Alexandria, VA, USA
Speaks: English, Espanol
Joined Mar 23, 2008
Thought for the Month of August 2009
Basic Information about Lyme disease:
- Lyme disease is prevalent across the United States. Ticks do not know geographic boundaries. A patient's county of residence does not accurately reflect their total Lyme disease risk, since people travel, pets travel, and ticks travel. This creates a dynamic situation with many opportunities for exposure for each individual.
- Lyme disease is a clinical diagnosis. Spirochetal infection of multiple organ systems causes a wide range of symptoms. Familiarity with its varied presentations is key to recognizing disseminated Lyme disease. Case reports in the medical literature document its protean manifestations.
- Fewer than half of patients with Lyme disease recall a tick bite. In some studies this number is as low as 15% in culture-proven Lyme borrelial infection.
- Fewer than half of patients with Lyme disease recall any rash. Although the bull's eye presentation is considered classic, it is not the most common dermatologic manifestation of early-localized Lyme infection. Atypical forms of this rash are seen far more commonly. It is important to know that the Erythema Migrans rash is pathognomonic of Lyme disease and requires no further verification prior to starting 6 weeks of antibiotic therapy. Shorter treatment courses have resulted in upwards of a 40% relapse rate.
- There has never in the history of this illness been one study that proves even in the simplest way that 30 days of antibiotic treatment cures Lyme disease. However, there is a plethora of documentation in the US and European medical literature demonstrating histologically and in culture that short courses of antibiotic treatment fail to eradicate the Lyme spirochete.
- An uncomplicated case of chronic Lyme disease requires an average of 6-12 months of high-dose antibiotic therapy. The return of symptoms and evidence of the continued presence of Borrelia burgdorferi indicates the need for further treatment. The very real consequences of untreated chronic, persistent Lyme infection far outweigh the potential consequences of long-term antibiotic therapy.
- Many patients with Lyme disease require treatment for 1-4 years, or until the patient is symptom free. Relapses occur and maintenance antibiotics may be required. There are no tests available to assure us whether the organism is eradicated or the patient is cured.
- There are 5 subspecies of Borrelia burgdorferi, over 100 strains in the US, and 300 strains worldwide. This diversity is thought to contribute to Borrelia burgdorferi's antigenic variability and its various antibiotic resistances.
- Lyme disease is the latest great imitator and should be considered in the differential diagnosis of MS, ALS, seizure and other neurological conditions, as well as arthritis, CFS, gulf war syndrome, ADHD, hypochondriasis, fibromyalgia, somatization disorder and patients with various difficult-to-diagnose multi-system syndromes.
- Lyme is the number one tick-borne illness in the US. The CDC reports there are 24,000 new cases of Lyme disease in the US, but the CDC says that figure could be under reported by tenfold. ILADS believes newly diagnosed cases of Lyme may occur at a rate five times higher than the number of new AIDS cases. Chronic Lyme is reported in up to half of patients treated for Lyme.
- Symptomatic presentations of Lyme disease include:
- Low grade fevers, "hot flashes" or chills
- Night sweats
- Sore throat
- Swollen glands
- Stiff neck
- Migrating arthralgias, stiffness and frank arthritis
- Chest pain and palpitations
- Abdominal pain, nausea
- Sleep disturbance
- Poor concentration and memory loss
- Irritability and mood swings
- Back pain
- Blurred vision and eye pain
- Jaw pain
- Testicular/pelvic pain
- Cranial nerve disturbance (facial numbness, pain, tingling, palsy or optic neuritis)
The Pastor's Ass
The pastor entered his donkey in a race and it won.
The pastor was so pleased with the donkey that he entered it in the
race again, and it won again.
The local paper read:
PASTOR'S ASS OUT FRONT.
The Bishop was so upset with this kind of publicity that he ordered the pastor not to enter the donkey in another race.
The next day, the local paper headline
BISHOP SCRATCHES PASTOR'S ASS.
This was too much for the Bishop, so he ordered the pastor to get rid of the donkey. The pastor decided to give it to a nun in a nearby convent.
The local paper, hearing of the news, posted
The following headline the next day:
NUN HAS BEST ASS IN TOWN.
The Bishop fainted. He informed the nun that she would have to
Get rid of the donkey, she sold it to a farmer for $10.
The next day the paper read:
NUN SELLS ASS FOR $10.
This was too much for the Bishop, so he ordered the nun to buy back the donkey and lead it to the plains where it could run wild.
The next day the headlines read:
NUN ANNOUNCES HER ASS IS WILD AND FREE.
The bishop was buried the next day.
The moral of the story is . .. .
Being overly concerned about people's opinions can bring you much grief and misery . . even shorten your life.
So be yourself and enjoy life.
||Mar 23, 2008
||Meeting Friends, Support a Cause
|Group Host of
||I am tripartite:
2-parts: Insatiably curious, enthusiastic optimist embracing life with child-like abandon;
1-part: Jaded misanthropic curmudgeon scoffing irreverently.
||Introduce yourself to Gloria Dawn
1 rescued cat
Aspiring Vajrayana Buddhist / Sakyapa
Omnivorous but not coprophagous
|Wild Fact About Me
||I've done a few laps at 150MPH on the Monster Mile at Dover Downs International Speedway.
I've been behind the "Iron Curtain" when it existed.
Although I've never shot a living thing, I became a distinguished expert in riflery at age 13.
||Is not life a hundred times too short for us to bore ourselves?
He who fights with monsters might take care lest he thereby become a monster. And, if you gaze for long into an abyss, the abyss gazes also into you.
A great truth wants to be criticized, not idolized. And, we should call every truth false which was not accompanied by at least one laugh.
Character is determined more by the lack of certain experiences than by those one has had.
That which does not kill us makes us stronger.
---- Friedrich Nietzsche (1844-1900)
|What Gives Me Hope
||People/Animals who lovingly and joyfully THRIVE despite very difficult circumstances.
The Buddha's observation that:
Praise and blame,
Gain and loss,
Pleasure and pain,
Fame and disrepute
Are eight wordly winds.
They ceaslessly change.
As the mountain is
So the heart of a wise person is
By all the changes on this earth.
|If I were Mayor, I'd make the world a better place by
|What/who changed my life and why
|What Bugs Me
Claude Monet paintings:,
Madame Monet in a Japanese Costume-1875,
James Jacques Joseph Tissot paintings:,
Hide and Seek-1877
|What Scares Me
War - Cruelty - Greed - Indifference
Anne Royall - Writer and "Common Scold",
Phoebe Ann Mosey = Annie Oakley,
Belva Lockwood - Lawyer,
R.E. Royall - my grandfather,
Ani Kunga Chodron,
His Holiness the 14th Dalai Lama,
Helen Keller and Anne Sullivan,
Henry David Thoreau,
Rosalyn S Yalow - Physicist
||May you live every day of your life....Jonathan Swift
Neuroscience Molecular Biology,
U.S. Civil War,
Lord of the Rings by J.R.R. Tolkien,
Art of Forgiveness Lovingkindness Peace,
The Skull Mantra by Eliot Pattison
WIDE ECLECTIC MIX....,
Stevie Ray Vaughn,
Employee of the Month-2004,
Harold and Maude-1971,
Le Roi de Coeur AKA King of Hearts-1966,
12 Angry Men-1957,
After the Thin Man-1936
I seldom watch TV
I'm an omnivore.....,
Galactoboureko Greek Desert,
Hellas in Tarpon Springs FL Greek,
Amiccis in Baltimore MD Italian Shrimp,
Peking Gourmet Inn in F.C. VA Chinese,
Doe's in Greenville MS Hot Tamales,
Japanese Sushi and Sashimi
Shenandoah Valley in Virginia,
Saltillo Coahuila Mexico,
The Grand Canyon,
Yellowstone National Park,
Assateague Island Maryland,
New Orleans French Quarter,
British Virgin Islands,
New York City
|Can't Live Without
My Sense of Humor,
My Nikon D80,
Books....lots and lots of books,
||Introduce yourself to Gloria Dawn
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