Hi everyone, well it's been quite a long time since I've posted. I've been on the proverbial Lyme "rollercoaster" over the last few months and quite honestly, I just didn't think I had anything to say. But recently I read an article about a woman who coined the term "Invisible Illness". I immediately could relate to living with an illness that people can't readily "SEE".
(you can read more about her at: www.huffingtonpost.com/lisa-copen/living-with-invisible-illness_b_937234.html)
Now I do walk with a cane, and depending on how my legs are doing on that particular day, sometimes I have to bring along Johnny Walker Red (my red walker and my Dad came up with that clever name!) so I DO have something to indicate that "ALL IS NOT WELL WITH ME"! But so many of my fellow Lyme friends do not have a cane or walker and go thru life in constant illness and pain, and people have no concept of what they are feeling. I don't like to complain, and after three years now of living with Lyme Disease and other co-infections, I only express my discomfort when the pain level reaches a "7" or higher. And at that point, I just don't care.
But all that to say, that today, just a mere 5 days before Christmas, I summoned up the energy to face the crowds and do a few errands. First the Dollar Store (GREAT deals on wrapping paper BTW!) and then CVS to pick up a few things, and then finally on to the grocery store. All the while, I am PUSHING and PUSHING to keep going. Sure I might look "okay" on the outside. But it doesn't reflect AT ALL what I'm feeling on the inside. On the inside, I'm thinking that my leg pain is getting really bad, but just to push through. And my brain is beginning to shut down like it does everytime I go shopping and get too overstimulated. This all started after I became sick with Lyme - trust me, I used to be a NORMAL person! I was SO normal in fact, that I was like the Energizer Bunny. I had SO much energy and was always GO GO GO. I loved to get out and be social, I loved shopping, I loved being active and hiking and always thinking about what exciting thing I was going to do next.
Now, I can spend weeks at a time barely able to get out of bed or off the couch and then invariably I will wake up and have a LITTLE bit more energy and that's when I know I need to take care of things until I crash again. Living with Lyme has certainly taught me to become very in tune with my body.
But today, running these errands, made me realize how different I was than all the other shoppers buzzing about, doing their last minute Christmas shopping. I had to PUSH and PUSH to keep going, and I had to keep refocusing my brain back to what I needed at the store, it's all so very hard but it's my life now.
People ask me all the time, "Are you feeling better yet/now/today? (pick a word) and actually when I think back to 2 years ago, when I was at my worst, I can say something positive, like "yes, I AM doing better than I was 2 years ago" and people say "That's great!" I always feel like people need to hear something positive. Am I really better? Yes, I can honestly say YES. But if you knew how sick I still was, the healing process has been agonizingly slow.
I'm still in treatment and taking a zillion pills a day, I have to watch my diet and avoid things that will increase my inflammation (I have enough pain to deal with) and take things to HELP my immune system. But anytime I start feeling down about my situation, I just think back to how much WORSE I was before. I have a long way to go, but I HAVE to believe that someday I will get my life back. It can't come soon enough.
Much love,
S.
SAN DIEGO LYMER
My journey down the rabbit hole that is called Lyme Disease. I became sick after a trip to Virginia in December 2009. Within weeks of returning to Southern California, I became sick and it was then that MY WHOLE LIFE CHANGED. It's been quite a journey since then. I started this blog as an outlet to try and share info I've learned and also links to other sites that I found very helpful.
Thursday, December 20, 2012
Wednesday, August 15, 2012
Lyme Disease 101: Interview with Dr. Steven Harris and Dr. Linda Williams
Lyme Disease 101: Video of Radio Interview with Dr. Steven Harris and Dr. Linda Williams who discuss Lyme Disease symptoms which can affect the brain, nerves, eyes, joints, and heart beat. They also discuss antibiotic treatment of Lyme disease, vaccine, diagnosis and bacterial effects of Lyme Disease, ELISA and Western blot blood tests, the Borrelia burgdorferi spirochete, harmful bacterias and tick borne diseases, human pathogens, Lyme disease research, children with Lyme Disease, the comorbidities of Lyme Disease, Bell's palsy, Chlamydia, Bartonella, and ILADS, (International Lyme And Associated Diseases Society)
Understanding Calcium Magnesium Ratio
UNDERSTANDING CALCIUM MAGNESIUM RATIO
According to the National Institutes of Health, approximately 43 percent of Americans (including almost 70 percent of older women) take dietary supplements containing calcium. But failing to balance calcium with magnesium may actually do more harm than good.
Most people, including many medical doctors, do not understand certain key facts about calcium and its sister mineral, magnesium.
When everything is in proper balance, magnesium helps the body to absorb and metabolize calcium. Unfortunately, American diet and supplementation practices lead to overconsumption of calcium, and soil depletion and processing of foods lead to underconsumption of magnesium.
The problem with this is that excess calcium intake can cause problems in the body. The National Institutes of Health Office of Dietary Supplements reports that less than half of calcium people ingest is actually absorbed in the gut. The rest may be excreted, or it can linger in the body to form kidney stones or cause calcification (hardening) in soft tissues.
In addition, numerous studies have shown that magnesium converts vitamin D into its active form so it can aid calcium absorption. Magnesium also stimulates the hormone calcitonin, which helps preserve bone structure and draws calcium out of the blood and soft tissues back into the bones, lowering the likelihood of osteoporosis, some forms of arthritis,heart attack and kidney stones.
A growing amount of scientific evidence, including a 2004 study published in the British Medical Journal, points to high calcium/low magnesium intake leading to calcification, or hardening, of arteries (also known as atherosclerosis, which can cause heart disease, the leading cause of death in the U.S.), osteoporosis and osteoporotic bone fractures.
Why the imbalance?
Recommendations for calcium intake vary greatly across the globe. In the U.S., adults are advised to consume 1,000 mg (or up to 1,500 mg for women over 50) of calcium daily. The U.K. recommends 700 mg daily, while the World Health Organization recommends only 400 to 500 mg daily.
Many people take supplements providing these high levels of calcium without considering the amount they consume through diet, both from food sources and from water (some tap and mineral waters). The typical American diet, especially when it contains dairy products, is high in calcium. The result? A greater amount of unabsorbed calcium in the body.
The calcium-to-magnesium ratio commonly accepted by health professionals (and seen in many dietary supplements) is 2:1, but this is based on a flawed understanding of the body’s needs. It traces back to the French scientist Dr. Jean Durlach, who proposed the ratio as an outermost, not-to-be-exceeded level when considering calcium intake from all sources (food, water and supplements). This has been largely misunderstood and is taken as a recommendation of a 2:1 calcium-to-magnesium ratio in dietary supplements.
The fact that most people do not meet the minimum daily requirement for magnesium exacerbates the situation. The high-calcium/low-magnesium diet of most Americans, when coupled with calcium supplementation, can skew the ratio to 4:1 or 5:1—or even higher—increasing risk of impaired bone health and heart disease.
Striking a balance
The key to calcium-magnesium balance is at the cellular level. Calcium’s effectiveness and benefits with respect to bone health and the prevention of osteoporosis are enormously impaired unless the body maintains adequate magnesium levels. Unfortunately, it is difficult to get enough magnesium through diet to even meet the minimum RDA requirements because it has been farmed out of the soil and eliminated from most processed foods.
I recommend monitoring dietary calcium intake, supplementing with vitamin D3, getting the minimum daily requirement of magnesium and aiming for a 1:2 or at least a 1:1 calcium-magnesium ratio.
If you plan to supplement with magnesium, I recommend building up to 300 mg daily. Magnesium supplements are safer than calcium supplements, because magnesium is excreted more completely and doesn’t build up in the body.
The only people who should avoid self-administering magnesium are those with heart block (the type that requires a pacemaker), myasthenia gravis (because their muscles are already too relaxed) or bowel obstruction, and people who are on kidney dialysis.
For more information on magnesium, visit the nonprofit educational resource site www.nutritionalmagnesium.org.
Dr. Dean is a medical doctor and naturopathic doctor in the forefront of the natural medicine revolution since 1979. She is the author/coauthor of 29 health books (print and eBooks) including The Magnesium Miracle, IBS for Dummies, IBS Cookbook for Dummies, The Yeast Connection and Women’s Health, Future Health Now Encyclopedia, Death by Modern Medicine, Everything Alzheimers, and Hormone Balance. Dr. Dean is the medical director of the non-profit educational site—Nutritional Magnesium Association. She has a free online newsletter, a valuable online 2-year wellness program called Completement Now! and runs a busy telephone consulting practice. For more information, visit DrCarolynDean.com.
Monday, August 13, 2012
Candida Die Off
Many Lyme patients also suffer from Candida which can result from long term antibiotics (although even a short course of abx can result in a yeast infection). I came across a forum that discusses this subject and thought I would pass it along. It is located at: Candida Die Off Forum
Some excerpts from the site. . . .. .
Some excerpts from the site. . . .. .
Many yeast sufferers, after starting a program for yeast control, have experienced a worsening of their condition. This can of course be a most unsettling and discouraging development and if not understood and addressed effectively, may not only forestall one's progress, but possibly bring it to a screeching halt. We therefore want to share our insights and strategies to minimize the chances of suffering unnecessarily from yeast die-off reactions.
Common yeast die-off symptoms, some individuals may develop one or several of these concurrently
Fatigue, brain fog, gastro-intestinal distress such as nausea, gas, bloating, diarrhea or constipation, low grade fever, headache, sore throat, body itch, muscle and / or joint soreness or pain, feeling as if coming down with a flu...
[Yeast die-off reactions are] an indication that yeast cells are dying, usually in large numbers, and is more of an indicator of the system's toxic overload. More poisons are being released than the body can adequately cope with at one time. In most cases, yeast die-off is a sign that the system's eliminatory pathways are overburdened or as oftentimes happens, blocked, as in constipation and liver stress...from The Modern Herbalist
Quote
Counteracting Die-Off
When yeast cells are rapidly killed by the immune system, drug treatment, or dietary intervention, a "die-off" or Herxheimer reaction occurs. This reaction is caused by the massive release of toxins from dying candida cells. Toxic proteins from the dead yeasts cross cell membranes, enter the bloodstream, and trigger an intense immune reaction.
Other death-stress chemicals cause direct cellular toxicity throughout the body. Immune/yeast complexes trigger the release of histamine, an irritating tissue hormone which initiates tissue inflammation and causes discomfort. Severe allergic and toxic reactions exacerbate the symptoms of candida. Die-off reactions may last from a few days to a few weeks but usually clear up in less than a week.
Yeast Die-Off Inhibits Treatment
Die-off and the Herxheimer reaction occur when a larger number of yeasts die rapidly, releasing toxins and causing allergic reactions. A die-off reaction is especially pronounced when using powerful antifungal drugs like Nystatin that literally cause yeast cells to burst apart. Even though a strong die-off reaction causes a significant amount of discomfort, it is a sign of a successful treatment.
Perhaps one of the most unfortunate aspects of a severe Herxheimer reaction is that it may cause individuals to abandon a successful treatment prematurely. The Herxheimer reaction keeps many individuals indulging in their pro-yeast lifestyle like the withdrawal reaction keeps drug abusers addicted.
An effective means to reduce the discomfort of die-off is to take the supplement compounds listed under "Other anti-yeast supplements," (at left), drink plenty of fluids, and consume 30-40 grams a day of dietary fiber. That will deactivate, absorb and rid the body of toxic debris from dead yeasts...from Candida Yeast Protection Program
Friday, August 3, 2012
How to interpet the bands on my Western Blot Lyme Test?
What do all the bands on my Western Blot Lyme Disease test mean? This is a question that came up recently and I was about to write out a long response to answer this person (their exact question was "Can I have Lyme with only ONE band of Lyme antibodies showing up? Her neurologist told her NO") So I was about to write out a whole essay on what the IgG and IgM antibodies are and what bands are specific for what, and so on, when I came across this wonderful blog called "Life with a Twist of Lyme". The author has a GREAT page that explains exactly what I would have written, so rather than re-invent the wheel, I'd like to direct you to her site (which I've also now included on the left side of my blog because I thought it was written so well). It's under the heading "What do all those bands on my Western Blot test mean?"
The site address is: Life with a Twist of Lyme (A big THANK YOU to the author of this blog - you created a great site that is easy to understand for folks who are just learning about what all this means - like me in the very beginning - I was so overwhelmed with all this technical jargon that it took me a long time to figure out what it all meant. But you put together a great site which has some great information on it for people who are trying to interpret what their Western Blot tests mean!)
One of the segments I chose to re-post here I thought was especially relevant because this question comes up over and over again:
IgM versus IgG is usually interpreted this way: if you have a positive IgM Western Blot, but negative IgG, it may mean that you just became infected fairly recently, because the IgM reaction to infection generally happens before the IgG. If you have a positive IgG it may mean an established, chronic infection.
OK, finally we need to talk about what POSITIVE means!
How does one decide what constitutes a positive Western Blot test? In some ways this seems like it would be a fairly easy question to answer, but when you realize that every person's body reacts differently to infection, and one immune system may not make the same antibodies that another immune system might make, then it becomes highly complicated.
In addition, to follow this discussion on all levels, you must realize that most doctors in the United States are NOT well-educated about Lyme disease. They generally believe that:
a) The CDC and the Infectious Disease Society of America (IDSA) are the ultimate authorities and that anyone who disagrees with them is a crackpot.
(b) Lyme disease is rare, hard to catch and easy to cure (this is the IDSA official "line" and it is WRONG!!!!!!).
(c) Lyme disease should be treated with 2 - 4 weeks of doxycycline and THAT'S IT! (IDSA guidelines again. This makes NO sense...there are many illnesses out there that have to be treated very aggressively for months and months.)
Please understand that there is a political and economic battle being waged in this country with the health insurance companies and the IDSA on one side and many, many Lyme patients who are desperately ill on the other side.
OK, here are three sets of Western Blot criteria for determining whether or not someone has Lyme disease; let's compare them:
1. The current CDC criteria (used by the IDSA and health insurance companies) for a positive Western Blot are as follows:
(a) For IgM, 2 of the following three bands have to be positive: OspC
(22-25), 39 and 41.
(b) For IgG, 5 of the following ten bands have to be positive: 18, OspC
(22-25), 28, 30, 39, 41, 45, 58, 66 and 93.
I will not go into the ins and outs of how they came up with these criteria. You can look at the CDC website for that. Suffice it to say that when the CDC criteria were first created, they were not recommended for diagnostic purposes. In fact, there used to be a statement on the CDC website that said so. I think that statement has now been taken down in an attempt to appease the IDSA.
2. The criteria used by IGeneX, one of the top Lyme laboratories in the country: IGeneX considers a Western Blot (IgM or IgG) to be positive if just two or more of the following bands are positive: OspC (23-25), 31, 34, 39, 41, and 83-93.
3. Possible future criteria in China: I recently read an article about Lyme disease testing in China, where Lyme is spreading rapidly through the country. The researchers quoted by the article recommended considering a Western Blot positive if just ONE single Lyme-specific band was positive.
So the IDSA and the health insurance companies are in cahoots, but ILADS (the International Lyme and Associated Diseases Society) is opposed to their anti-patient agenda and their highly restrictive and ridiculous diagnostic criteria for Lyme disease. Our heroes, the Lyme Literate doctors (aka LLMDs in the online Lyme communities) are generally member of ILADS and believe that the using the CDC WB criteria for diagnosis of Lyme disease is incorrect.
So what's so terrible about the CDC WB criteria anyway? For one thing they don't mention some of the bands which are the most highly specific for Lyme disease, namely bands 31 and 34, aka OspA and OspB. Your body can only produce these antibodies if you have been exposed to Lyme spirochetes!
The main reason these were left out is that several of the doctors who originally decided on the criteria were involved in an effort (at that time) to create a Lyme vaccine, and those two bands were part of the vaccine, so anyone who had been vaccinated against Lyme would test positive for 31 and 34 even if they did not have Lyme. So they deleted those two bands from the list.
However, the Lyme vaccine is no longer being used because it caused terrible autoimmune reactions in a number of people who received it. But (oops!!) the CDC forgot to put those two bands back into the criteria after they stopped using the vaccine!
And requiring FIVE bands for an IgG to be positive? How do you know that everyone will produce a minimum of 5 different IgG antibodies? And why include bands 45, 58, and 66, which are not specific for Lyme disease? Why not include bands that are SPECIFIC for Lyme??? Clearly these criteria are too restrictive.
It has been said that the current CDC testing misses at least half of those who truly have Lyme disease.
As to the IGeneX criteria, these make a lot more sense, as the only band in their set that is NOT Lyme-specific is band 41. Band 41 is usually the first band to show up for Lyme but also is frequently positive for people with other spirochetal infections such as syphilis and certain dental infections.
However, in my humble opinion, the proposed Chinese criteria make the most sense, since your body should not be able to produce even one single antibody to a Lyme spirochete unless you have been exposed to Lyme!
In the opinion of many LLMDs, IGeneX is one of the best places to get a Western Blot done, as their testing is more sensitive and they also report the "indeterminate" results, which means that there was some sort of reaction there, but not a strong enough response to be considered positive. The indeterminate results can be considered clinically significant if a doctor wishes to include those.
For additional information, I'd also like to include another site by Melissa Kaplan called Interpreting the IgG and IgM Western Blot for Lyme Disease. This is another great site that includes all the bands and explains what they mean (similar to the blog above).
***(To understand why there is so much controversy over Lyme Disease, you need to watch the highly acclaimed film: Under Our Skin. It will answer all your questions about why it is SO hard for patients suffering from Lyme to A) Get a proper Lyme test B) Get a diagnosis and C) Get proper treatment from a properly trained doctor. - Sandie)
The site address is: Life with a Twist of Lyme (A big THANK YOU to the author of this blog - you created a great site that is easy to understand for folks who are just learning about what all this means - like me in the very beginning - I was so overwhelmed with all this technical jargon that it took me a long time to figure out what it all meant. But you put together a great site which has some great information on it for people who are trying to interpret what their Western Blot tests mean!)
One of the segments I chose to re-post here I thought was especially relevant because this question comes up over and over again:
IgM versus IgG is usually interpreted this way: if you have a positive IgM Western Blot, but negative IgG, it may mean that you just became infected fairly recently, because the IgM reaction to infection generally happens before the IgG. If you have a positive IgG it may mean an established, chronic infection.
OK, finally we need to talk about what POSITIVE means!
How does one decide what constitutes a positive Western Blot test? In some ways this seems like it would be a fairly easy question to answer, but when you realize that every person's body reacts differently to infection, and one immune system may not make the same antibodies that another immune system might make, then it becomes highly complicated.
In addition, to follow this discussion on all levels, you must realize that most doctors in the United States are NOT well-educated about Lyme disease. They generally believe that:
a) The CDC and the Infectious Disease Society of America (IDSA) are the ultimate authorities and that anyone who disagrees with them is a crackpot.
(b) Lyme disease is rare, hard to catch and easy to cure (this is the IDSA official "line" and it is WRONG!!!!!!).
(c) Lyme disease should be treated with 2 - 4 weeks of doxycycline and THAT'S IT! (IDSA guidelines again. This makes NO sense...there are many illnesses out there that have to be treated very aggressively for months and months.)
Please understand that there is a political and economic battle being waged in this country with the health insurance companies and the IDSA on one side and many, many Lyme patients who are desperately ill on the other side.
OK, here are three sets of Western Blot criteria for determining whether or not someone has Lyme disease; let's compare them:
1. The current CDC criteria (used by the IDSA and health insurance companies) for a positive Western Blot are as follows:
(a) For IgM, 2 of the following three bands have to be positive: OspC
(22-25), 39 and 41.
(b) For IgG, 5 of the following ten bands have to be positive: 18, OspC
(22-25), 28, 30, 39, 41, 45, 58, 66 and 93.
I will not go into the ins and outs of how they came up with these criteria. You can look at the CDC website for that. Suffice it to say that when the CDC criteria were first created, they were not recommended for diagnostic purposes. In fact, there used to be a statement on the CDC website that said so. I think that statement has now been taken down in an attempt to appease the IDSA.
2. The criteria used by IGeneX, one of the top Lyme laboratories in the country: IGeneX considers a Western Blot (IgM or IgG) to be positive if just two or more of the following bands are positive: OspC (23-25), 31, 34, 39, 41, and 83-93.
3. Possible future criteria in China: I recently read an article about Lyme disease testing in China, where Lyme is spreading rapidly through the country. The researchers quoted by the article recommended considering a Western Blot positive if just ONE single Lyme-specific band was positive.
So the IDSA and the health insurance companies are in cahoots, but ILADS (the International Lyme and Associated Diseases Society) is opposed to their anti-patient agenda and their highly restrictive and ridiculous diagnostic criteria for Lyme disease. Our heroes, the Lyme Literate doctors (aka LLMDs in the online Lyme communities) are generally member of ILADS and believe that the using the CDC WB criteria for diagnosis of Lyme disease is incorrect.
So what's so terrible about the CDC WB criteria anyway? For one thing they don't mention some of the bands which are the most highly specific for Lyme disease, namely bands 31 and 34, aka OspA and OspB. Your body can only produce these antibodies if you have been exposed to Lyme spirochetes!
The main reason these were left out is that several of the doctors who originally decided on the criteria were involved in an effort (at that time) to create a Lyme vaccine, and those two bands were part of the vaccine, so anyone who had been vaccinated against Lyme would test positive for 31 and 34 even if they did not have Lyme. So they deleted those two bands from the list.
However, the Lyme vaccine is no longer being used because it caused terrible autoimmune reactions in a number of people who received it. But (oops!!) the CDC forgot to put those two bands back into the criteria after they stopped using the vaccine!
And requiring FIVE bands for an IgG to be positive? How do you know that everyone will produce a minimum of 5 different IgG antibodies? And why include bands 45, 58, and 66, which are not specific for Lyme disease? Why not include bands that are SPECIFIC for Lyme??? Clearly these criteria are too restrictive.
It has been said that the current CDC testing misses at least half of those who truly have Lyme disease.
As to the IGeneX criteria, these make a lot more sense, as the only band in their set that is NOT Lyme-specific is band 41. Band 41 is usually the first band to show up for Lyme but also is frequently positive for people with other spirochetal infections such as syphilis and certain dental infections.
However, in my humble opinion, the proposed Chinese criteria make the most sense, since your body should not be able to produce even one single antibody to a Lyme spirochete unless you have been exposed to Lyme!
In the opinion of many LLMDs, IGeneX is one of the best places to get a Western Blot done, as their testing is more sensitive and they also report the "indeterminate" results, which means that there was some sort of reaction there, but not a strong enough response to be considered positive. The indeterminate results can be considered clinically significant if a doctor wishes to include those.
*****************************************
For additional information, I'd also like to include another site by Melissa Kaplan called Interpreting the IgG and IgM Western Blot for Lyme Disease. This is another great site that includes all the bands and explains what they mean (similar to the blog above).
***(To understand why there is so much controversy over Lyme Disease, you need to watch the highly acclaimed film: Under Our Skin. It will answer all your questions about why it is SO hard for patients suffering from Lyme to A) Get a proper Lyme test B) Get a diagnosis and C) Get proper treatment from a properly trained doctor. - Sandie)
Monday, July 30, 2012
My Plasma Donation for a Lyme Research Study
See that yellow canister to the left? Thats MY PLASMA! Already separated from my blood. |
Thought I would give you an update on things. I recently participated in a Research Study - This company is doing research on patients with Lupus, Hepatitis, other Diseases and ALSO Lyme Disease! I was given a full medical exam, my veins were checked (I have big juicy veins so thankfully it's never been a problem doing blood draws or having my IV antibiotic treatments) and was given the Green Light for the next step - to donate plasma. What an experience. It's sort of like kidney dialysis - you are hooked up to a machine, they take your blood out thru an IV, the machine separates the plasma, and then your blood is put BACK into you. The only "strange feeling" part was when they put some saline? back into me - it was freezing cold from the inside out. I could have had 10 blankets on top of me but it wouldn't have helped, because I was cold from the inside out!
Anyway, they also took blood to see if I have an IgM (current) Lyme infection versus an IgG (past exposure). Basically your antibodies will show a positive IgM if they are fighting a current infection. This is what the research scientists want to work with. They also want to look at my plasma and decide whether I'm a viable candidate for the study. I would be compensated for my plasma, so I'll find out in about a week if I "pass" the test.
My very nice tech looking on - she was quite good and I barely felt the needle going in! That's the sign of a good tech! |
I'm including some pictures I had the rep take of me - I know, I look awfully CHIPPER in these photos - but that's just me. I just had a thought - they should use my pictures in their brochures since I look so HAPPY!Maybe it would make people feel less anxious about going thru this process! (smile) Hmmm...I should tell them about this great idea of mine! :)
(Also....Some patients DO report a "Euphoric" feeling when they donate plasma - maybe that's why I'm so "happy" looking!
Will keep you posted - I DO hope that I'm a viable candidate - this would be a great way to help other Lyme patients if I could participate in this study.
Tuesday, July 24, 2012
New York Times Article: When Lyme invades the brain and spinal system
Please note: This article is over 15 years old, but I found it quite interesting and wanted to share this on my blog. I was recently told I have spinal stenosis (my Lyme arthritis symptoms are worsening 2 years and 6 months later) and I came across this article under the search "Lyme and Spinal Stenosis"
Personal Health; When Lyme invades the brain and spinal system.
By Jane E. Brody
Published: February 15, 1995
Published: February 15, 1995
A YOUNG woman, whose doctor declined to identify her, thought she was going crazy. Suddenly, this once perfectly healthy college freshman developed severe anxiety, panic attacks, insomnia and loss of appetite.
A doctor and a psychologist at her college's health service recommended rest for what they thought were problems in adjusting to being away from home. Forced to take a medical leave, she underwent an extensive examination that showed no abnormalities except one: evidence in her spinal fluid of infection by the spirochete Borrelia burgdorferi, which causes Lyme disease. Only then did she recall having had a circular rash characteristic of Lyme disease months earlier, followed by a brief bout of headaches and unusual fatigue. At the time, she did not take these symptoms seriously and did not seek medical attention.
The young woman's case is among dozens reported in which the Lyme spirochete was the apparent cause of a wide range of psychiatric and neurological problems. Three months after receiving a six-week course of intravenous antibiotics to eradicate the spirochete, the woman felt better. But a year later more therapy was needed when the anxiety and panic attacks returned, along with musical hallucinations, deja vu experiences and obsessional thoughts.
Although such extreme cases are rare, neurological problems resulting from Lyme disease are more common than realized by most doctors, who tend to look for the more characteristic arthritic conditions associated with the disease. Nervous System Attack
When Lyme disease is promptly recognized and properly treated, the overwhelming majority of patients recover uneventfully. But often the initial sign of a bite by a Lyme-infected tick, a red circular rash that clears in the center, is not recognized. Only when more severe symptoms develop weeks or months later are a diagnosis and treatment pursued.
Meanwhile, within weeks of entering the body, the spirochete, a bacterium that resembles the organism that causes syphilis, can invade the brain and spinal cord. At first, patients may develop meningitis, encephalitis or problems like pain or loss of sensation stemming from an attack on the nerves that emanate from the brain or spinal cord. But as with syphilis, months or years may pass before the late signs of a neurological infection appear.
Once inside the central nervous system, the organism can wreak all kinds of havoc, from memory problems, moodiness and depression to hallucinations, panic attacks, paranoia, manic depression, seizures and even dementia. Memory problems are the most common sign of a brain infection. When the organism invades spinal nerves, patients may develop numbness and tingling in fingers and toes and pain radiating to the front of the body.
In rare cases, the spirochete may mount an attack on the protective sheath of nerves, resulting in spastic muscle weakness in the extremities that resembles multiple sclerosis, said Dr. Allen C. Steere of Tufts-New England Medical Center in Boston. Dr. Steere first recognized Lyme disease as a distinct disorder in 1975 and soon realized that it could cause neurological problems.
Dr. Brian Fallon, a psychiatrist at the State Psychiatric Institute in New York, recently reviewed the neuropsychiatric aspects of Lyme disease in The American Journal of Psychiatry, in the hope of prompting his colleagues to consider the possibility of this infection when examining patients who might have been exposed to Lyme-infected ticks.
In Europe, where the disease is called borreliosis, patients commonly develop neuropsychiatric symptoms after being infected by the same spirochete that causes Lyme disease, Dr. Fallon said. But in this country, arthritic symptoms are most common and many doctors still do not appreciate the threat to the nervous system.
Dr. Fallon said that up to 40 percent of patients with Lyme disease developed some involvement of the nervous system affecting either the extremities or the central nervous system. He told of a 47-year-old man who experienced depression and memory problems as his main signs of Lyme disease, symptoms that responded well to intravenous antibiotics. The symptoms recurred five months later, but he was not treated a second time. He developed a type of dementia that required hospitalization and died a few years later. An autopsy found Lyme spirochetes in a degenerated part of his brain.
Children can also develop a neurological form of Lyme disease that often shows up as behavioral or emotional disturbances. Such children may become moody, lose interest in play and do poorly in school. Among 16 children in Westchester County, N.Y., who contracted Lyme disease, 15 whose infections were identified and treated within the first month were doing very well, Dr. Fallon said. But one child, in whom the disease was not diagnosed until four months after he was thought to have been infected, has suffered for five years with arthritis, headaches, depression and memory problems.
Studies by Dr. Steere and others of patients with neurological signs of Lyme disease have revealed inadequate blood flow through particular areas of the brain. Dr. Steere also said that after an attack of Lyme disease, patients might develop pain or fatigue syndromes that resemble fibromyalgia or chronic fatigue syndrome. Diagnosis Problems
To be sure, extreme incapacitating effects of a Lyme infection are rare. But even the more subtle effects like depressed mood, memory problems and word-finding difficulties can be devastating to those who are afflicted.
Such patients commonly receive the wrong diagnosis or inappropriate treatment. Often they are shunted from one doctor to another. In addition to blood tests for antibodies to the spirochete, diagnosis of neurological Lyme disease may require a spinal tap, an electroencephalogram (EEG), magnetic resonance imaging (M.R.I.), standard neuropsychological tests (for example, for memory, word association and depression) and a carefully taken health history.
Even after a correct diagnosis is made and a long course of intravenous antibiotics is administered, the organism may not be eradicated from its sanctuary in the brain. Repeated courses of this costly therapy are typically needed, but many insurance companies balk at paying for them because the treatments are still considered experimental.
Sometimes the treatment itself can cause a flare-up of Lyme disease, producing both physical and neuropsychiatric symptoms. But most often, when the presence of a Lyme infection can be established, treatment with intravenous antibiotics for four to six weeks results in a distinct improvement. But Dr. Steere, who uses ceftriaxone, which is sold as Rocephin, noted that patients typically must wait three to six months to see signs of gradual improvement and may never recover 100 percent.
Sunday, July 15, 2012
Great news!
LymeTap is once again accepting applications for reimbursement of Lyme Tests up to 75% if you meet eligibility requirements. For more information and to download their application, go to: Lyme Tap Site
(www.lymetap.com)
LymeTap is once again accepting applications for reimbursement of Lyme Tests up to 75% if you meet eligibility requirements. For more information and to download their application, go to: Lyme Tap Site
(www.lymetap.com)
Lyme Victims Depend on Each Other (Martha's Vineyard Support Group)
LYME VICTIMS DEPEND ON EACH OTHER
Kristen Kusama-Hinte arrived on-Island in early June. A couple of weeks later, her son had a fever. She tended to him, sleeping on the floor by his side. She checked her own and discovered a 100-degree temperature and didn’t pay much attention. She got a stiff neck and again didn’t pay much heed. When a terrible headache hit, she knew something was wrong.
She thought she was being assaulted by a horrific flu, until part of her face became paralyzed. “I was completely immobile,” she recalled. “All I could do was moan and groan.” The pain, she said, was worse than two bouts of natural home births. When she noticed a small rash on her arm, she finally went to the clinic and was diagnosed with acute Lyme disease. She was treated with the antibiotic Doxycycline, and symptoms subsided, but her doctor wouldn’t answer her most pressing question, “Am I cured?” “She kept saying, ‘You got the Lyme and you’re treating it,’” she said. “I wanted to know I was not dealing with a chronic disease.”
There is a continuing debate over the existence of chronic Lyme. But people like Sue Rhuby of West Tisbury say it is real, something they live with every day. Ms. Rhuby is a member of the Lyme Disease Support Group on the Vineyard. She was first diagnosed with chronic Lyme in 2010, but she had been feeling its effects for seven years. In the meantime, amidst a host of aches and pains, including a “chisel in my back” feeling that caused her to visit the chiropractor three times a week, sometimes three times a day, she was diagnosed with lupus. But she’s now confident she’d been suffering from Lyme all along. In the absence of doctors with answers, she has taken responsibility for her own health. “You have to educate yourself about the problem you have,” she said. “It’s your body, and you know your body best.”
The support group, headed by Enid Haller, a PhD in clinical psychology, provides information and emotional support to its 150 members. For most, after experiencing the effects of a particularly isolating disease, the support group helps them feel heard.
“I think it feels really good for people to talk to other members of the group and feel heard,” said Phoenix Becker, one of the support group’s organizers.
As group members told their stories Wednesday night in West Tisbury, their voices were met with understanding groans of solidarity. They discussed doctors, treatments, anxiety, depression, misdiagnosis. “I feel like I have been run over by a fatigue bus,” a woman from Danvers said, and everyone agreed it’s a good way to put it. As Nick entered the room, he dragged his feet. “I’m doing the Lyme shuffle,” he said, and everyone laughed. The crocs, work boots, hiking boots, Tevas and leather sandals identify them as people from different sectors of society — but the isolating experiences they’ve shared bring them together. They agree on many things—that pain is worst in the morning, for example. But they disagree over whether it’s okay to resort to painkillers. They avoid hospital-bashing for the most part, but sometimes they can’t resist: They feel ignored and unheard by the medical establishment.
Twenty-one members came to the meeting. The group functions much like a referral service. A new group member presents her case, eliciting audible compassion of the people sitting around her, and Ms. Haller suggests a next step. She’s done her research, aided by Ms. Becker, so rarely does a treatment come up that she hasn’t heard of. She keeps a short list of doctors whom she refers to as “Lyme-literate”—the majority of whom do not accept standard insurance plans, but against the doctors who take advantage of people’s desperation. “I don’t mean to call them quacks or whatever,” she said. “But it’s important for people to hear in the group that you have to be careful. Some charge a lot of money.”
But Ms. Haller also acknowledges that some treatments work for some people and not others. Her endorsements are based on the personal experiences of support group members. “We have taken it into our own hands to find our way through the medical system,” she says. Ms. Haller also offers to look at group members’ test results, because she believes some doctors aren’t adequately equipped to read the tests.
Many support group members’ mistrust in medical doctors has prompted them to take on their own illness. Some say they feel they are being forced to doubt their perception of their body. John Casey, of Oak Bluffs, has experienced intense cramping in his hands and feet, joint soreness, and short-term memory loss, among other symptoms, for more than a decade. He saw many doctors over the years, but said none had a clear idea of what caused his pain. One diagnosed him with psychosomatic illness, another said it was fibromyalgia. Finally, he said, they just treated him for the pain. He took vicodin, oxycontin and oxycodon, and finally, methadone. But everything changed when he met Ms. Haller. “In about seven minutes of talking to Enid, she said, ‘John, you probably have Lyme,’” he recalled. “That’s how quickly she got to the heart of it.” He sent for the $470 panel Igenex test and it came back positive for Lyme. After several months of antibiotics, a recent relapse caused him to seek other options. He now takes carnivora, a Venus flytrap extract that is intended to excite the immune system. But he’s still in pain, and still relies on methadone to lead a normal life. When he wakes up, his entire body is in pain, he said.
Ms. Becker got sick with what she suspects is Lyme when she was eight years old, in August of 1988. As a child growing up on the Island, she enjoyed playing in the woods and picking wild blueberries. But when she got sick, she stopped participating in after-school sports, due to fatigue, and was taunted by friends. People also criticized her parents, blaming them for Phoenix’s condition.
She struggled for two decades to get a diagnosis that fit her symptoms. “It seemed like every doctor I saw didn’t think there was anything wrong with me,” she said. For a while, doctors insisted she had rheumatoid arthritis, but every test she took came back negative. Doctors also suggested it might be multiple sclerosis, or blamed symptoms on her Type 1 diabetes. Now she sees a neurologist who treats what the doctor calls Lyme with an extended regimen of intravenous antibiotics — she’s been on Rocephin for over a year. “Within a couple of days of starting it, my family could really tell a difference in me,” she said. “I was speaking a lot faster and my gait really improved.”
Due to its prevalence on the Island, many of those who believe they suffer from lasting effects of a tick bite say that Islanders’ (and visitors’) approach to Lyme must change. “It requires a real shift in thinking,” Ms. Becker said. “A lot of people think they love nature, want to spend time in nature, feel like nature would never hurt them. When they get bitten by a tick, it really shakes their reality.”
Much of the information shared at the support group regards preventative measures. They discuss strategies like putting up mesh fencing to enclose their yards, using DEET and keeping their lawn mowed. “I don’t care what they spray,” said a man whose biggest concern is protecting his three-year-old daughter. “It could be agent orange,” he said, as long as it protects his family against Lyme.
But even after dealing with what they think is Lyme for decades, patients like Ms. Becker remain hopeful about their prognosis.
“It’s important for people to know that they can get better from Lyme,” said Ms. Becker. “A lot of people give up on getting better but it takes patience and persistence to get better. It can take a couple of years of treatment to make a full recovery.”
“Everyone thinks we’re nuts, by the way,” Ms. Haller said, nearing the end of the three hour meeting. “I prefer to say we think out of the box.”
The Lyme Disease Support Group is held at Howes House in West Tisbury at 6:30 p.m. on the first Wednesday of each month.
Full article can be found at: Martha's Vineyard Gazette - Lyme Support group article
By OLIVIA HULL
Kristen Kusama-Hinte arrived on-Island in early June. A couple of weeks later, her son had a fever. She tended to him, sleeping on the floor by his side. She checked her own and discovered a 100-degree temperature and didn’t pay much attention. She got a stiff neck and again didn’t pay much heed. When a terrible headache hit, she knew something was wrong.
She thought she was being assaulted by a horrific flu, until part of her face became paralyzed. “I was completely immobile,” she recalled. “All I could do was moan and groan.” The pain, she said, was worse than two bouts of natural home births. When she noticed a small rash on her arm, she finally went to the clinic and was diagnosed with acute Lyme disease. She was treated with the antibiotic Doxycycline, and symptoms subsided, but her doctor wouldn’t answer her most pressing question, “Am I cured?” “She kept saying, ‘You got the Lyme and you’re treating it,’” she said. “I wanted to know I was not dealing with a chronic disease.”
There is a continuing debate over the existence of chronic Lyme. But people like Sue Rhuby of West Tisbury say it is real, something they live with every day. Ms. Rhuby is a member of the Lyme Disease Support Group on the Vineyard. She was first diagnosed with chronic Lyme in 2010, but she had been feeling its effects for seven years. In the meantime, amidst a host of aches and pains, including a “chisel in my back” feeling that caused her to visit the chiropractor three times a week, sometimes three times a day, she was diagnosed with lupus. But she’s now confident she’d been suffering from Lyme all along. In the absence of doctors with answers, she has taken responsibility for her own health. “You have to educate yourself about the problem you have,” she said. “It’s your body, and you know your body best.”
The support group, headed by Enid Haller, a PhD in clinical psychology, provides information and emotional support to its 150 members. For most, after experiencing the effects of a particularly isolating disease, the support group helps them feel heard.
“I think it feels really good for people to talk to other members of the group and feel heard,” said Phoenix Becker, one of the support group’s organizers.
As group members told their stories Wednesday night in West Tisbury, their voices were met with understanding groans of solidarity. They discussed doctors, treatments, anxiety, depression, misdiagnosis. “I feel like I have been run over by a fatigue bus,” a woman from Danvers said, and everyone agreed it’s a good way to put it. As Nick entered the room, he dragged his feet. “I’m doing the Lyme shuffle,” he said, and everyone laughed. The crocs, work boots, hiking boots, Tevas and leather sandals identify them as people from different sectors of society — but the isolating experiences they’ve shared bring them together. They agree on many things—that pain is worst in the morning, for example. But they disagree over whether it’s okay to resort to painkillers. They avoid hospital-bashing for the most part, but sometimes they can’t resist: They feel ignored and unheard by the medical establishment.
Twenty-one members came to the meeting. The group functions much like a referral service. A new group member presents her case, eliciting audible compassion of the people sitting around her, and Ms. Haller suggests a next step. She’s done her research, aided by Ms. Becker, so rarely does a treatment come up that she hasn’t heard of. She keeps a short list of doctors whom she refers to as “Lyme-literate”—the majority of whom do not accept standard insurance plans, but against the doctors who take advantage of people’s desperation. “I don’t mean to call them quacks or whatever,” she said. “But it’s important for people to hear in the group that you have to be careful. Some charge a lot of money.”
But Ms. Haller also acknowledges that some treatments work for some people and not others. Her endorsements are based on the personal experiences of support group members. “We have taken it into our own hands to find our way through the medical system,” she says. Ms. Haller also offers to look at group members’ test results, because she believes some doctors aren’t adequately equipped to read the tests.
Many support group members’ mistrust in medical doctors has prompted them to take on their own illness. Some say they feel they are being forced to doubt their perception of their body. John Casey, of Oak Bluffs, has experienced intense cramping in his hands and feet, joint soreness, and short-term memory loss, among other symptoms, for more than a decade. He saw many doctors over the years, but said none had a clear idea of what caused his pain. One diagnosed him with psychosomatic illness, another said it was fibromyalgia. Finally, he said, they just treated him for the pain. He took vicodin, oxycontin and oxycodon, and finally, methadone. But everything changed when he met Ms. Haller. “In about seven minutes of talking to Enid, she said, ‘John, you probably have Lyme,’” he recalled. “That’s how quickly she got to the heart of it.” He sent for the $470 panel Igenex test and it came back positive for Lyme. After several months of antibiotics, a recent relapse caused him to seek other options. He now takes carnivora, a Venus flytrap extract that is intended to excite the immune system. But he’s still in pain, and still relies on methadone to lead a normal life. When he wakes up, his entire body is in pain, he said.
Ms. Becker got sick with what she suspects is Lyme when she was eight years old, in August of 1988. As a child growing up on the Island, she enjoyed playing in the woods and picking wild blueberries. But when she got sick, she stopped participating in after-school sports, due to fatigue, and was taunted by friends. People also criticized her parents, blaming them for Phoenix’s condition.
She struggled for two decades to get a diagnosis that fit her symptoms. “It seemed like every doctor I saw didn’t think there was anything wrong with me,” she said. For a while, doctors insisted she had rheumatoid arthritis, but every test she took came back negative. Doctors also suggested it might be multiple sclerosis, or blamed symptoms on her Type 1 diabetes. Now she sees a neurologist who treats what the doctor calls Lyme with an extended regimen of intravenous antibiotics — she’s been on Rocephin for over a year. “Within a couple of days of starting it, my family could really tell a difference in me,” she said. “I was speaking a lot faster and my gait really improved.”
Due to its prevalence on the Island, many of those who believe they suffer from lasting effects of a tick bite say that Islanders’ (and visitors’) approach to Lyme must change. “It requires a real shift in thinking,” Ms. Becker said. “A lot of people think they love nature, want to spend time in nature, feel like nature would never hurt them. When they get bitten by a tick, it really shakes their reality.”
Much of the information shared at the support group regards preventative measures. They discuss strategies like putting up mesh fencing to enclose their yards, using DEET and keeping their lawn mowed. “I don’t care what they spray,” said a man whose biggest concern is protecting his three-year-old daughter. “It could be agent orange,” he said, as long as it protects his family against Lyme.
“It’s important for people to know that they can get better from Lyme,” said Ms. Becker. “A lot of people give up on getting better but it takes patience and persistence to get better. It can take a couple of years of treatment to make a full recovery.”
“Everyone thinks we’re nuts, by the way,” Ms. Haller said, nearing the end of the three hour meeting. “I prefer to say we think out of the box.”
The Lyme Disease Support Group is held at Howes House in West Tisbury at 6:30 p.m. on the first Wednesday of each month.
Full article can be found at: Martha's Vineyard Gazette - Lyme Support group article
Monday, July 9, 2012
How to Deal with Candida OR Lyme Toxin Die-Off
What is Candida Die-Off?
Note: Some of these I've tried, and some of them I haven't. I've tried to put my own little notes next to the ones that I think are the best! - B)
- What is Die-Off?
Learn how your Candida treatment could result in a Die-Off reaction, and how to recognize the symptoms of Candida Die-Off.
Supplements to help with Die-Off
- Vitamin C
Vitamin C (ascorbic acid) restores your adrenal function and helps to boost your immune system. - Milk Thistle
This herb contains a compound that helps to repair damaged liver cells and protect them from the toxins released in Die-Off. (This is one of the supplements I would recommend more than anything else. It helps your liver process toxins (because remember, EVERYTHING has to go thru your liver first! - I take Milk Thistle EVERY DAY! - B) - Swedish Bitters
Swedish Bitters are an excellent digestive support. They also help to regulate your stomach acidity and support your liver function. (Have actually never tried these so let me know if they work! - B) - Detox Drops
Detox Drops is a supplement that promotes the healthy functioning of your liver and the elimination of toxins from your body.
Other ways to reduce your Die-Off symptoms
- Alternative Detox Methods
This page summarizes the different alternative detox methods that you can try. The pages below go into more detail. - Skin Brushing
Your skin is responsible for up to 15% of toxin elimination. Skin brushing enhances this process and improves your circulation too. (I HIGHLY recommend this method of detoxing - I've done this myself and it really DOES work! - B) - Contrast showers
Contrast showers boost your lymphatic system and improve your circulation. They have long been used as an alternative remedy for the common cold. (Note: I'm not familiar with contrast showers so when I try it out, I'll give you my opinion! - B) - Exercise and Candida
The right amount of exercise can improve your body's defenses against Candida. Don't over-do it though as this can weaken your adrenals. - Rebounding (aka Mini Trampolines) - This is an excellent way to get your lymphatic system pumping - An interesting thing I learned about this. Your blood is pumped thru your body through that wonderful organ called your HEART, unfortunately, the lymphatic system doesn't HAVE a pump - so it relies on YOU to exercise, preferably in an up and down movement like on a mini trampoline (aka rebounding) - or you could go up and down the stairs if you are able to! -B)
- Sauna
Sauna improves circulation and helps you flush out toxins through sweating. This page tells you what type of sauna works best. (Note: Infrared (FIR) Saunas are one of the BEST ways to detox and you can buy a portable one for as little as $180. I have one and it helps you work up a sweat using dry heat versus a traditional steam sauna - B)
Also: Just a few things that my Lyme friends have learned thru trial and error - the following items can help take the edge off when your body is "Herxing" - when you have toxins being released thru your body, it can make you feel REALLY sick! For some reason, don't ask me why, Alka Seltzer Gold and/or Benadryl can take the edge off when you're feeling the effects of bacterial load die off. I always keep some on hand!
Also - the article above did not mention EPSOM SALT BATHS. If you're up to it (sometimes I'm just too tired to do it! but if you CAN, it can REALLY help draw out toxins from your body. You can buy a big bag of Epsom Salts at a drugstore like CVS for less than 10$ - B)
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