ScienceDaily (Sep. 7, 2010) — The existence of chronic Lyme disease is an issue of sharp debate within the medical community. Some health care workers who call themselves "Lyme literate" insist that chronic Lyme disease is frequently diagnosed and treated by primary care physicians. Others, however, including the American Academy of Pediatrics and the Infectious Diseases Society of America, state that there is no convincing biological evidence that chronic Lyme disease exists. Many doctors are concerned with the potential dangers associated with the prolonged and intensive use of oral and intravenous antibiotics (the recommended treatment for chronic Lyme disease), such as blood clots and life threatening infections."
A study soon to be published in TheJournal of Pediatrics attempts to determine how often chronic Lyme disease is actually being diagnosed and treated.
Named for a community in Connecticut where it was first diagnosed, Lyme disease is a multi-system infection caused by the bacteria B. burgdoferi. Treatment typically includes a 10-28 day course of oral antibiotics. "Lyme literate" groups, such as the International Lyme and Associated Diseases Society (ILADS), define chronic Lyme disease as a debilitating illness caused by a persistent infection of B. burgdoferi; symptoms include fatigue, difficulty concentrating, headaches, and irritability. Treatment requires oral and/or intravenous antibiotic therapy that can last from several months to several years.
Dr. Michael Johnson, now at the Hospital of Saint Raphael in New Haven, and Dr. Henry Feder, of the University of Connecticut Health Center, attempted to determine how frequently Connecticut doctors were diagnosing and treating chronic Lyme disease. Of the 285 primary care physicians who responded to the survey, nearly one-half did not believe that chronic Lyme disease is a legitimate diagnosis, and 48% were undecided. Only 6 physicians -- or 2.1% -- diagnosed and treated patients for chronic Lyme disease. These 6 physicians treated patients for an average of 20 weeks with oral antibiotics; however, because these six physicians did not treat their patients with months to years of oral and/or intravenous antibiotics, they do not fit into the "Lyme literate" category.
Contrary to the assertions of the "Lyme literate" community, Dr. Feder does not believe intravenous antibiotic treatment is common practice. "The 6 physicians in our study who treated patients with chronic Lyme disease do not fit into the 'Lyme literate' group," he explains, "because they treated their patients for an average of 20 weeks -- not months to years -- and it does not appear that intravenous therapy was used." According to Dr. Feder, "Physicians who diagnose patients with chronic Lyme disease, and put these patients in harm's way with months to years of potentially dangerous antibiotics, are outliers." These findings call into question the claims of "Lyme literate" advocacy groups, like ILADS, that chronic Lyme disease is frequently diagnosed and treated by many primary care physicians.
Although the number of physicians diagnosing and treating patients with chronic Lyme disease may be small, their influence seems to be growing. "The 'Lyme literate' network has been pivotal in advocating legislation in multiple states requiring insurance companies to cover the costs of intravenous therapy for presumed chronic Lyme disease," Dr. Feder notes. The debate over chronic Lyme disease is likely to continue as insurance companies and legislative bodies become more involved.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.
The more research I do, the more I come into contact with interesting bits of information that I can relate to my own experiences with Lyme. One such piece of information was this.
In the past, I have written posts that have included lists with Lyme disease symptoms. However, my lists have not been as inclusive as the following from this report.
Lyme Disease Symptoms
During his section regarding the diagnoses of Lyme, Taylor states the frustrating issues with the tests, such as ELISA and Western Blot, which often have false negative results. Clearly, Western Blot has fewer false positives. However, many doctors will stop at the ELISA test when that proves negative, not following up with the Western Blot. Again, an emphasis needs to be placed on the percentage of false negatives and re-testing should always be the clear consideration upon a negative result.
Taylor suggests that treatment be multifaceted.
One source he sites for better treatment than the basic course of antibiotics as offered as the conventional treatment is protocol for sarcoidosis found at www.sarcinfo.com .
Sources for therapy that are listed as "Papers for Physicians" at the www.sarcinfo.com site are the following.
If you are familiar with the conventional treatment plan, these plans listed are much more multifaceted and comprehensive.
One treatment, often used with Doxycycline is Metronidazole (Flagyl).
Additional therapies recommended in Taylor's report are "Hyperthermia", or hot baths, showers, or saunas that raise the body temperature, "Pulse Electro-Magnetic Fields" (pemfs), "Rife Machine", "Beck Electrification", "Lauricidin", "Colloidal Silver", "Cat's Claw/Samento/Saventero", "Artemisinin", "Goldenseal root", "Teasel", "Olive Leaf Extract", "Garlic", European (or Hungarian Mistletoe", "Peroxide", and "Ozone".
This report is amazingly detailed. Taylor has remedy recommendations for controlling inflammation and the immune dysfunction, protection of the nervous system from neurotoxins, detoxifying, etc.
Additionally in his report, Dr. Taylor explains and emphasizes tick protection and prevention.
I conclude with his conclusion, as I have no way of wording my feelings any more concisely or clearly.
Sources:
www.autoimmunityresearch.org
www.sarcinfo.com