A black color cell, Photo courtesy of Vermont Department of Health
V ermont currently ranks second in the country for Lyme disease – although for many years, it is No. 1. CDC considers the disease endemic in the state. of the medical establishment, however, believe that there is another problem contributing to the high incidence of the disease in Vermont: lack of effective early diagnosis and treatment.
In 2017, there were 1,093 cases, according to Vermont's Department of Health. Data from 2018 are not yet finalized, but according to Natalie Quitt's veterinarian there are likely to be around 500 to 600 cases it describes as a normal annual variation
The transmitted diseases, such as Babesiosis and Anaplasmosis, also increase in Vermont, says Quitt. Since Vermont is on the northern edge of the tick-borne area, the disease is most affected. According to Quit, Bennington County has the highest incidence of Lyme disease, followed by Rutland, Windsor, Windham, Addison, and Grand Island.
Quit said it was hard to say how bad this year would be, but noted that with ticks in their nymph form right now – when Lyme disease rates are highest – Vermont should be particularly careful through June and July. Bill Landesman, who is studying ticks at Green Mountain College, says Vermont something like a perfect storm at Laim. Not only the blackheads that inhabit the area are the ideal hosts for Borrelia burgdorferi, the bacterium that causes Lime – the state also has numerous white-tailed deer and deer mice, two primary tick carriers. the rate of infections for the nymphs currently in season is about 20% to 30%, while the percentage of adults, later in the summer, is twice as high, from 40% to 60%. He told some of the sites that he was learning that there was a chance one in four to find a tick in a square meter, which means that if you go through the forest, you risk Laim. 19659009] VTDigger is Taken by:
Critics say the problem with Lime in Vermont is not just the result of a high ticking rate.
Medical specialists admit that Lym may be disappointing for diagnosis.
Rapid diagnosis as a prevention
Rebecca's son Zelis did not have the rash or joint pains that doctors are looking for to identify Lyme disease. But his symptoms were behavioral. When he came to the kindergarten, Zelis said his symptoms were deeply disturbing. "Mom, I just want to die," he told her. "I want to run in front of a car and die."
The diagnoses for her son range from psychological problems to bad parenting. Until her son began to get more classical symptoms, like headaches and chronic infections, doctors finally admitted that he had Lyme disease.
As it lasted so long without treatment, there was a long way to neurological recovery. For some time in high school he was trained in homes because he was too sick to leave the house.
When caught early and treated effectively, Zelis says that Lym's disease usually does not cause long-term problems. But often this is not the case. "Not all medical specialists in Vermont know exactly how to diagnose and effectively treat tick-borne diseases," says Zelis. "Vermakers affected by complex tick-borne diseases need more resources, understanding and support." the information he saw still centers on this symptom. The Center for Disease Control reports that between 70% and 80% of Lyme disease cases include rash with apples. But Zelis warns that local differences can be forgotten in wider national talks.
She said that in the past two months the patients told her they had not got the exact information from the doctors. In one case, her wife writes about the boy to a boyfriend who has been bitten by a tick and has been told to wait, and if the child does not get a rash with a bullseye, they are clear. Another message was from a parent whose son had a bladder rash after returning from the camp, but his doctor told him that while there were no other symptoms, he should not worry – although within a year the child had almost any known symptom of Lyme. "I would say that accurate and timely diagnosis is a form of prevention," says Zelis, who teaches about mental health in order to help people affected by Lym's disease. , "This prevents people from having a more complex and severe form of the disease."
A little over a year ago Monica Race from Mo a nipple noticed in her neck an immature tick, called the nymph, which later saw a rash, though not typical of a bullseye. A health center where a doctor has taken a picture of the rash and has done a blood job – which has turned back to Lime. Within a week, she had night sweats that were so intense that she checked the ceiling to check for leakage. So she comes back to the doctor who decides to treat him like Lime, although her work is not convincing.
Race's experience is in contrast to friends. who knew he was in such situations, but whose doctors did not treat him that way.
"We throw antibiotics in children 12 times before there are 7 for ear pain, and suddenly an adult with a strong sensation and a picture of a rash, and you will not treat Lym? "said Race. "There is a real problem here with the resistance to think it is Lime.
In addition to taking doxycycline, the antibiotic commonly used to treat Lyme used herbal remedies and acupuncture. Several of her friends with Lime regularly leave the state just to see specialists.
Race emphasizes that people who suspect that Lime should be categorical about their treatment. said. "If someone does not want to heal you, I strongly recommend going to another person within a few days, or even naturopath – someone who will be empathetic to your situation and have no blocked mentality about it." 19659003] A state law passed in 2014 gave physicians greater freedom to treat Lime by allowing them to heal outside the guidelines set by the American Society of Infectious Diseases.
But Rachel Nevit, who advocates the bill, believes Vermont
"The truth of the matter is that the suppliers here are ignorant," Nevit said. "Some caught, but those who get caught are afraid to treat it in a way that they should be treated because medical signs will come after them." Inviit probably had the disease for years before finally being diagnosed. In 2009, Nevit suddenly fell on the floor with painful pain in the spine. It was supposed to have a disc herniation, but there was no case of an accident, and the MRI appeared normal. Today, says Nevith, people know that this means Lime. But then she was just another point on the list of symptoms she could not explain.
Nevitt had become dyslexic, forgotten and lost spatial consciousness. She once accused her husband of spending $ 80,000 on a new irrigation system for their farm just because she could not recognize the irrigation system they used for years. the disease and told Nevit that she had to feel she understood, "Oh, God, that's what I have."
But even then she was struggling to make a diagnosis-or even to study. Nevitt found no treatment until he left the state to meet a Hudson River Valley expert.
"At this point I really realized everything people who say Lyme are true," she said. "Something is wrong with the medical community, they just think we're all crazy."
One thing that is common in Lyum patients, says Nevit, is that at one point the stressful life causes very bad symptoms very quickly. She told many people that it could be tragic like childbirth or divorce. Nevitt said in her case that now that her husband now – Lt. Governor David Zukerman is running for a state senate in 2012, leaving it alone to manage their organic farm.
Vermont's Laim's research is 20 years back, she said. old research for, "said Nevit. "If you talk to someone with Lime, they will tell you that the medical community here is far behind."
"When we do not understand the mechanisms of something, it's very frustrating
" The Rheumatologist at the UVM Medical Center Ralph Bad
Doctors admit that they do not have all the disease responses Ralph Bad, a rheumatologist at the UVM Medical Center who specializes in Lyme-related arthritis, says that people are often convinced that if they have symptoms, they also have a persistent infection, although it is often not so He said treatment of symptoms is usually a very effective option after the period of
"When we do not understand the mechanisms for something, it is very disappointing for the patients and it is very disappointing for us," said Budd. "Medicine has many of them – Lym is not the only one. cautious by specialized lam processing laboratories, who said that, unlike the tests he uses, who need LAMA antibodies to develop for six weeks before being accurate, other labs have more – faster tests, which he claims to have proved to have a higher degree of false positive results. they have something and they do not feel good, of course, they're shopping around and looking for something to help, "Bad said. "But if the lab gives them false positive results, it can really do a bad service to the medical community."
Kwit, from the Vermont Health Department, repeated this feeling. "It is important to diagnose Lyme disease properly when someone has it, but it is also important that no one with Lyme disease is diagnosed when the cause is really something else," she said.
The misdiagnosis of the disease of Lym may lead to a long way of treatment that does not work and can lead to a longer-lasting illness, she said, urging the use of validated, evidence-based methods to diagnose the disease
moment in the Lime community there is a break in the best ways to deal with a disease Some advocates seek guidance from the International Society of Lymus and Associated Diseases, which they believe are more accurate testing methods, but these standards are not approved by the Centers for Disease Control and are considered skeptical by many in the medical
Alexis Chesney, a specialist in naturopathic Lime, said that the best way to respond to Lime was to prevent it
She pointed out a number of recommendations to prevent the spread of the disease, including treatment of repellent clothing for ticking, bathing within two hours of opening, checking pets to make sure they do not carry ticks inside, and drying clothes for 10 minutes as soon as you get inside to make sure all the ticks – which often are small as poppy seed – have disappeared.
"I'd like people to stop biting ticks," Chesny said. "Then we could really solve the tick epidemic.
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