Lyme-Disease-Be-Lyme-Wise by liwenting


									A Presentation by Michele Moynihan
It was 8 months before I was properly diagnosed
 with Lyme disease and treated with antibiotics.
  By different doctors, I was told I had Chronic
Mononucleosis, Rheumatoid Arthritis, and a possible
            tumor on my optic nerve.
  Since I went so long without treatment, I am still
  on strong antibiotics. It has now been a year and
      a half since I first started on medication.
            I know I am not a doctor.
•   Yourselves
•   Your Family Members
•   Your Pets
•   Your Friends and Neighbors
•   Your Colleagues
   Why and How Lyme Disease
     Can Be Misdiagnosed

  The Symptoms of Lyme Disease

How to Protect Yourself from Ticks
      How to Remove Ticks
Over 50% of Lyme victims DO NOT
 remember being bitten by a tick.


A tick bite DOES NOT HURT due
to the anesthetic it injects upon
       puncturing the skin.

            PLUS...            Lang, 16
 Ticks are TINY and hard to detect on the
body. Some nymphs are the size of a small
 mole or a period at the end of a sentence.
The time lapse between a tick bite and
 the emergence of symptoms can be
       weeks or even months!

  Type of symptoms and severity of
   symptoms can vary in everyone.

    100 Strains         300 Strains
  The blood tests are NOT
“Generally accepted testing procedures have
had a 30-40% reliability rate, at best” (Lang, 16).

            This means...
  There is a 60-70% chance you could
    have a “false negative” result.
If a person is currently on or has recently
taken antibiotics, it can reduce the body’s
      production of Lyme antibodies.

      The Lyme bacteria, called the
   “spirochete” can hide in the body by
      shifting and changing to avoid
     detection by the immune system.
                The Controversy
    ELISA                                       Western Blot
                          CDC says
                          you must
                            have 5           But I only
                           bands!!!           have 2!
                                             And I feel

  “Several studies have shown that sensitivity and
 specificity for the…Western Blot ranges from 92%
 to 96% when only two specific bands are positive”
(National Guideline Clearinghouse: Summary of ILADS Guidelines for Lyme Disease, 3).
                   Western Blot Panel

 IgG- 10 bands-
 older infection

 IgM- 3 bands-
recent infection
  “Called the „Great Imitator,‟ Lyme disease,
because of its myriad of symptoms, can mimic

      What are the
   two hundred other illnesses” (Lang, 33).
Because of this, Lyme is frequently misdiagnosed as…
• Chronic Fatigue           • Chronic
      symptoms of
  Syndrome                    Mononucleosis
• Fibromyalgia              • Multiple Sclerosis
• Rheumatoid
                            • Alzheimer‟s
• Lupus
• Thyroid Disease
                            • Lou Gehrig‟s
• Depression                • And more…
One of the first symptoms of Lyme Disease can be
        what is called a “Bull’s Eye” rash.
   There are 10 documented variations of
 rashes associated with Lyme disease, and
   not all of them look like a “Bull‟s Eye.”
    Many rashes may resemble a spider
     bite, ringworm, blisters, hives, or
         even cellulitis or shingles.

                                     Lyme Rash

                  Lyme Rash

Lyme Rash

Ringwor         Lyme
   m          Lyme
  Even though the rash is a tell-tale
       sign of Lyme disease...

  Over 50% of
victims DO NOT
exhibit any rash
  at all!!! (ILADS, 2)
       and/or Muscle Pain
Joint(but over 50% don‟t get one)

   (with or without swelling)



             Elbows            Knees

  Flu-like symptoms
             Wrists Hands
   Unusual Fatigue
(with or without fever)
                                      •   Frequent Headaches
                                      •   Dizziness or Vertigo
                                      •   Lightheadedness
                                      •   Frequent Nausea
                                      •   Gastrointestinal Problems
                                      •   Ringing or Pounding in Ears
                                      •   Blurred Vision
                                      •   Burning Eyes
                                      •   Numbness, Tingling, or Burning
                                      •   Heart Palpitations
                                      •   Chest Pain
                                      •   Excessive Sleeping or Insomnia
                                      •   Extreme Fatigue
                                      •   Poor Memory & Concentration
                                      •   Brain Fog
                                      •   Irritability
                                      •   Anxiety
                                      •   Sadness, Crying
“Lyme disease is a CLINICAL diagnosis and test results should be
 used to support rather than supercede the physician‟s judgment”
(National Guideline Clearinghouse: Summary of ILADS Guidelines for Lyme Disease, 1) .
    *Clinical Diagnosis = Diagnosis based on symptoms, not just
      blood tests that can often yield a “false negative” result.
       How can you
Male                   Female

       Lonestar Tick            Female Dog Tick


        from ticks?
                                 Male Dog Tick

Blacklegged Deer Tick
     Thumb Tack to Pin Head

Cm                            Cm
              •   On Pets
              •   On Birds, Squirrels, Chipmunks, etc..
              •   In Wooded Areas
              •   Overgrown Areas
              •   Shrubs/Flower Beds
              •   Grass (tall or short)
 Tick       Ticks climb to the tips of grasses
Larvae      and weeds and lay in wait for their
             next host to brush against them.
            Ticks are most active between May and
            November, but studies have proven that
         ticks can be found “questing” all year round
           at temperatures as low as 38 degrees F.
Nothing‟s a 100%!
is a THOROUGH physical inspection
                Tick Fangs

Engorged Tick
•DO NOT touch the tick     •Infective agents may enter
                           through mucous membranes
with bare hands.           or breaks in the skin.

•DO NOT twist or jerk      •Mouthparts of the tick may
the tick.                  become imbedded, increasing
                           the risk of infection.
•DO NOT squeeze,
crush, or puncture         •The tick‟s saliva and gut
the body of the tick.      contents may be released,
                           increasing the risk of infection.
•DO NOT put alcohol,
nail polish, or Vaseline   •This may cause the tick to
                           regurgitate its stomach contents,
on the tick, and DO NOT    increasing the risk of infection.
burn the tick.
     The most important aspect of tick removal is to
      make sure the mouthparts do not remain in the
    skin. If the tick is a nymph, it may be harder to tell
           if the mouthparts have been removed.
•    Use a tick removal device such as Ticked-Off, Tick Nipper,
     Pro-Tick Remedy, or De-Ticker. You can Google search these
     and find them on-line.
•    If no other tool is available, use a fine-point tweezers.
•    Grasp the tick as close to the skin as possible, and gently
     pull straight upward; do not twist or jerk.
•    Put the tick in a plastic bag with the date, and then put it in
     the freezer for later identification.
•    Wash the area with a disinfectant.
•    Seek immediate medical attention.

       An infected tick can transmit Lyme
      bacteria after being attached for only
              4-24 hours (Lang, 12).
School Nurse Supply
Page 74, Item #56010
  Why and How Lyme Disease
    Can Be Misdiagnosed
 The Symptoms of Lyme Disease

How to Protect Yourself from Ticks

     How to Remove Ticks
Bock, Steven J. “The Integrative Treatment of Lyme Disease.” The
   International Journal of Integrative Medicine. 1/11/07
Cameron, Daniel. “Evidence-Based Guidelines for the Management of Lyme
  Disease.” 5/19/07 <>.
Cameron, Daniel. “Lyme Disease: What You Need to Know.” New York:
  National Guideline Clearinghouse, 2007.
“Facts About Ticks and Tick-Borne Diseases.” 5/19/07 <http://www.bada->.
“Home of the De-ticker.” 5/19/07 <>.
International Lyme and Associated Disease Society (ILADS). “Basic
    Information about Lyme Disease.” 5/19/07 <>.
Lang, Denise. Coping with Lyme Disease: A Practical Guide to Dealing with
   Diagnosis and Treatment. New York: Owl Books, 2004.
“National Guideline Clearinghouse: Summary of ILADS Guidelines for Lyme
   Disease.” 5/30/07
“Ticks and Lyme Disease.” 5/19/07 <>.
“Ticks and Tick-Borne Diseases in Texas.” 5/22/07 <>.

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