Let's Really Clear It Up

The Infectious Disease Society of America (IDSA) and the International Lyme and Associated Diseases Society (ILADS) have very different guidelines for the treatment of Lyme disease. An article recently posted in the Huffington Post entitled "Lyme Disease Myths: 9 Things You should Know About The Tick-Borne Disease" follows the IDSA treatment guidelines, which are misleading. As a result, many people are not given the correct diagnosis, treatment, or recognition and are severely impacted for the rest of their lives.

Lyme disease is real and prevalent. The ILADS treatment guidelines treats for both Lyme disease and considers chronic Lyme disease a very difficult group of infections to eradicate. They believe in using antibiotics over the long term along with different nutritional supplements, which the IDSA disagrees with in every aspect. Unfortunately, for the consumer, this controversy can mean the difference between health and years of chronic illness and suffering. I encourage everyone to discern for themselves which group to follow, to dig deeper, and to study all the information out there. Education is the key to stopping this widespread epidemic. 

Below you will find the corrections to each "myth". I have kept the word "myth" because that is how the Lyme subjects are described in the article.

Myth: All Ticks Carry Lyme Disease

HP Article: There are a number of types of ticks, but only blacklegged ticks (commonly called deer ticks) carry the bacterium that causes Lyme disease, according to the Centers for Disease Control and Prevention (CDC). Lone star ticks, the American dog tick, the Rocky Mountain wood tick and the brown dog tick do not transmit the disease.

The Reality: The deer tick is not the only type of tick to carry Lyme disease and other co-infections. All types of insects carry Lyme, including all types of ticks, Mosquito's and fleas. The CDC criteria that defines Lyme disease misses 90% of infections.

Myth: All Deer Tick Bites Result In Lyme Disease

HP Article: First of all, not all deer ticks are infected with the Lyme disease bacterium. "In areas where [Lyme disease] is very common, one out of every four or five ticks might be infected," says Paul Mead, M.D., MPH, chief of epidemiology and surveillance activity at the CDC. "In other areas where it's much rarer, that may be more like one in 100."

Second, if a tick is removed within 24 hours of biting, risk of infection drops dramatically. "It's important to take a definitive step quickly," says Mead. "If you look for ticks every day and -- [if you] find them -- remove them, you aren't likely to get Lyme disease."

The Reality: To report that Lyme is rare in other parts of the world besides the N.E. portion of the U.S. is a fallacy. Lyme is now found worldwide, they have even found ticks in Antartica with Lyme. It is common in every state in the nation. In ticks sweeps last year about 90% were infected in the N.E. and 40-50% in Northern California. Secondly, it has been documented by Lyme Literate providers that infection can occur in less than 2 hours. Remember that Lyme disease is carried in the tick's saliva so that as soon as the ticks bites and embeds it can potentially infect a person.

Myth: The Best Way To Remove A Tick Is To Burn It 

HP Article: Folk remedies like burning the tick off of your skin or suffocating it with nail polish just prolong the window of time for that bugger to infect you. Instead, use tweezers to remove the offending insect as quickly as possible. Mead explains that the CDC recommends grasping the tick with the tweezers as close to the skin as possible, then pulling upward without twisting. Be sure to clean the area after -- and your hands!

The Reality: This advise is correct. Be especially careful to get the head out, and careful to avoid squeezing the body of the tick as that is the way co-infections are injected into the body. Lyme is found in the saliva of the tick so completely removing the head is very important in stopping more transmission of infection.

Myth: You Only Have Lyme Disease If You Have The Telltale Bull's Eye Rash

HP Article: While it is a very common sign of Lyme disease, and perhaps the most obvious one, not everyone develops the characteristic rash. It shows up in about 80 to 90 percent of people, according to the American Lyme Disease Foundation (ALDF), and usually appears as a red blotch with a red ring emanating from the site of the tick bite. It may be warm to the touch but usually isn't itchy or painful. If you've been bitten by a tick and notice other possible symptoms, like fevers, headaches and muscle pain, consult a doctor as soon as possible.

However, it's not unheard of for someone not to develop the rash -- or to simply not see it, according to Mead, especially if it's somewhere hidden like the scalp. "The symptoms sound like flu symptoms, but they occur in the late spring and early summer," Mead says. "If you get those symptoms and live in an area where Lyme disease is common, you may want to consider that possibility."

The longer Lyme disease goes undiagnosed and, therefore, untreated, the more severe the symptoms can become. Untreated infection can cause a paralysis to facial muscles called Bell's palsy, irregular heartbeats, arthritis and short-term memory problems, says Mead.

The Reality: The Bull's Eye rash is seen as little as 20 percent of the time. If you see the rash you do have Lyme. It is diagnostic. Any flu like symptoms, joint pain, or nerve changes like burning or drooping are signs of Lyme.

Myth: There Is No Cure For Lyme Disease

HP Article: When treated with antibiotics in the early stages of the disease, Lyme disappears in almost all people -- and quickly, too. But in a small number of people, symptoms like muscle and joint pain or memory problems persist. Researchers are currently trying to determine how long a person should be treated with antibiotics in these instances of what is sometimes referred to as "chronic lyme disease," according to the National Institutes of Health.

Experts don't know the exact cause of this cluster of lingering symptoms, more properly called post-treatment Lyme disease syndrome, Mead explains. There is ongoing debate among experts as to whether or not ongoing symptoms reflect continuing infection or "whether it is a post-infectious complication," he says. Imagine, he explains, a person who has broken his leg. If it doesn't heal right, it's not that it's still broken, but it may continue to cause pain or weakness. So too might a prior Lyme infection cause continuing discomfort. Studies have shown, however, that further treatment with antibiotics has no benefit -- and can be harmful.

The Reality: If it is an acute infection and is immediately treated with 6-8 weeks of antibiotics, the chronic form can usually be prevented. If you have symptoms then taking antibiotics until all symptoms are gone should be considered. The disconnect between the two groups who talk about and treat Lyme disease is huge. The Lyme-literate group disagrees with the post Lyme syndrome diagnosis, and believes Chronic Lyme is an active infection that includes multiple infectious agents, and that antibiotics and other supplements are necessary to heal from it. There are many studies that prove the persistence of Lyme and other co- infections. The longer a person goes untreated the more difficult it is to recover. Lyme does not resolve on it's own. It can change form and lie dormant in the body until something triggers infection, like another tick bite.

Myth: A Blood Test Is The Best Way To Diagnose Lyme Disease

HP Article: It depends on how long after a tick bite we're talking about, says Mead. "The most widely-used test for Lyme disease doesn't test for the organism itself, but for antibodies that your immune system makes," he says. "When you are first infected, your body hasn't had time to make those antibodies, and you can test negative in the early stages of the disease."

If, however, someone has been infected for months or even years without knowing it, -- say they go to a doctor for symptoms of arthritis and don't even recall having a summer fever the year before -- "then the test is quite good for detecting infection," he says.

The Reality: Most testing for Lyme disease is poor with many false negatives.The only reliable test for Lyme is from Advance Labs. It is a culture and costs $600.00. The other tests are not reliable and do not rule out Lyme with a negative test. Igenex Lab in California also has more reliable testing than most national labs. The state of Virginia now mandates that providers inform patients of this fact. 

Myth: You Can Get Lyme Disease Everywhere In The U.S.

HP Article: More than 97 percent of all cases of Lyme disease occur in the northeastern and north-central parts of the country, says Mead. Your chances of being bitten by an infected tick outside of those regions are very small. While there have indeed been reported cases in nearly all 50 states, Lyme disease is reported by state of residence, not necessarily the state of infection. A child from Wyoming who spends the summer in Pennsylvania with Grandma and comes down with Lyme disease will count as a reported case for Wyoming, says Mead, even though her chances of getting Lyme in her homestate are tiny.

The Reality: It is true that you can get Lyme anywhere in the U.S. and other places. It is found worldwide. It is a fallacy to say that 97% of all infections occur in the NE of the US. Lyme is in every state in the country. A study done by U.C. Berkeley in the early 90's proved the existence of Lyme, Babesia, and Erhlichia in Sonoma Valley in California.

Myth: Lyme Disease Can Spread Between People

HP Article: From time to time you do see a husband and a wife, for example, who both come down with Lyme disease around the same time, says Mead, but there's no solid evidence to support the idea that one of them passed it to the other. It's much more likely that they were both bitten by ticks, especially since young ticks can be so small, he says.

The Reality: Lyme and other co-infections can be transmitted sexually; through blood by organ donation and blood transfusion; through the placenta to a fetus; and through breast feeding. This has been documented in studies. The CDC is concerned about the transmission of Babesia and Ehrlichia in the blood supply, but still does not test for Lyme. 

Myth: You Can Get Lyme Disease From A Pet

HP Article: Fido and Fluffy can get Lyme disease, but there is no evidence to suggest pets can spread the disease to humans. However, "pets are important vehicles for ticks to get into the household and come into contact with humans," Mead says. Pet owners may want to consider tick control powders, sprays, collars or other products for their furry friends.

The Reality: Your pets can carry the tick into your home, crawl on you and bite. Make sure to always check your pet for ticks after walks, hikes, or after being in any area a tick could catch a ride. Most products do not prevent the tick from grabbing on, only from biting.  Additionally, if your cat or other pet scratches or bites you and is infected, it can transmit that infection to you. 

It is so important to become informed about the epidemic of Lyme disease. Go to Lymedisease.org and ILADS.org for more information. To ensure you completely recover see a Lyme-literate provider. It could make all the difference in your life.