine Can Help Prevent Future Illness,” which spins vaccine failure as a reason to celebrate.

Let’s pause and read that again: Breakthrough infections … after COVID-19 vaccine … can help prevent future illness.

If you get the disease the vaccine was supposed to prevent, it can help prevent you from getting the disease the vaccine was supposed to prevent … again.  (See link for article)

Is this supposed to be good news?
_____________________
**Comment**
This only makes sense in the Topsy-turvy world of the new normal.
It is clear that this article was written to placate the burgeoning demographic who got the shot but got infected anyway, and who are left remorsefully scratching their heads.
The author points out the steps to placate a questioning public:
  1. Don’t mention the misleading messaging throughout the pandemic
  2. Don’t mention any of the harm that was done
  3. Offer speculation as fact
  4. Don’t mention the unvaccinated
  5. Don’t mention that once you are “vaccinated” you are forever “vaccinated”. There’s no going back.
Again, just repeat “It’s safe and effective”, even though the CDC is hiding data.
For more:

https://theconversation.com/la-crosse-virus-is-the-second-most-common-virus-in-the-us-spread-by-mosquitoes-and-can-cause-severe-neurological-damage-in-rare-cases

La Crosse Virus is the Second-Most Common Virus in the US Spread by Mosquitoes – and Can Cause Severe Neurological Damage in Rare Cases

By Rebecca Trout Fryxell, Assoc, Professor of Medical and Veterinary Entomology, University of Tennessee

Sept. 9, 2022

For the Laudick family of Greensburg, Indiana, life forever changed on Aug. 5, 2013. That was the day 4-year-old Leah Laudick told her mom, Shelly, that she had a bad headache.

Two days later, Leah was hospitalized nearby with worsening headaches and a slightly elevated white blood cell count. She slept for most of the day and by Aug. 9 was largely unresponsive.

That day, during her transfer to Peyton Manning Children’s Hospital in Indianapolis, Leah had her first of several seizures. Doctors were unable to identify her illness – tests for diseases like meningitis, Rocky Mountain spotted fever and herpes simplex all came back negative.

One day later, on Aug. 10, Leah’s brain activity stopped. That evening she passed away in the arms of her grieving parents.  (See link for article)

_________________

**Comment**

A Bill Gates funded factory breeds 30 million mosquitoes to release in 11 countries and genetically modified mosquitoes are now vaccinating humans.

What could possibly go wrong?

Mainstream media & medicine will not connect the fact that millions of mosquitoes are being released all over the world with subsequent changes in ecology, disease transmission, human/animal health, the fact DARPA is involved and where “toxicity is health, and the old crazy is the new normal.”  BTW: it’s happening in Lymeland too.

Just repeat “It’s safe and effective.”

SUMMARY:

  • The only reason we know about this case is due to Leah’s father emailing the author (an associate professor of entomology) asking how he could help with her work and agreeing to tell their story.
  • The family learned a few months after her death that La Crosse virus was the culprit.
  • While West Nile Virus makes up more than 90% of annual viral infections from mosquitoes or ticks, La Crosse is the next most prevalent virus causing 2% of mosqui or tickborne viral infections a year which extrapolates out to 50-150 cases per year.
  • Historically most cases occurred in the upper Midwest but the majority now occur in the southern Appalachia region.
  • Nobody knows why but there’s plenty of trollop about the climate
  • It is carried and transmitted primarily by the eastern tree-hole mosquito, Aedes triseriatus, a native species found throughout most of the Eastern U.S. This mosquito’s preferred habitat is places with obvious tree holes for female mosquitoes to deposit their eggs, such as hardwood forests.
  • It may also be transmitted by two exotic and invasive mosquito species: the tiger mosquito, Aedes albopictus, and the bush mosquito, Aedes japonicus.
  • It’s hard to diagnose because it looks similarly to the flu.
  • The only way to test for it is to send it to the completely and utterly corrupt CDC, which monopolizes testing and maligns any other labs or tests.
  • Cases tend to cluster in local communities so those successfully diagnosed can tell local doctors and officials it is present in their area.
  • Symptoms start with fever, fatigue, vomiting, and headache that lasts nearly 2 weeks.  Most recover; however, like West Nile, it is neuroinvasive and the immunocompromised can have severe cases which are typically discovered in the hospital after experiencing a seizure, coma, partial paralysis of one side, or an altered mental state.  Some experience long term neurological damage and in rare cases, death.
  • Similarly to Lyme/MSIDS, the best antidote is to prevent the bite in the first place:
    • get rid of outdoor objects that catch and contain water to reduce mosquito breeding
    • avoid mosquitoes by staying inside during peak hours in the early evening
    • use repellents like mosquito coils, and bug spray
    • wear light clothing

https://www.globallymealliance.org/blog/nicola-lavin

After 20 years of miscellaneous, debilitating symptoms and countless ignorant doctors, Nicole Lavin decided to take an active role in her healing journey and saved her life.
How It All Started…

My name is Nicola Lavin and my story starts 22 years ago in the Summer of 2000. I was almost finished my degree as a medical scientist and before settling into a long term career. I wanted one more summer of fun so I left Ireland to join the hundreds of other J1 students in Montauk New York. Let me just say… Montauk is heaven! Sandy beaches and long summer days and hundreds of students working together and living the dream.

download (2)I got a job at the infamous Guerney’s Inn. I could walk to work every morning through the grass and watch chipmunks play right beside me. I didn’t even think about ticks just waiting to find their prey. In this case, it was the white freckly legs of an Irish girl walking happily through the long grass. I also didn’t even realize that I had been bitten. I had an area in my armpit that became red and swollen but I never developed the diagnostic bulls-eye rash.

I flew home really sick. Like having the worst flu and hangover of your life all at once. I immediately went to my doctor at home who told me to give it a few weeks and come back if I still wasn’t better. I didn’t get better and the daily nausea became so bad that it prompted my doctor so do a pregnancy test and you guessed it….I was pregnant! All of my symptoms were put down to that and never having been pregnant before I didn’t know that it really wasn’t supposed to be that bad. By the end of the pregnancy, I was rushed to hospital in complete heart failure. My heart stopped and I died and had to be revived. 

I was never the same after that. Even though the doctors were happy that they had reversed my heart failure through medication, they still couldn’t account for the extreme fatigue and large myriad of symptoms that I was now experiencing.

My Many Symptoms

download (3)Over the years, I developed many autoimmune conditions, my heart rate was consistently low (about 35bpm), POTS, severe pins and needles, joint pain, muscle fatigue, brain fog and memory loss. I also developed painful oesophageal spasms, difficulty swallowing and then began having strange neurological symptoms like paralysis episodes where I could hear my son and husband crying with worry but I couldn’t move a muscle to let them know I was ok. When I eventually would come around, my speech would be slurred like someone who had just suffered a stroke.

The Countless Doctors

And still the doctors passed me off from one to the other. Instead of them looking at my symptoms as a whole, I was referred to a rheumatologist for my joint pain, a dermatologist for my burning skin, a gastroenterologist for my oesophageal spasms, a cardiologist for POTS, an immunologist who told me that he didn’t do fatigue and several neurologists for my nerve pain and memory issues.

And still the doctors passed me off from one to the other. Instead of them looking at my symptoms as a whole, I was referred to a rheumatologist for my joint pain, a dermatologist for my burning skin, a gastroenterologist for my oesophageal spasms, a cardiologist for POTS, an immunologist who told me that he didn’t do fatigue and several neurologists for my nerve pain and memory issues. Despite me telling them initially about the bite I thought I had gotten, I was never tested for Lyme disease. And I was 17 years sick like this, going from doctor to doctor for answers and still trying desperately to live a normal life. My blood tests at this stage always showed inflammation in my body and that I was now producing autoantibodies.

Finally Finding Answers

download (6)Taking care of me became my husband’s full-time career: having to wash, spoon feed me and even brush my teeth. I decided that was enough and began researching myself. The medical scientist in me had also thought of Lyme so I paid myself to have my bloods testing in a private lab in Germany. My Lyme PCR came back positive for Borellia burgdorferi DNA and an American strain of the bacteria. Finally I had answers but as anyone with a Lyme diagnosis knows that is just when the uphill battle begins as so many doctors still refused to accept that chronic Lyme disease actually exists.

I did find a good neurologist who took me under his wing, and after a year and a half off a strong cocktail of antibiotics the scientist in me felt that the Lyme had to be well and truly dead. But I still felt awful! The more I thought about it the more I realized that it was my immune system causing the issues. Think of it this way. Your house is on fire but you manage to put the fire out after a lot of damage is done. You wouldn’t go back living in this house until that damage was repaired. So I knew that was what I had to do, repair my damaged immune system. I needed to clean out all of the junk in my damaged cells and get them communicating again. I needed to fix my nerve cells so that my brain could make my organs function properly again. So I decided to go back to Germany where they seemed to know a lot more about treating Lyme to have stem cell therapy.

After 18 long years, I was finally given a second chance at life.

download (5)On October 4th 2018 my stem cells were removed from my fat cells on my hips in a procedure that is very similar to liposuction. I was dreading this part, but it didn’t hurt in the slightest. A short time later my husband was given the privilege of injecting my stem cells through my IV. To say that we were emotional is an understatement. After 18 long years, I was finally given a second chance at life.

The Healing Process

I’m not going to lie, the healing process was tough. There were days when I never thought I would come out the other side. Neurological healing takes up to two years, but I was extremely lucky in that this treatment worked for me. My quality of life began to improve dramatically to the point where I could work and travel (my biggest passion in life). Being bed-bound was like solitary confinement–so as soon as I was well enough, I began traveling and documenting my journeys.

I enjoyed it so much that I started a travel blog and now get to travel the world with my husband. Any symptoms I have now are mild and the most important thing is that I now have a good quality of life. I am back doing what I love most…..exploring the world! Traveling the world with chronic illness isn’t easy but it is possible and my advice to anyone dealing with Lyme disease at the moment is that even though it might not feel like you will ever get your life back never give up! It took me over 18 years and it’s an experience that has changed my life forever but it has made me so appreciative of the little everyday moments in life.

For more blogs and patient stories, click here.

The above material is provided for information purposes only. The material (a) is not nor should be considered, or used as a substitute for, medical advice, diagnosis, or treatment, nor (b) does it necessarily represent endorsement by or an official position of Global Lyme Alliance, Inc. or any of its directors, officers, advisors or volunteers. Advice on the testing, treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient’s medical history.